Siege and Mental Health

85

description

This report examines the effect of the Israeli siege on Gaza on the local population's mental health.

Transcript of Siege and Mental Health

Page 1: Siege and Mental Health

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S iegeand Mental Health�Walls vs. Bridges

f@s�?,,,ÎÊk¬À·? ÎXs·?ÇfÈk�?Ç iS?È�?

���� ή˰˰˰ΑϮ˰˰Θ˰˰ϛ �� � ��27 - 28 2008October

Gaza - Ramallah - Palestine

śǘººLjǴǧ � ǾºǴdzơ ǵơǁ � ƧDŽººǣ

World Heal thOrganization

Gaza Community Men tal Heal th Programme

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2i Ën�AÊ l UAË �A . . . ÑÍn Ã̄ ºA ÑZv ºAÊ i Bv�A

�ƨȇǁƢnjƬLJȏơ ƨǼƴǴdzơƨǫƽ ȂƥƗ ƔƢǼLJ

ƨǼȈƷơȂǗ ȂƥƗ ƾŧƗƨǴȈųȂƥƗ ǹƢȈǨLJśǿ Ȃƥơ DzǔǧƱơǂLjdzơ ƽƢȇƛ

ňơǁȂǐdzơ ȆƳơǁœȈNjƢnjǼdzơ Ƣǻǁ

ŗǰǼƳ ǹȂƳDzȇȂƸLJ ƽȂǸŰǂǿƢǓ ƽȂǸŰƅơƾƦǟ ŚLjȈƫ

DZȂǬLjǟƾǸŰƨNjƢǰǟ ƾŧƗƧƽȂǟ ƨǻƢŦƨƫȂǫ Śũ

ȅơǁȂǷȆLjǻƢǻ

�ƨȈǸǴǠdzơ ƨǼƴǴdzơȅƽȂdzƗ ȂǰȇǁƾǧȂǴūơ ƾǸŰ

ŜŹ ƱƢūơ ƾǸŰȆNjƢƥ ȅǁƢLJ

ƪƥƢƯ DŽȇDŽǠ dzơƾƦǟdžȈŨ ǹƢǨȈǧǹȂLJŚǼȇǁƾȈƫ

ȂǼȈNjơǂLJ ȂƬȇƽƢǼȈƥƾǴȈǧǂũ Ǯȇǂȇƽ

ǁȂũ NJȇƢǟǺȇŚǷȁơ ǹƢǧǭǁƢǷǁȂǐǼǷƅơƾƦǟ

ǁơƾǿȅǁȂȇdžǻȂȇ ǵƢǐǟ

�ƨȈǸȈǜǼƬdzơ ƨǼƴǴdzơƨnjȈǟ ȂƥƗ ƽȂǸŰ

ĈȅȂǏ ȂƥƗ ƢȈƳơǁȂǻȂǼdzơ ǵƢLjƷƢǻȂǻǁƗĿƢǿǃƣƢȇƽ ǹơȁǂǷ

ƱǂƥƾdzȂƳ DZƢnjȈǷƨŻƢǏ ƔƢȈǓ

Advisory CommitteeTaysir AbdallahSanna'a Abu DagaFadel Abu HeinSufian Abu Neje laAhmad Abu TawahinaMohamad AsqoolMahmoud DaherEyad El-SarrajJohn JenkinsNancy MurrayRana NashashibiAhmad OkashaJumana Ouda

Samir QoutaMahmoud SehwailRaji Sourany

Scientific CommitteeFederico AllodiSari BashiMohammad El-HelouUri HadarMuhammad Haj-YahiaVivian KhamisAbdallah MansourTed RyenersonBenedetto SaracenoDereck SummerfieldAyesh SamourAbed Aziz ThabetMark Van OmmerenIssam Yonis

Organizing Committee:Mahmoud AbuAishaRajiah Abu SwayZahavi ArnonaMarwan DiabHusam El-NounouMichal GoldbergDyaa Saymah

Conference Committees

ǂŤƚŭơ ǹƢŪ

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3 Siege and MentalH ealth�W alls vs. Bridges

džǷƢŬơ Ņȁƾdzơ ǽǂŤƚǷ ƾºǬǟƨȈLjǨǼdzơ ƨƸǐǴdz ƧDŽǣƲǷƢǻǂƥ ǁǂǫƨǸǜǼǷ ǞǷ ƨǯơǂºnjdzƢƥ �ǁȂºLjŪơȁ DŽƳơȂūơ�����ƨȈLjǨǼdzơ ƨƸǐdzơȁ ǁƢǐūơ�ȏƗ ƨºLJƢLjƷȁ ƨǸȀǷ ƨȈǔǫ ȄǴǟ ƔȂǔdzơ ǖǴLjƫǥƾđ ƨȈŭƢǠdzơ ƨƸǐdzơƨºLjǴLjdz ƨǴǏơȂǷ džǷƢŬơŅȁƾdzơ ǂŤƚŭơ ơǀǿ ŐƬǠȇȁ �ǁƢǐūơ ƨȈǔºǫ ȆǿȁĿřȈǘLjǴǨdzơ ƤǠnjdzơ ǵȂŷȁ ƢȇƢǔǫ Ƶǂǘdz ƲǷƢǻŐdzơ ƢǿƾǬǟ ƩơǂŤƚŭơǽƾºƥƢǯŃƢǛ ǁƢǐºƷDzǛĿǂŤƚŭơ ơǀǿƧǂǰǧļƘƫȁ�ƢȀºnjȈǠȇŖdzơ ƨǴƷǂŭơĿ Ȅǐºǫȋơ ƨǓƢǨƬǻơ ǝȏƾǻơ ǀǼǷ ƧDŽǣǝƢǘºǫĿřȈǘºLjǴǨdzơ ƤǠnjdzơDžƢŧƨǯǂºƷ ƧǂǘȈºLJ ƾǠºƥ Ǿ ƫƢǗȁ ƩƾƬºNjơ ȅǀdzơȁ ����� ŐǸƬƦLJ ǂȀNj���� ǵƢǠdz ȂȈǻȂȇ?ǹơǂȇDŽºƷ ǺǷ ǂnjǟdžǷƢŬơ ǀǼǸǧ�ƢȇǂǰLjǟ ǝƢǘǬdzơ ȄǴǟǁƢǐººƷ ǑǂǨºƥ Ǯdzƿȁ ƧDŽǣǝƢǘºǫȄǴǟǩƢǼŬơ ǪȈȈǔƬºƥ DzȈƟơǂºLJ ƛƪǷƢºǫƧDŽǣƲǷƢǻǂºƥ ĿƢǼǻƜǧ �ǪǴǘǼŭơ ơǀǿ ǺǷ �ƊȐȈưǷ Ǿdz ƺȇǁƢƬdzơ ƾȀnjȇŃ ǦƸůơǀǿǶǜǼǻ ƨȈŭƢǠdzơ ƨºƸǐdzơ ƨǸǜǼǷ ǞǷ ƨǯơǂnjdzƢƥȁ ƨȈLjǨǼdzơ ƨƸǐǴdzǾȈǧǖǴLjǼdzśǼǗơȂŭơ ƧƢǻƢǠǷ ǺǷǦȈǨƼƬdzơ Ŀ Ƣǻǁȁƾƥ ƢǼǷ ƆƢLJƢLjƷƛ ǂŤƚŭơƨººººƸǐdzơ Ǟººººǫ ơȁ ȄǴǟ ǁƢǐūơ ƢȀǨǴƻŕdzơ ƨȈƯǁƢǰdzơ ǁƢƯȉơȄǴǟ ƔȂǔdzơ�ǁƢǸǔŭơ ơǀǿĿ�ƧDŽǣ ǝƢǘºǫĿ řȈǘºLjǴǨdzơ ǹƢLjǻȍơ ǩȂǬƷȁƨȈLjǨǼdzơĿ ơȂŷƢºLJ Ǻȇǀdzơ ƩƢǸǜǼŭơȁ ƽơǂǧȋơ Ǯdz ǂȇƾºǬƬdzơȁ ǂǰºnjdzơ DzȇDŽŝ ǵƾºǬƬǻ�ƭƾūơ ơǀǿǦȈǴººººƷ ƵƢƴǼdzơ Ǻǰȇ ŃǶĔȁƽǺǷǺȇǀdzơȁ �ǂŤƚŭơ ƵƢųơȁ ǶǟƽƢǻǂǰººNj ǪȈǸǟȁ ƢǻǂȇƾººǬƫǎdzƢƻ Ǻǟ ƣǂǠǻ ǹƗ ƽȂǻ � ƔȆººNj DzǯDzºƦǫȁ ȏȁƗƨȈººLjǨǼdzơ ƨººƸǐǴdz ƧDŽǣƲǷƢǻŐdzdžǷƢŬơŅȁƾdzơǂŤƚǸǴdz ƨŴƢŭơ ƩƢȀƴǴdzǺǟ ƣǂǠǻ ǹƗ ƽȂǻȁ ƢǸǯ ��ǁȂººLjŪơȁ DŽƳơȂūơ��� ��ƨȈºLjǨǼdzơ ƨºƸǐdzơȁ ǁƢǐūơ�ƨºƸǐǴdz ƧDŽǣ ƨǸǜǼǷ ƨºLjȈƟ ǁ � ǾȇǁȂǷȆºLjǻƢǻ ƧǁȂƬǯƾǴdzǍƢŬơ ƢǻǂǰºNjĿ ǂŤƚŭ ơĿ ƨǯǁƢºnjǸǴdz ƲȇȁǂƬdzơĿ ƧǁƢºƦŪơ ƢǿƽȂȀŪ � ƢǰȇǂǷƘºƥ ƨ ȈLjǨǼdzơ

�ƨȇȂǼǠŭơȁ ƨȇƽƢŭơ ƢȀƬŷƢLjŭǮdzǀǯȁ ƧƾƸƬŭơ ƩƢȇȏȂdzơƨȈdzƢƬdzơśǟȂǘƬŭơ ńƛ ǂȇƾǬƬdzơȁ ǂǰnjdzƢƥ ǵƾǬƬǻ ǹƗ ƽȂǻ � Ǯdzƿ ńƛ ƨǧƢǓȍƢƥȁƧƾȈLjdzơ � ƧƾǠǏȋơǦǴƬűȄǴǟ ǂŤƚŭơơǀǿ ƵƢųȍǶēƾǟƢLjŭǶǿƙƢũƗƽǁȂǨLjǯƗ ƨǠǷƢƳ ǺǷ ǽơǁȂƬǯƾdzơ ƧƽƢȀNjȄǴǟ DZȂǐƸǴdz ƨƸNjǂǷ � DŽǴȇȁ ơDŽȈdzDŽǯǂǷǺǷ � ƨdzȁƾdzơǦȈºLJ ƧƾȇƢǟ ƧǁȂºLjǧȁŐdzơ � ƨȇǁơƽȍơ ƧƾǟƢºLjŭơȁ ǂ ȇǂƸƬǴdz�Ŀ ƢēƾǟƢºLjŭȆǘǼnjdzơ ƨLjǻȉơȁ � ǂǐǷ �ǦǼǠdzơ Ƣȇ ƢƸǓ DzȈǿƘƬdz ʼnƾǼdzơ

�ƨŦǂƬdzơ�ǁƢǐūơ ƔƢĔȍƨȈdzȁƾdzơ ƨȈǼȈǘºLjǴǨdzơƨǴǸºƸǴdz� ƢǻǂǰNjǺǟƣǂǠǻ ǹƗ ƽȂǻȁƽȂǻȁ � Ƣǔ ȇƗ �ǂŤƚŭơ ƾǬǟ ǞǷǺǷơDŽƬƫ ƨȈdzȁƽ ƨ ȈǼǷƢǔƫ ƩƢǗƢnjǻ ǶȈǜǼƫ ȄǴǟƩơǁƢȇDŽdzơ ƾºǬǟ DzȈȀºLjƫĿƪŷƢºLJŖdzơ ƩƢºLjLJƚŭơȁ ƽơǂǧȋơ ǂǰºnjǻ ǹƗ

�ƢǻǂŤƚŭ ƨȈǻơƾȈŭơơǀǿĿ ơȂǯǁƢºNjǺȇǀdzơ ǞȈǸŪ Ƣǻ ƢǼƬǷơȁ ƢǼǻƢǧǂǟ ǪȈǸǠƥ ǵƾǬƬǻ ǹƗ ƽȂ ǻ � ơŚƻƗȁŚǻƪŢ Ƶǃǂȇ ȅǀdzơřȈǘLjǴǨdzơƤǠnjdzơ ǞǷ ǶȀǼǷƢǔƫ Ǻǟ ơȂƥǂǟƗȁ � ǂŤƚŭơ

�ŃƢǜdzơ ǁƢǐūơ

Gaza Community Mental H ealth Programme(GCMHP) has decided to hold its fifth internationalconference "Siege and Mental Health� Walls vs. Bridges"in partner ship w ith World Health Organization (WHO) toaddress a critical issue which i s the Siege . Israel hasimposed a tightened unprecedented siege on the Gaza StripsinceJune 15th, 2007. As par tof ourmiss ion, w eatGCMHPand WHO are organizing this conference in attempt tohighlight the impact of the siege on mental health andhuman rights of the Palestinian population in Gaza. At thisstage, we would acknowledge the following persons andorganizations for their hard work and support, w ithoutwhom this event would not be possible. First and foremost,we would like to extend our sincere appreciation to theconference donors for their generous cont ributions toGCMHP's 5th International. Also, we are so grateful toWHO - Cosponsor of the conference - for its financial andlogistic help. We would also like to express our specialthanks to Dr. Nancy Murray for her sincere efforts inpromoting the conference participation in the USA, as wellas for her financial contribution. In addition, w e would liketo extend thanks and apprecia tion to the followingvolunteers for their help and assistance on the various tasksrequired to make this conference a success: Ms.Lisa Welze,PhD Candidate from the Universi ty of Oxford, for editingand administrat ive assistance; Prof. Aida Seif El-Dawla,from Al-N adim Center for the Rehabilitation of Vict ims ofViolence, Egypt, and Ms. Amal El-Shanty for theirassistance with transla tions. We w ould like to express ourthanks to the Palestinian International Campaign to End theSiegefor its efforts in organizing an international action dayand solidarity activitiessimultaneously with the conference.Also, we would thank all individuals and organizationinvolved in facilitati ng the field visits its efforts infacilitating the f ield visits for our conference. Finally, wewould like to extend our genuine thanks and gratitude to allof those w ho participated in this conference and expressedtheir solidarity with the Palestinian people living undersiege.

ǹƢǧǂǟȁ ǂǰĄNjAcknowledgement

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ǶȀǔǠºƦdz ƆƢǸǟƽ ȁƗ ƆơƾǓƢǠƫ ǂưǯƗȁǒǠºƦdzơ ǶȀǔǠºƦdz ƣǂºǫƗ ơȂºƸƦǏƗDžƢǼdzơ ǹƗ ǾƫƢ ȈǗĿ DzǸƬºnjȇ ȅǀdzơ ǂǷȋơ ƧŚǤǏƨȇǂºǫƶƦǏƗŃƢǠdzơ ǹƗ ǶǣǁƧƽơǁƛȁ ƨººƦǣǂƥ ǶƬȇ ȏ ơǀǿ ���ŃƢǠdzơ ƨȈººǬƥȁ ƧDŽǣśºƥ ƧȂŮơ ȁƗ ƧȂƴǨdzơ ƽơƽDŽƫ ƢǼdzȂºƷ ǺǷŃƢǠdzơ ǂǤǏǶǣŐǧ �ƢȀǴǿƗȁ ƧDŽǣ DZƢºƷdžȈdz ơǀǿ ǾǻƗ ȏƛ �ǒǠºƦdzơ

�ǁƢǐūơ Ǿǻƛ ��� ǶȀǼǟ ƆƢǸǣǁ Ǻǰdzȁ ƧDŽǣĿ śǼȈǘLjǴǨdzơ�ƨȈƯǁƢǰdzơ ǽǁƢƯƕ ƾƥƢǰȇ ǺǷ ȏƛ ǁƢǐūơ ƨǬȈǬƷǥǂǠȇ ǹƗ ƾƷƗ ȅȋ ǺǰŻ ȏ ǾǻƗřǠȇ ȅǀdzơ ǂǷȋơǥǂǟ ǩơƿ ǺǷ �DZȂǬǻ ƨȈƥǂǠdzơ ƢǼƬǧƢǬƯĿ

�ƨǷǃȐdzơ ƨȈºƦǘdzơƩƢǷƾŬơȆǬǴƫ ǵƾǟ Ǻǟ ƨŦƢǼdzơ ƩƢȈǧȂdzơ ƽƾǠƥ ǺǷ ƗƾƦǻ Dzǿ ��� ƗƾƦǻ ǺȇƗ ǺǷ �ǝȂǓȂŭơ ơǀŮǩǂǘƬdzơ ƾǼǟ ǁƢŹ DzǬǠdzơ ǹƗ ǂǷȋơ ƨǬȈǬƷȁƽȂºǫȂdzơǎºǬǻ ǺǟƮȇƾūƢºƥ ƗƾºƦǻ Dzǿ �ƨȇȁƽȋơȁ ƨȈƟơǀǤdzơ ƽơȂŭơȁ ƽǁơȂŭơǎºǬǻ ǵƗ �DzȈưǷ ǂǏƢǠŭơƺȇǁƢƬdzơ Ǿdz ǥǂǠȇŃ ȅǀdzơ ƨdzƢǘƦdzơ ȃȂƬLjǷ ǺǷ ƗƾƦǻ ǵƗ�ǾƬƠȈƥȁ ǹƢLjǻȍơ DzǸnjƫ ƨȈƸǏȁ ƨȈƠȈƥ ƨƯǁƢǰƥ ƽƾē ȅǀdzơ ƨǷƢǸǬdzơ ǞŦȁȅǁƢĐơƺǓƩƢǘŰDzǘǠƫ ǵƗ �Ǯdzǀdz ƨƴȈƬǼǯ ƧDŽǣ ǾnjȈǠƫ ȅǀdzơ ǵȐǜdzơȁ

�ƤǠnjdzơ ƔƢǼƥƗ ǺǷ Ƕǜǟȋơ ƽơȂLjdzơ ȃƾdzǕƢƦƷȏơȁ ǂȀǬdzơ ǂǟƢnjŭƢƥ ǵƗ ơǀđ ơƾƦǻ�śǘLjǴǧĿƨǷƽƢǬdzơ DZƢȈƳȋơ ȃƾdzǮdzƿ ǺǟǶƴǼƫ ƾǫŖdzơ ƨȈƦǴLjdzơ ǁƢƯȉơ Ǻǟ ǵƗ ǹȉơȁ ƢǼǿ ȅǂŸƢǸǟƮȇƾūƢƥ ƗƾƦǻƗ

śǼȈǘºLjǴǨdzơ ȃƾdzDžƢºLjƷȍơ ƾdzȁ ƾºǫȆȀƬǼȈºLJŕǷ ǁȂǜǼŭơ ȃƾŭơĿȅǂȇ ȏȁ ƆơǂȀºNj ǂnjǟ ƨLjŨȄǴǟ ƾȇDŽȇ ƢǷ ǀǼǷȁƧDŽǣȄǴǟǑȁǂǨŭơ ǁƢǐūơ ǹƛƨƳǁƾdz ��� ƔƢºǬƦdzơ Ŀ ǂǸƬºLjȇȆǯ ƨǷǃȐdzơƩƢƦǴǘƬŭƢƥ ȏƛǶƬȀȇ ȏřȈǘLjǴǨdzơ DzǠƳŃƢǠdzơ Ǻǟ DZơDŽǠǻȏơȁ ƨƥǂǤdzƢƥ ǁȂǠnjdzơ ơǀǿ ǶȀǼǟȆǴƼƬdzơ ĻǶĔƘƥ

�DzǷȋơ ƨƦȈƻ ƢĔƗǺǰƫŃ ǹƛơǀǿřȈǘLjǴǨdzơ ǞǸƬĐơĿ ƨǷƢǿƨǸȈǫ ƶƦǏƗ ƔƢǬƦdzơ ƽǂů ǹƗ�Ǯdzǀǯ ƨdzƢūơȁřȈǘLjǴǨdzơ ǞǸƬĐơDzƦǬƬLjǷ ǁȂǐƬǻ ǹƗ ƢǼdzǦȈǯ

Ŀ ǁơǂǬǴdz ƆƢǟƢǼǏ ƆƢƥƢƦNj ǹȂƸƦǐȇ śƷȆƳǁƢŬơ ǞǸƬĐƢƥ ǶȀƬǫȐǟ ǹȂǰƬLJǦȈǯ ��ƤǠnjdzơ ƔƢǼƥƗ ƨȈǬƦǯ ƆƢȈǟƢŦǹȂƦǫƢǠȇǺȇǀdzơ DZƢǨǗȋơDzȈƳǺǟ ơƿƢǷǺǷ ƆơƾȇDŽǷ Ľ ǺǷȁƤǔǤdzơȁƨȈǿơǂǰdzơ ǺǷ ƾȇDŽǷƗ �ƨºƦǗƢƼŭơ ƨǤdz Ȇǿ ƢǷȁ �ǾǻȂºƦǗƢƼȈLJǦȈǯ �ǶŮȂºƷ ǺǷŃƢǠdzơńƛ ǹȁǂǜǼȈLJǦȈǯ �ǶȀǠǸƬů

�ƽƢǔŭơ ǦǼǠdzơȁ ǦǼǠdzơ�ƨºƥȂǴǘŭơƲƟƢƬǼdzơńƛ ȅƽƚƬLJ Dzǿ �śǘLjǴǧĿǺȇƽƢȈŭơ ǺǷ ƢǿŚǣȁǶȈǴǠƬdzơȁ ƨƸǐdzơ DZƢůĿ ƨȈdzȁƾdzơȁ ƨȈǴƄơ ƩƢLjLJƚŭơ ǽǂǸưƬLjƫ ƢǷ ŚǐǷȂǿ ƢǷ

�DznjǨdzƢƥ ƢȀȈǴǟǶǰƸȈLJ ƢĔƗ ǵƗƨdzƢºƷ ǺǷ ǾƳơǂƻƗȁ ȆŭƢǠdzơ ŚǸǔdzơ ǙƢºǬȇƛ ǺǰŻǦȈǯ �ǪºƦǘŭơ ƪǸǐdzơ ơǀǿ ơƿƢŭ �ƧDŽǣĿ ƭƾŹƢǷ ǽƢšȆƳǁƢŬơŃƢǠdzơǂǠnjȇ ơƿƢŠ ǂƻȉơ ƤǻƢŪơȄǴǟȁǵƗ �ƢȀǴǿƗȁśǘºLjǴǧ ƩơƾǿƢǠŭơ ǽǀǿ DzǸºnjƫ Dzǿ �ǾƫơƾǿƢǠǷȁ ǹƢLjǻȍơ ǩȂǬƷǺǟ ơƿƢǷ �Ɣȏƚǿ ȃƾdz DzƴŬƢƥ ǁȂǠnjdzơƩƢǷDzǿ �ƢȀnjȈǠȇŖdzơ ƩƢƦLjdzơ

�ǵƢǸƬǿȏơǒǠƦƥȄǜŹ Ȇǯ ƆƢȈŭƢǟ ƨƥȂǴǘŭơ ƨȈǻƢLjǻȍơȃȂƬLjǷ ńƛƾǠƥ ǩǂȇŃřȈǘLjǴǨdzơ ǹƗ�Ǻȇƾdzơ ĿǶēȂƻƛ ơȂǻȂǰȇ Ńǹƛ ƨȈǻƢLjǻȍơĿ ǽȂƻȋ ƭƾŹƢǷ ǽƢš ǁƢǠdzƢƥ ǽǁȂǠNj Śưƫȁ ȆŭƢǠdzơ ŚǸǔdzơǚǫȂƫ ƨƻǂǏ ǺǷDzǿ

Ǻǟ ǁƢºƦǤdzơǒǨǼdz ƨdzȁƢŰ ȂŮƨȈŭƢǠdzơ ƨºƸǐdzơ ƨǸǜǼǷȁƨȈºLjǨǼdzơ ƨºƸǐǴdz ƧDŽǣƲǷƢǻǂºƥ ǾǸǜǼȇ ȅǀdzơȁ �ǽǁƢƯƕȁ ��� ǁƢǐūƢºƥ�ǍƢŬơŅȁƾdzơ ǂŤƚŭơ ǹƛ�ǵȂȇ ƾǠƥ ƆƢǷȂȇ ƽơƽDŽƫŖdzơƨȈƯǁƢǰdzơ ǽǁƢƯƕ ƶȈǓȂƬƥǮdzƿȁȆŭƢǠdzơ ǁȂǠnjdzơNJǷƢǿĿƪƸƦǏƗŖdzơȁ ǁƢǐūơ ƨȈǔǫ

ƢǸǯ �ǶēƢǻƢǠǷǒǠºƥ ƢȀǴǿƗ ƨǯǁƢºnjŭ ƧDŽǣńƛ ǁȂǔūơ ƧƢǻƢǠǷƨǨǴǰƫȁ ǂŤƚŭơ ơǀǿĿǭǁƢºNj ǺǷ ǞȈǸŪ ǂǰºnjdzƢƥ ǵƾºǬƬǻ ǹƗ ȏƛƲǷƢǻŐdzơĿ ƢǼǠLjȇȏȁȆǓơǁȋơȁ ƨǻDŽǣĿƭƾŹ ƢŠ ƆƢǠȈŦ Ɣȏƚǿ ǵƢǸƬǿƢǧ �ǂŤƚŭơ ơǀŮǶĔƢǔƬººººƷƛ ȄǴǟƲǷƢǻŐdzơŅȂŲ ǞȈŦȁ ƨȈŭƢǠdzơ ƨººººƸǐdzơ ƨǸǜǼǷ ǂǰººººnjǻȁ

�ǁƢǐūơƪŢNJȈǠȇ ǞǸƬĐƧƾȈƷȂdzơ DzǷȋơ ƨǫǁƢƥ DzưŻ ǵƢǟ Dzǰnjƥ ƨȈǼȈǘLjǴǨdzơ

ʼnƾǬƫ

ƨȈLjǨǼdzơ ƨƸǐǴdz ƧDŽǣ ƲǷƢǻǂƥ � ǵƢǟ ǂȇƾǷƨǼȈƷơȂǗ ȂƥƗ ƾŧƗ �ƽ

Page 7: Siege and Mental Health

5 Siege and MentalH ealth�W alls vs. Bridges

Despite the fact that the world is becoming smaller and more interconnected, the people of Gaza remaindistanced from the global community. Despite the fact that the divisions between nations are being bridged, the gapbetween the world and Gaza is widening.These circumstances are not the result of the will of the Palestinians in Gaza, butrather, have been forced upon them in the form of the siege. Only those who have experienced it firsthand can trulyunderstand the nature of the siege. In fact, the siege remains somewhat incomprehensible to the mind. Where should webegin? Shall we start by trying to explain the death of individuals who are not able to receive much needed medicalservices? Shall we attempt to describe the breadth of poverty thathas risen to an unprecedented level in history? Shall wetalk about the lack of basic materials andsupplies, including food and medicines, that are not able to enter into ourcities?Or shall we consider the lackof fuel and the ensuing darkness experienced as a result of that scarcity? Shall we discuss theparalysis of the waste and sewage systems that threaten disaster toboth humans and the surrounding environment? Can weconvey the feelings of frustration and suppression prevailing among our people? Or shall we describe the everyday livingconditions and the effects that will be embodied within our young people for generations tocome?The siege on Gaza, imposed for a period of over 15 months and with no foreseeable end in sight, has fostered feelings ofalienation and abandonment by the Palestinian people, which has made Palestinians unable to care for anything excepttheir basic needsof survival.These conditions have reached the extent to which survival has become animportant value inPalestinian society, in and of itself, and has elucidated clear signs of hopelessness and despair. How can we imagine thefuture of the Palestinian community under such conditions? How can we understand the generation of children who arebeing collectively punished, as are the remainder of the Palestinian population? How will their relationships with theirneighborhoods and communities develop as they become full members of society? How will they see the world aroundthem? How willthey addresstheir insecurities and needs? What language canthey use? Will i t be expressed as hatred andanger, which in turn will become expressions of violence and counter violence?What is the destiny of the programmes developed by the international and local organizations in the area of health andeducation? Will such investment lead to the expected results or will it ultimately become a failure?On the other hand, how doesthe outside world feel about what is happening in Gaza? Why has there been such an absolutesilence? How can we awaken the international conscience and free it from its slumber? Did the feelingof compassion andempathy die for them?And what about the human rights treaties? Do such treaties include Palestine and its people or does this reign of silencemean that Palestinians are not fully human in the international point of view? Will it take screams to wake up theinternational consciousness and incite a feeling of duty towards their fellow human beings? The international conference,organized by GCMHP and WHO, specifically designed to tackle the issue of the siege and its impacton the Palestinianspopulation, is a first attempt to dust off the issue of siege, which has become a marginalized issue among the internationalcommunity. Clarification about the disastrous impacts of the siege that are rising day by day. At GCMHP we are ingratitude to all those who areparticipating in the conference and who have endured the difficulties of coming to Gaza andhave shared in the suffering of the people of Gaza. We would also like to thank the WHO and all the donors for theirsupport and sponsorship in this conference. The attention by thesepeople, concerning what is happening in the Palestinianterritories, represents the solehope for a community living under abrutal siege.

