News / Middle East

Doctors Tackle Damaged Minds Amid Gaza's Post-War Destruction

Mohammed Wahdan, wounded in Israeli shelling, receives psychological care at Shifa hospital in Gaza City ,August 14, 2014.
Mohammed Wahdan, wounded in Israeli shelling, receives psychological care at Shifa hospital in Gaza City ,August 14, 2014.
Reuters

In a ward at Shifa, Gaza's largest hospital, child therapist Rabeea Hamouda is trying to elicit a response from two small brothers, Omar and Mohammed, aged three and 18 months, hoping for some words or perhaps a smile.

For seven straight minutes the children, peppered with burns and shrapnel wounds sustained in Israeli shelling that hit their home in north Gaza, stare at him blankly, emotionless.

Eventually, as Hamouda gently teases them, pretending to mix up their names and holding out a present while another counselor sings quietly, a smile creeps across Mohammed's face and the older one, Omar, cries out his name.

“At the beginning, Omar was not responding to us at all, he was not even willing to say his name,” explains Hamouda, who heads a team of 150 psychotherapists working for the Palestinian Center for Democracy and Conflict Resolution in Gaza.

“Big progress has been made with these children,” he says with a sense of relief and quiet accomplishment. “At the beginning they did not talk, they refused to communicate. But now, with the sixth session, we are witnessing good progress.”

Omar and Mohammed are just two of the 400,000 Gazan children the United Nations estimates are in need of psychological care as a result of not just the latest war in the territory but the three previous conflicts fought with Israel since 2006.

The most recent conflagration has been the deadliest, with 1,945 Palestinians killed, many of them civilians and including an estimated 457 children. On the other side of the border, some 64 Israeli soldiers and three civilians have been killed.

Whether the result of Israeli air strikes, having parents or relatives killed before their eyes, hearing militants firing rockets from their own towns or themselves being wounded, the psychological trauma for Gaza's young is profound.

The symptoms range from nightmares, bed-wetting and behavioral regression to more debilitating mental anxiety, including an inability to process or verbalize experiences.

There is also deep trauma on the other side of the border, with tens of thousands of Israeli children mentally disturbed by the regular rocket fire from militants during the month-long war and over the seven years since Hamas seized control of Gaza.

While the conflict's destruction of buildings and livelihoods is clear to see and documented daily in television footage, the damage to minds is mostly invisible, yet can have far more damaging and longer-lasting consequences.

“The first time a child goes through a traumatic event like a war it's just deeply terrifying,” said Chris Gunness, the spokesman of the United Nations Relief and Works Agency, which has 200 psychotherapists working in up to 90 clinics in Gaza.

“The second time is terrifying-plus-one because the child remembers the worst parts of the last war as well as the impact of the current one. Then the third time is plus-plus as the compounded memories of conflict build up.

“This time, for an eight- or nine-year-old child in Gaza, it's very, very intense indeed because there is this cumulative toll of trauma from repeated conflicts since 2006.”

Small steps

Hamouda and his team, like other psychotherapy units working across the small territory — home to an estimated 1.8 million people, more than half of whom are aged under 18 — can barely cope with the number of patients requiring help.

The treatment is by necessity basic — an effort to draw children out, to have them paint pictures of their experiences or emotions, to get them to verbalize their circumstances.

While a lot can be achieved with such simple techniques, many more require longer-term, personalized psychological care because of the enormity of the mental damage suffered.

“First we provide wounded and traumatized children with immediate pyscho-social support and we give parents some guidance on how to deal with them,” says Hamouda. Then there is home care and follow up for the more severe cases.

“Houses can be rebuilt and some physical wounds can be healed, but the people's psychological condition needs more than money and time,” he says. “It needs a big effort and persuasion, and overall it needs calm and stability.”

One of Gaza's most successful trauma assistance projects is the Gaza Community Mental Health Program, launched in 1990.

Hassan Zyada, a psychologist with the project, describes the latest conflict as easily the worst since 2006, with scores of Palestinians having lost multiple family members.

“Our expectation is that more than 30 percent of the people here in Gaza will develop a psychiatric disorder,” he said.

Even health professionals are not immune. Six members of Zyada's own family were killed during the war: his mother, three brothers, a sister-in-law and a nephew. He is now receiving counseling from the clinic's chief therapist.

“It is a really traumatic loss and it is not easy for me to deal with,” he said, adding that several others on the team had suffered similar experiences.

So widespread has the psychological damage become that UNRWA, which runs schools throughout the Gaza Strip, has now made psychotherapy a regular part of the curriculum.

“We are rolling out a pretty massive program of parental and child therapy,” said Gunness. “We're having to integrate this kind of therapy into our schools.”

