University of Oxford, Oxford, UK.
London School of Hygiene & Tropical Medicine, London, UK.
Transcult Psychiatry. 2021 Aug;58(4):546-560. doi: 10.1177/1363461520949670. Epub 2020 Oct 12.
Prior studies have traced sociality and temporality as significant features of African healing. However, association between the two has not been explicitly investigated. This paper explores how sociality and temporality are associated in local experiences of distress and healing among northern Rwandans. The ethnographic research, including in-depth interviews, focus-group discussions and participant observation, was conducted in 2015-2016, with 43 participants from the Musanze district who have suffered from not only the genocide but also post-genocide massacres. Findings identified common local idioms of distress: (wounded feelings), (mental disturbances), (trauma), and (illness of the head, severe mental illness). One stage of distress was perceived to develop into another, slightly more serious than the previous. Social isolation played a significant role in the development as it activated 'remembering' and 'thinking too much' about the past and worsened symptoms. Subsequently, healing was experienced through social reconnection and a shift of time orientation from the past to the future; the healing experience traced a process of leaving the past behind, moving forwards and creating a future through community involvement. The experiences of distress and healing in this population were explained by two axes, i.e. sociality (isolation - reconnection) and temporality (past - future), which are associated with each other. Given the sociality-temporality association in African post-war healing, the study highlights that assistant programmes that facilitate social practice and future creation can be therapeutic and be an alternative for people who cannot benefit from talking-based and trauma-focused approaches.
先前的研究已经追踪到社会性和时间性是非洲治疗的重要特征。然而,这两者之间的联系尚未被明确调查。本文探讨了社会性和时间性如何在卢旺达北部当地人的痛苦和治疗经历中联系在一起。这项民族志研究包括 2015 年至 2016 年期间在穆桑泽区进行的深入访谈、焦点小组讨论和参与式观察,共涉及 43 名经历过种族灭绝和种族灭绝后屠杀的参与者。研究结果确定了当地人常见的痛苦用语:(受伤的感觉)、(精神紊乱)、(创伤)和(头部疾病、严重的精神疾病)。一个痛苦阶段被认为会发展成另一个稍微严重一些的阶段。社会隔离在发展过程中起着重要作用,因为它会激活对过去的“回忆”和“过度思考”,从而加重症状。随后,通过社会重新联系和时间取向从过去转移到未来,治疗就会得到体验;治疗经历追溯了一个过程,即放下过去,向前迈进,通过社区参与创造未来。该人群的痛苦和治疗经历可以用两个轴来解释,即社会性(隔离-重新连接)和时间性(过去-未来),它们相互关联。鉴于非洲战后治疗中的社会性-时间性关联,该研究强调促进社会实践和未来创造的辅助方案可以具有治疗作用,是那些无法从谈话和创伤焦点方法中受益的人的一种替代方案。