Preface

Dr. Ahmad Abu TawahinaDirector General - G aza Community Mental Health Programme

Page 8: Siege and Mental Health

6i Ën�AÊ l UAË �A . . . ÑÍn Ã̄ ºA ÑZv ºAÊ i Bv�A

ƨȈǴȈƟơǂºººLJȏơ ƩơǂƟƢǘdzơ ȅȁƽ ǹȁƾȀºººnjȇ ƢŠǁ ȁƗ �ƨdzDŽǟȁ ƨȈǿơǂǯ �ƆƢǨǼǟȁ ƆƢǟ ơǂǏ ǭƢǼǿ ǹƗ ǹȂǸǴǠȇ ƢŠǁ � ƧDŽǣ DZƢºººƷ Ǻǟ ŃƢǠdzơǥǂǠȇ ơ ƿƢǷȅǀdzơƢǷ Ǻǰdz �ƢȀȈǴǟǑȁǂǨŭơ ǪǻƢŬơ ǁƢǐūơ ơǀǿ ǂºLjǯȅǀdzơ � Ƨǂūơ ƧDŽǣ � ƣŚȀnjdzơ ƣǁƢǬdzơ ȁ ǁƢǐūơ Ǻǟ ǞǸLjƫ ƢŠǁȁ �ƧǁƢƴūơ ǥǀǬƫ Ŗdzơ ŚǿƢǸŪơȁDzǰººƥ �ƾǷȋơ DzȇȂǗ ǂȇǂŭơ ǝ ơǂǐdzơ Ǯdzƿ ƤºǫơȂǟ ǺǟŃƢǠdzơ ǾǧǂǠȇ ȅǀdzơ ƢǷȁ� ƧDŽǣ DzǿƗ ƢȀºnjȈǠȇŖdzơǥȁǂǜdzơȁ ǞǓȂdzơ ƨºǬȈǬƷ ǺǟŃƢǠdzơ ǾǧǂǠȇơǀǿ ȆǴǟ DzºƸƬLJŖdzơ ƾǷȋơ ƨǴȇȂǗ ƽƢǠºƥȋơȁ ȅǂŸƢǷ ƨºǬȈǬƷǭơǁƽƛ � Ƣ ǻƔƾºƥ ȁƗ � ơȁƔƾƥ Dzǿ �ǞǸƬĐơ ƨȈǿƢǧǁȁƨȈLjǨǼdzơƨƸǐdzơ Ǟǫơȁ ȆǴǟ ǽƽƢǠƥƗȁƗ ǶȀƬǧƢȈǓ ǵǂǯǺǟŖºƷȁƗ �ƢȀǠǸƬůȁ ƢēȐƟƢǟƨºƥȐǐƥ�ƧDŽǣ Dzǿȋ ĺƢŸȍơƤǻƢŪƢºƥ ƨǧǂǠǷňƽƗǶȀȇƾdzDzǿȁ �ƢȀƬǷǂºƥ ƨºǬǘǼŭơ DzƥƤǠnjdzơƩȐȇȁřȈǘºLjǴǨdzơ ƤǠºnjdzơŇƢǟ �ƧŚƻȋơ ƽȂºǬǠdzơ ǂǷ ȆǴǟ ƣƢǠǐdzơ ƨđƢůĿ ƢđǹȂǠƬǸƬȇŖdzơ ƨȈºLjǨǼdzơ ƧƽȐǐdzơ ǺǟȁƗ ƨºƷǂŭơ ǶȀƷȁǁǶȀǓǂǨƫ ȅǀdzơ ǁƢǐūơȁ ǩȐǣȍơ ǦǴƻ ƾººǬdz �ǶȀȇƾdz ƨȈǿƢǧǂdzơȁ ƨȈºLjǨǼdzơ ƨºƸǐdzơ Ǟºǫơȁ ȄǴǟ ƵȂǓȂºƥ ǽǁƢƯƕƪǴš ȆƳǁƢƻȁȆǴƻơƽǦǼǟȁ ǝơǂǏǞǓȂdzơȆǴǟ DzưŭƢºƥȁ ȆºLJƢȈLjdzơ ȁȆǟƢǸƬƳȏơ ƾȈǠǐdzơ ȆǴǟ ƨǸȈƻȁ ƤºǫơȂǟ ƧŚƻȋơ ƆơǂȀºNj ǂºnjǟƨƬºLjdzơ DZȐƻ ƧDŽǣȆǴǟ ƨȈǴƟơǂºLJȍơƩƢǘǴLjdzơƔƢºǬdzƛńƛȆǷǂȇŅȁƾdzơ ǂŤƚŭơ ơǀǿ ǺǷȆºǬȈǬūơ ǥƾŮơǹƛ �ƽơǂǧȏơ ȅƾdz ƨȈºLjǨǼdzơ ƨƸǐdzơ DzǯƢnjǷ ǁȂȀǛ ƧǁȂǘƻ Ņơ ƨǧƢǓƛ �ƧDŽǣ ĿȅƽƢǐƬǫȏơȄǴǟƔƢǘºººnjǼdzơȁśȈƟƢǐƻȋơȁ ƔơŐŬơǺǷ ƽƾǟ ǽǂǔŹƔƢººǬdzƾººǬǟ DZȐƻǺǷǮdzƿȁ ƢǿŚǣȁƨǴƻơƾƬŭơ ƢȇƢǔººǬdzơơȁ ƩƢǟȂǓȂŭơ ǽǀǿȆǴǟ ƔȂǔdzơƨǯǂƬººnjŭơ ǁȂǷȋơ ƨǯǁƢººnjǷǥƾđŃƢǠdzơ ǺǷȃǂƻƗ ƔƢŴƗȁ ƧDŽǣĿǦǼǠdzơȁ ƨȈºLjǨǼdzơ ƨǷƾǐdzơ ǁƢƯƗ ƨºLJơǁƽȁƨºnjǫƢǼŭ ȆǴƄơȁ Ņȁƾdzơ ǺȇƾȈǠǐdzơƧƽȂƳȄǴǟ ǦǼǠdzơ ǁƢƯƗ ƨºLJơǁƾdz Ǻǰdzȁ �ƤºLjƷȁ ƨȈºLjǨǼdzơ ƨºƸǐdzơȄǴǟ ǦǼǠdzơ ǁƢƯƕ ȆǐºǬƬdzǖǬǧdžȈdz �ƨ dzȂȀĐơ ǁȂǷȋơ ȄǴǟ ǥǂǠƬdzơȁ ƨǧȁǂǠŭơȁǩơǁȁ Ɨȁ ǂŤƚŭơ ǹȂǰȇ ǹƗ DzǷƘǻ ƢǼǻƛ �ƣȂǴǘŭơŚȈǤƬdzơ ƭ ơƾººƷƗ ǾǻƘººNjǺǷ ȅǀdzơ ǂǷȋơ �ƨȈǟ ƢǸƬƳƛ�džǨǼdzơƩƢǷƾŬơȁƨȈºLjǨǼdzơƨºƸǐdzơ ƩƢǷƾƻ ʼnƾºǬƫȃƾǷǺǟǦºnjǰƬLJŖdzơȁƨǷƾºǬŭơ ƨȈLjǨǼdzơ ƨƸǐdzơ ƩƢǷƾƻĿ ǞȇǂLJǵƾǬƫ ƭơƾƷơȁƭƢŞȋơ ǺǷ ƾȇDŽŭ ƆơDŽǨŰȁ ƆƢǠǧơƽ ǾȈǧ ǵƾǬƬLJŖdzơ DzǸǠdzơǺǷ ƔDŽƴǯ ǂŤƚŭơ ơǀǿ �:+2� ƨȈŭƢǠdzơ ƨºƸǐdzơ ƨǸǜǼǷǶǟƾƫ �ƨºƸǐǴdzƨǷƢǠdzơƩ ơƽƾƄơȁ ȁ ǁƢǐūơȁ �ƨȈºLjǨǼdzơ ƨºƸǐdzơśºƥ ƨºǬȈƯȂdzơ ƨǴǐdzơDžƢºLJƗȄǴǟ ƧǂǏƢǠǷ ƨȈLjǨǻ ƨƸǏ ƩƢǷƾƻʼnƾǬƫ ǂȇȂǘƬdz ƨǴƬƄơ ƨǼȈǘȈLjǴǨdzơ ȆǓơǁȋơĿ Ǻȇǂƻƕ ƔƢǯǂNj ǞǷȁƨƸǐdzơ Ƨǁơǃȁ ǞǷ ǞLJȂŭơ ƢȀǴǸǟ�ƨȈŷƗ ǂưǯȋơȁ �ȃȂǐºǫƨȈdzȁƗ ȄǘǠȇȁDzǏơȂƬȇ ǹƗƤŸ ƨǠƳƢǻȁ ƨºƦLJƢǼǷƨǬȇǂǘƥ ƨ ȈǸƬĐơ ƨȈLjǨǼdzơ ƨƸǐdzơ ƩƢǷƾƻ ǁȂǘƫ ȁ ŚǧȂƫǹƛ �ȆǠǸƬůǾǧơƾǿơƤǻƢƳŅơ �ǂŤƚŭơǥƾȀȇ �Ǯdzǀdz �DZȂǴūơƤººººLjǻƗńƛDzǏȂƬdzơȁ ǝơǂǐdzơ ƢȀǨǴźŖdzơ ǁƢǐūơ ǁƢƯƕ ȄǴǟ ǥǂǠƬǴdz ƨȇ ǁǀŪơƣƢºººƦLJȋơ ƵǂǗ ȂǿDzǰºnjƥ ǺǸǔƬƫ ǥȂºLJ DzǸǠdzơ ǩơǁȁƗ ƢȀǼǟ ƭƾºƸƬƫŖdzơ DzƟƢºLJǂdzơȁ ƩƢǸǴǰdzơ ǹƛ �ƆƢǠȈŦ ƢǼȈǴǟ ǽƽƢǠºƥƗȁ ƧDŽǣ ǞǓȂdzŃƢǠdzơ ǽƢºƦƬǻơ ƣǀŪ �ƨȈǸǴǠdzơǪǧȋơ Ŀ ƢǿơƾǏƵȂǴȇŕdzơƨdzƢººººººLJǂdzơ ǹȂǰƫ ǹƗDzǷƘǻ ƢǼǻƛ �ƭǁơȂǰdzơ �ǺƄơ �ƤǔǤdzơ �ǂƫȂƬdzơ �ǖǤǔdzơ �ǹƢǷǂūơ �ǦǼǠdzơ �ƨǷƾǐdzơ � ǁƢǐūơ �ƶǓơȁ

�ǁơǂǬƬLJȋơȁ ƨūƢǐŭơ ƨȈǻƢǰǷơȁǺǬȈƬdzơȁ ǶȀǨdzơ ƨȈŷƗ DZȂƷ ƨȈƥƢŸơ

.

ʼnƾǬƫ

džǻơǁȂdz ňȂƫ �ƾȈLjdzơƧDŽǣȁ ƨȈƥǂǤdzơ ƨǨǔdzơ Ŀ ƨȈŭƢǠdzơ ƨƸǐdzơ ƨǸǜǼǷ ƤƬǰǷ ǂȇƾǷ

Page 9: Siege and Mental Health

7 Siege and MentalH ealth�W alls vs. Bridges

What does the world know of Gaza? It may know of the conflict andviolence, the heat and isolation. It may seeIsraeli jets screaming and stone throwing crowds. It may hear of the siege and the boat of celebrities- "Free Gaza" -whichbroke the blockade.But what does theworld really know about the place and the conditions in which Gazans live? What do people knowaboutthe effects of the long-standing conflict, in all its dimensions, on the mental health and well being of the population? Dothey - or we - begin to understand what is really going on and what the long-term implications for the population and theregion may be? What also do they know also of the positive side of the Gaza, of the strength of family and community, thehospitali ty and humour and the incredibleresilience ofthe people?Over the last several decades, Palestinian people have suffered from internal and external conflict and violence affectingtheir mental health and well being. The closure and effective siege of Gaza by the Israeli authorities over the past 16months have haddevastating consequences on the social, politicaland economic environment in Gaza, adding to the riskof individuals' developing serious mentalhealth problems. The aimof this international conference is tofocus attention ontheseand related issues and questions. Bybringing together local and international experts who have studied the effects onmental health of trauma and violence, in Gaza and other settings, it seeks to share what is known and identify what isunknown; to explore not only the effects of violence on mental health but the kind of mental health and psycho-socialservices which can make a difference. Wealso hope that the conference,, and the many papers which are being presentedat it, will act as a stimulus for further research and for the development of responsive mental health services whichrecognize the links between mental health, the closureand the wider determinants of health.WHOis supporting this conference as part of its widerwork with the Ministry of Health and other partners in the occupiedPalestinian territory to develop modern, community- based mental health services. The development and provision ofappropriate and effective mental health and psycho-social services must continue to be given high priority. But even moreimportant is to address the root causes, to recognize theconsequences of the conflict and to find a resolutionThe conference therefore seeks, over and above its scientific purpose, to draw the world's attention to the situation in Gazaand its implications for all of us. The words and themes which recur through the abstracts may be bleak: siege, trauma,violence, loss, stress, anger, adversity, catastrophe. But we hope that the message which shines through will be a positiveone -about the importance of evidence and understanding and the possibility ofreconciliation and recovery.

Mr. Tony LauranceH eadof WHO O ffice in West Bank and Gaza

Preface

Page 10: Siege and Mental Health

8i Ën�AÊ l UAË �A . . . ÑÍn Ã̄ ºA ÑZv ºAÊ i Bv�A

���� ǂƥȂƬǯƗ �� śǼƯȏơ �DZȁȋơ ǵȂȈdzơ

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�ƤȈƷǂƫȁ ƵƢƬƬǧơ ƨǸǴǯ º ƨȈLjǨǼdzơ ƨƸǐǴdz ƧDŽǣ ƲǷƢǻǂƥdžȈƟǁ �ƱơǂLjdzơ ƽƢȇƛ�ƽ�ƨLjǴŪơdžȈƟǁƤȈƷǂƫȁ ƵƢƬƬǧơ ƨǸǴǯ� ƧDŽǣȁ ƨȈƥǂǤdzơ ƨǨǔdzơĿ ƨȈŭƢǠdzơ ƨƸǐdzơ ƨǸǜǼǷƤƬǰǷ ǂȇƾǷ �džǻơǁȂdzňȂǗ ƾȈLjdzơ

� ƨȈǰȇǂǷȋơ ƧƾºƸƬŭ ơƩƢȇȏȂdzơ �ƨȈƳǁƢŬơ ƨǷƢǠdzơƩƢǫȐǠdzơdžǴů ĿǖLJȁȋơ ǩǂnjdzơ ǝȁǂnjŭ ǪƥƢLjdzơ ȅǀȈǨǼƬdzơ ǂȇƾŭơ�ǹƢǸƴȈLJȅǂǼǿ �ƾȈLjdzơśƬdzȁƾdzơ Dzū ƧŚƻȋơ ƨǏǂǨdzơ

ǁȂȀǛ �Ƨƾȇƾºnjdzơ ƝǁơȂǘdzơ ƾǠºƥ ȁ ƔƢǼƯƗ ȆǟƢǸƬƳȏơȆºLjǨǼdzơǶǟƾdzơȁ ƨȈºLjǨǼdzơ ƨƸǐdzơ ǦȈǼƳ� ƨȈŭƢǠdzơƨƸǐdzơ ƨǸǜǼǷ�ǹǂǷȁƗ ǹƢǧ ǭǁƢǷ�ƽǪǧơȂƬdzơ

ƨȈǯȂǴLjdzơƩƢǠƦƬdzơ ȁ ƨȈLjǨǼdzơ ƨƸǐdzơ �ƺȇǁƢƬdzơ Őǟ ƧDŽǣ ǁƢǐƷ � ơƾǼǯ�ƨȈƥǂƬdzơȁŇƽȋơ ǩǂnjdzơ ƨLjLJƚǷȅƽȂdzƗ Ȃǰȇǁƾǧ ǁȂLjȈǧȁǂƥƨƷơǂƬLJơ

ƨ ȈŭƢǠdzơƨƸǐdzơ ƨǸǜǼǷ � ŗǰǼƳ ǹȂƳ�ƽ �ƨLjǴŪơdžȈƟǁǹƢLjǻȍơ ǩȂǬū ƧƾȇƾƳ ƨǯǂƷ ƔƢǼƥ �ȂǷƢǻƢƬǻ ơȂƳ ńƛ ƧDŽǣ ǺǷ ƨȈǰȇǂǷȋơ ƧƾƸƬŭơ ƩƢȇȏȂdzơ � ƨȈLjǨǼdzơ ƨƸǐǴdz ƧDŽǣ ƨLjLJƚǷdžȈƟǁ ȅơǁȂǷȆLjǻƢǻ�ƽ

ƢȈǻƢǘȇǂƥĿ ǹȁǂǏƢŰ�ƧƾƸƬŭơ ƨǰǴǸŭơ � ƨǴǬƬLjǷ ƨƦƫƢǯśƬȇǂ ƥ ƢȇǁȂƬǰȈǧ �ƧƾȈLjdzơƾǠºƥ ƨȈºLjǨǼdzơǑơǂǟȋơ ƨȈdzƢǸnjdzơ ơƾǼdzǂȇơ �ƨȈǟƢǸƬƳȏơȁ ƨȈƸǐdzơ ƨȇƢǟǂǴdz ƪLJƢǨǴƥ DŽǯǂǷ � ƢƬƥȂƳNJȈǻƢǷ �DzƦǷƢǯ ƢnjȇǂƫƢƥ �ǂƻƢǷȂNj ƮȈƥơDŽȈdzơ

ƪLJƢǨǴƥ ƣǂǣ ǺǷƩȏƢƷ ƨLJơǁƽ �ǝơǂǐdzơǶǷȋơ ȃƾdz ƨȈǟƢǸŪơ ƧƽƢƥȍơ ǶƟơ ǂƳ ĿǝȂǴǔdzƢƥ ǹȂǸȀƬŭơ ǃƢƴƬƷơ ƨƠȈƥȁ ǥȁǂǛ ƢȈǻơŗƫ �ƨȈƟƢǼŪơ ƨȈdzȁƾdzơ ƨǸǰƄơ �ȂǯȂǰǻȁƗ� ȅȂƥƢƬȈǯȁơ DzȈnjȈǷ�ƽ

ƢȈǻơŗƫ �ơƾǻơȁǁĿƣǂūơ ǶƟơǂƳ ƨǸǰŰǵƢǷƗ�ƧƾƸƬŭơljƢǬǻƔơǀǣ

ƨȈǰȇǂǷȋơ ƧƾƸƬŭơƩƢȇȏȂdzơ �ƨȈƦǘdzơ ƽǂǧǁƢǿ ƨȈǴǯ �ǂƫȂǴLJ DzȈƥ�ƽ �ƨLjǴŪơdžȈƟǁǞººǫơȂdzdžǨǼdzơ ǶǴǟ ǁȂǜǼǷǺǷ ƨȇƾººǬǻ ƨººLJơǁƽ ǁƢǐūơƪŢǹȂȈǼȈǘºLjǴǨdzơ � ƨȈǰȇǂǷȋơ ƧƾºƸƬŭơ ƩƢȇȏȂdzơ �DŽ ȇȂǼȈdzơƨǠǷƢƳ BdžǯȂǧdžȈǻƽ�ƽ

ƨdzơƾǠdzơȁ ƨȈLjǨǼdzơ ƨƸǐdzơƧƢȈūơ ƧƽȂƳȁ �ǁƢǐūơ śºƥ ƨǫȐǠdzơ DZȂƷƨLJơǁƽ ƨȈLjǨǼdzơ ƨƸǐǴdz Ƨ DŽǣƲǷƢǻǂƥȁ ƧDŽǣĿƨȈǷȐLJȍơ ƨǠǷƢŪơ �ƣƢLjǯ ƧƾȇƢǟ �ƧƾȈLjdzơȁƨƫȂǫ Śũ�ƽ

ƧDŽǣĿ ƨȈLjǨǼdzơ ǥȁǂǜdzơȁȆǟƢǸƬƳȏơȁ ȆºLjǨǼdzơ Ƕǟƾdzơ ƲǷơǂƥ�DzƦǬƬLjŭơ ƔƢǼƦdzȆǓƢŭơƣǁƢš ǺǷ ƧƽƢǨƬLJȏơ �ƨȈǰȇǂǷȋơƧƾƸƬŭơƩƢȇȏȂdzơ �ŅDŽȈdzƨǠǷƢƳ ǹƢǸǧȁǁ ǁȂǻƢȈdzƛ�ƽ

�ƣȁǂūơ ǪǗƢǼǷĿDZƢǨǗȋơ ȃƾdz ƩơǂƫȂƬdzơȁ ƨȈǨǗƢǠdzơȁ ƨȈǯȂǴººLjdzơDzǯƢººnjŭơ�ƨȈºLjǨǼdzơƨºƸǐdzơȁ ǁƢǐūơ ƧDŽǣ� ȄǐºǫȋơƨǠǷƢƳ �śǿ Ȃºƥ Ɨ Dzǔǧ ǁȂºLjȈǧȁǂƥ

�ƧDŽǣ ƨƥǂš� ǁƢǐūơƪŢǶȀƟƢƥƕȁśȈǼȈǘLjǴǨdzơljƢǬǻƔơǀǣ

ǂǸºƫƚºŭơ DZȁƾºƳ

Page 11: Siege and Mental Health

9 Siege and MentalH ealth�W alls vs. Bridges

���� ǂƥȂƬǯƗ��śǼƯȏơ �ƨȈƷƢƦǐdzơ ƨLjǴŪơ�ȅǂǰLjǠdzơ ǁƢǐūơŚƯƘƫƪŢ ƧǂLJȋơȁ �DZƢǨǗȋơȁ �ƔƢLjǼdzơ � ƨưdzƢưdzơ DzǸǠdzơƨNjǁȁ

���� ǂƥȂƬǯƗ��śǼƯȏơ �ƨȈƟƢLjŭơ ƨLjǴŪơ�ňƾŭơ ǞǸƬĐơȁƨȈǗơǂǬŻƾdzơȁ ƨǧƢǬưdzơȁ ǁƢǐūơ �ńȁȋơ DzǸǠdzơ ƨNjǁȁ

���� ǂƥȂƬǯƗ��śǼƯȏơ �ƨȈƟƢLjŭơ ƨLjǴŪơ�ǹƢLjǻȍơ ǩȂǬƷȁ Ņȁƾdzơ ǹȂǻƢǬdzơ ǁȂǜǼǷ ǺǷǁƢǐūơ � ƨȈǻƢưdzơ DzǸǠdzơ ƨNjǁȁ

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�ơƾǼdzȂǿ � ƪƻǂƫȁƗ ƨǠǷƢƳ � ǃǂƬdzȁ ʼnȁ �ƽ �ƨLjǴŪơdžȈƟǁ��ǁƢǐūơƪŢDZƢǨǗȌdzǝƢǸƬLJȏơ �ƨȈǰȇǂǷȋơƧƾƸƬŭơƩƢȇȏȂdzơ � ǭǁȂȇȂȈǻ ƨǠǷƢƳƪLJŚǧ ƢLjȈdzƛ ǁȂLjǧȁǂƥ

�ǶȈǴǠƬdzơĿ Ǫūơ ƩƢǬȈǠǷȁ ǁƢǐūơ �ňƾŭơ ǞǸƬĐơȁ ƨȈǗơǂǬŻƾdzơȁ ƨǧƢǬưdzơ� ƨȇ ƽȂǠLjdzơ � ƨȈdzȁƾdzơƨȈǰȇǂǷȋơ ƨLJǁƾŭơ ǺšƢƫǮȇǁƾǼǿ �ƽDzǷƢǠǯ ƨȈºLjǨǼdzơ ƨºƥȐǐdzơ �ƨȈLjǨǼdzơ ƨƸǐdzơȁƨȈLjǨǼdzơƩƢǷƾǐdzơ �ƧDŽǣ � ƨȈLjǨǼdzơ ƨƸǐǴdz ƧDŽǣ ƲǷƢǻǂƥ �ȆLjȈƟǁ ƮƷƢ ƥƪƥƢƯ DŽȇDŽǠ dzơ ƾƦǟ �ƽ

�ƧDŽǣǝƢǘǫĿśȈǼȈǘLjǴǨdzơ DZ ƢǨǗȋơȃƾdzǖȈLJȁDZƢǨǗȋơ ȃƾdz ȆǟƢǸƬƳȏơȁ ȆºLjǨǼdzơ ǪǧơȂƬdzơ ȃƾǷ �ƧDŽǣ � ǶǐǴdz ƢǼdzƢǨǗƗ ƨȈǠŦ � ǃơǂǯ Ǻŧǂdzơ ƾ ºƦǟ ǶºLJƢƥ �Ɨ �ƨƳƢºƦǯ ȅƽƢŮơ ƾºƦǟ ǶȈǠǻ �Ɨ

� ǁƢǐūơDzǛ ǶǐdzơljƢǬǻƔơǀǣ

�ƨȈLjǨǼdzơ ƨƸǐǴdz ƧDŽǣ ƲǷƢǻǂƥ�ƪƥƢƯ DŽȇDŽǠdzơ ƾ Ʀǟ �ƽ �ƨLjǴŪơdžȈƟǁȄǴǟƧDŽǣ ǝƢǘºǫǁƢǐºƷ ǁƢƯƕ �ƧDŽǣ � ǁƢǐūơ ǮǨdz ƨȈºƦǠnjdzơ ƨǴǸūơ ǪºLjǼǷ �řȈǘºLjǴǨdzơ ȆǠȇǂnjƬdzơdžǴĐơ Ŀ ȂǔǟȅǂǔŬơȆƳƢǻ DZƢŦ �ǵ

�ƨȈǸǼƬdzơ�ƨƴǘǴƦdzơǭȂǴLjdz ȏ ƢưǷśǘLjǴǧĿǦǼǠdzơ DzȈǴŢ�ƢȈǻƢƦLJơ �ǾȈǴȈƦNjƛ ƨǠǷƢƳ �ơŚdzǾȇǃȂƻ ƢȇǁƢǷ �ƽ

�ǶȀƬȈƥ ǂƫȁ DZƢǨǗȋơǶȈǴǠƫȄǴǟ ǽǂƯƗȁ ƧDŽǣ ǝƢǘǫȄǴǟǑȁǂǨŭơ ǁƢǐūơ � ƧDŽǣ � ƨƷȂƬǨŭơDžƾǬdzơƨǠǷƢƳ � ƣƢȇƽ DzȈȀLJ �ƽ�ǁƢǐūơ ƨǷǃƗ ƨȀƳơȂŭ ƨȈƷȁǂdzơ ƨȈLjǨǼdzơ ƩƢȈǷƢǼȇƾdzơ � ƧDŽǣ� ƨȈǷȐLJȍơ ƨǠǷƢŪơ �ǎǸŮơřǤdzơ ƾƦǟ ƵƢƬǨ dzơ ƾƦǟ �ƽ

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�ƧDŽǣ � ǹƢLjǻȍơ ǩȂǬūřȈǘLjǴǨdzơDŽǯǂŭơ �ňơǁȂǐdzơȆƳơǁ �ƾȈLjdzơ �ƨLjǴŪơdžȈƟǁĿ ƧǂǏƢǼŭơȁ ƧƾººƸƬŭơ ǶǷȋơ �ƢǸƟơƽ ǺǰŲǹƢººLjǻȍơ ǩȂººǬƷ Ǻǟ ǝƢǧƾdzơ �ǹơǂȇƛ � ǹơǂȀǗĿ ƨȈŭƢǠdzơ ƨº ºƸǐdzơ ƨǸǜǼǷDzưŲŖǼȈǻƢǷȂȈƳȁŐǷƗ �ƽ

�ƨǴƬƄơ ƨȈǼȈǘLjǴǨdzơ ǪǗƢǼŭơƨȇȂŮơȁ ňƾŭơ ǞǸƬĐơǮȈǰǨƫ � ǁƢǐūơǥơƾǿƗ ƨȈǰȇǂǷȋơ ƧƾººƸƬŭ ơƩƢȇȏȂdzơ � ƨǘȈººLJȁƗ ǩǂººnjdzơƩƢºLJơǁƾdzơ ƲǷƢǻǂºƥ �ǺȇƢƬºnjǼȇȂdz ƱǂǨȈǼƳ �ƽ

�ƨȈǼǗȂdzơƨȈdzȁƾdzơ ƨȈdzȁƚºLjŭơ ǁȂǘƬƫȁƧƘnjǻ �DzȈƟơǂLJȍ ƨȈǻƾŭơȁ ƨȈǻȂǻƢǬdzơ ƨȈdzȁƚLjŭơśƥ ƧDŽǣ ǁƢǐƷ ƧDŽǣ �DzǬƬLjǷƮƷƢƥ � ǾǗ ȂƥƗƾŧ ȅǃȂǧƔȐǟ �ƾȈLjdzơ

�Ņȁƾdzơ ǹȂǻƢǬdzơ Ŀ ƨȈƟƢǼŪơȁ ƨȈǻƾŭơ�ǁƢǐūơ ƪŢDZƢǨǗȋơ �ƾȇȂLjdzơ � ƨǴǬƬLjǷƨưƷƢƥ ƩȂdzǁƢnjƫ ǹƕ �ƽ

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Page 12: Siege and Mental Health

10i Ën�AÊ l UAË �A . . . ÑÍn Ã̄ ºA ÑZv ºAÊ i Bv�A

���� ǂƥȂƬǯƗ��śǼƯȏơ �ƨȈƟƢLjŭơ ƨLjǴŪơ�DZȐƬƷȏơ ǹȂƴLJĿśȈǼȈǘLjǴǨdzơ ȃǂLJȋơ � ƨưdzƢưdzơ DzǸǠdzơ ƨNjǁȁ

���� ǂƥȂƬǯƗ �� ƔƢƯȐưdzơ �ňƢưdzơ ǵȂȈdzơ�ƨȈǻƢưdzơ ƨȈƷƢƬƬǧȏơ

���� ǂƥȂƬǯơ �� ƔƢƯȐưdzơ �ƨȈƷƢƦǐdzơ ƨLjǴŪơ�ňƾŭơ ǞǸƬĐơȁ ƨȈǗơǂǬŻƾdzơȁ ƨǧƢǬưdzơȁ ǁƢǐūơ �ńȁȋơDzǸǠdzơ ƨNjǁȁ

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�ƧDŽǣ �ǹȁƢǠƬdzơȁ ƨȈǸǼƬǴdzƨȇǂLjȇȂLjdzơ ƨdzƢǯȂdzơ � ƧǁȂǬNj ǹǃƢǷ �ƨLjǴŪơdžȈƟǁƢǸȈººLJȏǶȀȇȁƿȁ śȈǼȈǘººLjǴǨdzơ śǴºǬƬǠŭơ ȄǴǟ DŽƳơȂūơȁ ǁƢǐūơƩơŚƯƘƫ � ƧDŽǣ � ǺȇǁǂƄơȁ ȃǂºLJȋơ Ƨǁơǃȁ � ƨǻơȁǂǧ ňȂǟ ǂǏƢǼdzơ ƾºƦǟ �ƾȈºLjdzơ

��ƧDŽǣ ǝƢǘǫȆǴǬƬǠǷdžǨǼdzơ ȄǴǟ ƧǂǘȈºLjdzơȁ ƨȇƢǟǂǴdzřȇƽǥǂǠǯ ǹƕǂºǬdzơ ƧƔơǂºǫ � ƨȇƢǟǂdzơ ǺǷ ƾǠƥƗȂǿ ƢǷńƛ �ǭǁƢŶƾdzơ � ǺƳƢȀǼƥȂǯ ƨǠǷƢƳ �Ȇnjƫ ȂƥƩȂdz �ƧƾȈLjdzơ

�ƔơƾȀnjdzơȁśȈLJƢȈLjdzơ ƔƢǼƴLjdzơ ȅȁƿ ǺǷ ƨȈǼȈǘLjǴǨdzơƩȐƟƢǠdzơ śƥ�ƨȈǴȈƟơǂºLJȍơ ǹȂƴLjdzơĿ śȈǼȈǘLjǴǨdzơ śǴǬƬǠŭơ ǝƢǓȁƗ ȄǴǟ ǁƢǐūơ ŚƯƘƫ � ƧDŽǣ � ǹƢLjǻȍơ ǩȂǬū ƨǴǬƬLjŭơ ƨƠȈŮơ � ǹƢƷǂLJ DzȈŦȆǷƢƄơ

�ǁƢǐūƢƥƧǂƯƘƬǷ DzǬƬǠǷǺǷ ƨdzƢƷǑǂǟ�ljƢǬǻ

�ƨȈǰȇǂǷȋơ ƧƾƸƬŭơƩƢȇȏȂdzƢƥ ƨȈLjǨǼdzơ ƨƸǐǴdz ƧDŽǣ ƨLjLJƚǷdžȈƟǁ �ȅơǁȂǷ ȆLjǻƢǻ �ƽ �ƨLjǴŪơdžȈƟǁǶȀƬǷȐººLJȄǴǟǙƢǨūơǶȀƬǟƢǘƬººLJƢƥ ǦȈǯȁ �ƧDŽǣĿƨȈººLjǨǼdzơ ƨººƸǐdzơ ȂȈǼȀǷDzǸǟ� ơƾǼdzȂǿ�ƪƻǂƫȁơƨǠǷƢƳ � ǃǂƬdzȁ ʼnȁ ǁȂººLjȈǧȁǂƥ

�ƨȈLjǨǼdzơƧDŽǣ ǝƢǘǬdz DzȈƟơǂLJƛǁƢǐƷDZȂƷƨȈǴȈǴŢ ƨȈLjǨǻ ƨȇƙǁ � ơƾǼǯ �ȆLjǨǼdzơ DzȈǴƸƬǴdz ȂƬǻǁȂƫƾȀǠǷ �NJƬȇȁƽƮȇƽȂƳ �ƧƾȈLjdzơ

�ƩȐǔǠŭơȁ ƩơǁƢȈŬơ �ƧDŽǣ ǁƢǐū ƨȈǴȈƟơǂLJȍơ ƨȇƙǂdzơ � �ƤȈƥƗ Dzƫ ƨǠǷƢƳ �ǁơƾǿ ȅǁȁƗ ǁȂLjǧȁǂƥ�Ņȁƾdzơ ǩƢȈLjdzơĿ ƨȈǼȈǘLjǴǨdzơ ƨȈǔǬdzơȄǴǟǽǂƯƗȁ ƧDŽǣȄǴǟ ǁƢǐūơ ��ƢȈǻƢǘȇǂƥ �ǂƬLjǯơ ƨǠǷƢƳ �ȆǷǂǯƧƽƢǣ �ƽ

�ljƢǬǻƨƷơǂƬLJơ

�ǭǁƢŶƾdzơ � ǺƳƢȀǼƥȂǯ ƨǠǷƢƳ �ȆnjƫȂƥƩȂdz �ƧƾȈLjdzơ �ƨLjǴŪơdžȈƟǁ�ǁƢǐūơDzǛĿƨȈǸǼƬdzơ DzƦǬƬLjǷ� ƧDŽǣ � ǂǿǃȋơ ƨǠǷƢƳ �ƨǴƴǠdzơ ƵȐǏ ǹǃƢǷ �ƾȈLjdzơ

