Faculty of Public Health & Policy, London School of Hygiene & Tropical Medicine, 15-17 Tavistock Place, London, WC1H 9SH, UK.
Soc Sci Med. 2019 Feb;222:171-179. doi: 10.1016/j.socscimed.2019.01.005. Epub 2019 Jan 7.
To contribute to understanding the association between silence and suffering in the context of war and political repression, this study sheds light on the meaning-making process and explores the underlying mechanisms by which silence leads to suffering and how this suffering could be alleviated. The ethnographic research was conducted in 2015-2016, with 43 participants from northern Rwanda, who survived massacres after the 1994 genocide but were prevented from speaking about the experience by political constraints. The findings first describe their suffering, through grief, social isolation and loss of meaning in life and death (expressed as existential questions). Their suffering was worsened by 'unspeakability'; that is, the political context that prevents victims from speaking freely about their war experience, including discussion of those who killed and those who were killed. Unspeakability exacerbated suffering since participants were obstructed from applying ready narratives (e.g. funerary rituals, traditional reconciliation systems) or constructing their own narratives which could ordinarily help them to process mourning and reconciliation and to make sense of the loss. They selectively employed silence for coping and protection, avoiding speaking about the past to maintain everyday life. However, at the same time, unprocessed mourning remained a serious problem, resulting in mental health problems such as hallucinations of the spirits of the dead; participants expressed a strong need for mourning rituals. Overall, this paper highlights the ways in which the suffering of the silenced population worsens when meaning-making processes are obstructed. To alleviate the suffering, it is essential to secure mourning rituals for all survivors, particularly those who, as part of the defeated group of war, are silenced and marginalized in history.
为了深入了解战争和政治压迫背景下的沉默与苦难之间的联系,本研究阐明了意义建构过程,并探讨了沉默导致苦难的潜在机制,以及如何减轻这种苦难。这项民族志研究于 2015 年至 2016 年在卢旺达北部进行,共有 43 名参与者,他们在 1994 年种族灭绝后大屠杀中幸存下来,但由于政治限制,他们无法谈论这段经历。研究结果首先描述了他们的苦难,包括悲痛、社会孤立以及生命和死亡意义的丧失(表现为存在主义问题)。“无法言说”加剧了他们的痛苦;也就是说,政治环境阻止了受害者自由谈论他们的战争经历,包括讨论杀人者和被杀者。无法言说使苦难加剧,因为参与者无法运用现成的叙事(例如葬礼仪式、传统和解系统)或构建自己的叙事,而这些叙事通常可以帮助他们处理悲痛和和解,理解失去的意义。他们选择沉默来应对和保护自己,避免谈论过去以维持日常生活。然而,与此同时,未处理的悲痛仍然是一个严重的问题,导致心理健康问题,如死者灵魂的幻觉;参与者强烈表达了对哀悼仪式的需求。总的来说,本文强调了当意义建构过程受阻时,沉默人群的苦难会加剧的方式。为了减轻苦难,必须为所有幸存者,特别是那些作为战败一方的战争沉默和边缘化的人,提供哀悼仪式。