Political Violence, Collective Functioning and Health: A review of the literature

Political violence is implicated in a range of mental health outcomes, including PTSD, depression, and anxiety. The social and political contexts of people’s lives, however, offer considerable protection from the mental health effects of political violence. In spite of the importance of people’s social and political environments for health, there is limited scholarship on how political violence compromises necessary social and political systems and inhibits individuals from participating in social and political life. Drawing on literature from multiple disciplines, including public health, anthropology, and psychology, this narrative review uses a multi-level, social ecological framework to enhance current knowledge about the ways that political violence affects health. Findings from over 50 studies were analysed and used to build a conceptual model demonstrating how political violence threatens three inter-related domains of functioning: individual functioning in relationship to their environment; community functioning and social fabric; and governmental functioning and delivery of services to populations. Results illustrate the need for multilevel frameworks that move beyond individual pathology towards more nuanced conceptualizations about how political violence affects health; findings contribute to the development of prevention programmes addressing political violence

Political Violence, Collective Functioning and Health: A review of the literature

Political violence is implicated in a range of mental health outcomes, including PTSD, depression, and anxiety. The social and political contexts of people’s lives, however, offer considerable protection from the mental health effects of political violence. In spite of the importance of people’s social and political environments for health, there is limited scholarship on how political violence compromises necessary social and political systems and inhibits individuals from participating in social and political life. Drawing on literature from multiple disciplines, including public health, anthropology, and psychology, this narrative review uses a multi-level, social ecological framework to enhance current knowledge about the ways that political violence affects health. Findings from over 50 studies were analysed and used to build a conceptual model demonstrating how political violence threatens three inter-related domains of functioning: individual functioning in relationship to their environment; community functioning and social fabric; and governmental functioning and delivery of services to populations. Results illustrate the need for multilevel frameworks that move beyond individual pathology towards more nuanced conceptualizations about how political violence affects health; findings contribute to the development of prevention programmes addressing political violence

Conflict, health care and professional perseverance: a qualitative study in the West Bank

The past three decades have been a time of considerable global conflict, affecting over 50 countries and causing substantial impacts on civilian health. While many effects are direct results of violence, conflict also impinges on health through indirect means. The restricted mobility of health care staff and patients, targeting of health care workers, and stressful working conditions disrupt the ability of health care workers in conflict zones to function effectively. This paper explores the challenges experienced by health care workers in West Bank, Palestine, as well as their strategies of persistence. Research activities included participant observation and interviews with health care providers, which were then analysed for common themes. Results demonstrated that the Israeli military occupation of the West Bank considerably impacts civilians’ access to both urgent and preventive care. While attempting to deliver care, providers encountered disruptions, harassment and violence, which interrupted care and contributed to job stress. Professional perseverance was evident, but its influence was limited by enduring constraints. This study thus underscores the importance of accountability to international law regarding the rights of civilians to health care in conflict zones. Health professionals may play a particular role in advocating for just and dignified resolutions to conflicts

Most importantly, I hope God keeps illness away from us : The context and challenges surrounding access to health care for Syrian refugees in Lebanon

The influx of 1.5 million Syrians into Lebanon has created an increased demand for health services, which is largely unmet, due to cost, a highly fragmented and privatised system, and crises around legal documentation and refugee status. The aim of this study was to use a constant comparison analysis of qualitative data to explore how Syrian refugees living in Lebanon describe their experiences accessing healthcare (N = 351 individuals within 46 families). Pervasive fear, lack of confidence in the medical system, and high costs all hinder access to healthcare for Syrians in Lebanon. Findings demonstrate the need for attention to the costs and accessibility of care, and for stronger coordination of care within a centrally led comprehensive emergency plan. While we attend to understanding and alleviating the barriers surrounding refugee healthcare, we must also address the underlying cause of health crisis: the brutal realities caused by armed conflict

Most importantly, I hope God keeps illness away from us : The context and challenges surrounding access to health care for Syrian refugees in Lebanon