�ƨǴƬƄơśǘLjǴǧĿƽȂǸǐdzơȁǺǷƢǔƬdzơȁ ȆǠǸƬĐơ ǺǨdzơ � ƨȈǰȇǂǷȋơ ƧƾƸƬŭơƩƢȇȏȂdzơ� ȂǰLjȈLjǻơǂǧ ǹƢLjƥ řǨdzơ ƾȀǠŭơ � ǺȇǂƳ ǹơǃȂLJ �ƽ�ƧDŽǣƩƢǜǧƢŰ ĿĿƢǬưdzơ ǞǓȂdzơȄǴǟ ǁƢǐūơ ǂƯƗ � ƧDŽǣ�DzǨǘǴdz ǹƢǘǬdzơ DŽǯǂǷ�ƅơ ǂǐǻ ǩǃǁ ƽƢǸǟ �ƾȈLjdzơ

�ǞǸƬĐơƲȈLjǻ ƧƾƷȁȄǴǟǙƢǨūơĿ ňƾŭơ ǞǸƬĐơƩƢǸǜǼǷ ǁȁƽ � ƧDŽǣ �ȆǟơǁDŽdzơ ǂȇȂǘƬǴdz ĺǂǠdzơ DŽǯǂŭ ơ� ǹƢǔǷǁ ȂƥƗ ǺLjŰ�ƾȈLjdzơ�ljƢǬǻƔơǀǣ

Page 13: Siege and Mental Health

11Siege and MentalH ealth�W alls vs. Bridges

���� ǂƥȂƬǯơ �� ƔƢƯȐưdzơ �ƨȈƷƢƦǐdzơ ƨLjǴŪơ�ƨǷƢǠdzơ ƨƸǐdzơȁ ǁƢǐūơ � ƨȈǻƢưdzơ DzǸǠdzơ ƨNjǁȁ

���� ǂƥȂƬǯƗ �� ƔƢƯȐưdzơ �ƨȈƷƢƦǐdzơ ƨLjǴŪơ�ǁƢǐūơŚƯƘƫƪŢƧǂLJȋơȁ �DZƢǨǗȋơȁ ƔƢLjǼdzơ � ƨưdzƢưdzơ DzǸǠdzơ ƨNjǁȁ

���� ǂƥȂƬǯƗ �� ƔƢƯȐưdzơ �ƨȈǷƢƬŬơ ƨLjǴŪơ

ȆǨƸǏ ǂŤƚǷ���� � ����

�����������

�����������

�ơƾǼǯ � ƨȈƥǂƬdzơȁ ƨȈǧƢǬưǴdzŇƽȋơ ǩǂnjdzơ ƨLjLJƚǷ� ȅƽȂdzƗ Ȃǰȇǁƾǧ ǁȂLjȈǧȁǂƥ �ƨLjǴŪơdžȈƟǁ�ȆǴƻơƾdzơ ǵƢLjǬǻȏơȁ ǁƘưdzơȁ ǁƢǐūơ �ƧDŽǣǝƢǘǫĿƨƸǐdzơ � ƧDŽǣ � ƨȈǼȈǘLjǴǨdzơ ƨȈƦǘdzơ ƨƯƢǣȍơ � ǁȂNjƢǟ ȅƾů �ƽ

ƨºƸǐdzơDŽǯơǂǷĿ ƨȈǟȐǘƬLJơƨLJơǁƽ � ƧDŽǣ � ƨȈǼȈǘLjǴǨdzơ ƨƸǐdzơ Ƨǁơǃȁ ȆLjǨǼdzơƤǘdzơȄǨnjƬLjǷ� DzȈƸǯƽƢǸǟ �ƾȈLjdzơȁ ǁȂũ NJȇƢǟ �ƽ�ƨǷƾǬŭơ ƨȈLjǨǼdzơ ƨƸǐdzơ ƩƢǷƾƻȄǴǟǁƢǐūơ ŚƯƘƫ DZȂƷ ƨƸǐdzơ ƧǁơǃȂƥ ƨȈǠǸƬĐơ ƨȈLjǨǼdzơ

ǞǓȂdzơ �ƧDŽǣ �ǒȇǂǸƬdzơ ƨȈǴǯ ǝȁǂºnjǷȁ śǘºLjǴǧ � ƨǷȂǷȋơȁ ƨdzȂǨǘǴdz ǹƢǼūơ ƨȈǠŦ �ƽơȂŪơ ƾºƦǟƧDŽŧ �ƾȈºLjdzơȁ ƾȈŧǶºLJƢƳ �ƾȈLjdzơ�ƧDŽǣ ǝƢǘǫĿƨLjǷƢŬơ ǺLJ ǹȁƽ śȈǼȈǘLjǴǨdzơ DZƢǨǗȌdz ȆƟơǀǤdzơ

�ƨȈƸǐdzơȁ ƨȈƠȈƦdzơǽǁƢƯƕȁ ƧDŽǣ ǝƢǘǫȄǴǟňȂȈȀǐdzơ ǁƢǐūơ � ƧDŽǣ� ƨȈǷȐLJȍơ ƨǠǷƢŪơ �Ǿƥǁ ƾƦǟȆǸǜǻƵƢƬǨdzơ ƾƦǟ �ƽ�ljƢǬǻƔơǀǣ

�ǹƾǼdz � ƾǴȈǧ ǂũ Ǯȇǂȇƽ �ƽ �ƨLjǴŪơdžȈƟǁ�śǘLjǴǧĿƨȈǰȇǂǷȋơ DZȐǜdzơƣƢǠȈƬLJơ �ƨƯǁƢǰdzơ ǵȏƕ � ƨȈǰȇǂǷȋơ ƧƾƸƬŭơƩƢȇȏȂdzơ � ƨȈƦǘdzơƽǁƢǧǁƢǿ ƨLJǁƾǷ � ǂƫȂǴLJDzȈƥ �ƽ

�ƨƦǗǂǫ ƨLJǁƾǷƩƢƦdzƢǗ ńƛ ǝƢǸƬLJȏơ �ƅơ ǵơǁ � ƪȇǃŚƥ ƨǠǷƢƳ� ƨǻȂǨǟ ƧƾƟƢLJ �ƽƨdzƢººƷ �ȆºLJƢȈLjdzơ ǦǼǠǴdz DZƢǨǗȋơǑǂǠƫȄǴǟ ƨºƦƫǂ Ƭŭơ ǁƢƯȉơ ƨºLJơǁƽ Ŀ ƩƢȇƾŢȁ ƢȇƢǔºǫ � DžƾºǬdzơ � ƨȇŐǠdzơ ƨǠǷƢŪơ �ŜŹ ƱƢūơ ƾǸŰ �ƽ

�śȈǼȈǘLjǴǨdzơ DZƢǨǗȋơ�ƨǼǷDŽŭơ ƩƢǷƾǐǴdzǑǂǠƬdzơ ƔơǃƛDzǠǨdzơƽȁƽǁǥȐƬƻȏ ƨǴǸƬƄơƣƢƦLJȋơ � ƧƾƸƬŭơ ƨǰǴǸŭơ� ŚNjƽǁȂǧƩŚǿƨǠǷƢƳDzȇȂǘdzơ ƾǸŰ �ƽ �DzȈǻ ǂƬȈƥ �ƽ

�ljƢǬǻƔơǀǣ

����� �����ƨȈLjǨǼdzơ ƨƸǐǴdz ƧDŽǣ ƲǷƢǻǂƥ � ƨǼȈƷơȂǗ Ȃƥơ ƾŧƗ �ƽ �ƨLjǴŪơdžȈƟǁ

��ƨȈǿơǂǰdzơ ƧǂǏƢŰ� ǹơȂǼǠƥ DzǸǟ ƨǫǁȁ ƨǼȈƷơȂǗ ȂƥƗ ƾŧƗ �ƽ�ǺǗơȂǸǯȁƤȈƦǘǯƤȈƦǘdzơ �ǝơǂǐdzơ ǪǗƢǼǷĿ ƨȈƦǘdzơƩƢȈǫȐƻȋơ � ƧƾƸƬŭơ ƨǰǴǸŭơ � ƾǴȈǧǂũ Ǯȇǂȇƽ �ƽ

ǂŤƚǸǴdz ȆǷƢƬŬơ ǹƢȈƦdzơ ƧƔơǂǫȁ ȆǨƸǏ ǂŤƚǷ

Page 14: Siege and Mental Health

12i Ën�AÊ l UAË �A . . . ÑÍn Ã̄ ºA ÑZv ºAÊ i Bv�A

First Panel: Monday 27 October, 2008

Morning Session, Monday 27Ocober,2008

Morning Session, Monday 27Ocober,2008

9:00 - 11:30Chairperson :Dr. Eyad El-Sarraj -President of Gaza CommunityMental Health Programme - Gaza .Dr. Eyad El-Sarraj - Pres ident of Gaza Community Mental Health Programme and Head of the Palestinian InternationalCampaign to End the Siege. (Welcoming Remarks).Mr.Tony Laurence - Head of WorldHealth Organization office in the West Bank and Gaza. (Welcoming Remarks).Mr. Henry Siegman - Former President of the U.S. Middle East Project (USMEP) and Research Professor at SOAS - London.TheTwo-StateSolution's Last ChanceDr. Mark Van Ommeren - World Health Organization - Geneva. Mental Health and Psychosocia l Support During and AfterAcute Emergencies: Emerging ConsensusProf. FedericoAl lodi -Near East Cultural and Educational Foundation - Canada. TheSiege of Gaza in History: Mental HealthandBehavioral Implications.Break.

11:30 - 1:30Chairperson :Mr. John Jenkins - World Health Organization.Dr.Nancy Murray - President, Gaza MentalHealth Foundation -USA. FromGaza to Guant?namo: Building a NewMovementforHuman Rights.Ms. Vic toria Brittain -IndependentWriter - UK. Besieged in Britain.Ms. Elizabeth Schumacher, Department of Psychiatry, Mater Hospital, Msr. Patricia Campbell, Communi ty Mental HealthTeam, Ms. Maneesh Gupta, Community Mental Health Team - Ireland, United Nations Detention Environment and AccusedforGenocide at the International CriminalTribunal forRwanda (ICTR) inArusha, TanzaniaDiscussion

11:30 - 1:30Chairperson :Dr. Bill Slaughter - Harvard Medical School - USADr. Dennis Fox -University of Illinois at Springfield - USA. Palestinians Under Siege: A Critical Psychology Perspec tive onMental Healthand Justice.Dr.Samir Qouta and Ms. Aida Kassab - The Islamic University and Gaza CommunityMental Health Programme - Gaza . Studyon the Relationship Between the Siege, Quality of Lifeand Psychological Conditions in GazaDr.Eleanor Roffman - Lesley University - USA - Learning fromthe Past toBuild for the Future: Reflections on PsychosocialSupport Programs in War Torn CountriesProf. Fadel Abu Hein -Al-Aqsa University and Communi ty Training Center and Crisis Management - Gaza Discussion. SiegeandMental Health, Siege Stress, Emotionaland Behavioral Problems of Palestinian Childrenand their Parents Living underSiege: "GazaExperience"Discussion

Workshop1"In ternational Experiences ofSiege"

Workshop2"Siege andMental Health"

Schedule Conference

Page 15: Siege and Mental Health

13Siege and MentalH ealth�W alls vs. Bridges

Morning Session, Monday 27Ocober,2008

Afternoon Session, Monday 27Ocober,2008

Afternoon Session, Monday 27Ocober,2008

11:30 - 1:30Chairperson :Dr. Wilhelmus Wolters - Prof.State University Utrecht The NetherlandsProf. Elsa First - New York University - USA. Listening to Children UnderSiegeDr.Hendrik Taatgen andMs. Marga Kapka -The American Internat ional School - Saudi ArabiaCulture, Democracy and CivilSociety: Siege and the Obstruction to the Right of EducationDr. Abdel Aziz Thabet - Senior Researcher, Gaza Community Mental Health Programme - Gaza Trauma, PTSD, MentalHealth and Resilience asa Mediating Factor for Palestinian Children in theGaza StripMr. Naim Kabaga and Bassem Koraz- Atfaluna Society For Deaf Children - Gaza - Psychological and Social Adjustmentamong Deaf Children under SiegeDiscussionLunch Break

3:00 - 5:00Chairperson :Dr. AbdelAziz Thabet - Gaza CommunityMental Health Programme - GazaMr.Jamal El-Khodary, PLC Member and Head of the PalestinianPopular Committeeto End the. Impactsof the Gaza Siege onDevelopmentDr.Maria-Jose Lera - University ofSeville -Spa inAnalysis of Violence in Palestine as an Example of Bullying Behavior.Dr.Suhail Diab -Al-Quds Open University -Gaza Impact of the Gaza Siegeon Children's Education and DevelopmentDr.Abd El-Fattah Al-Hamss -TheIslamic University -Mental and SpiritualMechanisms in Confronting Siege Crisis in GazaDiscussion

3:00 - 5:00Chairperson:Mr. Raji Sourany - Pales tine Center for Human Rights - GazaDr. Ambrogio Manenti, - WHO Representative in Tehran - Iran Promoting Human Rights is Always Feasible, UN andAdvocacy in the OPTDr.Jennifer G. Loewenstein - Middle East Studies Program Univers ity of Wisconsin- USA Targets of theSiege: Eroding CivilSociety and National Identi tyMr. Alaa Fawzi Hamad Abu Taha - Independent Researcher - Gaza The Siege of Gaza: Between the Legal and CivilResponsibility of IsraelDr.Ann Charlotte Nilsson - Independent Researcher - SwedenChildren under SiegeDiscussion

Workshop3"Women , Children and Familyunder Siege"

Workshop1 "Siege, Culture, Democracy, and Civil Society"

Workshop2 "Siege in International Law and Human Rights"

Page 16: Siege and Mental Health

14i Ën�AÊ l UAË �A . . . ÑÍn Ã̄ ºA ÑZv ºAÊ i Bv�A

Afternoon Session, Monday 27Ocober,2008

Second Panel: Tuesday 28 October, 2008

Morning Session Tuesday 28 October, 2008

3:00 - 5:00Chairperson:Mr. MazenShagoura- SwissAgency forDevelopment Cooperation - GazaMr. Abdel Nasser Awni Ferwana - Palestinian Ministry of Prisoners and Ex-Detainees- Palestine The Impact of Siege andBlockade on PalestinianDetaineesand theirFamilies,in particular, the Gaza DetaineesMs. Lotte Buch Institute of Anthropology, University of Copenhagen - Denmark Beyond Care: Reading the Qur'an asReligious Practices of Care and (self-) Control in Palestinian Families of Political Prisoners andMartyrsMr.Jameel Sarhan Palestinian IndependentCommission for Citizen RightsThe Palestin ian Prisoners in the Israeli Jails FromaLegal PerspectiveA Prisoner's storyDiscussion

9:00 - 11:15Chairperson:Dr. NancyMurray - The Gaza Mental Health Foundation - USAProf. Wilhelmus Wolters - State University Utrecht - The Netherlands Mental health workers in Gaza, How can they do theirjob? How canthey survive mentally?Mrs. Judith Deutsch - Toronto Psychoanalytic Institute and President of Science for Peace - Canada Psychoanalytic Insightsabout Israel and the GazaSiegeProf. Uri Hadar-TelAviv University - IsraelAn IsraeliPerspective on the Siege : Options and DilemmasDr. Ghada Karmi - Institute of Arab and Islamic Studies , University of Exeter - UK The Impact of the Gaza Siege on thePalestine Issue in the InternationalContextCoffee Break

11:30 - 1:30Chairperson:Ms. LotteBuch - University ofCopenhagen - DenmarkMr.Mazen Salah El Ejla -Al-Azhar University - GazaThe Future of Development under SiegeDr.Susan Greene - San Francisco Art Institute - USAPublicArt, Solidarityand Resilience in Occupied PalestineMr.Emad Nasral lah - Qattan Center for Childen - GazaCultural Situation Under Siege in the Gaza StripMr.MohsenAbu Ramadan - ArabCenter forAgricultural Development - Gaza The Role of Civil Society in the Maintenance ofCommunity CohesionDiscussion

Workshop3 "PalestinianPrisoners in IsraeliJails"

Workshop 1"Siege, Culture, Democracy,and Civil Society"

Page 17: Siege and Mental Health

15Siege and MentalH ealth�W alls vs. Bridges

Morning Session Tuesday28 October, 2008

Morning Session Tuesday 28 October, 2008

Closing Panel Tuesday28 October, 2008

Press Conference

11:30 - 1:30Chairperson:Dr. FedericoAllodiDr. Majdi Ashour - Palestin ian Medical Relief Society- Gaza. Health in theGaza Stripunder Siege, Fire and InternalDivisionDr.Ayesh Sammour andDr. EmadKuhail - Ministry ofHealth - Gaza Impact of Siegeon MentalHealth Services in Gaza StripMr. Jasem Humeid , Mr. Hamza Abdeljawad- Maternal and Child Health and Nutrition (MCHN) Palestine and College ofNursing Project - GazaNutr itionalStatus of Under-FivePalestinian Children in the Gaza StripDr.Abdel Fattah Nazmi Abd Rabbo -The Islamic University - Gaza Environmental and Health Consequences of the ZionistSiege on GazaDiscussionLunch Break

11:30 - 1:30Chairperson:Dr. DereckSummerfield - South Londonand Maudsley - UKDr.Bill Slaughter MD, Harvard Medical School - USAGrieving the Catastrophe: Coming to Terms with the American Shadowin Pales tineDr.Saida Jaser AffounehBirzeit University,Ramallah- Pa lestineThe Impact of the Siege on Palest inian Girl s: Listening to theGirls of Qurtoba SchoolDr. Muhammad M. Haj-Yahia- The Hebrew University - Jerusalem Issues and Challenges in Studying the Mental HealthConsequences of Children's Exposure to Political Violence:TheCase of Palestinian ChildrenDr. Mohamed Altawil and Pieter Nel, Univers ity of Hertfordshire, Hatfield - UK- Presented by Member from PalestineTrauma Center - GazaWhat are the PossibleReasons for Different Re-actions to Chronic Trauma?DiscussionLunch Break

3:00 - 4:00Chairperson:Dr. AhmadAbu Tawahina - Gaza Community Mental Health ProgrammeDirectorGeneral -GazaDr.AhmadAbu Twahena "Besieging Hatred�Dr.Dereck Summerfield - South London and Maudsley - UK Medical Ethics in Conflict Zones :The Doctor as Doctor and theDoctor as Citizen.

4:00 - 5:00Press Conference

Workshop 2" Siege and Public Health"

Workshop3 "Women, Childrenand Family under Siege"

"Concluding Remarks"

Page 18: Siege and Mental Health

16i Ën�AÊ l UAË �A . . . ÑÍn Ã̄ ºA ÑZv ºAÊ i Bv�A

mgĬ·?

ǁƢǐūơ ŚƯƘƫ ƪŢ ƧǂLJȋơȁ �DZƢǨǗȋơȁ ƔƢLjǼdzơ

ňƾŭơ ǞǸƬĐơȁ ƨȈǗơǂǬŻƾdzơȁ ƨǧƢǬưdzơȁ ǁƢǐūơ

DZȐƬƷȏơ ǹȂƴLJ Ŀ śȈǼȈǘLjǴǨdzơ ȃǂLJȋơ

ƪLJŚǧ ơDŽǴȇƛ�ƽƢǰƥƢǯ ƢƳǁƢǷȁ ǺšƢƫ ǭǁƾǼǿ �ƽ

ƪƥƢƯ DŽȇDŽǠdzơ ƾƦǟ �ƽǃơǂǯ Ǻŧǂdzơ ƾƦǟ ǶLJƢƥ �ƨƳƢƦǯ ȅƽƢŮơ ƾƦǟ ǶȈǠǻ

ǂƫȂǴLJ DzȈƥ �ƽƨǻȂǨǟ ƧƾƟƢLJ �ƽ

ŜŹƱƢūơ ƾǸŰ �ƽDzȈǻ ǂƬȈƥ �ƽȁ DzȇȂǘdzơ ƾǸŰ �ƽ

ȆǬȇĈƾǏƨȇƽƢǻ ȁ ǂǴƬǻƢnjƫ ƨŸƾƻ ȁ ǹƢǷǁȂƥ Ƣǰȇǂȇƛ

ȃǂǔŬơ ȄƳƢǻ DZƢŦơŚdz ǾȇǃȂƻ ƢȇǁƢǷ �ƽƣƢȇƽ ǩǃǁ DzȈȀLJ�ƽ

ǎǸŮơ řǤdzơ ƾƦǟ ƵƢƬǨdzơ ƾƦǟ�ƽƨǴƴǠdzơ ƵȐǏ ǹǃƢǷ

ǺȇǂƳ ǹơǃȂLJ �ƽƅơ ǂǐǻ ƽƢǸǟ

ǹƢǔǷǁ Ȃƥơ ǺLjŰƪȈǯơƽ DZȂƥ �ƽ

ƨǻơȁǂǧ ňȂǟ ǂǏƢǼdzơ ƾƦǟNJƫȂƥ ƩȂdz

ǹƢƷǂLJ DzȈŦ

ƨȈǷƢƬŬơȁ ƨȈƷƢƬƬǧȏơ ƩƢLjǴŪơ

ƨȈLjǨǼdzơ ƨƸǐdzơȁǁƢǐūơ

ǹƢLjǻȍơ ǩȂǬƷȁŅȁƾdzơ ǹȂǻƢǬdzơ ǁȂǜǼǷ ǺǷ ǁƢǐūơ

ǁƢǐūơ ǞǷƨȈdzȁƽ ƩơŐƻ

ƨǷƢǠdzơ ƨƸǐdzơȁ ǁƢǐūơ

ǹƢǸǤȈLJ ȅǂǼǿ �ƾȈLjdzơǹǂǷȁƗ ǹƢǧ ǭǁƢǷ �ƽȅƽȂdzƗ Ȃǰ ȇ ǁƾȈǧ�ƽ

ǃǂ Ƭdzȁ DŽǸȈǴȇȁ ǁȂLjȈǧȁǂƥNJƬȇȁƽ ƮȇƽȂƳ

ǁơƾǿ ȅǁȁƗ ǁȂLjȈǧȁǂƥȆǷǂǯ ƧƽƢǣ �ƽ

ƨǼȈƷơȂǗ ȂƥƗ ƾŧƗ �ƽƾǴȈǧ ǂũ Ǯȇǂȇƽ �ƽ

džǯȂǧ džȈǻƽ �ƽƣƢLjǯ ƧƾȇƢǟȁ ƨƫȂǫ Śũ �ƽ

ǹƢǸǧȁǁ ǁȂǻƢȈdzƛ �ƽśǿ ȂƥƗ Dzǔǧ �ƽ�ơ

ǂnjƫƢǷȂǰLJ ƪȈƥơDŽȈdzơ

ŖǼȈǻƢǷ ȂȈƳȁŐǷƗǺȇƢƬnjǼȇȂdz �Ʊ ǂǨȈǼƳ

ǾǗ ȂƥƗ ȅ ǃȂǧ ƔȐǟƩȂdzǁƢnjƫ ǹƕ

ȅơǁȂǷ ȆLjǻƢǻ �ƽśƬȇǂƥ ƢȇǁȂƬǰȈǧ

ƢƬƥȂƳ NJȈǻƢǷ �DzƦǷƢǯ ƢLjȇǂƫƢƥ �ǂnjƫƢǷȂǰLJ ƪȈƥơDŽȈdzơȂǯȂǯȂǻȁ Ɨ ȅȂƥƢƬȈǯȁƗ DzǰȇƢǷ �ƽ

ȅǂǴȈǤǻƛ �ƣ ȁ ƢǧȁƽǁȂǯ ȅƽ �ǥ �ȆǣǁȂǷ �ǥ �ȂƬȇƽǂǧȁǁ �ǁƢŹǁ ƅơ ƾLJƗ �ƽǺȇȐǯ ȆǷȂǠǻ

ǁȂNjƢǟ ȅƾů �ƽDzȈƸǯ ƽƢǸǟȁ ǁȂũ NJȇƢǟ �ƽ

ƽơȂŪơ ƾƦǟ ƧDŽŧ ȁ ƾȈŧ ǶLJƢƳǾƥǁ ƾƦǟ ȆǸǜǻ ƵƢƬǨ dzơ ƾƦǟ �ƽ

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Page 19: Siege and Mental Health

First Panel

Second Panel

Closing Panel "Concluding Remarks"

Siege andMental Health

Siege in International Law and HumanRights

International Experiences ofSiege

Siege andPublic Health

Women , Children and Familyunder Siege

Mr. Henry SiegmanDr. Mark Van OmmerenProf.FedericoAllodi

Prof.Wilhelmus WoltersMrs.Judith DeutschProf. Uri HadarDr. Ghada Karmi

Dr. AhmadAbuTwahenaDr. Dereck Summerfield

Dr. Dennis FoxDr. Samir Qouta and Ms.Aida KassabDr. Eleanor RoffmanProf. FadelAbu HeinEl izabeth Schumachera

Dr. Ambrogio ManentiDr. Jennifer G. LoewensteinMr. Alaa Fawzi Hamad Abu TahaDr. Ann Charlotte Nilsson

Dr. Nancy MurrayMs. Victoria BrittainMs. Elizabeth Schumacher, Ms. PatriciaCampbell, Ms. Maneesh GuptaDr. Michel Okitapoy On'okokoDr. AssaddullahRehaNaomi Klein

Dr. Majdi AshourDr. Ayesh Sammour and Mr. Emad KuhailMr. Jasem Humeid and Mr. HamzaAbdeljawadDr. Abdel Fattah NazmiAbd Rabou

Prof. Elsa FirstDr. Hendrik Taatgen andMs. MargaKapkaDr. AbdelAzizThabetMr. Naim Kabaga and Mr. BassemKorazDr. Bill Slaughter

Dr.Saida JaserAffounehDr.Muhammad M. Haj-YahiaDr.MohamedAltawil and Dr.Pieter NelErica Burman, Khatidja Chantle r and Nadia Siddiqui

Mr.Jamal El-Khodary,Dr.Maria-Jose LeraDr.Suhail DiabDr.Abd El-Fattah Al-HamsMr.Mazen Salah El EjlaDr.Susan GreeneMr.Emad NasrallahMr.Mohsen Abu RamadanDr Paul S. Duckett

Mr.Abdel Nasser AwniFerwanaMs. Lotte BuchMr.Jameel Sarhan

Siege, Culture, Democracy,and Civil Society

Palestinian Prisoners in Israeli Jails

17Siege and MentalH ealth�W alls vs. Bridges

TABLE OF CONTENT

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ǹȂǰȈºLJ ƮȈƷ �ǶȈLjƳ ÇƾŢǵƽƢǬdzơ ȆǰȇǂǷȋơ džȈƟǂdzơ ǾƳơȂȈLJƿƢºǬǻƛ ǾƬǟƢǘƬºLJƢƥ �ǒȈƥȋơ ƪȈƦdzơĿ�ȅȁƢǔȈƦdzơƤƬǰŭơ DzƬŹdžȈƟǁ ǂƻƕŃ ơƿƛ �ȆǴȈƟơǂººLJȍơřȈǘººLjǴǨdzơ ǝơǂǐdzơ ƔƢĔƛDzƳƗ ǺǷ śƬdzȁƾdzơ DzºƷǪǧƗ ǹƜǧ � ǾƬºLJƢƟǁ ǺǷńȁȋơƨǼºLjdzơ DZȐƻǥƾŮơ ơǀǿ ǪȈºǬŢńƛ ȄǠºLjȇ�ǵƢǸƬǿƛ ŇƽƗ ǹȁƾƥljȂƥ ƱǁȂƳȆǯŚǷȋơdžȈƟǂdzơ ǾƴȀƬǻơ ȅǀdzơ śƬdzȁƾdzơ DzƷǺǷǦưǰǷȁ ǞȇǂºLJ Dzƻƾƫ ǹƛ �Ǻǰdzȁ �Ǫǧȋơ ĿȄNjȐƬȈLJƶƳǁȋơȄǴǟ ǾǻƜǧƢȀƬºƷǂǗ Ŗdzơ ǵȐºLjdzơƩơǁƽƢƦǷ ǺǷ DzǔǧƗ ǹȂǰƫ Ǻdz ƾ ȇƾŪơ džȈƟǂdzơ ƤǻƢƳƾȇƾŪơ džȈƟǂdzơ ǀƻƗ ơƿƛ ƢǷƗ �ƵƢȇǂdzơ ƱơǁƽƗƤǿǀƬLJȁ ƆƢǬƥƢLJ ƧƾƸƬŭơ ƩƢȇȏȂdzơǭƢǼǿǹȂǰȇ ǹƗ ƤŸ ǾǻƘºƥśǼǷƚǷ ƨǸȀŭơ ǽǀǿ ǶȀºǬƫƢǟ ȄǴǟ ǽȁǁƢnjƬLjǷȁȅǀdzơǥƾŮơ ơǀǿǪºǬƸƬȇ Ǯdzǀºƥ �ƨºǬưdzơ Ɣ ƢǼºƥ ȁ ǵȐLjǴdz ŚǔƸƬdzơ ƨȈǴǸǟŘȈǘºLjǴǨdzơ ȄǴȈƟơǂºLJȍơǝơǂǐdzơ ȃƾŢ ƾºǬdz �ǾǧȐºLJƗȄǴǟȄǐǠƬLJơǶǴǧ Ƨƾȇƾǟ ƩơȂǼLJ ȃƾǷ ȄǴǟ ƧƾƸƬŭơ ƩƢȇȏȂdzơ ǾƬƴȀƬǻơ ȅǀdzơ �DzǿƢLjƬdzơ�ƝƽƢºƦǷ ǹƛ �ǁƢǰǧȋơ ƧǁƾǻƤºƦLjƥ ȏȁ � ƨȈƟơǂƳȍơ ǁȂǐºǬdzơ ǾƳȁƗ ƤºƦLjƥ ǺǰȇƪǤȈǏ ŕdzơ ǹȂƬǼȈǴǯ DzȈºƥdžȈƟǂdzơ ŚȇƢǠǷ Ŀ ǺǸǰƫ ƧƢȈƸǴdz ƨǴƥƢǫ ƨȈǫƢǨƫơǞȈǸƴǴdz ƧǁȂȀººnjǷ �ƢȀƬǠººƦƫŖdzơ ƢºƥƢǗƩƢƯƽƢŰĿƪǴǐǧȁ���� ǵƢǟƧƽơǁȍơ Ȃǿ ƩƢººǫƢǨƫȏơ ǽǀǿǺǟ ƣƢǣ ƾºǫƢǷ ǹƛ �ȆŭƢǟǾºƦNjǶǟƾºƥ ȄǜŢȁ�ŚȇƢǠŭơ ǽǀǿ DZȂºƦǫ ȄǴǟ ǥơǂǗȋ ơ DzǸūƨǷǃȐdzơ ŚºƥơƾƬdzơ ƿƢţȏ ƨȈºLJƢȈLjdzơƽȂȀŪơ ǞȈŦ Dzººnjǧ ńƛȃƽƗ ȅǀdzơ ȆººǫȐƻȋơȁ ȆººLJ ƢȈLjdzơ DzººnjǨdzơ Ǿǻƛ�� őŪơ Ǻǰdzȁ DzȀƴǴdz ƨƴȈƬǻ ǺǰȇŃ DzºnjǨdzơ ơǀǿ �ƪdzǀºƥŖdzơ ƨǬƥƢLjdzơǒǠººººƥ ǽƢš Ņȁƾdzơ ǞǸƬĐơ ǺǷ ŚºººƦǯƔDŽƳ ƤǻƢƳǺǷ ƾǸǠƬǷDzǿƢš Ȃǿȁ

�ǝơǂǐdzơ ơǀǿ ƪŢ ȆǨƬţŖdzơ ƨƼLJơǂdzơ džLJȋơƨǨǴǰƬdzơ DzǿƢƴƬƫȁ ǎȈƻǁ ǩƢǨƫơńƛ ȄǠººLjƫŖdzơǵȐººLjdzơ Ʃơǁƽ ƢººƦǷ ǹƛǃȁƢƴƬƫ ƨȈǯŚǷƗ ƧǁƽƢºƦǷ ǁȁƾǏǹƛ �DznjǨdzƢƥ ƔȂƦƬLJdžLJȏơ ǽǀŮƨƥȂǴǘŭơǽƢš ƨǬƥƢLjdzơ Ʃơǁơƽȍơ ƢȀƬƴȀƬǻơŖdzơ ƨǬƥƢLjdzơ �DzǿƢLjƬdzơ� ƨLJƢȈLJ DznjǧǺǷ ǶǣǂdzƢºƥȁ �ǝơǂǐdzơ ơǀǿ ƔƢĔƛ ƢĔƢǰǷƜº ƥ ƨǷǃƢºƷȁ ƨǘºnjǻ ƨȈLJƢǷȂǴƥƽƩƢººƥƢƼƬǻȍƢƥ ƧƾȈºǬǷ Śǣ ƢŭȆºǫȐƻƗȁ ȆºLJƢȈLJǪǧƗ ǾȇƾdzdžȈƟǁ ǹƜǧ �Ǯdzƿ� śƬdzȁƾdzơ DzºººƷƔƢĔơ �ǾººƥƢƼƬǻơ ǶƬȇ ƢǷƾǼǟ ǾȈǴǟǹƗ ǭǁƾȇȁ �ƨȈǰȇǂǷȋơ

�ƨƦǫƢǠƬŭơ DZƢȈƳȌdz ƧƢLJƘŭơ ƨȇƢĔ ńƛDzǏȂƬȇǥȂLJ

The next occupant of the Oval Office will be the lastAmerican president to have the possibility of saving a two-statesolution to theIsrael-Palestine conflic t.If hedoes not pursue andachieve this goal during the first year ofhis presidency, the two-state "horizon" that Pres ident George W.Bush pursued so ineffectively is likely to disappear for good.However, even a quick and intense engagement by the newpresident will fare no better than previous U.S. peace initia tives -all of which have gotten nowhere - if he and his advisorsapproach the task believing that some more "peace processing"and "confidence-building measures" will achieve the goal thateluded his predecessors. The Israel-Palestine conflict has defiedU.S. "facilitation" over these many years not because ofprocedural shortcomings, nor because of a pauc ity of ideas. Theterms of a workable agreement - formulated in the ClintonParameters of 2001 and elaborated in the Taba discussions thatfollowed - are well-known, and enjoy near-universal support.What has been missing is the political will to take the measuresnecessary to get the parties to accept these parameters -a politicaland moral failure that has doomed all previous effort s. Thisfailure has not been the result of ignorance but of coward ice - awillful disregard by much of the in ternationa l community ofcertain unchanging fundamentals that underlie this conflict.Peace in itiatives that seek an agreement on the cheap, and seek toavoid the pricedemandedby these fundamentals cannotsucceed.A U.S. initiative that goes beyond the failed "facilitation" ofprevious administrations to vigorous and determined diplomacycan still end this conflict, bu t only a president whose politi cal andmoral horizon extends beyond the next U.S. Congressionalelection - and understands that by the time that election occurs,the two-state solu tion will have disappeared -will be able to bringthismulti-generat ional tragedy to an end.

