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Establishing a mental health system in the Occupied Palestinian Territories

Published online by Cambridge University Press:  02 January 2018

Rita Giacaman
Affiliation:
Institute of Community and Public Health, Birzeit University, Ramallah, West Bank
Neil Arya
Affiliation:
McMaster University, Canada
Derek Summerfield
Affiliation:
Institute of Psychiatry, London, UK
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What is ‘mental health’ during the societal crisis and upheaval occasioned by war? Perhaps the primary psychological effect of war on victims generally is through their witnessing the destruction of a social world embodying their history, identity, values and roles of everyday life. Such suffering has largely to be resolved collectively, in this same social world, albeit one which has been intentionally weakened. Thus, as the World Health Organization and other authorities confirm, the major thrust of humanitarian interventions must be towards the depleted social fabric and its institutions, for herein lie the sources of resilience and capacity for recovery for all (Kawachi & Berkman, 2000). Beyond that, history has shown that social or political reform is the best medicine, and for victims of oppressive violence this means acknowledgement and justice (Summerfield, 2002).

Type
Special paper
Creative Commons
Creative Common License - CCCreative Common License - BYCreative Common License - NCCreative Common License - ND
This is an Open Access article, distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives licence (http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits noncommercial re-use, distribution, and reproduction in any medium, provided the original work is unaltered and is properly cited. The written permission of Cambridge University Press must be obtained for commercial re-use or in order to create a derivative work.
Copyright
Copyright © The Royal College of Psychiatrists 2005

References

Barghouti, M. (ed.) (2004) Health and Segregation: The Impact of the Israeli Separation Wall on Access to Health Services. Ramallah: Health, Development, Information, and Policy Institute.Google Scholar
Barghouti, M. & Giacaman, R. (1990) The emergence of an infrastructure of resistance: the case of health. In Intifada. Palestine at the Crossroads (eds Nassar, J. & Heacock, R.). New York: Praeger.Google Scholar
Chatterjee, S., Patel, V., Chatterjee, A., et al (2003) Evaluation of a community-based rehabilitation model for chronic schizophrenia in rural India. British Journal of Psychiatry, 182, 5762.CrossRefGoogle ScholarPubMed
Giacaman, R. (2001) A community of citizens: disability rehabilitation in the Palestinian transition to statehood. Disability and Rehabilitation, 23, 639644.Google Scholar
Giacaman, R. & Mikki, N. (2003) Psycho-social/Mental Health Care in the West Bank: The Embryonic System (unpublished report). Institute of Community and Public Health and Centre for Continuing Education, Birzeit University, West Bank.Google Scholar
Giacaman, R., Husseini, A., Gordon, N., et al (2005) Imprints on the consciousness: the impact on Palestinian civilians of the Israeli army invasion of the West Bank towns. European Journal of Public Health (in press)Google Scholar
Jewkes, R., Levin, J. & Penn-Kekana, L. (2002) Risk factors for domestic violence: findings from a South African cross-sectional study. Social Science and Medicine, 55, 16031617.Google Scholar
Kawachi, I. & Berkman, L. (2000) Social cohesion, social capital, and health. In Social Epidemiology (eds Kawachi, I. & Berkman, L.), pp. 174190. Oxford: Oxford University Press.CrossRefGoogle Scholar
McKenzie, K., Patel, V. & Araya, R. (2004) Learning from low income countries: mental health. British Medical Journal, 329, 11381140.Google Scholar
Palestinian Environmental NGOs Network (2003) The Wall in Palestine. Jerusalem: PENGON.Google Scholar
Summerfield, D. (1999) A critique of seven assumptions behind psychological trauma programmes in war-affected areas. Social Science and Medicine, 48, 14491462.Google Scholar
Summerfield, D. (2002) Effects of war: moral knowledge, revenge, reconciliation and medicalized concepts of ‘recovery’. British Medical Journal, 325, 11051107.Google Scholar
Thabet, A. & Vostanis, P. (2000) Post traumatic stress disorder reaction in children of war: a longitudinal study. Child Abuse and Neglect, 24, 291298.Google Scholar
Van Ommeren, M., Saxena, S. & Saraceno, B. (2005) Mental and social health during and after acute emergencies: emerging consensus? Bulletin of the World Health Organization, 83, 7176.Google Scholar
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