The influx of 1.5 million Syrians into Lebanon has created an increased demand for health services, which is largely unmet, due to cost, a highly fragmented and privatised system, and crises around legal documentation and refugee status. The aim of this study was to use a constant comparison analysis of qualitative data to explore how Syrian refugees living in Lebanon describe their experiences accessing healthcare (N = 351 individuals within 46 families). Pervasive fear, lack of confidence in the medical system, and high costs all hinder access to healthcare for Syrians in Lebanon. Findings demonstrate the need for attention to the costs and accessibility of care, and for stronger coordination of care within a centrally led comprehensive emergency plan. While we attend to understanding and alleviating the barriers surrounding refugee healthcare, we must also address the underlying cause of health crisis: the brutal realities caused by armed conflict

The utmost strength I can bear : Strategies and psychological costs of mothering within political violence

Though certainly not women’s only identity or set of responsibilities for women in conflict settings, political violence creates distinct challenges for mothers due to the additional burdens of care-taking in these contexts. Yet, given the paucity of research on the topic, we still are operating without a clear understanding of how political violence jeopardizes maternal well-being and care-taking practices. Drawing on feminist perspectives on mothering, in the analyses presented here, authors use content analysis to explore mothering and political violence from five focus groups with women in Palestine. Results demonstrate the considerable suffering mothers and children endure in war; the work mothers do to promote children’s well-being in this context; and how these efforts exhaust the psychological resources of mothers. Findings enhance a relatively small body of knowledge about the lived experiences of mothers within conflict settings, and point to the importance of tending to the strategies and needs of mothers who navigate political violence with and for their children

The utmost strength I can bear : Strategies and psychological costs of mothering within political violence

Though certainly not women’s only identity or set of responsibilities for women in conflict settings, political violence creates distinct challenges for mothers due to the additional burdens of care-taking in these contexts. Yet, given the paucity of research on the topic, we still are operating without a clear understanding of how political violence jeopardizes maternal well-being and care-taking practices. Drawing on feminist perspectives on mothering, in the analyses presented here, authors use content analysis to explore mothering and political violence from five focus groups with women in Palestine. Results demonstrate the considerable suffering mothers and children endure in war; the work mothers do to promote children’s well-being in this context; and how these efforts exhaust the psychological resources of mothers. Findings enhance a relatively small body of knowledge about the lived experiences of mothers within conflict settings, and point to the importance of tending to the strategies and needs of mothers who navigate political violence with and for their children

Human (in)security and psychological well-being in Palestinian children living amidst military violence: A qualitative participatory research using interactive maps

Background Research has widely evidenced the effects of war and political violence on the functioning of children, with a great accord in diagnosing children\u27s psychological burdens related to their exposure to violence. Yet, within this literature, the influence of the chronic sense of insecurity on their psychological functioning during and after hostilities remains unexplored. Methods The present study aimed at exploring interrelated relationships between the perceived insecurity and the children\u27s psychological well-being and their adjustment to trauma. Based on drawings and walk-along interviews with 75 Palestinian children, residents of both the West Bank and Gaza Strip, we offer an analysis of human security-related risks and protective factors that contribute to either promoting or undermining the child\u27s psychological functioning in a context characterized by chronic instability and political violence. Results A complex network of sources of security and insecurity emerged from the narratives depicting an ecological portrait encompassing the determinants of children\u27s mental health and psychological functioning. The TCA led to the identification of eight main themes: school and associativism; social relations and house as a source of security/insecurity; military occupation as a source of insecurity; national and political identity as a source of safety; mosque and spirituality as a source of safety/unsafety; environment as a source of security/insecurity; and mental health. Discussion An approach encompassing human security as an explicative model can help in exhaustively portraying the complexity of the Palestinian children\u27s suffering and their competence in adjusting to their traumatic reality. The study draws attention to social, political, environmental and economic determinants of children psychological well-being

Individual and Collective Dimensions of Resilience within Political Violence

Research has documented a link between political violence and the functioning of individuals and communities. Yet, despite the hardships that political violence creates, evidence suggests remarkable fortitude and resilience within both individuals and communities. Individual characteristics that appear to build resilience against political violence include demographic factors such as gender and age, and internal resources such as hope, optimism, determination and religious convictions. Research has also documented the protective influence of individuals’ connection to community and their involvement in work, school or political action. Additionally, research on political violence and resilience has increasingly focused on communities themselves as a unit of analysis. Community resilience, like individual resilience, is a process supported by various traits, capacities, and emotional orientations towards hardship. This review addresses various findings related to both individual and community resilience within political violence and offers recommendations for research, practice, and policy