The Two-State Solution's Last Chance

Mr. Henry Siegman*

śƬdzȁƾdzơ Dzū ƧŚƻȋơ ƨǏǂǨdzơ

ǹƢǸǤȈLJ ȅǂǼǿ �ƾȈLjdzơ

ƨȈǰȇǂǷȋơ ƧƾƸƬŭơ ƩƢȇȏȂdzơ �ƨȈƳǁƢŬơ ƩƢǫȐǠdzơ džǴů ľ ǖLJȁȋơ ǩǂnjdzơ ǝȁǂnjŭ ǪƥƢLjdzơ ȅǀȈǨǼƬdzơ ǂȇƾŭ ơ * Form er Presiden t of the U.S ./Middle East Project (USMEP) and Research Professor at SOAS, London - Email : [email protected]

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ƝǁơȂǘdzơƩȏƢºƷ ƾǠºƥȁƔƢǼƯƗ ƨȈºLjǨǼdzơ ƨºƸǐdzơ ƲǷơǂºƥ ŐƬǠƫǾǻƗƮȈƷ �DZƾƴǴdz ƧŚưǷƨȈǔǫ ƽȁƾƄơ ƽǁơȂŭơ Ʃơƿ ƧŚǬǨdzơǹơƾǴƦdzơ Ŀ ƧƽƢūơƢǷ ƣơǂǘǓơ ǵȂȀǨǷĿƨǷƢǠ dzơ ƨººƸǐdzơ ƨǸȈºǫ ȄǴǟ ǩƢǨƫơ ǭƢǼǿdžȈdzȄǴǟ DŽǯǂƫŖdzơƩƢǷƾŬơ ƨǷƔȐǷ ȃƾǷȄǴǟ ǩƢǨƫơ ȏȁ ƨǷƾǐdzơ ƾǠººººººººƥDzƻƾƬdzơ ƝƽƢºƦǷȁ ƩƢȈƴȈƫơǂƬºLJơ ǺǷƨǟȂǸůǭƢǼǿ �ƨȈLjǨǼdzơ ƩƢǷƾǐdzơ

�ƔơŐŬơ ȅƗǂdzǞLJơȁ Ƕǟƾƥ ȄǜŢŖdzơ ȆǠǸƬĐơ ȁ ȆLjǨǼdzơǭƢǼǿ ǹƗ ȄǴǟ ǪǧơȂƫ Ɣơǁƕ Ƙººnjǻ ƾººǬǧ DZƾŪơ ơǀǿ ǁơǂǸƬºLJơǺǷ Ƕǣǂdzơ ȄǴǟȁƨºººƸǐdzƢƥ ǪǴǠƬȇ ƢǸȈǧ ƨǏƢƻȁ ƨǸȈǴººLjdzơƨǷƢǠdzơ ƨººƸǐǴdz ƨººLJǁƢŲƧŚƻȋơ ƨǻȁȉơ Ŀ DzưǸƬȇǩƢǨƫȏơ ơǀǿȁ �ǂǰºƦŭơ DzƻƾƬdzơƮȈºƷ ǺǷ �ƨ ȈLjǨǼdzơĿ � ƨȈǟƢǸƬƳȏơȁ ƨ ȈººººLjǨǼdzơ ƨººººƸǐdzơƤǻơȂƳ� ŚȇƢǠǷ Ʊơǁƽƛ DZȐƻǺǷƝƽƢºƦǷȁ �ƨǷƾǐǴdz ƨºƥƢƴƬLJȌdz ƢȈǻƾdzơ ŚȇƢǠŭơDZȂƷ �ŚǨLJ� ƣƢƬǯ ƨǠƳơǂǷơǀǿȁ �ƩƢǷǃȋơƩƢºǫȁƗ ĿȆºLjǨǼdzơǶǟƾdzơȁ ƨȈLjǨǼdzơ ƨƸǐdzơ DZȂƷ ,$6&ńƛƨººƸǓơȁDzƟƢºLJǁ ȆǘǠȇ ǹƗ ƤŸ ȁǾƬȈŷƗȁǪǧơȂƬdzơ ǁȂȀǛȄǴǟ ƾȈǯƘƫ

�ƨǨǴƬƼŭơƩƢǟƢǘǬdzơĿǖȈǘƼƬdzơ ȄǴǟ śǸƟƢǬdzơ

Mental health care programmes during and after acuteemergencies in resource-poor countries have been consideredcontroversial. Thereis no agreement on the publ ic health value ofthe post-traumatic stress disorder concept and no agreement onthe appropriateness of vertical ( separate) trauma-focusedservices. A range of soc ial and mental hea lth interventionstrategiesand principles seem, however,to have support of broadexpert opinion.Despite continuing debate, there is emerging agreement on whatentails good public health practice in respect of mental health. Interms of early interventions, this agreement is exemplified by therecent inclusion of 'a mental and socia l aspects of health' standardin the Sphere handbook's revision on minimal standards indisaster response and the IASC Guidelines on Mental HealthandPsychosocial Support in Emergencies. This affirmation ofemergingagreement is important and should give clear messagesto planners in diver sectors.

Mental health and Psychosocial Support During andAfter Acute Emergencies: Emerging Consensus

Dr. Mark van Ommeren *

ȆǟƢǸƬƳȏơ ȆLjǨǼdzơ Ƕǟƾdzơȁ ƨȈLjǨǼdzơ ƨƸǐdzơ�ǪǧơȂƬdzơ ǁȂȀǛ �Ƨƾȇƾnjdzơ ƝǁơȂǘdzơ ƾǠƥȁ ƔƢǼƯƗ

ǹǂǷȁƗ ǹƢǧ ǭǁƢǷ �ƽ

ǦȈǼƳ ƨȈŭƢǠdzơ ƨƸǐdzơ ƨǸǜǼǷ * WH O. Geneva- [email protected] t

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ȃƾŭơŅ ƛ ǂǜǼdzƢºƥ ƧDŽǣǁƢǐºƷ ŅƛƨLJǁơƾdzƢƥ ƨǫǁȂdzơ ǽǀǿ ǩǂǘƬƫƢǸǯ �ƣǂūơ ƨdzƢºººººººƷĿ ƢȀȈǴǟǑǂǧ ȅǀdzơ ǁƢǐūơ ǺǷDzȇȂǘdzơ ȆźǁƢƬdzơƨŻƾºǬdzơ ǁȂǐǠdzơ Ŀ ƧǂȀºNj ǂưǯȋơ ƩơǁƢǐºƸǴdz ƨǠƳơǂǷȁ ƨǸƟƢǫ DzǸnjƫǂƸƦdzơ ǹƾǷȁǖLJȁȋ ơǩǂnjdzơ Ŀ ƨǻƢǰǷ ƪǴƬƷơŖdzơǮǴƫƨǏƢƻȁ ƨưȇƾūơȁǮǴƫ DzǴŢȁƩƢǷȂǴǠŭơȁƨȈźǁƢƬdzơ ǁƽƢǐŭơ ǦǼǐƫ ǥȂºº ºººLJ � ǖººººLJȂƬŭơƨǴºººººǬƬLjŭơƩơŚǤƬdzơ ǹƛ �ƨǷǃȌdzȅǁȂǐƫ ƱƿȂŶ ǵơƾƼƬººººLJƢƥ ƩơǁƢǐūơƨǷơǂǏȁ ƨȈǼǷDŽdzơ Ƨƾŭơ �ǂǏƢƄơ ƤǠºnjdzơ ƨȈǐƼNj �DzưǷ Ȇǿ ƨǘLJȂƬŭơȁǑơǂǟƗ �ƨȈƳǁƢŬơ Ƕǟƾdzơ ƨǰººƦNj �ǞǸƬĐơ Ƶȁǁȁ �ƽơƾǠƬº ºLJȏơ ȁ �ǁƢǐūơ ơǀǿƩơŚǤƬdzơ ǽǀǿ ƱƢƬǻ ǹƛ� ǞǸƬĐơȁ ƽǂǨǴdz ȆǯȂǴºººLjdzơ ǂƯƘƬdzơȅƾǷ �ǁƢº ººnjƬǻȏơƱƢǷƾǻȏơ ȁƨȈºLjǨǼdzơƩƢºƥơǂǘǓȏơ ǽǀǿ ǁƢºnjƬǻơ ȅƾǷ ǺǸǔƬƫ ƨ ºLJƢǬŭơ� ǁƢǐūơ Ǯdzƿ ǝƢnjǬǻơ ȁƗ ǵȐLjƬLJȏơ ȁ �ƩƢǓȁƢǨŭơȁ ƨǷȁƢǬŭơȁ �ȆǟƢǸƬƳȏơǂǏƢƄơ ƤǠºººnjdzơ ȆǴǟ ƢȀǴȈǴŢ ǶƬȇ ǥȂºº ºLJƩƢººƦǴǬƬdzơȁ ƩơŚǤ Ƭdzơ džǨǻ

� ȅƾƬǠŭơȁǹƗ ǺǷǶǣǂdzƢºƥȁ � ƧDŽǣ ĿƢȈdzƢºƷ ȅǁƢŪơ ǁƢǐūơȆǴǟ ƨºǬȇǂǘdzơ ǽǀǿ ǪºƥƢǘƬƫĿ ƆȏƢǠǧȁ ƆȐǷƢǯ ǺǰȇŃǾǻơ ȏƛ �ǾƫŚƫȁ ƾƬºNjƗȁDzȇȂǗ ƾǷȋ ǂǸƬºLJ ơ ǁƢǐūơǺȇǂǏƢººƸǸǴdz ƧƾǟƢºLjǷ ǭƢǼǿ ǹƢǯ �ǁƢǐūơ ơǀǿǦºǫȁȁ ƹȂǓǂdzơ ǪȈºǬŢǶǟƾdzơƩƢǰººƦNj ǺǷ�Ǯdzƿ Dzǯ ǩȂǧȁ ƨȈdzȁƾ dzơǺǷƢǔƬdzơ ƨǯǂººƷ ƢȀ ƬǷƾººǫǩƢǘǻȄ ǴǟƪǻƢǯȁ ǁƢǐūơ ǁƢƯƕ ƪǟȂǼƫ �ƨȈǴƻơƾdzơ ȆǟƢǸƬƳȋơȁ ȆººººLjǨǼdzơƨǷƾǐdzơƣǂǯ DzǠǧ Ʃơƽǂdz ǞººººLJơȂdzơ ǁƢºº ººnjƬǻȍƢƥ ǪǴǠƬȇ ƢǸȈǧ ǞºººLJơȁǂƫȂƬdzơȁ �DZƢǨǗȋơȁ śǬǿơǂŭơ ƩƢȈǯȂǴLJȁ �376' ƢŮ ƨȈdzƢƬdzơ ƩƢƥơǂǘǓȋơȁǝƢǓȁȋơǒǠººƥŅƛƧǁƢººNjȍơ ƪŤȁ � ǞǸƬĐơȁ ǂºLJȋơDzƻơƽ ƩƢǷƢºLjǬǻȏơȁ

� ƧǂǏƢƄơƩơȂǬdzơȁƣȂǠnjdzơ ȃƾdz ƨđƢnjŭơ

This paper studies the siege of Gaza in the context ofthe long history of sieges in war. It lists and reviews the bestknown sieges in antiquity and modern times particular thosewhich took place in Middle East and Mediterranean countries.Historical and information sources are ranked, and siegesanalyzed using a crisis conceptual model. The independent andintermediate variables considered are: characte r of the besiegedpopulation, duration and severity of the siege, preparation, andcommunity spirit, network of support, symptom prevalence, andindividual and social vulnerabili ty behaviours. Outcomevariables measured include the prevalence of mental disordersand social integration, resistance and negotiation, surrender orthe lifting of the s iege. The same variables are analyzed both forthe besieged and the attackers. This method is applied to theongoingsiege of Gaza. It is concluded that although the blockadehas been prolonged and severe it has not been complete oreffectivein achieving surrender or termination of the siege .Therehas been help to the besieged from the international so lidaritymovement and, above all, from the internal network of soc ial andpersonalsupport. The toll of the siege has been great in term of thehigh of prevalence grief stress reactions, PTSD and adolescentand children behaviours, family and community tensions anddivisions. Similar findings are referred to in the besieging forcesand populations.

The Siege of Gaza in History:Mental Health and Behavioural Implications.

Professor Federico Allodi *

�ƺȇǁƢƬdzơ Ŀ ƧDŽǣ ǁƢǐƷȆǯȂǴLjdzơ ǹȂǸǔŭơ ȁ ƨȈLjǨǼdzơ ƨƸǐdzơ

ȅƽȂdzƗ Ȃǰȇ ǁƾȈǧ �ǁȂLjȈǧȁǂƥ

* Near East Cultural and Educational Foundation Canada - [email protected]

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21Siege and MentalH ealth�W alls vs. Bridges

ǺǷśȈŻ ƽƢǯȋơǺǷ ƨǟȂǸůƪǯǁ ƢºººººNj ����� ǵƢǟ ǞǴǘǷ ĿĿȆưºƸƦdzơȁœȇǁƾƬdzơ ƲǷƢǻŐdzơ ƔƢnjǻƛȁdžȈLJƘƫĿŃƢǠdzơƩƢǠǷƢƳǦǴƬűƲǷơǂºƥ ǞǓȁĿ ƨǟȂǸŪơ ǽǀǿƪǯǁƢºNjȁ�ƨ ȈºLjǨǼ dzơ ƨºƸǐǴdz ƧDŽǣƲǷƢǻǂºƥŖdzơƩƢ ȇƾºƸƬdzơ ƾƷƗ ǹƢǯȁ �ȆǴƄơœȇǁƾƬdzơ ǶǫƢǘdzơ ȄǴǟǥơǂNjȍơȁ ƨȈǸȈǴǠƫȄǴǟ ƧǁƾǬdzơ Ȇǿ ƾȈǬǠƬdzơ Ŀ ƨȇƢǣ ǥȁǂǛDzǛĿ ƢǼƟ ƢǫƾǏƗȁ ƢǼƟȐǷǃƪȀƳơȁǶǟƽȁƧƾǟƢºLjŭ ȅǁȁǂǔdz ơȆºLjǨǼdzơ ǹǃơȂƬdz ơ ǺǷňƽȏơ ƾūƢºƥ Ȃdzȁ ǁơǂǸƬºLJȋơƨȇȂǻƢưdzơ ǁƢƯȋơ ǺǷ ǹȂǻƢǠȇ Ǻ ȇǀdzơ ȁƗƨ ȈºººLjǨǼdzơƩƢǷƾǐdzơȁǦǼǠdzơ ƢȇƢº ºƸǓ

�ƣȁ ǂūơ ǺǟƨšƢǼdzơ ƨȈƦǴLjdzơƢǿƽȂººLjȇǪǗƢǼǷĿƨȈººLjǨǼdzơ ƨººƸǐdzơ DzººǬƷ ĿśǴǷƢǠdzơ ǹƜǧ ǮdzǀǯǞǷDzǷƢǠƬdzơĿƧƽƾŰǕȂǤǓǹȂȀƳơȂȇȅƽƢǐƬºº ºººººǫȏơ ƔƢƻǂdzơȁƔ ȁƾŮơǢdzƢºƥ ǵƢǸƬǿƢºƥǮdzƿȆǜƷ ƮȈƷƨȈLjǨǻƩƢǷƾǏǺǷǹȂǻƢǠ ȇǺȇǀdzơȄǓǂŭơƩƢǷƾǐdzơ ƱȐǟ ĿƽƢǔŭơ ǢȇǂǨƬdzơ ƣƢƬǯńƛ ǂǜǻƗ � ƨȈººLjǨǼdzơƩƢȈºƥ ƽȋơĿ

�ȅƾǼȈdz �ƽ ƣȂǯƢƳȁ ǹȂLjǴȇȁ �ƣ ǹȂƳƤƫƢǰǴdz �ƨȈLjǨǼdzơǹƗƤŸƨȈººLjǨǼdzơ ƨºƸǐdzơ ȄǓǂǷ ǹȂŪƢǠȇ Ǻȇǀdz ơ ƨºƸǐdzơȆȈƟƢǐƻƗ ǹƛƽƢǔŭơ ǢȇǂǨƬdzơȁ ŅƢǠǨǻȍ ơ ǢȇǂǨƬdz ơ ƨȈǴǸǟ ĿśǴǟƢǨƬǷ ƔƢǯǂºNj ơȂºƸƦǐȇƨºnjǫƢǼǷǶƬȈºLJȁƮȈºƷ ƩƢǷƾǐdzƢƥ ȅȂǻƢƯ ǂƯƘƫ ǺǷ ǹȂǻƢǠȇ ƾǫȁ �ǒȇǂŭơśƥƧDŽǣ ǝƢǘººººǫĿ ƢǼƟȐǷǃ ȃƾdz DzǷơȂǟ DzǸǠ dzơ ȂƳǶººººLjƬȇ �ƩȐǟƢǨƬ dzơ ǽǀǿ

�ƨȈdzƢƬdzơǎƟƢǐŬƢƥȅƽƢǐƬǫȋơ ȁơ ȅƽƢŭơǹ ƢǷȋơ ǂǧȂƫ ǵƾǟ��ƨȇǂǰLjǟȁ ƨȈLJƢȈLJ DzǷơȂǠ ƥǂƯƘƬdzơ��

řȀŭơǥơǂNjȋơȁǶǟƾdz ơƣƢȈǣ��Dzƻƾdzơȁ ǵƢǠǘdzơ ǽƢšǥȁƢű��

ƧǂººLJȋơȁ ƔƢººǫƾǏȋơǶȀȈǧǺŠǒȇǂŭơǹơǂººǫƗǑǂǠƫ ƨȈdzƢǸƬºƷƛ ��ƨȈƬLjƳȂdzDzǯƢnjǷ�� �ǥǁƢǠŭơȁ

�ƨLjLJƚŭơ ȃȂƬLjǷȄǴǟǕȂǠǓ���ȄƷǂŪơ ǁȂǏȁǵȐǧȋơ DZȐƻȄǴƬǬdzơ ƧƢǧǂdzDzǏơȂƬǷǑǂǠƫ��

ǪǧơȂƬdzơ ǶȀƬǟƢǘƬºººººLJ ƢƥǦȈǯȁ �ǶǿƩƢǨǏơȂǷ ȅƘººººƥ ȁ ƔȏƚǿDžƢǻƗ ȅƗƨƸǐdz ơƩƢǸǜǼŭ ƨƥȂǴǘŭơ ƧƽƢȈǬdzơ ƨȈǿƢǷ ƢǷȁ �ơǀǿ ǶȀǴǸǟ ĿǁơǂǸƬLJȏơȁƢǼƟȐǷǃ ǶǟƾdzǵƢǜǻ ǂȇȂǘƫ ƢǼƬǟƢǘƬºLJƢƥǦȈǯ �ƣȁǂūơƩƢºǫ ȁƗĿ ƨȈLjǨǼdzơǹƗƤŸDzƟƢºLjŭơ ǽǀǿDzǯ �ƣƢǠǐdzơ Ƕǣǁǹ ơƾȈŭơĿ ǶȀƦƳơȂ ƥ ǹȂǷȂǬȇ Ǻȇǀdzơ

�ƨȈLjȈƟǂ dzơ ƨLjǴƴǴdzơ ƔƢǼƯƗ NJǫƢǼƫ

Since 1994 a group of international teachers of severalInternational Universities took part in the development of thetraining programme of the GMMP. For years they took par t in theteaching programme, gave supervision and worked with the localstaff. One of the questions was how our colleagues can andfriends go on for years and in extreme circumstances maintain aminimum psychological balance necessary to help and supportpeople who are traumatised and or suffering from the secondaryvery negativeconsequences of thewar.Even for mental health workers, working in rather quiet andeconomically prosperous countries the specific stress ofworking with traumatised patients gets a lot of attention inLiterature: See Counter transference in the Treatment of PTSD,Ed. John P. Wilson andJacob D.Lindy.The Mental Health worker who treats traumati sed patien ts canbecome a (inter)ac tive partner in the transference and countertransference process. They can suffer from secondarytraumatisation; these reactions will be discussed.In Gaza in theworking context ofour colleagues characterised byspecial stressors:

1 -The basic physical and economical safety does not exist2- Political and military factors3- Lackof professional support and supervision4- Concerns aboutfood and income5- Specific vulnerabili ty connected with the fact that thepatient population consist partly in friends, family, andacquaintances.6- Logistic problems7- Stressors on the level of the organisation8- Continuing confrontation with dead bodies, woundedpeople etc.

What kind ofpeople, with what kind of qualities, with what kindof coping style can survive and do their job? What kind ofleadership is required for a mental health organisation in time ofwar? How can we develop a system to support our colleagueswho do their job in the field?These and other question could bediscussed in our panel.

Mental Health Workers in Gaza, How CanThey Do Their Job? How Can they Survive Mentally?

Prof. W.H.G.Wolters *

�ƧDŽǣ Ŀ ƨȈLjǨǼdzơ ƨƸǐdzơ ȆȈǼȀǷ DzǸǟƨȈLjǨǼdzơ ǶȀƬǷȐLJ ȄǴǟ ǙƢǨūơ ǶȀƬǟƢǘƬLJƜƥ ǦȈǯȁ

ǃǂƬdzȁ DŽǸȈǴȇȁ ǁȂLjȈǧȁǂƥ

* Clinical Psychologist State University Utrecht Holland - [email protected]

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22i Ën�AÊ l UAË �A . . . ÑÍn Ã̄ ºA ÑZv ºAÊ i Bv�A

�ǁƢǐūơǑǂǨdz ƨȈºLjǨǼdzơƩơƽƾƄơ ǺǷ ơƽƾǟ ƨǫǁȂdzơ ǽǀǿ DZȁƢǼƬƫśȈǴȈƟơǂ ººLJȍơ śǤdzƢºƦdzơ ǹƗ ǦȈǯ ƶǓȂƫȆºLjǨǼdzơDzȈǴºƸƬdzơ ǶȈǿƢǨǷ ǹƛǁŐƫȁ ńƛ ȅƽƚƫŖdzơ ƨȇǂǰººLjǠdzơ ƱƿƢǸǼdzơȅƽȂȀȈdzơ ƣƢººƦnjdzơ ĿǹȂºLJǂǤȇdžǰǟǽƢšơ Ŀ ƨǏƢƻǪƟƢººǬƸǴdz ƢȀȇȂºnjƫ ǺǸǔƬȇǮdzƿ ǹƛ �ǁƢǐūơǑǂǧƨȈǴǸǟDzȈǘǠƫȁǦǗƢǠƬdzơ ȄǴǟ ƧǁƾºǬdzơǕƢºƦƷƛȁ ȅƾƬǠŭơȁ ƨȈƸǔdzơ ǁơȁƽƗśºƥ ƽȁƾūơ ǹƛ �ǦǼǠdzơȁ ǹơȁƾǠdzơ ǵơƾƼƬºLJơ ǞǷ ƶǷƢLjƬdzơȁ ŚǸǔdzơ ǺȇȂǰƫǪȈººǬƸƬdz ƣƢºƦnjdzơ ǹȂǤdzƢºƦdzơ ǵƾƼƬºLjȇ śǐºƷ ƢȀºǫơǂƬƻơ ǶƬȇ DZƢȈƳȋơƽƾǟ ǃƢųƛ ȄǴǟ DZƢǨǗȋơ ƧƾǟƢLjǷĿ ƧƾƷȂǯ ƧǂLJȋơ ǁȁƽ ǹƗ ƢǸǯ �ǶȀǓơǂǣƗƾººººººƷȂƬdzơ ǞǷƩơǀdzơ ǶȈǜǠƫ ƨȈǴǸǟ ƢȀǐǴºººººǬƫ ƨȇǁȂǘƬdzơǵƢȀŭơ ǺǷƢȈźǁƢƫ �śȈǼȈǘºLjǴǨdzơ ȄǴǟ ǾȈǧ ƣȂǣǂǷŚǣ ȆLjǨǻǹȂǸǔŠȆǗƢǬLJȍơǁƢǐūơ ȁƾºƦȇ ƾºǫ �ǁƢǐūơ Ŀƨȇ ǁȂŰ ǂǏƢǼǟ DZȏƿȍơȁǑǂŭơȁ ǞȇȂƴƬdzơ ǹƢǯDzȈƟơǂºLJƛ ǩǂƻ ǞǷƢǷƢŤ ǶƴºLjǼȇ ǾǼǰdz ƣǂūơ DZƢǰºNjƗ ǺǷ ƢºǫǁƢǨǷ ȐǰºNjȏƢǰººNj ƗNJººǫƢǼȇ ǹȁǁdžǸȈƳƹǁƚŭơ �ǦȈǼƳȁ ƧƾººƸƬŭơ ǶǷȋơ ƩƢȈºǫƢǨƫȏƨȈǼȈǘºLjǴǨdzơ ƨǬǘǼŭơ ƪǻƢǯ ơƿƛ Ƣŭ ƢǠƦƫȆ ǴȈƟơǂLJȍơǹơȁƾǠdzơ ǺǷƨǨǴƬűƾȇǁȂǻȁƱ ơǂºLjdzơ ƽƢȇƛȁ ƾȇȁǂǧ �ƨȇƽȁƾƷ ƨǬǘǼǷ ȁƗ DZȐƬƷȏơ ƪŢ ƢȈǼǬƫ ƨȈǼǠŭơśººƷDzǨǘdzơ ȄǴǟ ƧǂǷƾŭơ ǁƢƯȊdz ƢđƢºnjǷ ƢǨǏȁ ǹȂǷƾºǬȇ śǻƢūơ ƾȈǴȈºƥ�ǾƥƢnjǷ Dzǰnjƥ �ƤǻƢƳȋơ ƽȂǼŪơ ȅƾȇƗ ȄǴǟ DZȏƿȎdz ǹȂǓǂǠƬȇ ǾǴǿƗ ƾǿƢnjȇĺǂǤǷĿƕ ȆǴȈƟơǂºLJȍơ ƱǂƼǸǴdz �řȈǟ ǺǷ ƧƾºƷơȂƥ ǁƘ Ươ� ȆǬƟƢƯȂdzơ ǶǴȈǨdzơDZȂººƷ ơƽƢººLJƢǷ ƧǁȂǘºLJƗ ǹȂǸǴǠƬȇ ȆǴȈƟơǂ ºLJȍơƣƢºƦnjdzơ ǹƗ ǦȈǯ ǂȀǜȇǵƾºǬƫƨºǫǁȂdzơ ǽǀǿ �śȇǁƢºƸƬǻȏ ơ ƣƢǿǁƛ DZȂºƷ ǹȂnjſ ƧǁȂǘLJƗȁ ǁƢǐūơDzǯĿǪǴººººǬdzơ ǾƳȁƗ ǹȁŚưȇśǤdzƢºººƦdzơǹƗ ǦȈǯƶǓȂƫ ƨȈǴȈǐǨƫ ƱƿƢŶǮdzǀǯ�ŚǗƢLJȋơǮǴƫ ǶŮƢǨǗƗǶȈǴǠƫ DZȐƻ ǺǷ ȂǸǼdzơ DzƷơǂǷ ǺǷ ƨǴƷǂǷDZƢǨǗƗ� ǪƟƢƯȂdzơ ǶǴȈǨdzơ Ŀ ǹơȁƾǠdzơ ǝȂǓȂǷ DZȁƢǼƫĿǂǜǼƫ ƨººººǫǁȂdzơ ǹƜǧĿ DZƢǨǗȋơ ǞǷƩƢȈǴȈƟơǂºLJȍơ ƔƢºLjǼdzơ ȃƾºƷƛ DzǸǟƨǐºǫ ȅȁǂȇȅǀdzơ �ƢǻǁƗǂºǏƢǼǠdzơ ƶºǓȂƫ ǁƢºǐūơ DZȁƢǼƬƫ Ŗdzơ ǵȐǧȋơ ǺǷ ƱƿƢǸǼdzơ ǮǴƫǹƛ �śǼƳǁȂǠºnjdzơ ƣƢLjƬǯơ ȄǴǟ ƣƢƦnjdzơ ƧƾǟƢLjǷĿ ƩƢƦǬǠdzơȁ ƨƦǯǂŭơƨ ȈLjǨǼdzơ�ǹơȁƾǠdzơ ǞǷ DzǷƢǠƬdzơ ȄǴǟ ƧǁƾǬdzơȁ ǞǫơȂdzơ ǭơǁƽƛȁ �ƨȈǐƼnjdzơ ƨȈdzȂƠLjŭƢƥ

This paper looksa t severalpsychological determinantsof imposing a siege. Psychoanalyticconceptsclarify how Israeliadults forcefully inculcate in Jewish youth the military idealsthat lead to, and rationalize, imposing a siege. Involved in thisare distortions of reality testing especially in the direction ofreversing roles of victim and aggressor, interference in the abilityto empathize, cur tailment of conscience development, and thepermissive stimulation of aggression. Generational boundariesare breached as adults use youth for their own ends. Thefunctionof the family unit to help children master a range ofdevelopmental tasks is curtailed by sel f-idealizat ion coupled withthe projective identification of unwanted psychological contentonto Palestinians.Historically, cen tral to s iege is starvation , disease , andhumiliation. Siege is a seemingly anachronistic form of warfarebut fits in well with Israel 's evasive sidestepping of UN andGeneva conventions. Historian James Ron discusses variousforms of Israeli aggression, depending on whether a Palestinianarea is technically occupied or a frontier. Freud, Dr. El-Sarraj,and Nurit Peled-Elhanan similarly describe the devastatingimpact for a child of seeing one's parents humiliated by foreignsoldiers. The documentary "Avengebut one of my two eyes," byIsraeli director Avi Mograbi, shows how Israeli youth are taughtthe Masada myth about siege and theSamson myth about suicideterrorism. This paper provides detailed examples of how adultsevoke the anxieties of each developmental phase when teachingthese myths. Central to teaching these myths is the evocation ofhumiliation andthe admonition to be the aggressor. As well, thepaper looks at the handling of aggress ion in "Arna's Children", adocumentary about an Israeli woman's work with children inJenin. The examples from these films about siege illustrate thecomplex psychological components, and the interferences, inhelping youth develop a sense of personal responsibility, a senseof reality, and theability todeal withaggression.

