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The sequelae of political violence: assessing trauma, suffering and dislocation in the Peruvian highlands.
Soc Sci Med. 2008 Jul; 67(2):205-17.SS

Abstract

In this article, we begin with a qualitative mapping of the multiple ways indigenous peoples in the Peruvian highlands construct their emotions, symptoms and specific disorders when confronted with an adverse environment of sustained political violence, multiple stressors and massive exposure to traumatic experiences. Second, we address the issue of magnitude (point prevalence) and distribution of mental health problems such as depression and anxiety, and sequelae of exposure to violence-related stressors as reported in the selected populations, by reviewing the quantitative results of a cross-sectional survey. Third, we examine the pathways and linkages between the social context (drawn from ethnography and secondary sources) and the collective experience, such as massive exodus, forced displacement, resilience and accommodation strategies for coping and survival. When assessing the overall mental health impact of exposure to protracted forms of extreme violence in civilian populations, we argue for the need to move beyond the limited notion of post-traumatic stress disorder, which is a useful but restrictive medical category failing to encompass the myriad of signals of distress, suffering and affliction, as well as other culture bound trauma-related disorders and long-term sequelae of traumatic experiences. Lastly, following the concluding remarks, we discuss some implications the results of the study may have at various levels, not only for the victims and survivors of massive exposure to traumatic events, but also their families and communities, as well as for interventions carried out by humanitarian and emergency relief organizations, and specialised agencies engaged in the promotion of social justice, prevention of human rights abuses, and mental health rehabilitation programs at both national and international levels.

Authors+Show Affiliations

McGill University, 6875 LaSalle Boulevard, Montreal, Quebec, Canada. duncan.pedersen@mcgill.caNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

18423959

Citation

Pedersen, Duncan, et al. "The Sequelae of Political Violence: Assessing Trauma, Suffering and Dislocation in the Peruvian Highlands." Social Science & Medicine (1982), vol. 67, no. 2, 2008, pp. 205-17.
Pedersen D, Tremblay J, Errázuriz C, et al. The sequelae of political violence: assessing trauma, suffering and dislocation in the Peruvian highlands. Soc Sci Med. 2008;67(2):205-17.
Pedersen, D., Tremblay, J., Errázuriz, C., & Gamarra, J. (2008). The sequelae of political violence: assessing trauma, suffering and dislocation in the Peruvian highlands. Social Science & Medicine (1982), 67(2), 205-17. https://doi.org/10.1016/j.socscimed.2008.03.040
Pedersen D, et al. The Sequelae of Political Violence: Assessing Trauma, Suffering and Dislocation in the Peruvian Highlands. Soc Sci Med. 2008;67(2):205-17. PubMed PMID: 18423959.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The sequelae of political violence: assessing trauma, suffering and dislocation in the Peruvian highlands. AU - Pedersen,Duncan, AU - Tremblay,Jacques, AU - Errázuriz,Consuelo, AU - Gamarra,Jeffrey, Y1 - 2008/04/16/ PY - 2005/08/18/received PY - 2008/4/22/pubmed PY - 2008/11/5/medline PY - 2008/4/22/entrez SP - 205 EP - 17 JF - Social science & medicine (1982) JO - Soc Sci Med VL - 67 IS - 2 N2 - In this article, we begin with a qualitative mapping of the multiple ways indigenous peoples in the Peruvian highlands construct their emotions, symptoms and specific disorders when confronted with an adverse environment of sustained political violence, multiple stressors and massive exposure to traumatic experiences. Second, we address the issue of magnitude (point prevalence) and distribution of mental health problems such as depression and anxiety, and sequelae of exposure to violence-related stressors as reported in the selected populations, by reviewing the quantitative results of a cross-sectional survey. Third, we examine the pathways and linkages between the social context (drawn from ethnography and secondary sources) and the collective experience, such as massive exodus, forced displacement, resilience and accommodation strategies for coping and survival. When assessing the overall mental health impact of exposure to protracted forms of extreme violence in civilian populations, we argue for the need to move beyond the limited notion of post-traumatic stress disorder, which is a useful but restrictive medical category failing to encompass the myriad of signals of distress, suffering and affliction, as well as other culture bound trauma-related disorders and long-term sequelae of traumatic experiences. Lastly, following the concluding remarks, we discuss some implications the results of the study may have at various levels, not only for the victims and survivors of massive exposure to traumatic events, but also their families and communities, as well as for interventions carried out by humanitarian and emergency relief organizations, and specialised agencies engaged in the promotion of social justice, prevention of human rights abuses, and mental health rehabilitation programs at both national and international levels. SN - 0277-9536 UR - https://www.unboundmedicine.com/medline/citation/18423959/The_sequelae_of_political_violence:_assessing_trauma_suffering_and_dislocation_in_the_Peruvian_highlands_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0277-9536(08)00183-4 DB - PRIME DP - Unbound Medicine ER -