You May Like

Turkey's Erdogan: Women Not Equal to Men

Speaking at conference in Istanbul, President Erdogan says Islam has defined a position for women: motherhood More

Ahead of SAARC Summit, Subdued Expectations

Some regional analysts say distrust between Pakistani, Indian officials has slowed SAARC's progress over the year More

Philippines Leery of Development on Reef Reclamation in S. China Sea

Chinese land reclamation projects in area have been ongoing for years, but new satellite imagery reportedly shows China’s massive construction project More

This forum has been closed.
Comment Sorting
Comments
     
by: mother
August 18, 2014 2:16 PM
This is heart breaking..... This is very painful.. When we think of the same for our own children.... It really is suffocating and frustrating to hear about little innocent children face these thoughts.... What did they do????????


by: meanbill from: USA
August 15, 2014 2:29 PM
Tell the children, always remember and never forget, that this was just one of many battles they will face in life, and especially remember who your friends are, and who your enemies are, and never forget.... And god willing, you will prevail..

Featured Videos

Your JavaScript is turned off or you have an old version of Adobe's Flash Player. Get the latest Flash player.
Aung San Suu Kyi: Myanmar Opposition to Keep Pushing for Constitutional Changei
X
November 24, 2014 10:09 PM
Myanmar opposition leader Aung San Suu Kyi says she and her supporters will continue pushing to amend a constitutional clause that bars her from running for president next year. VOA's Than Lwin Htun reports from the capital Naypyitaw in this report narrated by Colin Lovett.
Video

Video Aung San Suu Kyi: Myanmar Opposition to Keep Pushing for Constitutional Change

Myanmar opposition leader Aung San Suu Kyi says she and her supporters will continue pushing to amend a constitutional clause that bars her from running for president next year. VOA's Than Lwin Htun reports from the capital Naypyitaw in this report narrated by Colin Lovett.
Video

Video Mali Attempts to Shut Down Ebola Transmission Chain

Senegal and Nigeria were able to stop small Ebola outbreaks by closely monitoring those who had contact with the sick person and quickly isolating anyone with symptoms. Mali is now scrambling to do the same. VOA’s Anne Look reports from Mali on what the country is doing to shut down the chain of transmission.
Video

Video Ukraine Marks Anniversary of Deadly 1930s Famine

During a commemoration for millions who died of starvation in Ukraine in the early 1930s, President Petro Poroshenko lashed out at Soviet-era totalitarianism for causing the deaths and accused today’s Russian-backed rebels in the east of using similar tactics. VOA’s Daniel Shearf reports from Kyiv.
Video

Video Hong Kong Protests at a Crossroads

New public opinion polls in Hong Kong indicate declining support for pro-democracy demonstrations after weeks of street protests. VOA’s Bill Ide in Guangzhou and Pros Laput in Hong Kong spoke with protesters and observers about whether demonstrators have been too aggressive in pushing for change.
Video

Video US Immigration Relief Imminent for Mixed-Status Families

Tens of thousands of undocumented immigrants in the Washington, D.C., area may benefit from a controversial presidential order announced this week. It's not a path to citizenship, as some activists hoped. But it will allow more immigrants who arrived as children or who have citizen children, to avoid deportation and work legally. VOA's Victoria Macchi talks with one young man who benefited from an earlier presidential order, and whose parents may now benefit after years of living in fear.
Video

Video New Skateboard Defies Gravity

A futuristic dream only a couple of decades ago, the hoverboard – a skateboard that floats above the ground - has finally been made possible. While still not ready for mass production, it promises to become a cool mode of transport... at least over some surfaces. VOA’s George Putic reports.
Video

Video Falling Gas Prices Impact US Oil Extraction

With the price of oil now less than $80 a barrel, motorists throughout the United States are benefiting from gas prices below $3 a gallon. But as VOA’s Kane Farabaugh reports, the decreasing price of petroleum has a downside for the hydraulic fracturing industry in the United States.
Video

Video Tensions Build on Korean Peninsula Amid Military Drills

It has been another tense week on the Korean peninsula as Pyongyang threatened to again test nuclear weapons while the U.S. and South Korean forces held joint military exercises in a show of force. VOA’s Brian Padden reports from the Kunsan Air Base in South Korea.
Video

Video Mama Sarah Obama Honored at UN Women’s Entrepreneurship Day

President Barack Obama's step-grandmother is in the United States to raise money to build a $12 million school and hospital center in Kogelo, Kenya, the birthplace of the president's father, Barack Obama, Sr. She was honored for her decades of work to aid poor Kenyans at a Women's Entrepreneurship Day at the United Nations.
Video

Video Ebola Economic Toll Stirs W. Africa Food Security Concerns

The World Bank said Wednesday that it expects the economic impact of the Ebola outbreak on the sub-Saharan economy to cost somewhere betweenf $3 billion to $4 billion - well below a previously-outlined worst-case scenario of $32 billion. Some economists, however, paint a gloomier picture - warning that the disruption to regional markets and trading is considerable. Henry Ridgwell reports from London.
Video

Video Chaos, Abuse Defy Solution in Libya

The political and security crisis in Libya is deepening, with competing governments and, according to Amnesty International, widespread human rights violations committed with impunity. VOA’s Al Pessin reports from London.
Video

Video US Hosts Record 866,000 Foreign Students

Close to 900,000 international students are studying at American universities and colleges, more than ever before. About half of them come from Asia, mostly China. The United States hosts more foreign students than any other country in the world, and its foreign student population is steadily growing. Zlatica Hoke reports.

All About America

AppleAndroid