"Psychoanalytic Insights aboutIsrael and the Gaza Siege"

Judith Deutsch*

ǹƘnjƥ ƨȈǴȈǴŢ ƨȈLjǨǻƨȇƙǁƧDŽǣ ǁƢǐƷȁ DzȈƟơǂLJƛ

NJƬȇȁƽ ƮȇƽȂƳ

* Clinical Socia l Worker and Psyc hoanalyst, Private Pract ice, Member ofCa nadia n Psychoana lyticSociety an d Pres ident Scienc e for Peace - j.de utsch@ utoronto.ca

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23Siege and MentalH ealth�W alls vs. Bridges

ƔƢǘººnjǼǴdz ƨººƦLjǼdzƢƥ ƨȇƢǤǴdz ǖººƦŰ ŅƢūơ ǁƢǐūơ ǞǓȁǹƛ�ŚºƦǰdzơ ƾȀºnjŭơ ơǀǿĿDzȈǴǬdzơDzȈǴǬdzƢƥ ȏƛ ǵƢȈǬdzơ ƢǼǼǰŻ ȏ �śȈǴȈƟơǂLJȍơƨȈººƦdzƢǣ ǹƗ ƨǴººƥśǘdzơ ƽơǃ ƢǷȁ �ǁơǂººǬdzơ ȆǠǻƢǏ ȄǴǟ ŚƯƘƫ ŇƽƗ ƢǼȇƾdzdžȈdzƢǷ Dzǯ ǹȂǸǟƾȇǶȀǧŅƢƬdzƢºƥȁ DžƢŧ ǶǰūǞƦƬƫ ƧDŽǣ ǹƗǹȁǂȇśȈǴȈƟơǂLJȍơ

�ǭƢǼǿNJȈŪơ Ǿƥ ǵȂǬȇǁƢǐūơ Ǯǧ ƧǂǿƢǜǷ DzưǷ ƧǂƯƚŭơ DZƢǠǧȋơǒǠººººƥ ǭƢǼǿǹƢǯ śººººƷ ĿȁƨǴǸūơ ǞǷǹȁƢǠƬdzƢº ººƥ Ǯdzƿȁ �Ƨ DŽǣȁ ǃǂȇƛ ǺǷ DzǯƢēƾȀººNjŖdzơ ƨǸƼǔdzơDzưǷ Ƣđ ǵƢȈºººǬdzơ Ļ ƨǴƯƢŲ ǁȂǷ Ɨ ǹƜǧ �ǁƢǐūơǮǨdz ƨȈǼȈǘººLjǴǨdzơ ƨȈdzȁƾdzơǺǰdzȁ � ƨȇDŽǷǁ ƨǸȈººǫȁǞººƥƢǗ ƢǸŮ ǹƢǯ śƯƾūơ Ȑǯ �ǁƢǐūơǮǧ ƨǼȈǨºLJ�ƨdzƢūơ ǽǀǿĿ �ƾȈǠƦdzơ ȃƾǐdzơ Ǯdzƿ ǀƻƘȇŃ ǁơǂǬdzơ ȆǠ ǻƢǏ ȄǴǟ ƢŷŚƯƘƫƢđ ǕǂƼǼȇŖdzơ ƨºǬȇǂǘdzơ ǹƘºnjƥ ǁƢƦƬǟȏ ơśǠƥ ǽǀƻƘ ȇ ǹƗ ƽǂǨǴdz ȆǤƦǼȇ ƢǷȆºǬȈǬūơǽŚƯƘƫ ǺǷ ǂưǯƗǕƢnjǼǴdzƨȇDŽǷǂdzơ ƨǸȈǬdzơ ȂǿȅŚǿƢǸŪơ DzǸǠdzơĿȂǿ ȅDŽǷǂdzơDzǸǠǴdz ȆºººLJƢLJȋơǥƾŮơǹƛ �ȅǂǜǻ ƨȀƳȁƤºººLjƷ �DzǸƬƄơŃƢǠdzơ ǺǟƧDŽǣ DzǿƗ DzǐǨȇ ȅǀdzơȆŷȂdzơ ǖŬơ Ǯdzƿ ǂLjǯȁ �ǁƢǐūơ ǂLjǯǞǷ ǪȈºLjǼƬdzƢƥ ǶƬȇ ǹƗƤŸ ŚƯƘƫ ȅƿ DzǸǟȅƘƥ ǵƢȈǬdzơ ǹƗřǠȇ ơǀǿȁ �ȆƳǁƢŬơĿ �ǝƢǘǬdzơ ƽȁƾƷ ƱǁƢƻ ȌǸǴdz ǽǁƢȀǛƛ ƤŸȁ �ƧDŽǣ ǝƢǘǫ Dzƻơƽ ǺǷǍƢƼNjƗ�ƧDŽǣ ńƛ ǁƢǐūơ ǂºLjǯƨǼȈǨLJ DZȂǏȁȁ ǃǂȇ ƛ ƧǂǿƢǜǷ �śƯƾūơ Ȑǯ ǹƛǞǫơȂdzơdžǨǻ DzǸŹǂŤƚŭơ ơǀǿǹƜǧ �ǾºººLjǨǻ ǩƢȈººLjdzơĿȁ �ǁƢǗȍơ Ǯdzƿ ǺǸǓƢǻƢǯơǀđȁ �ǾƫơƿƪºººǫȂdzơĿ ƢȀƳǁƢƻȁƧDŽǣ Dzƻơƽ ǵƢººǬǷ ǾǻȂǯȅDŽǷǂdzơ ǞººƥƢǘdzơĿ ǂŤƚǸǴdzǝǂǧ DzǸǟ ƢǼǻƢǰǷƜºº ºººººººƥ ǹƢǯ Ȃdz Dzǔǧȋơ ǺǷ ǹƢǯ �ǍȂǐŬơƔơȂºººººLJ �ƩơǂŤƚŭơ ǮǴƬdz ƨȇDŽǷǂdzơ ƨdzȏƾdzơ ǹƛ �ƢǔȇƗ ǂǐǷĿȁ DzȈƟơǂººººLJƛ

�ƽȁƾūơ ƔƢǤdzƛřǠƫ�ǵȐǟȍơ DzƟƢLJȂdz ȁƗ ǺȇǂǓƢƸǴdz ƨƦLjǼdzƢƥƨǘººnjǻȋơ ǺǷ ǝȂǼdzơ ơǀŮ śǠǷȆǴºǬǟ ŚƯƘƫ ǭƢǼǿ ǹƗ ȃǁƗ �ǁƢǐūơǂºLjǯƧȂºººǬdzơ ǶȀºººƸǼŻȁǾȈǧ ǹȂǯǁƢººnjȇ ǺȇǀdzơǮƠdzȁƗ Ǟǧƾȇȅǀdzơ Ȃǿȁ ƨȇDŽǷǂdzơǹƗ ǹȁƽȁ ǶȀǴǸǠººƥ ǶĔƢŻƛ ơȁƾºǬǨȇ ǹƗ ǹȁƽ ƨǘºnjǻȋơ ǮǴƫ Ŀ ǁơǂǸƬºLJȐdzƾºǫ ŃƢǠdzơ ǹƘºƥ ǁȂǠnjdzơ Ȃǿȁ � Ƣēơƿ ƾƷĿ ǁƢǐūơ ƨȈǴǬǠdz ƨȈƸǓ ơȂǠǬȇ

�ǶȀǼǟȄǴţ

The current siege situation isvery frustrating for Israeliactivists: There is very little we can do in the largepicture, havingno influence on policy makers and, to make th ings worse , mostIsraelis view Gaza as Hamas-land, and therefore supporteveryth ing that the army suggests. While there were some verypowerful actions- such as the big 'break the siege' demonstrationheld in Erez and Gaza, in collaboration with the PalestinianInterna tional Campaign to End the Siege. Similar elements wereenacted in the break-the-siege boat: both actions have more of asymbolic value, but little immediate influence onpolicy makers.In this state of affairs, what one should have in mind in the wayone involves with public ac tions is more the symbolic nature ofthe activity, and less the immediate possible effects. To my mind,the mainobjectiveof symbolic action is precisely the breaking ofthe siege, the breaking of the imagina tive line that separates theinhabitants of Gaza from the rest of the world. This means thatany meaningful action ought to be coordina ted with peoplewithin Gaza, and ought to bring out as much as possible thecoordinated effort across the border lines. Indeed. Both of theactions that were mentioned- the demonstration at Erez and thearrival of the SiegeBoat wereof that nature. In thesame vein, thisparticu lar conference also carries the same symbolic force, bybeing s taged inside Gaza and outside it at the same time. In thisrespect, it could have been better if we were able to have aconferencing branch in Israel itself, as well as in Egypt. Thesymbolic significance of such branching- for the participants aswell as the media- would be the el imination of borders. Thebreakingof the siege. I will argue that there is a particular mentalinfluence to this kind of symbolic action that empowers thosewho take part in it and may give them the strength to continuetheir action without losing faith and without falling prey to thesiege mentality itself, namely, to the feeling that the world hasabandoned one.

An Israeli perspective on the siege:Options and Dilemmas

Professor Uri Hadar * ǁơƾǿ ȅǁȁƗ �ǁȂLjȈǧȁǂƥ

Tel Aviv University - Israel - [email protected]

�ƧDŽǣ ǁƢǐū ƨǴȈƟơǂLJƛ ƨȇƙǁƩȐǔǠŭơȁ ƩơǁƢȈŬơ

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ƾºNjƗȁ ȄǐºǫƘƥ DzȈƟơǂºLJƛ ǾǓǂǨƫ ȅǀdzơȁ ƧDŽǣ ǝƢǘǫ ǁƢǐƷ ǹƛȅƗ ƢŶȁƽ ǁơǂǸƬºLJȏƢƥ ǂǔƻȋơ ƔȂǔdzơ DZƢǻ ƾºǫ ƧŚƻȋơ ƨ ǴºƷǂŭơĿDZƢǰNjȋơDzȈƟơǂººLJƛ ǹƗ ǂǜǼǴdz ƪǧȐdzơ ǺǷ ǾǴǠdzȁ �ȃǂƻȋơ ƨȈƳǁƢŬ ơ ȃȂººǬdzơ ǺǷ DzƻƾƫƨȈdzȁƾdzơ ƩȏƢǯȂdzơƤƴººNjȁƨǻơƽƗ Ƕǣǁ ƧDŽǣ ǝƢǘºǬdz ƢǿǁƢǐºƷȄǴǟ ȆºǬƦƫDzȈƟơǂºLJ ƛ ǝƽǂdz ƩȏȁƢŰ ƨȇƗ ȅǂš ǶǴǧ�ǹƢºLjǻȍơ ǩȂǬƷ DZƢůĿ ƨǴǷƢǠdzơDzȈƟơǂºLJ ƛ ǁƢƦƳȍȆǬȈǬƷ ƽȂȀů DZǀƦĄȇŃȁ � DzǸǠdzơ ơǀǿ DzưǷ ƨǴǏơȂǷ ǺǟȆǨǧ�ǒȈǬǼdzơ ȄǴǟ Dzƥ �ƢȀȈǴǟ ƩƢƥȂǬǟƨȇƗǑǂǨƫŃȁ �ǁƢǐūơơǀǿ ȆȀǼƬdzȄǴǟȋ DzȈƟơǂLJƛǞǷ ǾƫƢǫȐǟȃȂƬLjǷǞǧǂƥ ĺȁǁȁȋơ ƽƢŢȏ ơ ǵƢǫ ǹơǂȇDŽƷ �ȂȈǻȂȇĺȁǁȁȋơ ƽƢŢȏơ ǹƢŪǺǷƾȇƾǠǴdz DZȂǏȂǴdz DzȈƟơǂºLJƛDZȂƼȈºLJ ƢŲ�ƩƢȇȂƬLjŭơ

� ƢǔȇƗ ǁơǂǬdzơ ƨǟƢǼǐdzȁƨȈǴƻơƾdzơ

ǺǷ ƶǓơȂdzơ DzȈƟơǂLJ ƛƩȐǧƛ Ɣơǁȁ ƣƢƦLJȋơȁ džLJȋơǶȀǨǻ ǹƗ ǵƢŮơ ǺǷ ǾǻƛdžȈƟǂdzơ ƤººƦLjdzơ ǹƗƩƢººƦƯƛ DZȁƢŢ ƨººLJơǁƾ dzơ ǽǀȀǧ�ƨ ȈƟƢǔºǬdzơ ƨºǬƷȐŭơƨǴȈǐǧ ǶĔƗ ȄǴǟ ƧDŽǣ ǝƢǘººǫ ǹƢǰºLJƧǁȂǐºƥǖºƦƫǂǷ Ņȁƾdzơ ȆƻơǂƬǴdzơǀǿȁ �Ǧ ǴƬű DzǰºººnjƥǶȀǠǷ DzǷƢǠƬdzơƤŸ Ǻȇǀdzơȁ �ǂººnjƦdzơ ǺǷ ƨǏƢƻĿ ��ƢǼǴưǷ ƤǠNj� ǶĔƗ ȄǴǟ śȈǴȈƟơǂLJȎdz ƨȈƥǂǤdzơ ƧǂǜǼdzƢƥǖƦƫǂȇ ǽǁȁƾƥȃƾdzƢēơƿ ƾººƷĿ ƧǁȂǐdzơǽǀǿ džȇǂǰƫĿ ƪǟǂººƥ ƾºǫDzȈƟơǂºLJƛ ǹƗśºƷDzǴƸƬLJ ƨLJơǁƾdzơ ǽǀǿ ǹƜǧ �ƨŻǂŪơ ĿǭǂƬnjȇ ƢǔȇƗĺǂǠdzơŃƢǠdzơȁ �ƣǂǤdzơ

Thesiege of Gaza whichIsrael imposed in its latest andharshest form has been allowed to continue without anyinterference from external forces. It is remarkable that Israel hasbeen able to main tain a siege widely condemned by internationalhumanitarian and aid agencies. No attempt has been made toprevent Israel from pursuing this course, no real pressure exertedto force Israel to end the siege, and no sanctions imposed againstIsrael. On the contrary, in June the European Union upgraded itsrelations with Israel which will allow Israel special access tomany in ternalEU committees andto decisionmaking.

It is important to understand the basis and reasons for Israel'sapparent impunity from prosecution. This paper will argue thatthe main causeof international inaction is connected to the imageof Gazans as a special species of human who can be treateddifferen tly. This in turn is associated with the western view ofIsraelis as 'people like us '. While Israel ahs been skilful incultivating this image ofitself in theWest, theArab world has alsobeen complicit. The paper will analyse the reasons for Arabinaction.

The Impact of Gaza's Siege on the PalestinianIssue in the International Context

Dr. Ghada Karmi

ƧDŽǣ ǝƢǘǫ ȄǴǟǑȁǂǨŭơ ǁƢǐūơ ǂƯƗŅȁƾdzơ ǩƢȈLjdzơ Ŀ ƨȈǼȈǘLjǴǨdzơ ƨȈǔǬdzơȄǴǟ

ȆǷǂǯ ƧƽƢǣ �ƽ

* Insti tute of Arab and Islamic Studies, University of Exeter, UK - Ghada.karmi@ btinte rnet.com

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25Siege and MentalH ealth�W alls vs. Bridges

Ǯdzǀǯȁ �śȈǼȈǘºLjǴǨdzơ ǽƢš ǽǂǰdzơ ǹȂȈǴȈƟơǂºLJȍơDzǯ ȃƾºƦȇ ȏǺǷ ǹƗ ƾȈǯƘƬdzƢººƥ Ǻǰdzȁ �ƽȂȀȈdzơ ǽƢš ǽǂǰdzơ ǹȂȈǼȈǘººLjǴǨdzơ Dzǯ ȅƾºƦȇ ȐǧǺǷ Śưǰdzơ ƾºººººǬƬǠȇ �ǶđƢºº ººƦLJƗ ǶȀȇƾdz ǶđȂǴººººǫ Ŀ ǽǂǰdzơ ǹȂǼǰȇȂǿ DzǣƢºnjdzơ ǶȀǴǤºNjȁ śȈǼȈǘLjǴǨǴdz ȆLjȈƟǂdzơǥƾŮơ ǹƗśȈǴȈƟơǂLJȍơǁơǂǸƬºLJơ ǹƗ ǹȂȈǼȈǘºLjǴǨdzơ ƾºǬƬǠȇ �DzºƥƢǬŭơĿ ��ǂƸƦdzơńƛ ƽȂȀȈdzƢƥ ƱDŽdzơ�ǾǻƘºNj ǺǷ ƨȈǼȈǘºLjǴǨdzơ ȆǓơǁȋơȄǴǟƩƢǼǗȂƬLjŭơ ǞȈLJȂƫĿ DzȈƟơǂLJƛƢđƾǟȁ ƨǴººǬƬLjǷ ƨȈǼȈǘººLjǴǧ ƨdzȁƽ ǵƢȈºǫ Ŀ DzǷƗ ȅƗȄǴǟȆǔºǬȇ ǹƗ

�Ņȁƾdzơ ǞǸƬĐơȁ DzȈƟơǂLJƛ ǺǷDzǯDzƦǫ ǺǷ ǹȂȈǼȈǘLjǴǨdzơňƢǘȈƬºLJȏơ ǞLJȂƬdzơ ǹƗńƛ ǹȁŚnjȇśȈǼȈǘLjǴǨdzơ ǹƗ Ŀ ƨǫǁƢǨŭơ ǺǸǰƫȁƨȇȁƢŮơ ƨǧƢƷ ńƛǶǿǂŸȅǀdzơ Ȃǿ ƨȈǼȈǘLjǴǨdzơȆǓơǁȋơ ȄǴǟȆǴȈƟơǂLJȍơDzȈƟơǂººLJƛ ǹȐǟƛ ���� ǵƢǟƾȀ ººNj ƮȈººƷ �ǂººƸƦdzơĿ ǶđȆººǬǴȇ ƽƢǰȇȁǽǀǿƲƟƢƬǻ ǺǷ ǹƢǯȁ �śǘººLjǴǧ ƢȀǼȈººƷǥǂǠȇ ǹƢǯ ƢǷ ȄǴǟ ƢŮȐººǬƬLJơȄǴǟȃǂǬdzơ ǽǀǿŅƢǿƗ ǁƢƦƳƗȁ ƨȈǼȈǘLjǴǧƨ ȇǂǫ ���ǺǷ ǂưǯƗ ŚǷƾƫ ƨȈdzȁƾdzơƢđƪǷƢºººǫŖdzơ ǁǃƢĐơ ǺǷƾȇƾǠdzơƪǴƴºººLJȁ �ƆơǂººLjǫ ǶēȂȈººƥ ƧǁƽƢǤǷƘºnjǻ ƢǼǿ ǺǷȁ �śȈǼȈǘºLjǴǨdzơśȈǻƾŭơ ǪŞ ƨȈǻȂȈȀǏ ƨȈºƥƢǿǁƛ ƩƢǸǜǼǷǶƬȇŃƢǷȁ �śȈǴȈƟơǂ ºLJȍơȁ śȈǼȈǘºLjǴǨdzơ ǺǷDzǯśºƥ ƨȈǿơǂǰdzơȁ ǦǼǠdzơśººƥ ǮººNj Ȑºƥ ƢǸēŚƫȁ ƽơƽDŽƫ ǥȂºLjǧƨȈǿơǂǰdzơȁǦǼǠdzơ ơǀŮDzºƷ ƽƢŸƛǂǜǻƨȀƳȂdz ƨȈǴȈǴŢ ƨȈLjǨǻ Ƨǂǜǻ ʼnƾǬƫń ƛ ƨLJơǁƾdzơ ǽǀǿ ǥƾē �śƦǻƢŪơƢǸȀǬǴǫȁ ƢǸȀǧȁƢű ǃơǂƥƗ ńƛǥƾēȁ ƢǸǯśǧǂǘdzơ ǺǷ DzǯŚǰǨƫ ƨǬȇǂǗȁ

�ƢǸȀǼȈƥ ǶƟƢǬdzơ ǝ ơǂǐdzơ DzƦǬƬLjǷ Ɣơǃƛ

Not al l Israeli Jews hate Palestinians and not allPalestinians hate Jews, but the ones that do have various reasons.Many Israeli Jews believe that the Palestinians main goal is to"drive the Jews into the sea". However, Palestin ians believe thatIsrael's continued settlement expans ion into Palestine land isslowly destroying any hope of an independent Palestinian statepromised to them by bothIsrael andthe international community.The irony is that Palestinians often cite that it's the Israe li statethrough continued expansionism which is actively deriving thePalestinians into the sea.

In 1948, Israeldeclared independence in what was oncePalestineover 400 Palestinian villages were destroyed and their peopleforced to flee their homeland. There are many recordedinstancesof massacres being carried out by Jewish terror ist organizationsagainst Palestinian civilians. The hatred and violence betweenPalestinians and Israeli Jews was born.This vio lence and hatredare increasingas long as the conflict does notbe resolved.The purpose of this paper is to present a psycho-analyticalinterpretation for ways of th inking among both parties and theirstates of mind, their fears and anxieties in relation to the fu ture ofconflict.

Besieging Hatred

Dr. Ahmad Ab u Tawahina *

ƨȈǿơǂǰdzơ ƧǂǏƢŰ

ƨǼȈƷơȂǗ ȂƥƗ ƾŧƗ �ƽ

ƨȈLjǨǼdzơ ƨƸǐǴdz ƧDŽǣ ƲǷƢǻǂƥ ǵ Ƣǟ ǂȇƾǷ GCM HP's Dirctor Gerenal Email: amal@ gcm hp.net

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�ǝơǂǐdzơ ǪǗƢǼǷĿ ƤȈºƦǘdzơ ǾºƦǠǴȇ ȅǀdzơ ǁȁƾǴdz ǂǜǼdzơ ƔƢǬdzƢƥǹȐǟƛ ƢȀȈǴǟǎǻ ƢǸǯ ƨȈºƦǘdzơ ǥơǂǟȋơȁśǻơȂǬǴdzƧǁǂǰƬǷ ǝȂǫȁśƦƬȇ ǾǻƜǧƽȂǼºƦdzơȁ �ƨȈŭƢǠdzơ ƨȈƦǘdzơ ƨȈǠǸŪơ ǺǟǁƽƢǐdzơ ƤȇǀǠƬdzơ ƨǔǿƢǼŭ ȂȈǯȂǗǞȈǸŝ ƽȁDŽƬǴdz śǻƾŭơ ǪººººƷDzǨǰȇ ȅǀdzơȁ ǞºººƥơǂdzơǦȈǼƳ ǩƢưȈǷ Ŀ ƧƽǁơȂdzơǪƟơȂǟ ȅƗ ƨȀƳơȂǷ ǹȁƽ ƨȇǁȁǂǔdzơȁ ƨȈºººººLJƢLJȋơ ƨȈººººnjȈǠŭơ ƩƢǷƾŬơĿœǘdzơDzºǬūơĿ śǴǷƢǠdzơȁ ƨȈºƦǘdzơ ǶǫơȂǘdzơǪƷ Ǯdzǀǯȁ �ƨǧƢǓȍƢƥǶȈººǫǑǁƢǠƬƫ �ǶȀǴǸǟ ƔơƽƗ ƔƢǼƯƗ ƨȇǂǰºLjǠdzơ ǦǼǠdzơ DZƢǸǟƗ ǺǷ ƨǻƢǐºƷǾƫƢȈºǫȐƻƗ ǞǷƩƢºǫȁȋơ ƤǴǣƗ Ŀ ƤȈºƦǘǗ ǾǴǸǟĿ ƤȈºƦǘdzơ ƩƢȈǫȐƻƗȁǩǂǘƬȈºLJ �ƢǔȇƗ ƨǏƢƻ ƨȈºLJƢȈLJ ƨȈŭƢǟ Ƨǂǜǻȁ ƨǏƢƻ ƨȇȂđǺǗơȂǸǯ�ƢȈǯǂƫ �ǩ ơǂǠdzơ �śǘººLjǴǧ ?DzȈƟơǂºLJƛĿ ǞºǫơȂdzơ ǺǷ ƩȏƢºƷńƛ ljƢºǬǼdzơ

� ƨȈǼȈƫȐdzơ ƢǰȇǂǷƗȁ ƢȈǻƢǘȇǂƥ �ƨȈǰȇǂǷȋơ ƧƾƸƬŭơ ƩƢȇȏȂdzơ

A review of the ro le played by doctors in conflic t zonesindicates frequent violation of medical ethical codes like theWorld Medical Association's anti-torture Decla ration of Tokyo,and those parts of the Fourth Geneva Convention that guaranteethe rights of a civilian population tounimpeded access to servicesvital to life, and the rights of health professionals on duty toimmunity frommilitary action. The va lues of the doctor as doctorseemfrequently in tension with thevalues of the doctoras c itizen,witha particular identityand political worldview. Discussion willinclude case stud ies drawn from Israel /Palestine (in particular),Iraq,Turkey, USA, UK, and LatinAmerica.

Medical Ethics in Conflict Zones:The Doctor as Doctor and the Doctor as Citizen

Dr. Dereck Summerfield *

ǝơǂǐdzơ ǪǗƢǼǷ ĿƨȈƦǘdzơ ƩƢȈǫȐƻȋơǺǗơȂǸǯȁ ƤȈƦǘǯ ƤȈƦǘdzơ ǁȁƽ

ƾǴȈǧ ǂũ Ǯȇǂȇƽ �ƽ

* So uth London and Maudsl ey, UK - de rek.su mmerfield@ slam.nhs.uk

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ƨǧȁǂǠŭ ơ ǁȂǷȋơ ǺǷȆǿ ǁƢǐūơ ƪŢ ƧƢȈºƸǴdz ƨȈLjǨǼdzơ ƩƢǠƦƬdzơǹƗ ȏƛ �ƨȈǴƄơǥȁǂǜǴdz ƢǠºƦƫǦǴƬţ ƾºǫƨdzƢƷ DzǯĿƲƟƢƬǼdzơ ǹƗǶǣǁȁ �ơƾȈƳƨǯǂūơ ǺǷDzƫƢºººǫ ƤǯǂǷ ǺǷ ňƢǠƫŃƢǠdzơ ƔƢŴƗ DzǯĿ ƧǂǏƢƄơƩƢǠǸƬĐơDžǁơƾŭơ ǁƢȈĔơ ńƛ ƨǧƢǓƛ �Ǒǂŭơȁ ǝȂŪơȁ �ȅƾººººLjŪơ ǦǼǠdzơȁƧƾȈººººǬŭơƩƢººººLjLJƚŭơȁƨȈǟƢǸƬƳȏơ ƨǿƢǧǂdzơȁ ǺǷƢǔƬdzơ Ƕǜǻȁ ƩƢȈǨºººnjƬLjŭơȁǮǴƫǕƢººººƦƫǁơ ƨȈǨȈǯ ǺǟǂǜǼdzơǒǤººººƥȁ �ȃǂƻȋơ ƨȈǟƢǸƬƳȏơȁ ƨǷƢǠdzơƨǯǂƬºnjŭơ ƨƴȈƬǼdzơ ǹƜǧ ȃǂƻƗ ǂǏƢǼǟ śºƥȁ ƢȀǼȈºƥ ȁƗ ƢȀǼȈƥ ƢǸȈǧ ǂǏƢǼǠdzơǥȂLJƨǫǁȂdzơ ǽǀǿĿ �ƨȈLjǨǼdzơ ƧƢǻƢǠŭơǺǷ ƨǷƢǟ ƨdzƢƷ DZơȂƷȋơ DzǯĿ ȆǿśƬȈºLJƢLJƗ śƬǘºǬǻ DZȁƢǼƬƫŖdzơ ƩƢȈƥƽȌdz Ǒǂǟ ʼnƾǬƫ ńƛ Ǧdzƚŭ ơ ȄǠLjȇŖdzơ ƧƽƢƬǠŭơ ƧƾǟƢºLjŭƢƥ ƨǏƢƻ ńȁȋơƨǘǬǼdzơ �ȅƾǬǻ ȆLjǨǻǁȂǜǼǷ ǺǷǹȂȈǟƢǸƬƳȏơȁ ǹȂȈººLjǨǼdzơ ǹȂȈƟƢǐƻȋơȁ ǹȂȈºLjǨǼdzơ ƔƢºƦǗȋơ ƢȀǷƾºǬȇǾƳơȂƫŖ dzơȁ ƨȈººººLjǨǻ ƨǼŰ ǺǷ ǹȂǻƢǠȇ Ǻȇǀdzơ ƽơǂǧȌdz ǹȁǂƻȉơ ǹȂȈǼȀŭơȁǶǟƾdzơ DZƢǰººNjƗȁ ȅƽǂǨdzơ ƱȐǠdzƢǧ �ǁƢǐūơ ƩȏƢººƷĿ ƨȈȀȇƾºƥ ƨǴǰºnjǷȂǿ ǾȈdzƛ ƱƢƬŹ ƢǷDzƳ ǞǓȁǞǷ DzǷƢǠƬǴdzƨȈǧƢǯ ǹȂǰƫ ƢǷ ơǁƽƢǻ ƨđƢººººnjŭơǶǴǟƢȀºǬƦǘȇŖdzơ �ƨȈȀȇƾºƦdzơ ƨǜºƷȐŭơ ǽǀǿ ǹƛ �ƨdzơƾǠdzơ ǪȈºƦǘƫ ƧƽƢǟƛǥȁǂǜdzơĿ ƨȈLjǨǼdzơ ƨƸǐdzơ DZƢǸǟ ƔơƽƗ Ȅ Ǵǟ ǵƢǟDzǰnjƥ ȅƾǬǼdzơdžǨǼdzơDzȇȂŢĿ ƨdzơƾǠdzơƣƢȈǣ ƤºƦLjƬȇ śºƷƨȈǧƢǓƛ ƨȈŷƗ ƤºLjƬǰƫ �ƨȇƽƢǠdzơǪǴǠƬƫ ƨ ȈǻƢưdzơ ƨǘºǬǼdzơ �ȆǠǸƬů ƾȀƳńƛȅƽǂǧ Ƕǿ ǺǷ ƔƢǨnjdzơȁ ƱȐǠdzơŖdzơ ƨȈºLJƢȈLjdzơ ƨdzȏƾdzơ Ʃơƿ ƨ ȈºLjǨǼdzơȁ ƨȈǟƢǸƬƳȏơ ǂǏƢǼǠdzơ ǺǷ ƽƾǠƥǽǀǿǹƛ �ǶǴǜdzơ DZƢǰººNjƗ ȄǴǟ ǥǂǠƬdzơȁǦǗƢǠƬdzơ ƔƢǼººƥ ƨȈǴǸǟĿ DzƻƾƬƫǁƢǐƸǴdz ƾƷ ǞǓȁ DzƳƗ ǺǷȆŭƢǠdzơ ǖǤǔdzơ ǦȈǨţ ȄǴǟDzǸǠƫ ǂǏƢǼǠdzơƾų ƢǼǿ �ƨȈdzȁƾdzơǹƢººLjǻȍơǩȂººǬƷŚȇƢǠǷ ǵơǂƬººƷơȄ Ǵǟ DzȈƟơǂºLJƛ ǁƢºƦƳƛȁĿ ƨǏƢƻ �ƾƟƢºººººLjdzơƣƢǘŬơ �ƨȈŷȋơ ǺǷ ƨǏƢƻ ƨƳǁƽ ȄǴǟ ǺȇǂǐǼǟśȈǼȈǘºLjǴǨdzơƧƢǻƢǠǷ ǺǟǥǂǘdzơǒǤȇ ȅǀdzơ ƧƾƸƬŭ ơ ƩƢȇȏȂdzơȁ DzȈƟơǂLJƛ�ǶȀºLjǨǻƗ ǹȂȈǼȈǘºLjǴǨdzơ ƢȀȈǧ ƤƦLjƬȇȁ Dzƥ ƢȈLJƢȈLJ ƧǁŐǷ ƨdzƢƷ ƢĔƘǯȁŖdzơǑȁƢǨƬdzơȁ ǁơȂūơ DzưǷ ǝơŗdzơǒǧƤȈdzƢºººLJƗȄǴǟ ƽƢǸƬǟȏơŅ ƢƬdzƢººƥȁǁƢǐūơ ƨdzƢºººƷƔƢĔƛ ǹƛ �ȆººLJ ƢȈLjdzơȁȆŻƽƢǯȋơ ƽƢȈūơ ǺǷ ƢǨººǫȂǷ ǀƼƬƫǥǂƬǠƫ DZȁƢǼƬdzơ ǺǷ DZƢǰºNjƗDzƳƗ ǺǷǖǤǔdzơ ȆǟƾƬºLjȇ ǞLJȁȋơ ǝơǂǐdzơȁƨȈdzȂƠLjŭƢƥ ǂǬƫȁƧƢǻ ƢǠŭơ ƽȂƳȂƥ ǥǂƬǠƫ ƢǸǯ �ȃȂǬdzơǺȇǃơȂǷĿ DZȐƬƻơ ƽȂƳȂƥ

�ƨdzơƾǠdzơ ǵơƾǠǻȏ ƧǂǸƬLjŭơȁ ƨȈźǁƢƬdzơ

Thedrastic mental healthconsequences of living undersiege are well-known. Although specific outcomes varyaccording to loca l conditions, besieged communities around theglobe experience lethal combinations of restricted movement,physical violence , hunger and disease , and disruptions to schools,hospita ls, welfare support systems, and other public andcommunity institutions. In whatever combination theseand otherfactors arise, the common result is widespread mental distress. Inthis paper the author will review literatures that address twoprimary points from a critical psychology perspective. First, theordinary assistance that psychiatrists, psychologists, socialworkers, and other therapeutic professionals offer distressedindividuals runs into an obvious problem under siege conditions:individual therapy and similar supports are scarcely sufficient todeal with a situation that requires the restoration of justice. Thiscommonsense observation , which critical psychology appliesmore generally to the work of mental health workers even undermore ordinary circumstances, takes on added significance wheninjustice transforms healing and recovery from an individualconcern to a community effort. Second, a number of politicallyrelevant social-psychological factors interfere with both thedevelopment of empathy and the recognition of injustice. Thesefactors dampen global pressure to end the siege and hold Is rael tointernational human rights standards. Two factors are of specialimportance: the dominant d iscourse, especially in Israel and theUnited States, which dismisses Palestinian suffering as self-induced and politically justified; and the corresponding relianceon conf lict resolution methods such as dialogue and negotiationthat maintain a stance of academic and political neutrality.Ending the siege and the broader conflict require pressing forapproaches that acknowledge the existing imbalance of powerand suffering as well as the historical and continuingresponsibility for injustice.

