Integrating psychosocial issues in humanitarian and development assistance: a response to Williamson and Robinson

We greatly welcome Williamson and Robinson’s paper (Intervention, this issue) on two counts. Given the specific goal of the Psychosocial Working Group (PWG) to promote debate leading towards practice development, we are delighted that one of our papers on conceptual and field implementation issues (Strang & Ager, 2003) is credited as a prompt to this thoughtful article. More importantly, we support the core contentions of their paper even if not, as discussed below, all details of their prescription for action.

Integrated programme planning and psychosocial concepts in humanitarian response: a response to Williamson and Robinson

The article by John Williamson and Malia Robinson (Intervention, this issue) represents a way of humanitarian thinking and acting that will hopefully increase its influence to dominate humanitarian response across all sectors. The authors argue for an integrated, cross-sector response to biological, material, mental, emotional, social, cultural and spiritual well-being. We agree.

Psychosocial interventions, or integrated programming for well-being?

Over the past 25years, humanitarian programming has increasingly included attention to the psychological and social impacts ofconflict. Over this time, a wide variety of approaches have been developed to address these ‘psychosocial’ issues. The authors argue that labelling these approaches, as a distinct and separate sector of activity is not helpful, either conceptually or programmatically.

How to prevent turning trauma into a disaster?

This is also seen in military personnel who are deployed in overseas peace-keeping operations. The vast majority of soldiers return home safe and healthy. They are often self-contented. They were able to do the duties they were trained for, they were given an opportu-nity to contribute to a safer world and they often have experienced bonding with colleagues. The reverse of the medal consists of a small, but significant part of military personnel who are faced with a great diversity of health prob-lems. About one out of every five sol-diers develops post-deployment symp-toms (1).

Effects of Brief Eclectic Psychotherapy in patients with posttraumatic stress disorder : Randomized clinical trial

Brief Eclectic Psychotherapy (BEP) is a manualized psychotherapy for posttraumatic stress disorder (PTSD) which has proven effective for police officers. This article reports on a randomized clinical trial using BEP to treat other types of PTSD patients recruited from an outpatient clinic. Twenty-four patients were randomly assigned to a treatment or a waitlist group. Assessment of PTSD was made before and after the treatment period (4 months). No significant differences between the groups were observed at pretest.

Culture sensitive aspects of psychosocial postdisaster care in the Netherlands after the Bijlmermeer airplane crash and the Enschede fireworkdisaster.

When a disaster strikes, a large group of people may be affected either mentally or physically. This group, although united by their communual ordeal, may consist of people of differnt ethnic or cultural origin.

Coping with the aftermath of trauma

Adequate survival behaviour is a crucial “gift of nature.” Humans have been fairly successful in reducing the threat to life. Nevertheless, crossing a street or driving a car requires increased alertness in order to survive. Natural disasters such as the recent tsunami and man-made disasters such as war, terrorist attacks, killing, robbing, sexual and physical abuse, and plane crashes show how vulnerable we are. After surviving such an event, people need basics—food, shelter, medical care, and consolation.

The psychobiology of PTSD: coping with trauma

Posttraumatic stress disorder (PTSD) is one of the few psychiatric conditions where a specific psychosocial stressor is explicitly tied to etiology. Although a majority of people experience a traumatic event in their life, most of them will not develop PTSD or other mental health problems such as depressive or anxiety disorders. Emotional and neurobiological responses to psychosocial stressors show striking individual variation.

The Staircase to Terrorism: a Psychological Exploration

To foster a more in-depth understanding of the psychological
processes leading to terrorism, the author conceptualizes
the terrorist act as the final step on a narrowing
staircase. Although the vast majority of people, even when
feeling deprived and unfairly treated, remain on the ground
floor, some individuals climb up and are eventually recruited
into terrorist organizations. These individuals believe
they have no effective voice in society, are encouraged
by leaders to displace aggression onto out-groups,

Twelve creative ways to foster reconciliation after violence

Based on his experience as a mediator in many conflict areas, the author discusses twelve approaches to reconciliation. He concludes that no single approach is capable f handling the complexity of the situation after violent events, thus combining approaches makes more sense. The parties involved in the conflict should be invited to discuss these approaches and therefore be able to arrive at the best combination for their own situation.

Key words: conflict theory, peace work, reconciliation

 

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