The field of mental health and psychosocial support is now globally recognised as a valid element of humanitarian aid. Medecins Sans Frontie' res has been a leader in this work for many years. On re£ecting on the article by Gaboulaud et al. (2010), we pose the following questions (detailed below): How would psychodynamic psychotherapy have to be adapted to the Palestinian context? What is the role of interpreters? How effective and sustainable was the work?

Since the beginning of Al Aqsa Intifada, Palestinian children and adults living in the occupied Palestinian territory have been exposed to stressful events on a daily basis. As a result, some individuals develop severe and chronic reactive psychological syndromes. The nongovernmental organisation Medecins Sans Frontieres (MSF) provides medical and psychological support to them, using psychodynamic psychotherapy adapted to the Palestinian culture and to the low intensity conflict context.

This article critically discusses the use of movement, games and sport in cooperation for development, in post con£ict rehabilitation and in the context of violence, disaster and conflict. Pointing out the ambivalent nature of sport and its limitations, we conclude that, if we really want to achieve an impact through movement, games and sport, we should use them as tools with concrete strategies according to specific goals, local context and based on the interests, needs and leadership of the participants.

In this paper, the reader is taken on a field trip to a village in the north of the West Bank. Events described in the report are used to explore some of the methodological dimensions of a psychosocial programme designed and implemented in joint partnership between a local Palestinian academic institution, the Institute of Community and Public Health of Birzeit University, and a Palestinian nongovernmental organisation the Community Based Rehabilitation programme.