Palestinians Under Siege: A CriticalPsychology Perspective on Mental Health and Justice

Dr. Dennis Fo x *

ǁȂǜǼǷ ǺǷ ƨȇƾǬǻ ƨLJơǁƽ �ǁƢǐūơ ƪŢ ǹȂȈǼȈǘLjǴǨdzơƨdzơƾǠdzơȁ ƨȈLjǨǼdzơ ƨƸǐdzơ ǞǫơȂdz džǨǼdzơ ǶǴǟ

džǯȂǧ džȈǻƽ �ƽ

* Un iversity of Illinois a t Springfield (Emer itus) Emeritus Asso ciate Professor of L egal Studies & Psyc [email protected] http://www.dennisfox.net�

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which in turn resulted in creating a state of perm anent anxiety, fear andtension.Moreover, according to the SCL, the siege influences the mental healthsymptoms,particularly; depressionsymptoms.

According to Headof Department of Psychology, the share of children bythis blockade was abundant in terms of its negative effects on health,social, and psychological well-being of children. The resu lts of the studyshowed that 51% of children do not have the des ire to pa rticipate in anyactivities; while 47% of them are no longer able toperform the duties ofschool and family;another41% were complaining of ach es and physicalpains; and 48% of them were suffering from lower energy andmalnutri tion.The children's suffering resulting from the siege wasreach ing beyond thispoint, as signs of fear were apparenton 61%of them; while 45.5% ofthemshowed signs of anger. Regarding sleeping prob lems, 4 3% of childrenwere complaining of such problems as about 63% of the sample wascomplaining of anxiety symptoms.Moreover, due to the siege, the s tudy revealed that 40% of the childrenwere reported absent from schoo l; while 50% of the non-absent studentswere disp laying symptomsof lack of concentration and po orattention.

When asked to comment on the study and specifically answer thequestion ofhow canchild ren handlethe pressures that they are exposed toas a resu lt of the siege, Dr. Qouta in his interpre tation; "the Palestiniansociety is a miracle in terms of their tremendous ability to han dle thes tress and finding mechan isms of coping with such stresso rs"Dr. Qouta added that during the crisis of power cuts for long hours, thePalestinians reso rted to overcoming th is prob lem by going back top rimitive ways of life f rom the use of kerosine lamp s, candles andf irewood in lighting and heating; dur ing this period, an enhancedmanifestation of social solidarity were displayed. Dr. Qoutaadded;"Thehope remains a veryimportant role for the mental health of people despitetheir awareness of the meaning and nature of the conflict w ith theoccupation"; such hope w ill enhance their ability to striv e in life and thesearch fo r durable solutions to overcome the problems faced and threatso f life.Dr. Qouta expressed tha t the results shown by the study preceded theIsraeli recent tightened siege over the past pe riod; stressing that theeconomic impacts,health and soc ialwill be the mostseriousin light of thesuffering ofcitizens, deprived of most of their natural life necessities.

The children had their share

How can the citizens handle all these pressures?

The Israeli siegepushedaround 84% of Palest inian families tochange the patterns of their lives; while about 93% of them gave up theirdaily liv ing requ irements. About 95% of the families in G aza, expressedtheir dissatisfac tion of the fact that Gaza Strip is converted in to a bigprison, where they live in throughout the night and day. A recent studyabout the "relationship between thesiege and its impact on the economicand social areas and the quality of life o f Palest inian families" revealedthat the negative effects of the siege reachedall facets of lifeand affectedthewho le society tremendously andsuspended people's li fe.Acco rding tothe Clinical Researcher, Dr. Samir Qouta, the Head of Department ofPsychologyat the Islamic Unive rsity in Gaza: "T hefutu re of Palestinianfamilies is in a real danger in the light o f the continued blockade," thisstatement was madecommenting ondisturbing factsshownby the study;and stre ssing that the siege he ightened the tension and despair anduncertaintyof the future of the ci tizens in theGaza Strip. It was stated thatthe more the impact of the siege on social and economic situations, theless the quality o f life for families at all levels. D r. Qouta said; the mostpowerfu l results of the s tudy were the negative indicators particu larly onchildren , the sick, students and the unemployed, which were reflected ontheir behavior and the exacerbated tensions and d isturbances.Thestudy involved244 heads of the familywith average age (38 ) years,distributed in ci ties and camps and villages in G aza Strip using a tool tomeasure the economic and soc ial leve ls as we ll as the World HealthOrganization (WHO) qualityof l ife scale.

Theresultsof the study showed that 47% of patients in Gazaare notableto get the medic ine they needed after Israel tightened its control over thecrossings and p revented aid convoys and medical supp lies to enter thehospitals inGaza. The suffering of 38% of the patients by not receivingmedical services has inc reased as well. In terms of socia l impacts, therehas been a reduction in the socia l visits between citizens by 79% due toworsening of financial and social conditions. It wasalso indicated by thestudy that most o f the interviewees of the study expressed that they do nottend to s tay long outside thehome due to the conditions of work or otherreasons. The siege impacted about 92% on the behav iors of citizensregarding participating in social events. Due to the continued siege,95%of the citizens couldnot findthe objects andgoods that theywere lookingfor;while the prices rose 99% as theincomeof cit izens were reducedwith68%; 45% of whom were fired from their jobs ; moreover, 77% of theworkers were suspended of their jobs in theconstruction sector and theywere unable to sustain their w ork due to lack of bas ic mater ials forconstruc tion of cement and iron and others. Sadness was reaching up to96%of thecitizens as they were listening tothe complain ts of the people;

Patients without medica tion..!

Study on the effects of the Siege on the quality of life of citizens in Gaza84% of families were forced to change their daily living conditions

95% were negatively affected in terms of their psychological well-being as a result of converting the Strip into a big prison

By: D r. Samir Qouta & Aida Kassab *

*Head of Psycholgy Department-Islamic Un iverity of Gaza / qo utasamir@hotmail. com

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ńƛƨȈǼȈǘºLjǴǨdzơ ǂºLJȋơ ǺǷ ��� ȂºƸǼƥ ȆǴȈ ƟơǂºLJȍơǁƢǐūơ ǞǧƽƨȈǷȂȈdzơ ƨȈºnjȈǠŭơ ƩƢºƦǴǘƬŭơ ǺǟǶȀǼǷ ��� DZǃƢǼƫ ƢǸȈǧ ǶēƢȈƷ ǕƢŶƗŚȈǤƫDzȇȂººƸƬdz ǢdzƢººƦ dzơ ǶȀƟƢȈƬºLJơ ǺǟƧDŽǣ Ŀ ơƾȇƾŢ ǂºLJȋơ ƽơǂǧƗ ǺǷ��� ŐǟƢǸȈǧ

�ǁƢȀǼdzơȁ DzȈǴdzơ ǁơƾǷ ȄǴǟ ǾȈǧ ǹȂǸȈǬȇ ŚƦǯ ǺƴLJ ńƛ ǝƢǘǬdzơƨȈǟƢǸ ƬƳȏơȁ ƨȇƽƢǐƬººǫȏơ ǾƫơŚƯƘƫȁ ǁƢǐūơ DZȂººƷ ƨººLJơǁƽ ƭƾººƷƗ ƩǂȀǛƗȁƪdzƢǗ ƨȈºƦǴLjdzơ ǁƢǐūơƩơŚƯƘƫ ǹƗ ƨȈǼȈǘLjǴǨdzơ ƧǂLJȋơ ƧƢȈƷ ƧƽȂŝ ƢȀƬǫȐǟȁƧƢȈūơ ǭơǂººƷƩƾŦȁƨǤdzƢººƥ ƧǁȂǐºƥ ǞǸƬĐơ ȄǴǟ ƩǂƯƗȁ ƧƢȈūơȆºƷƢǼǷƨǧƢǯ

�ǾȈǧ ƨǴǟƢǨdzơƨǠǷƢŪƢºººƥdžǨǼdzơ ǶǴǟǶººLjǫdžȈƟǁ ƨƫȂººǫ Śũ �ƽ ƨººLJơǁƾdz ơ ƾǠǷ DZƢººǫȁDzǛĿ ȆǬȈǬƷ ǂǘƻĿƨȈǼȈǘLjǴǨdzơ ƧǂLJȋơ DzƦǬƬLjǷ ǹƛ� �ƧDŽǤƥ ƨȈǷȐLJȍơńƛ ƆơŚºnjǷ ƨºLJơǁƾdzơ ƢēǂȀǛƗŖdzơ ƨºǬǴǬŭơ ƩƢȈǘǠŭơ Ɣơǃƛȁ �ǁƢǐūơ ǁơǂǸƬLJơ

�śǼǗơȂŭơȃƾdzDzƦǬƬLjǸǴdz ǹƢǼƠǸǗȏơ ǵƾǟȁDžƘȈdzơȁ ǂƫȂƬdzơ ƨƳǁƽ ƪǠǧǁ ƢĔƗƢǸǴǯƨȇƽƢǐƬººǫȏơȁ ƨȈǟƢǸƬƳȏơȆºƷơȂǼdzơȄǴǟ ǁƢǐūơ ŚƯƘƫ ƽơǃ ƢǸǴǯ ǾǻƗǂǯƿȁ

�ƢēƢȇȂƬLjǷƨǧƢǯ Ŀ ƧǂLJȌdz ƧƢȈūơƧƽ ȂƳ ƪǔǨŵơƨǏƢƻ ƨȈºƦǴLJƩơǂºNjƚǷ ƪǴƴºLJ ƨºLJơǁƾdzơ ƲƟƢƬǻ ǶǜǠǷǹƗƨƫȂǫ �ƽ ƶǓȁƗȁȄǴǟdžǰǠǻơ ƢŠ DzǸǠdzơǺǟ śǴǗƢǠdzơȁ ƨººººººººƦǴǘdzơȁ ȄǓǂŭơȁDZƢǨǗȋơȄǴǟ

�ǶđơǂǘǓơȁ ǶēơǂƫȂƫ ƧƾƷǺǷƽơǃȁ ǶȀǯȂǴLJǹƾǷȄǴǟ śǟǃȂǷ ƢǷƢǟ ���� ȅǂǸǟǖºLJȂƬŠ ƧǂºLJƗ ƣǁ ��� ƨLJơǁƾdzơ ƪǴſȁȃȂƬººLjŭơDžƢȈººǬdz ƩơȁƽƗ ƨǟȂǸů ǵơƾƼƬººLJ Ƣƥ ƧDŽǣǝƢǘºǫ ȃǂºǫȁ ƩƢǸȈűȁƧƽȂŪƨȈŭƢǠdzơƨººƸǐdzơ ƨǸǜǼǷǁƢººƦƬƻơ ƤǻƢƳ ńƛ ȆǟƢǸƬƳȏơȁ ȅƽƢǐƬºǫȏơ

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ȄǴǟDZȂǐūơȄǴǟ ǺȇǁƽƢǫ Śǣ ƧDŽǣĿ ȄǓǂŭơ ǺǷ ���ǹƗ ƨLJơǁƾdzơ ƲƟƢƬǻ ƪǼȈƥȁƪǠǼǷ ȁ ǂºƥƢǠŭơ ȄǴǟ ƢēǂǘȈºLJDzȈƟơǂºLJƛƪǸǰºƷƗǹƗ ƾǠƥ ǶŮǵǃȐdzơ ƔơȁƾdzơǺǷ��� ƧƢǻƢǠǷƩƽơǃ ƢǸȈǧ ƧDŽǣƩƢȈǨºnjƬLjŭƨȈºƦǘdzơƩơƾǟƢLjŭơ DzǧơȂǫDZȂƻƽ

�ƨȈƦǘdzơ ƩƢǷƾŬơ ǶȀȈǬǴƫǵƾǟ ƔơǂƳ ȄǓǂŭơśººººƥ ƨȈǟƢǸƬƳȏơ ƩơǁƢȇDŽ dzơ ƪǨƻƾºººǬǧ ƨȈǟƢǸƬƳȏơ ƩơŚƯƘƬdzơ ƾȈǠǏ ȄǴǟȁǞǼƬǷơȁ ƨȈǟƢǸƬƳȏơȁ ƨȈdzƢŭơ ǝƢǓȁȋơ ȅƽǂƫ ƤººººƦLjƥ��� ƨºººƦLjǼƥ śǼǗơȂŭơĿ ǽŚǣ ȁƗ DzǸǠdzơ ǥȁǂǜdz ƪȈºƦdzơƱǁ Ƣƻ ǂƻƘƬdzơ Ǻǟ Ƕǿƙơǁ ƕ ƨǠǴǘƬºLjŭơ ǶǜǠǷƩƢºƦLJƢǼŭơǍȂǐşśǼǗơȂŭơ ǭȂǴºLJȄǴǟ��� ƨºƦLjǼƥ ǁƢǐūơ ǾȈǧ ǂƯƗƪǫȁ

�ƨȈǟƢǸƬƳȏơŖdzơ ǞƟƢǔºƦdzơȁ ƔƢȈºNjȋơ śǼǗơȂŭơ ǺǷ ��� ƾŸ Ń DzǏơȂƬŭơ ǁƢǐūơ ƤƦLjƥȁśǼǗơȂŭơ Dzƻƽ Dzºǫȁ ��� ƨƳǁƾºƥ ǁƢǠºLJȋơǾȈǧ ƪǠǨƫǁơ ƪºǫȁ ĿƢȀǼǟ ƮºƸƦȇ���ƾŦȁDzǸǠdzơ Ǻǟ ǶȀǼǷ ���Ǧ ºǫȂƫ ƢǸȈǧ ��� ƨƦLjǼƥ ȅǂȀnjdzơśǴǷƢǠdzơ

���Ɣơȁƽ Ȑƥ ȄǓǂǷ

ǵƾǠdz ǾƬǴǏơȂǷ ǺǷ ơȂǼǰǸƬȇ ŃȁǶŮƢǸǟƗƔƢǼºººƦdzơ ǝƢǘººǫĿśǴǷƢǠdzơ ǺǷ�ƢǿŚǣȁ ƾȇƾƷȁƪǼũƗǺǷƔƢǼƦǴdz ƨȈLJƢLJȋơ ƽơȂŭơƽȂƳȁ

DžƢǼdzơ ȃȁƢǰºººººnjdzǶȀǟƢǸƬºººººLJơ ƔơǂƳ śǼǗơȂŭơ ǺǷ ���ȄǴǟ ǹDŽūơ ǶȈƻȁ�ǂƫȂƬdzơȁ ǥȂŬơȁ ǪǴǬdzơ ǺǷ ƨŻƾƬLjǷ ƨdzƢƷ ǶȀȇƾdz ƾƳȁƗ ƢŲ ƧƾȇơDŽƬŭơ ǶēƢǻƢǠǷȁ

ƔơǂƳ ǂǧơȂdzơ ǶȀºƦȈǐǻ DZƢǨǗȌdz ǹƜǧdžǨǼdzơǶǴǟ ǶºLjǫdžȈƟǁ ƨºLJơǁƽ ƤLjƷȁƨȈǟƢǸƬƳȏơȁ ƨȈºƸǐdzơǶȀǟƢǓȁƗ ȄǴǟ ƨȈºƦǴLjdzơ Ǿ ƫǁȂǐƥ Ǻǰdzȁ ǁƢǐūơ ơǀǿ

�ƨȈLjǨǼdzơȁƨǯǁƢºnjŭơĿ ƨƦǣǂdzơ ǶȀȇƾdz ǺǰƫŃDZƢǨǗȋơ ǺǷ ���ǹƗ ƲƟƢƬǼdzơ ƩǂȀǛƗƾǬǧƩƢºƦƳơȂdzơ ƔơƽƗȄǴǟǺȇǁƽƢºǫ ơȁƽȂǠȇŃ ǶȀǼǷ��� ǹƗ ƢǸǯ ǂǯǀƫ ƩƢǗƢnjǻ ƨȇƗĿ���ƶºƦǏƗ ƮȈºƷ ��� ƽƢºLjƳƗ ȁDŽǤƫ ǝƢƳȁȋơ ƩƗƾºƥ ƢǸȈǧ ƨȈǴƟƢǠdzơȁ ƨȈºLJǁƾŭơ

�ƨȇǀǤƬdzơ ƔȂLjdzƨǫƢǘdzơǑƢǨŵơ ǺǷǹȂǻƢǠȇ ǶȀǼǷƩƢǷȐǟ ƩƾºƦǧƾūơ ơǀǿ ƾǼǟ ǁƢǐūơ ƔơǂƳ DZƢǨǗȋơ ƧƢǻƢǠǷ ƽȁƾºƷǦºǫȂƬƫŃȁƢǷƗ ǶȀǼǷ ���ȄǴǟ ǂȀǜƫ ƩƗƾººººƥ ƤǔǤdzơ ƩƢǷȐǟȁǶȀǼǷ ��� ȄǴǟ ǥȂŬơǶȀǼǷ���ƶºƦǏƗ ȅǀdzơDZƢǨǗȋơǺǷ ��� ƢȀǼǷ ȄǰƬºNjơ ƾǬǧ ǵȂǼdzơ DzǯƢnjǷƪǤǴºƥ DZƢǨǗȋơ ȄǴǟ ƨȈºLJƢǬdzơ ǁ Ƣǐūơ ǝƢǓȁƗƤºƦLjƥȁ �ǪǴǬdzơǑǂǟƗ ǶȀȇƾdzŚǣ ƨººƦǴǘdzơ ǺǷ ��� ŇƢǟ ƢǸǼȈºƥ��� ƨȈºLJơǁƾdzơ ƾǟƢºǬŭơ Ǻǟ ƤȈǤƬdzơƨºƦLjǻ

�ƨLJơǁƾdzơ DZȐƻDŽȈǯǂƬdzơĿ DzǯƢnjǷ ǺǷśƦȈǤƬŭơǁƢǐūơ Ǻǟ ƨŦƢǼdzơ ƩƢǗȂǤǔdzơDzǯDZƢǸƬƷơ ǹȂǼǗơȂŭơ ǝƢǘƬLJơǦȈǯ ǺǰdzȁĿ ƨƫȂºǫ �ƽ DZȂºǬȇ �DzºǫƗƧŚƫȂºƥ ƪǻƢǯ ǹƛȁ ƨȈǷȂȈdzơ ǶēƢȈºƷ ŚLJȄǴǟ ǙƢǨūơȁŐǐdzơ ȄǴǟ ƨºǬƟƢǨdzơ ǾƫǁƾǬǷĿ ƧDŽƴǠǷřȈǘLjǴǨdzơ ǞǸƬĐơ� �Ǯdzǀdz ǽŚLjǨƫ

��ǪǧơȂƬǴdzƩƢȈdzƕ ƽƢŸƛ ȄǴǟ Ǿƫ ǁƾǫȁ DZƢǸƬƷȏơȁƨǴȇȂǗ ƩƢǟƢºLjdz ȆƟƢºƥǂȀǰdzơ ǁƢȈƬdzơ ǝƢǘºǬǻơƨǷǃƗ DzǛĿśǼǗơȂŭơ ǹƗ ƶǓȁƗȁƧƢȈūơ ƤȈdzƢººººLJƗńƛ ƧƽȂǠdzơ DZȐƻǺǷ ƨǴǰººººnjŭơ ǽǀǿ ȄǴǟ ƤǴǤƬdzơ ńƛ ơȁƘŪƨƠǧƾƬdzơȁ ƧǁƢǻȍơĿ Ƥǘūơȁ ǃƢǰdzơ ƶȈºƥƢǐǷȁ ǝȂǸnjdzơ ǵơƾƼƬLJơ ǺǷ ƨȈƟơƾƦdzơ

�ȆǟƢǸƬƳȏơǦƫƢǰƬdzơ ǂǿ ƢǜǷ ǺǷ ƾȇƾǠdzơǾȈǧƩǃDŽǠƫƪǫȁĿǞǷ ǹƢºLjǻȎdz ƨȈºLjǨǼdzơƨºƸǐǴdzơƾƳ ǶȀǷȂǿȁ ƢǸƟƢºǫ DzǷȋơ ȄǬƦȇ� �ǥƢǓƗȁƨǴǏơȂǷ ȄǴǟǾƫǁƾǬǷ ǺǷ ƾȇDŽȇ ƢŠ �DZȐƬƷȏơǞǷ ǝơǂǐdzơ ƨǠȈƦǗȁŘǠŭ ǾǯơǁƽƛǾȀƳơȂƫŖdzơ ƩȐǰºnjŭơȄǴǟƤǴǤƬǴdz DZȂǴºƷǺǟ ǶƟơƾdzơ ƮƸƦdzơȁ ƧƢȈūơ ƧŚLjǷ

�ǾƫƢȈƷ ȄǴǟơǂǘƻ Dzǰnjƫȁƽƾºnjŭơ ȆǴȈƟơǂLJȍơ ǁƢǐūơƪǬƦLJƨLJơǁƾdzơ ƢēǂȀǛƗŖdzơ ƲƟƢƬǼdzơ ńƛ ǁƢNjƗȁǹȂǰƬºLJ ƨȈǟƢǸƬƳȏơȁ ƨȈƸǐdzơȁƨȇƽƢǐƬǫȏơ ƩơŚƯƘƬdzơ ǹƗ ƆơƾǯƚǷ �ǵƢȇƘƥ ŚƻȋơƩƢǷȂººǬǷǖººLjƥƗ ǺǷǶĔƢǷǂºƷǺǷ ǹȂǼǗơȂŭơ ǾdzǑǂǠƬȇ ƢǷDzǛĿ ǂǘƻƗ

�ƨǸȈǴLjdzơ ƨȈǠȈƦǘdzơ ƧƢȈūơ

���ǂǧơȂdzơǶȀƦȈǐǻ DZƢǨǗȌdzȁ

�ƧDŽǣĿ śǼǗơȂŭơ ƧƢȈƷ ƧƽȂƳȄǴǟ ǁƢǐūơƩơŚƯƘƫ DZȂƷ ƨLJơǁƽƨȈnjȈǠŭơ ǶēƢȈƷǕƢŶƗ ŚȈǤƬdz ơȁǂǘǓơ ǂLJȋơ ǺǷ ���

ŚƦǯ ǺƴLJ ńƛ ǝƢǘǬdzơ DzȇȂƸƬdz ƢƦǴLJ ƩǂƯƘƫ ƨȈLjǨǼdzơ ǶȀǟƢǓȁƗ ���

ƣƢLjǯ ƧƾȇƢǟȁ ƨƫȂǫ Śũ �ƽ

E-mail: qoutasamir@hotma il.com

Page 33: Siege and Mental Health

31 Siege and MentalH ealth�W alls vs. Bridges

ƪŢ ơȂºººNjƢǟǺ ȇǀdzơ ǹȂȈǼȈǘººLjǴǨdzơŇƢǟDZƢȈƳȋ ơ ǺǷ ƽƾǟ ŐǟƧƽƢººƥȍ ơńƛ ƨǧƢǓȍƢººƥ ƨȇǂººLjǬdzơ ƧǂƴŮơȁDZȐƬ ººƷȏơƩƢǠºƦƫ ǺǷ ǁƢǐūơȆººLjǨǼdzơ ƱȐǠ dzơƲǷơǂ ººƥ ŚƯƘƫĿ ƨººǫǁȂ dzơ ǽǀǿƮººƸƦƫǥȂººLJ �ƨȈǟƢǸŪơDzºƻƾǷ ǹƛ �ǁƢºǷƾdzơ ǺºǷ ǝȂºǼdzơ ơǀ ºǿDzºưŭ ơȂºǓǂǠƫ ǺȇǂƻƕȄǴǟȆǟƢǸƬƳȏơȁǺǷƢǔƬdzơƩƢǰººººƦNjȄǴǟ ǃƢǰƫ ǁȏơ ǺǸưȇ ȆǟƢǸƬƳȏơȁȆºº ººLjǨǼdz ơ ƱȐǠdzơƨȈǟƢǸƬƳȏơ ƽǁơȂ ŭơȁ ƔƢºººǫƾǏȋơ ȁ ƧƾƬǸŭơ ƧǂººLJȋơǶǔƫŖdzơ ƨȈǠȈ ººƦǘdzơȅǀdzơǭǂƬºnjŭơ DzǸǠǴdzƢ ȈǧƢºǬƯ ƨǸƟȐŭơ DzºƦLjdzơȄǴǟřƦȇǾƳȂƫ Ǿǻơ �ȃǂƻȋơDŽȈǯǂƬdzơ DZȂŹ ǾƳȂƫ ǾǻƗ ƢǸǯ �ƨǯǁƢ ººnjŭơǥơǂǗȋơ ǞȈŦȄǴǟ ƧƾƟƢǨdz Ƣººƥ ƽȂǟƩƢǠǸƬĐơ Dzƻơƾººººƥ ƨǸ ƟƢºººǬdzơ ƩƢºººǫȐǠdzơńƛƣƢǐŭơ ƽǂǨdzơ ȄǴǟ ǪǴǘŭơ

�ƩƢǟƢǸŪơȁǪǗƢǼŭ ơńƛ ƪǴºǬǻŖdzơ ƨȇƾȈǴºǬ Ƭdzơ ƨȈºƥǂǤdzơ ƨȈLjǨǼdzơ ǶȈǿƢǨŭơƩDŽǯǁ ƾǬdzȅƽǂǨdz ơ DZȁƢǼƬdzơ ȄǴǟƩDŽǯǁ �ŃƢǠdz ơ ǺǷȃǂƻƗǪǗƢǼǷ ĿƣȁǂūƢºººƥ ƨº ºƥȂǰǼŭơƶǴǘǐǷǹƜǧǮdzǀǯ �ƨǷƾǐdzơ ƾǠºººººº ººƥ ƢǷƣǂǯƣơǂǘǓȏȁƨǷƾǐǴdzŘǠǷ DzǸŹƶƦǏƗ ƢǸǯ ǾǷơƾƼƬLJơĿǕǂǧƗ ƾǫ ƨȈLjǨǻ ƨdzƢƸǯ ƨǷƾǐdzơơǂºNjƚǷDzǸŹƨǷƾǐdzơ ƾǠƥ ƢǷƣǂǯƣơǂǘǓơǎȈƼnjƫǹƛ �ƧƢǻƢǠǸǴdz ƢǷƢǟDzººƦǫ ƢǷ ƨdzƢººƷ ńƛ ƧƽȂǠdzơĿ ƨºƦǣǁ ǭƢǼǿ ǹƗȁ ƨǷƾǐdzơȄǴǟŅƢƫǞǓȁńƛDzºººƦǫ ƢǷ ƧǂƬǨdzǭơǁƽƛ Dzǯ ȂºººƸŤ DZȐƬººƷȏơ ǺǷƢǷƢǟśƬº ºLJǹƛ �ƨǷƾǐdzơơƔDŽƳdžȈdz ƨǷƾǐdzơ DzºƦ ǫ ǞǷ ƨdzƢ ºƷ ǹƛ �śȈǼȈǘºLjǴǨǴdz ƨƦLjǼdzƢƥ ƨǷƾǐdzơƨǴººƷǂǷ ƧǂƬǨdz ơǮǴƫ Dzǯ DZȐƻǭƢǼǿ Ǻǰȇ Ń ƢǸǯ�śȈǼȈǘºLjǴǨdzơ Ǟºǫơȁ ǺǷŖdzơƱȐǠdzơ Ʊƿ ƢŶǹƛ �ƧDŽǣ Ŀ ǁƢǐūơ ƧŐŬơ ȁƗ DZȐƬºƷȏơ ƧƾºƷ ƢȀȈǧƪǔǨŵơȄǴǟǪººººƦǘǼ ƫȏ ƱƿƢŶ Ȇǿ ƧƽƢǠǴdz ǩǁƢƻǂǷƘǯ ƨǷƾǐǴdzǶȀǧńƛ ƾǼ ƬºººLjƫǮººLJǂŮơȁ ƨǼ ºLJȂƦdzơǹƛ �ƧDŽǣĿ ƨȈdzƢūơ ǥȁǂǜdzơ ȁƗřȈǘºLjǴǨdzơ ǞǓȂdzơƪǻƢǟǪǗƢǼǷƢȀǴǯ ȄǘºLJȂdzơ ƢȈºǬȇǂǧƗȁ ƢȈºǬȇǂǧƗ ǩǂºNj ǹơƾǴºƥȁ ȂǧȂLJȂǯȁ�ƢŮơȂǿ Ɨȁ ƣȁǂūơ ƤºƦLjƥȆºLJƢȈLjdzơȁ ȆǟƢǸƬƳȏơ ǁơǂºǬƬLJȏơ ǵƾǟȁ ǂºǬǨdzơƧƽƾǠƬǷȆǟƢǸƬƳȏơȁȆººLjǨǼdzơ ǶǟƾdzơƲǷơŐdzƨº ºǫǁȂdzơ ǽǀǿǑǂǠƫ ǥȂºLJƢǸǯ �ƣȁǂūƢºƥƨ ºƥȂǰǼŭƢ ƥ ǪǗƢǼŭơ ǮǴƫĿ ƵƢƴǼºƥ ƢȀºǬȈƦǘƫ ĻŖdzơ ƽƢǠºƥȋơǞǸƬƴǸǴdz ƨºƦLjǼdzƢƥ ƩơŐŬơǮǴƫ ƨǸȈºǫȁ ƧƽƢǨƬLjŭơDžȁǁƾdzơ ĿƮƸƦ ƫǥȂLJƨȈǴǸǟ DZȁƢǼƫĿ ƨȇȂǸǼƬ dzơ ǵȂǸŮơDZȁƢǼƬƫ ǥȂºLJƨǫǁȂdzơ ǽǀǿ �řȈǘLjǴǨdzơDzºǬǻń ƛȄǠºLjƫȁǦȈǰƬdzơȁ ƨǷȁƢºǬŭơ ǵȂȀǨǷĿƮƸƦƫǥȂLJ ƢǸǯ ƱȐǠdzơǃȁƢšĿƮºººƸƦȇ ǂƻƕńƛ ƨȈºººƸǔdzơǶȀǧńƛȄǠººLjȇƣƢǘƻǺǷ ƣƢǘŬơȅǀdzơDZȁƢǼƬdzơ ȄǴǟ DŽȈǯǂƬ dzơ ǶƬȇǥȂººLJ ƢǸǯ �ȆººLjǨǼdzơǮºLJƢǸƬdzơȁ ƩƢǷǃȋơ

ƩơǀdzơǺǟŚƦǠƬdzơ DZƢǰNjƗȁƩƢǠǸƬĐơ ƔƢǼƥ DZȐƻ ǺǷ ƽơǂǧ ȋơ ǺǰŻ.

Palestinians who live under siege have faced theimpact of occupation, forced migration and ethnic cleansing forseveral generations. Thispresentation will examine theeffects ofpsychosocial healing programs on others who have had th is sortof devastation imposed upon them. A psychosocial healingapproach values the involvement of natural networks that includeextended family, friends, and other social resources. It drawsupon culturally relevant ways to work together that mutuallybenefit all involved. It also shifts the exclusive focus from thetraumatized individual to the relationships within formedcommunities. Traditional western psychological notions thathave been transfe rred towar torn areas in other parts of the worldhave focused on individualistic concepts of trauma and PTSD.Unfortunately, the term trauma as a psychological condit ion hasbeen overused and has acquired a generalized meaning forsuffering. Thediagnostic label PTSD impliesboth that asituationis post trauma and that the pre-trauma condition is one to reclaim.Sixty years of occupation erases any sense of pre-trauma forPalestinians. Asense ofpre-trauma is not part of the Palestiniansreality, nor has there been a subsiding of the occupation or thesiege experience in Gaza. Healing models that are based on anunderstanding of trauma as extra normative do not apply to thePalestinian situation, or to the current conditions in Gaza. Bosnia-Herzegovina, Kosovo, East and Central Africa, are places wherethe devastation of war has created poverty, soc ial and politicalinstability. This presentation will review multi-dimensionalpsychosocial support programs that have been successfullyimplemented in these war-torn areas. It will explore lessonslearned and the relevance of these experiences to the Palestiniancommunity. This presentation wil l address developmentalconcerns in approachingthe healing process,explore the conceptof resi lience and shift the discourse from one of studyingvictimization to one that explores well being and psychologicalsurvival. Emphasis will be given to approaches that empowerindividuals though com munity building and expressivemodalities.

Learning from the past to build for the future:reflections on psychosocial support

programs in war torn countries

Dr Eleanor Roffman *

�DzƦǬƬLjŭơ ƔƢǼƦdz ȆǓƢŭơ ǺǷ ǶǴǠƬdzơȆLjǨǼdzơ Ƕǟƾdzơ ƲǷơǂƥĿ ƩȐǷƘƫ

ƣȁǂūƢƥ ƨƥȂǰǼŭơǹơƾǴƦdzơ ĿȆǟƢǸƬƳȏơȁ

ǹƢǸǧȁǁ ǁȂǻƢȈdzƛ �ƽ

*Lesley Unive rsity, USADiv ision of Couns eling and Psyc hology / eroffm [email protected]

Page 34: Siege and Mental Health

32i Ën�AÊ l UAË �A . . . ÑÍn Ã̄ ºA ÑZv ºAÊ i Bv�A

ƩȐǰºººnjŭơȁǁ ƢǐūơƪŢNJȈǠdzơ ŚƯƘƫĿƮºººƸƦ ǴdzƨººLJơǁƾdzơ ǽǀǿ ƪȇǂƳƗśȈǼȈǘººLjǴǨdzơ DZƢǨǗȋȃƾdzǮdzƿ ȄǴǟƨ ººƦƫǂƬŭơ ƨȈǯȂǴººLjdzơȁ ƨȈ ǻơƾƳȂdzơȁ �śº ƥ ƢǷ Ƕǿǁ ƢǸǟƗ Ƶȁơ ǂƬƫ ȐǨǗ ���� ǺǷ ƨºLJơǁƾdzơ ƨǼȈǟ ƪǻȂǰƫ �ǶȀȇȁƿȁƲƟƢƬǻƩǂȀǛƗ �Ƨ DŽǣ ǝƢǘººǫƩƢǜǧƢŰƨǧ ƢǯǺǷ ƢȈ ƟơȂºnjǟ ơȁŚƬƻơ ƨǼºLJ��

�ȆǴȇ ƢǷƨLJơǁƾdzơƢººǫƢǐƬdzơ ǂưǯƗ ơȂººƸƦǏƗȁ ǵȐǜdzơ ǹȂǧƢź ƧDŽǣ DZƢǨǗƗ ǺǷ ���

�ǂȇǂLjdzơdžǨǻĿ ǵȂǼdzơ ǶǿȂǯǁƢnjȇ ơȂƸƦǏƗ ƢǸǯǶȀǴǿƘƥǹȁƾººº ºǬƬǨȇȁǂ ƫȂƬdzơȁ ǪǴººººǬdzơǺǷ ǹȂǻƢǠȇ ƧDŽǣ DZƢǨǗƗǺǷ ���

�ǹƢǷȋƢƥ ǁȂǠnjdzơƧǁƾºǬdz ơ ǵƾǟ DzưǷ ƨLJơǁƾdzơ ĿƩȐǰnjǷǺǷǹȂǻƢǠ ȇ ǶȀǼǷ ���

�DŽȈǯǂƬdzơ ȄǴǟDZơDŽǠǻȏ ơ DzưǷ ƨȈǯȂǴººººLJƩȐǰºººnjǷǺǷǹȂǻƢǠ ȇ ǶȀǼǷ ���

�ƨȈǻơ ȁƾǠdzơȁȆǟƢǸƬƳȏ ơƣƢƸLjǻȏơȁ�ƨǷƢǟ ƨȈǻơƾƳȁ ƩȐǰºnjǷȁ ƔȆºLJ ƱơDŽǷ ǺǷ ǹȂǻƢǠ ȇ ǶȀǼǷ ���

�ƣƢƠƬǯȏơȁǕƢƦƷȍƢƥǹȁǂǠnjȇǶĔƛǶǿǂºLJƗȁǶǿǹȂƳƢƬŹȁ ȅƽơǁƛ ȏDZȂºƦƫ ǺǷ ňƢǠƫ ƨǼ ȈǠdzơ ǺǷ ���

�ȆLjǨǼdzơ ƽƢNjǁȍơńƛǦǼǠƥ ǹȂǴǷƢǠƬȇȁ ȆLjǨǼdzơǖǤǔdzơ ǺǷ ǹȂǻƢǠȇ Dzǿȋơ ǺǷ ���

�ǶȀƟƢǼƥƗ ǞǷȁǶȀǼȈƥ ƢǸȈǧ

This study was done to examine the effect of living under siegeand the emotiona l -behavioral problems of Palestinian childrenand their parent , the sample of thestudy was2286 child between8-14 years of old selected randomly f rom all Gaza governorates,andthe resultsof the study show the following:

87%of Gaza children feel fear of darkness and they aremore c linging to there parents and sharing them therebids.92% of the Palestinian children of Gaza suffe r fromfeeling of insecurity andfee l anxiety and tension .68% of them suffering from school problems like lackof concentration .76% of them has behavioral problems like isolation ,social withdrawal and aggression.70% of them are feeling bad and general modeproblems, theyfeel frustration and depression.34% of the sample are suffering from bed witting andthey need consultation and family council ling. -64% of their parents are st ressed and behaved withviolence witheach otherand with their children .

Siege and mental health :Siege StressEmotional and Behavioral Problems

of Palestinian Children andTheir Parents Living under Siege "Gaza experience"

Prof. F adel Abu Hein*

ǁƢǐūơǖǤǓ �ƨȈLjǨǼdzơ ƨƸǐdzơȁ ǁƢǐūơȃƾdz ƨȈǯȂǴLjdzơȁ ƨȈǻơƾƳȂdzơ ƩȐǰnjŭơ

ǁƢǐūơ ƪŢ ǶȀȇȁƿȁ śȈǼȈǘLjǴǨdzơ DZƢǨǗȋơ�ƧDŽǣ ƧŐƻ� ǁƢǐūơ ƪŢ NJȈǠdzơ

śǿ ȂƥƗ Dzǔǧ �ƽ�ơ

Al-Aqsa University and Community Training Center and Crisis Management Gaza / [email protected]

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33Siege and MentalH ealth�W alls vs. Bridges

ƪººººLJƢǧ DzȈººººƥ ƨǼȇƾǷ ƪǻƢǯ ����� ǵƢǟǀǼǷ �ƨȈźǁƢƬdzơ ƨȈǨǴŬơƧƾǷǵơƽ ȅǀdzơǝơǂǐdzơ ƩƢȈǴǸǠdz ƢºººƷǂLjǷ ơƾǼdzǂȇơ ǺǷDZƢǸººnjdzơ Ŀ ƨǠººǫơ ȂdzơDzȈºƥƣǂǣ ǞƦǬȇ ǹƢǯ ƮȈƷ �ƨȇǂǰLjǟ ƽȂnjƷȁ ƾƳơȂƬƥ ƢǔȇƗ ǃƢƬǷơ ȅǀdzơȁ ƨǴȇȂǗĿ ǽƢºƷǁ ǁȁƾȇ ȅǀdzơ ǝơŗdzơȁ ǝơǂǐdzơƤºƦLjƥǮdzƿȁ ƽƾºnjǷ ǁƢǐºƷƪŢƪºLJƢǧƧǂºƬǨdz ơ ǮºǴƫŅƛ Ƣǻǂǜǻ ơƿƜǧ � ƢǷƢǟ�� ǺǷ ǂưǯƗ ǝơǂǐdzơǮdzƿ ǵơƽ � ƧǁȁƢĐơ ǪǗƢǼŭơ� ƺȇǁơȂǐdzƢºƥǦǐǬdzơDzưǷ ƨǟDŽǨǷȁ ƨǷƽƢǏ ƢƯơƾƷƗ ƾų ǥȂLJƾȈǯƘƬdzƢƥ ƢǼǻƢǼǧȆǴǟǺººnjƫŖdzơ ƩơǁƢǤdzơ ǺǷ ƾȇƾǠdzơ ƾƴǼºLJ ƢǸǯ DzƬºǫ ƩȏƢºƷȁ ǁƢǼdzơ ǩȐǗƛȁȅǀdzơDžƢǼdzơ ǺǷ ƾȇƾǠdzơŅƛ ƨǧƢǓƛDžƢǼdzơ śºººƥ ǂǟǀdzơȁ Ǟ ǴŮơ ƨººƦƦLjǷ DZǃƢǼŭơǦǼǠdzơ ƭơƾººƷƗ Dzǰdz ƨǷǃȐǷ ƨƴȈƬǼǯȁ � ǶŮǃƢǼǷ ǪƟơǂººƷ ƔƢǨǗƛŅƛ ǹȁƾǸǠȇŚƯƘƫƪŢ ǹȂǠºƦǬȇ ǺȇǀdzơǮƠdzȁƗ ǺǷƨƻǁƢǏƨǷƾǏƾƴǼLJ ƾȈǯƘƬdzƢƥ ƢǼǻƜǧǮǴƫƨȈºǫƢǨƫơȁ ����� ǵƢǟ ĿȅǂƳ ȅǀdzơ ǁ ƢǼdzơ ǩȐǗƛǦºǫȁŚºnjȇ ƨƥȂǰǼŭơ ǪǗƢǼŭơŅƛDZƕ ƾººǫ ǝơǂǐdzơ ơǀǿǹƗŅƛ ���� ǵƢǟ ǾǠȈººǫȂƫ Ļ ȅǀdzơ � ƨººƦȈǘdzơ ƨǠǸŪơ�ǁƢƯƗƾų ƢǼdzǃȏ �ǝơǂǐdzơ ƨȇƢĔ ȆǴǟƩơȂǼºLJƧǂºnjǟ ǁȁǂǷ ƾǠƥŕƷ Ǻǰdzȁ �ƨȇƢĔƧǂƬǨdzơ ǮǴƫ ơȂºnjȇƢǟ Ǻȇǀdzơ ƽơǂǧȋơǺǷ ƽǂǧ Dzǯ ȆǴǟȁ ȆǴƄơ ǞǸƬĐơ ȆǴǟ ǝơǂǐ dzơǪǴǠƬȇ ƢǸȈǧ ǵȐººLjdzơ ƩƢȈǴǸǟȁ ƩƢƯ ƽƢŰ ǺǷƾȇƾǠdzơ ƪȇǂƳƗ ƾºǬdz � ǝơǂǐdzơ ǺǷǮǴƬdz ƢȀǸǟƽȁƨȈºººLjǨǼdzơ ƨººƸǐdzơ ƩƢǷƾƻ ƽǁơȂƫ Ņƛ ȅƽƗ ƢŲ ơƾǼdzǂȇơ DZƢǸººnjƥƨººƸǐǴdz ȆǠǸƬĐơƪººLJƢǧ DzººƦƥ ƣǂǣ Ǫȇǂǧ ƾǠȇ � DzǸǠdzơǦǏȁ � ƨººǬǘǼŭơDzǸºnjȇ �ƪºLJƢǧ DzºƦƥ ƣǂǤdz ƨȈºƸǐdzơ ƩƢǷƾŬơ ʼnƾºǬƬdz ƢȇȂǻƢƯ ƢȈǟơǁ ƨȈLjǨǼdzơǦdzƗƨƠǷ ƣǁƢǬȇ Ƣŭ ƢēơƾǟƢLjǷ ǵƾǬƫ ƨȈdzȁƗǶǫơȂǗ Ƨǂnjǟ ǪȇǂǨdzơ Ǯdzƿ ƔƢǔǟƗDzǸººnjƫ ƨǻȂǠŭ ơ ƢŮ ǵƾººǬǻ Ŗdzơ ƨºǬǘǼŭơ ǹƛ � ǪǗƢǼŭơ ǮǴƫĿǹƢǰºLjdzơ ǺǷƩƢºǫȁ ƗĿ ƢǿƾƳơȂƫǦưǰƬȇȁ ǝơŗdzơǪǗƢǼǷĿƪdzơǃȏŖdzơȁ ƨǴǐǨǼǷ ƩƢȀƳȂƫǽǀǿǖǴººLjƫǥȂººLJ � �ǁơ ƿƕB DžǁƢǷ DzǐǧĿ �Ǯdzƿ DZƢưǷ� ƨǼºLjdzơ ǺǷ ƨǼȈǠǷǪǗƢǼŭơ Ņƛ ƨǷƾºººººǬŭơ ƩƢǷƾŬơǺǷ ƨǨǴƬű ƤǻơȂƳȆǴǟ ƔȂǔdzơ ƨººººǫǁȂdzơƩȁƢǨƬdzơ �ļȉơǦnjǰǼLJ ƢǸǯ � ǝơǂǐdzơǮdzƿƪŢ ƨǠǫơȂdzơ ȁ ƧǁǂǔƬŭơ ƨǬƥƢLjdzơǝơȂǻƗ ƾȇƾŢȁ �ƩƢǷƾŬơ ǮǴƫ DzȈǏȂƫ ȁ ƨǠººǫȂƬŭơ ƩƢƳƢȈƬºƷȏơȁ ƧơȁƢºLjŭơǵƾǟȁǽǀǿƾǠƫ � ƨŤƢŬơ � DzǸǠdzơ ǶºººǫơȂǗ ǝȂǼƫȁ ǶǟƽȁƤȇǁƾƫȁ � ƨºººƥȂǴǘŭơ ƩƢǷƾŬơƨȈºLjǨǼdzơ ƨƸǐdzơ Ǫȇǂǧ ƢȀǷƾǬȇŖdzơ ƣǁƢƴƬdzơȁ ƩƢǷƾƼǴdz ƧǂƥƢǟ ƨƄ ƨLJơǁƾdzơǺǷDzȈǴºǬdzơǖºǬǧ ǭƢǼǿǹƗ ǂǯǀdzƢºƥ ǂȇƾŪơ ǺǷȁ � ����ǵƢǟ ĿƪºLJƢǧ DzºƦƥ ĿDžȁǁƾdzơȁ ŐǠdzơ Ņƛ ǩȂººnjƬƥ ǞǴǘƬǻ ƢǼǻƜǧ ơǀdz �ƨȈǸǰdzơ ȁƗ ƨȈǟȂǼdzơ ƔơȂºLJƭƢŞȋơƔơȂºLJ ƨȈǠǸƬĐơ ƨȈºLjǨǼdzơ ƨºƸǐdzơ ƩƢǷƾƻ DzºƦǬƬLjŠ ƨºǬǴǠƬŭơ ƧƽƢǨƬLjŭơ

�ǝơǂǐdzơDzǛ ĿǹȂnjȈǠȇ Ǻȇǀdzơ ǮƠdzƙȏǵƾǬƫŖdzơȁ ƢȈdzȁƽ ȁƗƢȈǷȂǫ ȁƗ ƢȈǴŰ

.

Background: From1969, the city ofBelfast inNorthernIreland was the scene of prolonged conflict, which involved amilitary presence . West Belfast was in a siege from the conflictaround it. Bombings, shootings , killings , house raids,intimidation and people burnt out of their houses were some ofthe traumatic happenings during the next 30 years. These eventsled to significant trauma experienced by many in the affectedareas. The ceasefire of 1994 and the Good Friday Agreement of1998 indicated the conflict was over. 10 years la ter theeffects ofthe conflict on the local community and anyone who experiencedthe conflict are still evident. With peace processes beingimplemented across Northern Ireland, mental health services arebeing reviewed and strengthened.

Descriptive account: The West Belfast Community MentalHealth Team (WBCMHT) is a secondary care service. Themembership of the team includes 10 frontline staff forapproximately 100,000 population. The area we service includessegregated interfaces, which are still in existence post conflictand intensify at certain times of the year (e.g. the marchingseason). This paper will look at different aspects of providingcommunity mental health services in an areapreviously affectedby conf lict. We will explore inequality, unmet needs, access toservices, typeof servicesrequired, staff training, staff support anddiversity of staff.

Conclusion: This study is a snapshot account of the experiencesof the WBCMHT in 2008. Given that there is very littlequalitative research or quantitative accounts we are looking forthe lessons that can be learnt in terms of future mental healthcommunity serv ice provision both locally, nationally andinternationallyfor those who haveexperienced conflict.

Community Staffing and Resources in Mental Health:Post Conflict Descriptive Account

Elizabeth Schumacher, Patr icia Campbell, & Maneesh Gupta

ƨȈLjǨǼdzơ ƨƸǐdzƢƥ ƨȈǼǠŭơ ǞǸƬĐơǶǫơȂǗȁ ǁƽƢǐǷȆǨǏȁ DzȈǴŢ �ǝơǂǐdzơ ƾǠƥƢǷ ƨǴƷǂǷ

ƢƬƥȂƳ NJȈǻƢǷ ȁ DzƦǷƢǯ ƢnjȇǂƫƢƥ ȁ ǂƻƢǷȂNj ƪȈƥơ DŽȈdzơ

*- [email protected], [email protected], [email protected]

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35Siege and MentalH ealth�W alls vs. Bridges

ƧƾǟƢººLjŭơ ʼnƾºǬƫȄǴǟǖºǬǧ ǂǐƬºǬȇ ȏ ňƢºLjǻȍơ DzƻƾƬdzơøǹƢºººLjǻȍơ ǩȂºººǬƷ ǵơǂƬººƷơ ǹƢǸǓȁǝƢǧƾdzơ ƢǔȇƗ ǺǸǔƬȇ ƢŶƛȁ � ƨȇƽƢŭơDzǷƢǠƫ ǹƗƤŸ ƨȈǻƢº ºLjǻȍơ ƧȂǟƾdzơ ǹƜǧǮdzǀdz �ƨȈŭƢǠdzơ ƨȈǻƢººLjǻȍơ ŚȇƢǠŭơȁƨưǠºƦdzơ ƩƽƾºƷƾºǬdz� ��ňƢºLjǻȍơ DzƻƾƬdzơ ǂǏƢǼǟǺǷ ȆºLJƢLJƗ ǂǐǼǠǯǵȐǟȎdz ƨȈǷȐǟȍơ ƨȈǘǤƬdzơśLjŢƪǼǸǔƫŖdzơDzƻƾƬdzơ ƩȏƢů ƨȇȂdzȁƗƨǴƬƄơ ƨȈǼȈǘºLjǴǨdzơ ȆǓơǁȋơȁ DzȈƟơǂºLJƛ Ŀ ňƾŭơ ǞǸƬĐơȁ Ņȁƾdzơȁ ȆǴƄơƧȂǟƾdzơ ƔơƽƗśºººLjŢ ƤŸǮdzǀǯ �Ǻȇǂƻȉơ ƔƢǔǟȋơ DZȁƾdzơ ǶǿƗń ƛ ƨǧƢǓƛȄǴǟƩƢºLJƢȈLjdzơȆǠǓơȁśºƥ ƨȈǻƢºLjǻȍơ ƢȇƢǔºǬdzơ ǹƘnjƥ ƨȈƴȈƫơǂƬLJȏơƨȈLJƢȈLJ ǦǫơȂǷ ńƛ ƽȂȀŪơǮǴƫ ƾǼƬLjƫ ǹƗƤŸȁ �Ņȁƾdzơȁ ȆǴƄơ śȇȂƬLjŭơƨººǬLjƬǷ DzƟƢººLJǁȁ ȆǟȂǓȂǷȁ ȆǠººǫơȁ DzȈǴŢ ȄǴǟ ƧƾǸƬǠǷƨǯǂƬºnjǷƧƾºƸƬŭơ ǶǷȋơƨưǠƥ ǹƛ� ��ƢȀǼȈǠƥ ƧƽƾŰƩƢǟƢǘǫȂŴ ƨȀƳȂǷƨǷȂȀǨǷȁǹƗ ǺǰŻ �ƨȈƴȈƫơǂƬºLJơ ƨȇƙǁńƛ ƩƾǼƬLJơ ƢǷ ơƿƛ �ƨȈǻƢLjǻȍơ ƧȂǟƾdzơ ǹƘƥ ǺǷƚƫƩȏƢĐơ Ǯdzƿ Ŀ ƢŠ ȃǂƻƗƩȏƢů Ŀ ƢȀƟƢǯǂºNjȁ ƧƾƸƬŭơ ǶǷȋơƽȂȀƳ ǶǟƾƫǮǴƫĿ ƨǧƾȀƬºººLjŭơ ǥơƾǿȋơ ǺǷ ŚưǰdzƢǧ �ƨȇƽƢǐƬººǫȏơȁ ƨȈººLJƢȈLjdzơǦºººǫȁ Ǯdzƿ ĿƢŠ ƨȈǻƢºººLjǻȍ ơ ƧȂǟƾǴdz ƨȇǁȂƄơǥơƾǿȋơ ƢēơƿȆǿ ƩȏƢĐơǶǟƽȁřȈǘºLjǴǨdzơ ƽƢǐƬºǫȏơ ƔƢȈºƷƛȁ �DZȂƴƬdzơ ǂǜºƷȁ ǩȐǣȍơ ƨºLJƢȈLJ

��ǥǂǘƬdzơȁ DžƘȈdzơ ǺǷƾȇDŽǷ ȂŴ ǁơƾŴȏ ơ ǞǼǷȁƨȈǼȈǘLjǴǨdzơ ƨǘǴLjdzơŚƯƘƫDzǛ ơƿƢŭ �ƧŚƻȋơ ƩơȂǼºLjdzơĿ ǂǷȋơ ơǀǿ ǹƘnjƥƤƬǯȁ DzȈǫƢǷ Dzǯ Ƕǣǁ

�ƾūơ ơǀǿ ńƛ ƢǨȈǠǓ ƧȂǟƾdzơĿ ƧƾƸƬŭơ ǶǷȋơ

ƨǴůƢȀȈǧ ǁƾǐƫŖdzơńȁȋơ Ƨǂŭơ ȆȀǧ�ƢȀǟȂǻ ǺǷƧƾ ȇǂǧ ƨºººººººƥǂš ƢĔƛ

�ƢǸƟơƽ ǺǰŲ ǂǷƗ ǁơȂūơ ǞǧƽDzǿ�EULGJHV� ǁȂLjƳ ƨǴů ƨƥǂš

Ƨƾǟơȁ ƨºƥǂš ƢĔƛ �řȈǘºLjǴǨdzơȁ ȆǴȈƟơǂºLJȍơ śºƦǠnjdzơ śºƥƨǯǂƬºnjǷǁȁǂǷƾǠº ƥ �śºƦǻƢŪơ śºƥ ƶƬǨƬƫ ǹƗȁ ƾƥȏŖdzơ ǹȁƢǠƬdzơ ƩƢȈǻƢǰǷȍ ƨƦLjǼdzƢƥǺȇǂȀºNj Dzǯ ǁƾǐƫŖdzơ ƨǷƢǠdzơ ƨƸǐdzơ ƨǴů ƧǁƽƢƦǷ ƪǬǴƫ �ƩơȂ ǼLJ ǞƥǁƗƢȀȀƳȂƫ ƮȈººƷǺǷ ƨǻǃơȂƬǷŚǣ �ǖŶ ȄǴǟ ƽƢººǬƬǻȏơ ǺǷ ƨǨǴƬűȏƢǰºNjƗƨǬȈǬƷdžǰǠƫ ȏ ��ȆǴȈƟơǂLJȍơ ƤǻƢŪơ ǺǟDžƢLJȋƢƥ ǁƾǏ ƾǬǻ�ȆLJƢȈLjdzơ��řȈǘºLjǴǨdzơƤǻ ƢŪơ ǺǟDžƢºLJȋƢƥ ǁƾǏ ƾǬǻ� DZȐƬƷȏơȁ ǝơǂǐdzơǦǼǟơǀǿ DzǛĿ ƨǻǃơȂƬǷ ƨǴĐơ ǁƾǐƫ ǹƗ ǹƢǰŠƤǠǐdzơ ǺǷ ǹƢǯ ǾǻơƨººǬ ȈǬūơȁǹƗ śȈǼȈǘºLjǴǨǴdz ƨƦLjǼdzƢƥƤǠǐdzơ ǺǷ �ƨ ȈƷƢǻ ǺǷ �ǹǃơȂƬdzơ ʼnƾǟ ǞǓȂdzơƢǷƢǟśǠºƥǁƗ DzǸŹ ǩƢȈºLJĿśȈǴȈƟơǂLJȍơ ǞǷ ǁơȂūơ ȄǴǟśǐȇǂƷ ơȂǻȂǰȇƾƟƢºLjdzơ ǖƦƄơ ǞǓȂdzơ ǹƜǧ ǵƢǟ Dzǰnjƥȁ�ǵȂ ȇ DzǯĿƢǠǸǫ ƽơƽDŽȇDZȐƬƷơ ǺǷśºƥ ƢǸȈǧ ŕºƷȁƨȈǼȈǘLjǴǨdzơ ƨȈǴȈƟơǂLJȍơ ƩƢǫȐǠǴdz ǞLJȁȋơǩƢȈLjdzơĿDzưǷơƽȂȀƳ DzǠŸ�ȆǓƢŭơ ǵƢǠdzơ DZȐƻ ƨǏƢƻ �ǶȀºLjǨǻƗ śȈǼȈǘºLjǴǨdzơơƿƛ ƢǸǟ DZƙƢLjƬǴdzƔǂŭ ơ Ǟǧƾȇ ǂǷƗ Ǿǻƛ ��ǖȈƄơĿ ƨǘǬǻ� ƢĔƘǯȁ ȁƾƦƫ �ǁȂLjƳ�DzưǷĿ �ƨǴȈǴǫƪǻƢǯ ǹơȁŕƷ �ƽ ǁơȂŭơȁ ƨǫƢǘdzơ ǁƢǸưƬLJơ ǪƸƬLjȇ ǂǷȋơ ǹƢǯǹƗ ǺǰŻǦǴƬűƔȆºNjǺǟ ƮƸƦdzơ ǂưǯƗǶƟȐŭơ ǺǷ ǹƢǯ ơƿƛ ǵƗ �ƩơǁƽƢ Ʀŭơ ǮǴƫǕȂǘşǙƢǨƬººººƷȏơ ǹƜǧ Ǯdzƿ ǞǷȁ �ȄºººǬƦȇ DZƙƢºººLjƬdzơ �ơŚƯƘƫ ǂưǯƗ ǹȂǰȇȅȋ ƨººƦLjǼdzƢƥ ƢȇǁȁǂǓ ơǂǷƗ ȄººǬ ƦȇśǠǸƬĐơ Ȑǯ śºƥ ƨ ºƷȂƬǨǷDzǏơȂƬdzơȄǴǟ �Ǯdzƿ Ŀ ǁȂºLjƳ ƨǴůƪŷƢºLJ ƾºǫȁ ǵȐºLjǴdz ƨȈǴºƦǬƬLjǷ ǖǘƻƩȏƢůǦǴƬűĿ ƨǯǂƬºººnjǷ ƩƢǟȂǸů ƪǻȂǰƫ ƾºººǬdz DZƢưŭơ DzȈººƦLJȃǂƻƗƩƢǟƢǘºǫȁƨȇƾǠŭơǑơǂǷȋơȁ ƨǫƢǟȍơȁǒȇǂǸƬdzơ ǮdzƿĿƢŠ ƨƸǐdzơǮǴƫ ŐƬǠȇ ȏ ƾºǫǒǠºƦdzơ ǹƗǺǷ Ƕǣǂdzơ ȄǴǟȁ �ƧDŽǣĿƨºƸǐdzƢƥ ƨǴǏ Ʃơƿ

�ǁơǂǸƬLJȏơǪƸƬLjȇ ǃƢųƛǾǻ ƛ ȏƛ ƨǸȈǜǟ ƩơǃƢųƛ

�ƢǸƟơƽ ǺǰŲ ǹƢLjǻȍơ ǩȂǬƷ Ǻǟ ǝƢǧƾdzơƨǴƬƄơ ƨȈǼȈǘLjǴǨdzơ ǪǗƢǼŭơ Ŀ ƧǂǏƢǼŭơȁ ƧƾƸƬŭơ ǶǷȋơ

ŖǼȈǻƢǷ ȂȈƳȁŐǷƗ�ƽ

�ǹơǂȇƛ ǹơǂȀǗ Ŀ ƨȈŭƢǠdzơ ƨƸǐdzơ ƨǸǜǼǷ DzưŲ [email protected]

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which should have been opening be tween the two sides. Fouryears later, the bi-month ly public health magazine in itiativereceived different criticisms: not well-balanced in its politicalorienta tion (crit icism raised mainly by Israe li side) and notreflect ing the reality of the violen t conflict and occupation(critici sm mainly raisedby Palestinian side). Actually it has beenquite difficult to be balanced in such an extremely asymmetricsituation. On the one side, i t is difficu lt for the Palestinian peopleto be keen on dialogue with Israelis in a context of 40 years ofoccupa tion that is becoming ever more oppressive with eachpassing day. In general, the discouraging situation found withinthe broad context of Israelis-Palestinian re lations and evenamongst Palestin ians themselves, particularly during the pastyear, makes efforts suchas "bridges" appear to be a mere 'drop inthe ocean'. It makes one wonder whether it is wor thwhileinvesting energy and funds, albeit of a small quantity, in to suchkinds of initiatives or alte rnatively, whether it would be moreappropriate to try to identify someth ing different that might bemore effective. The doubt remains. However, keepingopen linesof communication between the twocommunities is indispensableto any future plan of peacemaking and bridgeshas contributedtowards this. For instance , joint groups have been established indifferent sectors of hea lth, including nursing, disabilities,communicable d iseases, and otherhealth-related sectors in Gaza.Although these achievements may not be cons idered by some asfabulous, they are nevertheless something that perhaps deservesto continue.

�Humanitarian action is not only about physicaldelivery of assistance - but also about promoting and ensuringrespect for human rights and universal humanitarian norms.Humanitarian advocacy should therefore be seen as an essentialelement of humanitarian action." "..Prioriry areas the missionidentified were improved outreach to local and internationalmedia and civil society in Israel and the oPt as well as other keyMember States. Strategic advocacy on humanitarian issuestowards local and international policy makers should a lso beimproved. Joint policy positions based on factual and impartialanalysis and consistent messages tailored to specific targetaudiences should form the basis of these efforts.""The UN mission believes that humanitarian advocacy, if usedstrategically, can help reinforce efforts by UN and its partners inother areas, including in the political and economic fields . Manyof the objectives pursued in these areas are identical to the keyaims of humanita rian advocacy, including the lifting of c losuresand cur few, therevitalization of thePalestinian economy, supportto the PA and preventing a further descent into desperation andradicalization."In spite of what was saidand written during the last years why theadvocacy of UN has beenso weak?

The experience is unique. It is the first time that a magazinebetween Israeli and Palestinian people is produced. It has beenvery promising for the potential perspective of collaboration

Promoting Dialogue is Always Feasible?TheExperience of Bridges Magazine

Dr.Ambrogio Manenti *

Promoting Human Rights is Always Feasible?UN and Advocacy in the OPT

[email protected]* WHO Representative Iran, Tehran /

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37Siege and MentalH ealth�W alls vs. Bridges

�ƮºƸƦdzơ ƨǷƾºǬŭǎƼǴǷ

�Ʈ ººƸƦdzơ ǺǷ ǥƾŮơ

�ƮƸƦdzơƲȀǼǷ

�DzȈǴºƸƬdzơ

�ƲƟƢƬǼdzơ

džǴĐơ ƩƢººƥƢƼƬǻơ ƾǠºƥ ƧDŽǣǁƢǐºƷ ƗƾºƦȇ ŃǺǰȇŃ ǃȂǨdzơǮdzƿ ǹƛ �DžƢŧǾººƥ ƩǃƢǧȅǀdzơřȈǘººLjǴǨdzơ ȆǠȇǂººnjƬdzơřǗȂdzơ ǩƢȈºººLjdzơ ǮȈǰǨƫ ƨººLJƢȈLJĿ ǁơǂǸƬººLJȐdz ŅƢưŭơǁŐŭơ ȃȂººLJǥƾŮơ ǹƢǯ ƢŭƢǗȅǀdzơ ǮȈǰǨƬdzơ Ǯdzƿ ��śǘºLjǴǧĿ ňƾŭơȁ ȆǟƢǸƬƳȏơȁǽƾȀnjǻ ƢǷ ǹƛ �śǘLjǴǧ ǽƢš ƨȈǴȈƟơǂLJȍơ ƩƢLJƢȈLjǴdz ȃƾŭơ DzȇȂǗ džȈƟǂdzơĿ ǥƾȀƬºººLjƫƣǂººƷ ��ȏȁƗ ƧDŽǣ Ŀ�śǘººLjǴǧ ƾǓ ƣǂūơ Ƨȁǁƿ Ȃǿ ǵȂȈdzơ

�Ƣēơƿ ƨǷȋơƩȂǷ ƨȇƢȀǼdzơǞǧơȁƾdzơ Ǧºººnjǯ �� �ƨºººǫǁȂdzơ ǽǀǿ ǥƾȀƬºººLjƫƣƢǏƗ ȅǀdzơ ǁǂǔdzơ ƾȇƾŢ �� �ƧDŽǣ Ŀ DzȈƟơǂºLJƛ ƩƢºLJƢȈLJ ƔơǁȁƨȈºLJƢLJȋơƨdzȂƠLjǷ ƩơƔơǂƳƜƥ ƨȈǏȂƬdzơ �� ȁ �ǵȂȈdzơƧDŽǣ ĿȆLJƢȈLjdzơȆǟȂdzơȁ ƨǧƢǬưdzơƨdzȁƾdzơ ǺǷ ƨǷȂǟƾŭơ ǶƟơǂŪơ ǺǷ ƨȈƟƢĔȏ ƨǴºLjǴLJǾǻơ ǹȁƾȇ Ƣŭ ƾƷ ǞǓȂdz

�ƢǿƔƢǨ ǴƷȁDzȈƟơǂLJ ƛDzƦǫǺǷ ƨǬƦǘŭơȁƨȈƟƢǐºƷƛȁ ƨȈǐƼºNj ƨdzƽƗȄ Ǵǟ ƨºǫǁȂdzơ ƾǸƬǠƫǥȂºLJ

�ƮƸƦdzơ ơǀǿǑǂǤdz ƢȀǠȈǸšĻ Ƣđ ǩȂƯȂǷȁ ƧǂǏƢǠǷ ƨȈǬȈƯȂƫȁǹƗ ȏƛȄǔǷƾººǬǟ ŅơȂººƷǀǼǷ ƩƗƾºƥƧDŽǣ ȄǴǟ ƣǂūơ ǹƗǶǣǁƨǯǂƸǴdz DzǷƢǰdzơ ǾƦNj ŚǷƾƬdzƢƥ ǖǬǧdžȈdz ƞƦǼȇ ƧDŽǣ ǝƢǘǬdzŅƢūơ ǁƢǐūơȆǟƢǸƬƳơȁ ȆººLjǨǻ � ȆǟƢŦǁƢȈĔƢºƥƢǔ ȇƗ ƢŶƛȁ ƨȈǼȈǘºLjǴǨdzơ ƨȈǼǗȂdzơƢǷ Ɣơǁȁ DzȈƟơǂºLJƛ Ǟǧơȁƽǭǁƾǻ ǹƗ ńƛ ƨƳƢŞ ǺŴ �ĿƢǬưdzơȁ ȆǐƼnjdzơȆǟȂǴdzǾǴǸǯƘº ºƥ ǞǸƬůDzƬººǫ ��ƨȈǟƢǸƬƳȏơƧƽƢº ºƥȍơ� ǶºLJơ ǾȈǴǟ ǪǴǘȇ ǹƗƤŸƢǼǸȀǧ ǹƛ �ƨȈººLjǨǻȁ ƨȈǟƢǸƬƳơȁ ƨȇƽƢǐƬºǫơȁ ƨȇǂǰºLjǟ ƩơȁƽƗ ƨǘºLJơȂƥǁǂǔdzơ ƵȐǏƛƩȏȁƢŰ ĿƗƾºƦǻ ǹƗ DzºƦǫ ȅ ǁȁǂǓǕǂºNj Ȃǿ Ǟǧơȁƾ dzơ DzǰƬdzDZȂƷȅƾĐơ ŚǣȁDZȂƠLjŭơ ŚǣDZơƾŪơ Ǯdzƿ Śǣ ȃǂƻƗ ǁȂǷƗ ȄǴǟ DŽȈǯǂƬdzƢƥ Ǯdzƿȁ

�ƨȈźǁƢƬdzơśǘLjǴǧǑǁƗ ȄǴǟśƬdzȁƽ ȁƗ ƧƾƷơȁ ƨdzȁƽĿDzūơ ǹƢǯ ơƿƛ ƢǷǵȂººǫƗ ǥȂºLJ ƮȈºƷ ƨºǫǁȂdzơŔǷĿ ȆưŞ ƲƟƢƬǼdz ǑǂǟƗǥȂºLJƩƢƳƢƬǼƬºººLJȏơ �ƨȈƟƢȀǼdzơ ƩƢǜººƷȐŭơ Ŀ ƢȀǐȈƼǴƫ ƧƽƢǟƛ ĽƢȀǴȈǴººƸƬƥƨȈǻȂǻƢǬdzơȁ ƨȈǫȐƻȋ ơƲƟƢƬǼdzơ Ȅ Ǵǟ ƨǫǁȂdzơ ƨǏȐƻƾǼƬLjƫ ǥȂLJ �ƨȈǷƢƬŬơǹȂǻƢººǬdzơȁ Ņȁƾdzơ ǹȂǻƢººǬdzơ ǞǷ ǩƢººLjƫơ Ŀ ǪȈƯȂƬǴdz ƨǴººƥƢǬdzơ ƨȈŻƽƢǯȋơȁ

Ņȁƾdzơ ňƢLjǻȍơ

Summarized Introduction:

Aims:

Methodology:

Result Section:

Concluding Remarks:

The Siege of Gaza did not begin afterthe January 2006 PLC elec tion victory of Hamas. That victorywas no more than a perfect pretext to continue thedismemberment of nationa l, social and civic Palestine - long amajor goal of Israel's Palestinian policies. What we are seeingtoday is the culmination of a war against Palestine (first Gaza) inwhich the deathof the nation is theultimate goal.

The aim of this paper are 1) to uncover the principalmotives behind Israel's Gazan policies; 2) to determine thedamage done to Gazan cultural and politica l consciousnesstoday; and 3) to recommend responsib le ways of puttingan end tothe seemingly endless state -sponsored crimes used and justifiedby Israe l and its al lies.

I will rely on the most current and reliablepersonal, statistical and documentary evidence available for thisproject.Analys is: Despite the fact that the war on Gaza began well over adecade ago, it is under the current siege of the Gaza Strip that weare faced not only with the near total destruction of the PalestinianNational Movement but also with a collective or psycho-socialbreakdown of personal and cultural consciousness. We need tounderstand Israel's underlying motives for what shouldrightly betermed 'sociocide:' the murder of an entire society by military,economic, social and psychological means. Only when weunderstand these motives can we attempt to repair the damage byfocusing on something other than irresponsible debates such asthatwhich rages over whether there should be one-state or two inthe area of historic Palestine .

The results of my research will be containedwithin the body of my paper, analyzed and then re-summarizedwith the concluding remarks.

My conclusions will be based on moral,legal and scholarly/documental f indings consistent withinternational law and internationalhumanitarian law.

Targets of the Siege:Eroding Civil Society and National Identity

Ms. Jennifer G. Loewenstein *

�ǁƢǐūơ ǥơƾǿƗƨȈǼǗȂdzơ ƨȇȂŮơȁ ňƾŭơ ǞǸƬĐơ ǮȈǰǨƫ

ǺȇƢƬnjǼȇȂdz ǂǨȈǼƳ

*Associate Director, Middle East Studies Program; University of Wisconsin USA / [email protected]

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ƨȈźǁƢƫ Ƨǂǜǻ ƮƸƦŭơ ơǀǿĿNJǫƢǼǼLJ �ƧDŽǣ ǝƢǘǬdzňȂǻƢǬdzơ ǞǓȂdzơNJºǫƢǼǼLJ ƢǸǯ���� ǵƢǟ ǀǼǷ ƢđǂǷŖdzơ ƨȈLJƢȈLjdzơ DzƷơǂŭơȁ ƧDŽǣ ǝƢǘǬdz ƨǷƢǟDzȈƟơǂLJƛ ƨȈdzȁƚLjǷ ȁƧDŽǣ ǝƢǘǫȄǴǟňƢLjǻȍơŅȁƾdzơ ǹȂǻƢǬdz ơƾǟơȂǫ ǩƢƦǘǻơȃƾǷ

�ƨȈǻƢLjǻƛ ȁƨȈǻƾǷȁƨȈǻȂǻƢǫ ƨȈdzȁƚLjǷDZȐƬƷơ ƧȂǬǯȄǴǟƾȈǯƘƬdzơ �DZȐƬºƷȏơ ƨǨǏǖǬLjȇȏ ���� ǵƢǟ ƧDŽǣ ǝƢǘǫǺǷ ǁƢnjƬǻȏơ ƧƽƢǟƛƨǧƢǯ ȁ ȂŪơ ȁǂƸƦdzơ ȁ Ődzơ ȄǴǟDzȈƟơǂLJƛ ƧǂǘȈLJƤƦLjƥȐƬŰ DZơDŽȇȏ ƧDŽǣǝƢǘǫǹƗƔƢĔƛřǠȇȏ �ƾººƷơȁǥ ǂǗǺǷȁ ƽǂǨǼŭơ ȆǴȈƟơǂºLJȍơ ƣƢºƸLjǻȏơ ǹƛƮȈºƷ�ǂƥƢǠŭơǩƢºƦǘǻơ ȆǤǴȇ ȏȁ �ƢȀǼǷ ƤºƸLjǼŭơ ƨȈǼȈǘºLjǴǨdzơ ȆǓơǁȋ ơǺǟDZȐƬºƷȏơ ƨdzƢºƷ

ƢȀȈǴǟȅƢǿȏȁǦȈǼ ȈƳƩƢȈǫƢǨƫơ ǪȈƦǘƫȁơǀǿĿNJǫƢǼǼLJ �Ņȁƾdzơ ǹȂǻƢǬdzơĿƨȇƽƢǠǷƨǬǘǼǸǯ ƧDŽǣ ǝƢǘǫ ǹȐǟƛ ƩƢȈǟơƾƫǮdzƿƩƢȈǟơƾƫ ȁ ƨȇƽƢǠǷ ƨºǬǘǼǸǯ ƧDŽǣǝƢǘºǫ ǹȐǟƛǺǷDzȈƟơǂLJƛǥơƾǿƗƤǴǘŭơ

�Ņȁƾdz ơǹȂǻƢǬdzơ ǪǧȁǹȐǟȍơƨȈƟƢǼŪơȁ ƨȈǻƾŭơ ƨȈdzȁƾdzơ ƨȈdzȂƠLjŭơ ƢǼȈƥ ǹƗƾǠƥ �ƨȈǻƢLjǻȍơ ƾǓƨŻǂƳ ƧDŽǣ ǁƢǐƷƮȈººƷǺǷƨȈdzȁƾdzơǶƟơǂŪơƨººLJơǁƾdzơ ǺǷ ƔDŽŪơ ơǀǿĿśººƦǻ �Ņȁƾdzơ ǹȂǻƢººǬdzơĿǵƢǜǼdzơ ǺǷ ƨºLjǷƢŬơ ƧƽƢŭơĿ Ƨƽǁơȁ ƨȈdzȁƾdzơ ǶƟơǂŪơȁ �ǹƢǯǁȋơȁ ǹȂǸǔŭơȁ ǵȂȀǨŭơƧƽƢƥȍơ ƨŻǂƳȆǿȁ �ǂǐūơ DzȈƦLJȆǴǟȆǿȁ ƨȈdzȁƾdzơ ƨȈƟƢǼŪơ ƨǸǰƸǸǴdzȆLJƢLJȋơƨŻǂƳDzǯśºƦǻȁ �ǹơȁƾǠdzơ ƨŻǂƳȁ ƣǂūơ ǶƟơǂƳȁ ƨȈǻƢºLjǻȍơ ƾǓǶƟơǂŪơȁ ƨȈǟƢǸŪơ

ƧDŽǣ ǝƢǘǫĿDzȈƟơǂLJơ ƢȀƦǰƫǂƫƨŻǂƳDzǯ ƩƢǬȈƦǘƫ ȁƧƾƷȆǴǟǁƢǐūơƤǴǘŭơ ơǀǿĿNJººººǫƢǼǼLJ �ƧDŽǣ ǝƢǘººººǫ ǁƢǐūňȂǻƢºººǬdzơǦȈȈǰƬdzơƨȈƥǂūơDZƢǸǟȋơ ǺǷȐǸǟ ǁƢǐūơ ŐƬǠȇƮȈƷ ƧDŽǣǝƢǘǫȄǴǟǑȁǂǨŭơ ȆǴȈƟơǂLJȍơƨťȁ�ǁƢǐūơDZƢǸǟƗ ƢȀǼǷȁ ƣǂūơ ǹȂǻƢºǫ ���� ǵƢǠǴdz ȅƢǿȏ ƨȈºǫƢǨƫơƪǸǜǻƾºǫȁ�ȄǴǟ ƢȀºǫƢƦǘǻơ ȃƾǷȁ DzȈǐǨƬdzƢƥ ƢŮȁƢǼƬǻǥȂLJǕȁǂnjdzơ ǽǀǿ ƢŮƨǠƥǁƗ ǕȁǂNj

�ƧDŽǣǝƢǘǫ ȄǴǟǑȁǂǨŭơ ǁƢǐūơŅȁƾdzơ ǹȂǻƢǬǴdz ƢǬǧȁ ƧDŽǣ ǝƢǘǫĿ ƨƦǰƫǂŭơ ƨȈǴȈƟơǂLJȍơ ǶƟơǂŪơǦȈȈǰƫ DZȁƢƸǼLJƢȀŷƗ ȁŅȁƾdzơ ňȂǻƢǬdz ơ ƤLjƷDzǰNjDzǯǦȈȈǰƫ ȁ ǁƢǐūơ DZƢǰNjƗƨǧƢǯƵǂNjȁȆǴǟŃƢǛ ǁƢǐººƷǑǂǨººƥȆǴȈƟơǂººLJȍơDZȐƬºƷȏơ ƩơȂºǫ ǵȂºǬƫ ǁƢǐūơ ƨŻǂƳDZȂƻƽǞǼŤȁ ǂººƥƢǠŭơȆǴǟ ƨǟȁǂººnjŭơ ŚǤdzơ ƧǂǘȈººLjdzƢƥ ƨȈǼȈǘººLjǴǨdzơȆǓơǁȋơƨȈǼǷƗȃȁƢǟƽȁ ǶǟơDŽǷ ƪŢŅȁƾdzơ ǹȂǻƢºǬdzơǦdzƢź ƢŲ ǶŮƨȈǻƢºLjǻȍơ ƩơƾǟƢºLjŭơǵ����ǵƢǠdzDZȁȋơĿƢǓȍơ DZȂǯȂƫȁŐdzơ ǺǷ �� ������ƧƽƢŭơ ƪǐǻ ƾºººǬǧ �ƨǨȇDŽǷǵơƾƼƬLJơ ǹƛ ƢǸǯƣǂūơ ƤȈdzƢLJƗ ǺǷƣȂǴLJƘǯśȈǻƾŭơ ǹƢǰLjdzơ ǞȇȂš ǂǜƷȆǴǟȏŖdzơ ƽơȂŭơǺǷǶĔƢǷǂºƷ ǪȇǂǗǺǟƣǂūơƤȈdzƢºLJƗ ǺǷƣȂǴLJƘǯśȈǻƾŭơ ǞȇȂšŐƬǠȇ �ƾǸǠƬǷDzǰºnjƥ ƨƯƢǣȍơ ƽơȂǷ DZȂǏȁƨǫƢǟƛǮdzƿĿ ƢŠ �ǶȀƟƢǬƦdz ƢȀǼǟŘǣƨǸǰººƸǸǴdzȆººLJƢLJȋơ ǵƢǜǼdzơǺǷ �[[Y�ƣ����� ƧƽƢǸǴdz ƢººǬƦǗƣǂºƷƨŻǂƳ

�ƨȈdzȁƾdzơƨȈƟƢǼŪơƨȈǟƢŦƧƽƢƥƛƨŻǂƳ ƧDŽǣ ǁƢǐƷ ǁƢƦƬǟơ ƨȈǻƢǰǷƛ DzȈǴƸƬdzơ ȁ ƵǂnjdzƢƥ DZȁƢǼƬǼLJ ƢǸǯ ȁǮdzƿ ȁ ����ƨǼºLjdz ƢȀȈǴǟ ƨºƦǫƢǠŭơ ȁƨȈǟƢǸŪơƧƽƢºƥȍơ ƨŻǂƳ ǞǼǷƨȈǫƢǨƫơƤLjƷ

��Ʊ�ƧǂǬǨdzơƨȈǻƢưdzơ ƧƽƢŭơ ƤLjƷ

This paper will discuss the origin and development ofcivil and crimina l internat ional responsibility in internationallaw. It will address the implementation of internationalhumanitarian law in the Gaza Strip and the legal, civ il andhumanitarian responsibility of Israel as an occupation force. Thewithdrawal from Gaza in 2005 doesn't annul the status ofoccupa tion. Gaza is still under occupation in view of the Israelicontrol over all passages and crossing points. The solitary andunilateral withdrawal of Israel does not mean an end of theoccupation of those Palestinian territories from which itwithdrew and does not cancel the relevance of the Geneva andHague conventions in the Gaza contex t. There will be discussionof the objectives of Israel in declaring the Gaza Strip a hostileterritory and the implications thereof according to internationallaw. After highlighting the civil and criminal responsibility ininternational law, the paper will clarify the concept, cornerstonesand content of international crimes, which have been mentionedin Article 5 of the bylawsof the interna tionalcriminal court. Suchcrimes exclusive ly include genocide, crimes against humanity,war crimes and the crime of aggression. We shall explain eachcrime and explain how it is being committed by Israel in the GazaStrip, including the Israeli siege of Gaza, where the siege isconsidered a military act. We will address the crime of siegeimposed by the Israeli occupation forces on Gaza, the illegalcontrol of crossings, the denial of entry of humanitarian aid inviolation of international law and under false security pretexts.Articles 54/1/2 of the firs t complementary protocol of 1977prohibit the starvation of c ivilian population as a tool of war,including the deliberate block of entry of relief material, which isconsidered a crime of war according to provision 28/b/xxv of thestatutes of the ICC. We shall discuss and demonstrate thepossibility of considering the siege of Gaza a crime of genocideaccording to the convention against genocide and collectivepunishment issued in 1951, article 2, section c. Additionally, wewill address the available legal measures of international law toprosecute those responsible for committing those crimes in Gaza.We shall also discuss the responsibilities of internationalorganizations,especially the UN, in holding Israel internationallyresponsible.

ƨȈdzȁƚLjŭơ śƥ ƧDŽǣ ǁƢǐƷDzȈƟơǂLJȍ ƨȈǻƾŭơ ȁ ƨȈǻȂǻƢǬdzơ

ǾǗ ȂƥƗ ȅǃȂǧ ƔȐǟ

The Siege of Gaza between the Legaland Civil Responsibility of Israel

Alaa F awzi Abu Tah a*

�ňȁǂƬǰdzȏơ ƾȇŐdzơ ƧDŽǣ � ƨȈdzȁƾ dzơ ƩƢǫ ȐǠdzơ ȁ Ņȁƾ dzơ ǹȂǻ ƢǬdzƢƥ ǎƬű ƮƷƢƥ �ǾǗ ȂƥƗ ȅ ǃȂǧ ƔȐ ǟ alhtaha2 [email protected]

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ƢǸǯǦǼǠǴdz ȐººƦǬƫȁ Ƣǧǂǘƫ DZƢȈƳȋơ ǂưǯƗ ǺǷ ƨȈǻƢưdzơ ƨǓƢǨƬǻȏơ DzȈƳ ƾǠȇǹƗ ƧƾººƸƬŭơ ǶǷȋơ ƩƽƢǧƗ ƢǸǯ �ƨǜºƸǴdzơ ǽǀǿ ŕºƷ ƢºLJƘȇ ǂưǯȋơ ǶĔƗĿ ǥƽƢǐȇŃ Dzǰºnjƥ DžƘȈdzơ ȁ ǹơƾºǬǨdzơ ǂǟƢnjǷǹȁƾƦȇ śǘLjǴǧ DZƢǨǗƗ

�ǂƻƗ ǹƢǰǷ ȅƗƧǂǸƬLjŭơƩƢǯƢȀƬǻȏơ ȆǴǟƔȂǔdzơǖȈǴLjƫ ńƛ ƨǫǁȂdzơơ ǽǀǿ Ɣơǁȁ ǺǷ ǥƾǿƗĿ śȈǼȈǘºLjǴǨdzơ DZƢǨǗȋơ ƢŮ ǑǂǠƬȇŖdzơ ǮǴƫƨǏƢƻ ǹƢLjǻȍ ơ ǩȂǬūȅǁǀƳ DzǰººnjƥȁǪǸǠºƥ ǂƯƚƫ ǽǀǿ ŚǷƾƬdzơȁ ǦǼǠdzơ DZƢǸǟƗ ǹȋǁƢǐūơDzǛƨȈdzȁƾdzơ ǪȈƯơȂŭơȁ Ƨƾ ºƸƬŭơ ǶǷȋơ DzǸǟĿƩǂǜǻ ƾºǬdz�DzǨǘdzơǭȂǴLJ ȆǴǟƨǧƢǓƛ ŅȁƾdzơňƢLjǻȍơ ǹȂǻƢǬdzơȁ DzǨǘdzơ ǩȂǬƷ ƨȈǫƢǨƫơȁ ǹƢLjǻȍơ ǩȂǬūƽơȂŭơ ǺǷ ƢǿŚǣȁ ƤƬǰdzơȁ ǂȇǁƢººǬƬdzơȁ ƩȏƢººǬŭơ ŅƛƪǠǴǘƫ ƾºǬǧ Ǯdzƿ ŅƛƨȈǷȂǰºƷ ŚǤdzơƩƢǸǜǼŭơȁśȈǼȀŭơȁśȈŻƽƢǯȋơȁ ƔơŐŬơ DzºƦǫ ǺǷ ƧǁȂnjǼŭơȆǓơǁȋơĿ ǞǓȂdzơ ǹƢºººººnjƥ śǐƬƼŭơ ǞǷ ƩȐººººƥƢǬǷ ƪȇǂƳƗ ƾººººǫȁƨºnjǸȀǷ ƢǫȂǬƷ DZƢǨǗȌdzǹƗ ƨǬȈǬƷńƛ ƪǴǏȂƫȁ �ƨǴƬƄơ ƨȈǼȈǘLjǴǨdzơƨºƸǏ ȆǴǟ ƢƦǴLJ ǂƯȂȇ ǮdzƿǹƢǧ ǩȂǬūơ ǽǀǿ ǵǂƬŢȏ ƢǷƾǼǟȁƢȀǴǿƢš ǶƬȇĿNJȈǠdzơ ǹƛ ƢǸǯ �ƧDŽǤººƥ DZƢūơ Ȃǿ ƢǸǯƨǤdzƢºƥ ƨƳǁƾdz ƨȈºLjǨǼdzơ DZ ƢǨǗȋơǶĔƗƮȈºººƷ DZƢǨǗȌdz ǭƢºººƥǁȍơ ǺǷ Śưǰdzơ ƤººƦLjȇ DzǏơȂƬǷ ǦǼǟDzǛƨȇƢŧƽȂƳȁ ǵƾǟ ǹƛ �ǾȈǟơȁƽ ǹȂǸȀǨȇȏǂƫȂƫ ǦºººººǬLJ ƪŢǹȂººººnjȈǠȇ�ǭƢƥǁȍơ ǺǷ ƾȇDŽŭơ ǪǴź ǽǁȁƾƥ ȅǀdzơȁ ǦǼǠǴdz ȏȂƦǫǭƢǼǿǹƛřǠȇ DZ ƢǨǗȌdz

Ǯºnjdzơ ǺǷ ŚºƦǯ ǁƾ ºǬƥ DŽȈǸƬƫ ƨƠȈºƥ ĿǹȂǸǼȇ Ǻȇǀdzơ DZ ƢǨǗȋơǹƛśƦƫ ƾǬdzǹơȁƾǠdzƢºƥ ƢǗơǂǧƛ ȁƗ ƨȈǻơȁƾǟ ǂưǯƗ ǹȂƸƦǐȇ ǶĔƜǧ ƧDŽǣ DzưǷśǬȈdzơ ǵƾǟȁƨȈǴǸǟ ƨȈŷƘººƥ ǂºǬǻ ǹƛ ƢǼdz ƾºƥȏ ǩƢȈºLjdzơ džǨǻĿȁ �ƨǟƢǘdzơĿ ǹƢǟƿƛ ȁƗǃDŽǠƫȁ ǂǿƢºƥ DzºƦǬƬLjǷĿ ǶŮ DzǷƗǎȈǐºƥƞǔƬLJ ƢĔƛƮȈƷ ǵȐLjdzơDZƢǨǗƗ ƨ ȈǿƢǧǁȁƨǷơǂǯ ȆǴǟǙƢǨºƸǴdz �NJȈǠdzơ ǪƸLjƫ ƧƢȈūơ ǹƛ ǶǿƽƢǬƬǟơȆǟȁǪǴƻȁ ǂȇǂŭơǶȀǠºººǫơȂƥǥơǂƬǟȐdzƨººLJƢǷ ƨƳƢººƷǭƢǼǿśǘººLjǴǧ

�ǂnjƦdzơ ǺǷ ǶǿŚǤǯǶȀǫȂǬƷ ǽƢšơ DzǷƢǰƬǷ

The Palestinian children of the 2nd Intifada areconsidered to be the generation that is the most radical, the mostaccepting of violence and the most despairing so far. The UnitedNations has repor ted that the Palestinian children exhibit a senseof loss and a feeling of hopelessness that has not beenencountered elsewhere. My aim is to highlight the constanthuman rights violations the Palestinian children are subjected tounder the siege because the violence and destruction create deep-seated psychological consequences that deeply affect thebehaviour of the children in fundamental ways. I examine thework of the United Nations, in ternationa l human rightsinstruments, the Convention on the Rights of the Child, andinternational humanitarian law. Articles, reports , booksand otherpublished material by experts, academics, professiona ls andNGOS are examined, and I interview professionals about the oPt.Thefac t that children have r ights is not well understood, and it isbeing ignored that when those rights are not respected th is cancause mental health problems for the children in an extremesituation as under a siege. To live with constant violence leads tomuch confusion for children since they live with a confusion theymight not understand. The lack of protection for childrenindicates that there is an acceptance of the violence which alsocreates confusion . It has been shown that children growing upwith so much uncertainty as in Gaza become aggressive,extremely disobedient or compliant. In this context thevalue of apeace processneeds to be recognized, because it has been shownthat it g ives children hope for the future and reinforces their beliefthat life is worth living. To safeguard the dignity and well-beingof the Palestinian children, there is an urgent need toacknowledge their reality and create awareness of their humanrights.

Children Under Siege

Dr. An n-Cha rlotte Nilsson *

ǁƢǐūơ ƪŢ DZƢǨǗȋơƩȂdzǁƢnjƫ ǹƕ �ƽ

*Independent Researcher Sweden / [email protected]

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ǶǷȋơ ǶºLJƢƥǍƢŬơ ƭƾºƸƬŭơ ƽǁƢƳȁƽ ǹȂƳ ǁǀºƷ ���� ǂȇƢǼȇĿǹƢººLjǻȍơ ǩȂººǬƷ ȂŴ ƢȈºǬȈǬƷ ƢǷơDŽƬdzơ� ƣǂǤdzơ ȅƾºƦȇ Ń ƢǷ ǾǻƘºƥ ƧƾºƸƬŭơƨȈŭƢǠdzơ ǹƢººLjǻȍơ ǩȂºǬƷ ƨǯǂºƷ ǹƜǧ ��řȈǘºLjǴǨdzơƤǠºnjdzƢƥ ƨǏƢŬơȃȂºǫƗ ǹƗ ȄǴǟǦǴƬŵ ȏ ƾºǫ ��ǂǘŬƢƥ ƨǗƢŰȁ ƧƽƾȀǷ ǹȂǰƫǥȂLJ� ƢȀƬǷǂƥƧDŽǣĿ DzưǸƬƫ ǵȂȈdzơ ǹƢºººººººLjǻȍơ ǩȂººººººǬƷ ƨǯǂū ƨǻƢȈŬơǽǀŮ ǺȇDŽǷǁǩƢȈºLJ Ŀ ƧDŽǣ ǁƢǐºƷ ǞǓȁńƛ ƨºǫǁȂdzơ ǽǀǿ ȄǠºLjƫ ǥȂºLJ �ȂǷƢ ǻƢƬǻơȂƳȁĿ ƢȀƬǷǂºƥ ǹƢLjǻȍơ ǩȂǬƷƨǯǂƷ ƪǠǓȁŖdzơ ŐǸƬƦLJ �� ƾǠƥ ƢǷ ƨǴƷǂǷƩƢººƥƢƼƬǻơ ǽƢšơĿ ƨȈǰȇǂǷȋơ ƧƾºƸƬŭơƩƢȇȏȂdzơƪǠǧƽ ƧDŽǣ Ŀ�ǂǘƻǞǓȁƣƢºǬǠdzơ ǞȈºǫȂƫĿ ƨȈǴȈƟơǂºLJȍơ ƨºLJƢȈLjdzơ Ƕǟƾºƥ ƪǷƢºǫ ĽƨȈǗơǂºǬŻƽ

�ǁƢȈƬƻȏơ ơȂǼLjŹŃ ǶĔȂǰdzǹƢǰLjdzơ DzǸůȄǴǟ ȆǟƢǸŪơǁƢƦƬƻȏ DzǸǠǷȏƛ Ȃǿ ƢǷ ȂǷƢǻƢƬǻơȂƳ ǹƜǧǁƢǐūơ ƪŢƧDŽǣ ĿDZƢūơ Ȃǿ ƢǸǴưǷ�ǵƢƬdzơ ǝȂǔŬơǑǂǧȁ ƨȈǻƢºLjǻȍơ Ƨƽơǁȍơ ǂLjǰdz ƨǸǸǐŭơ ƩƢȈǼǬƬdzơ ƭƾƷƗǩȂººǬƷ ƩƢǯƢȀƬǻơ ǺǷ ƨǴººLjǴLjdz ơDŽǷǁ ȂǷƢǻƢƬǻơȂƳƨǸǴǯ ƪºƸƦǏƗ ƾºǬdzńƛ ƧƽȁƾŰ ŚǣƩơǂƬǨdz DZƢºǬƬǟȏơ ńƛƤȇǀǠƬdzơ ƨºLJǁƢŲ ǺǷ ƨȇơƾƥ ǹƢLjǻȍơƧƽǁơȂdzơ ƨºƦƳơȂdzơƩơƔơǂƳȍơ ƨdzơƾǟ ǹƢǸǔdz ƨȈLJƢLJȋơǕȁǂnjdzơǺǟ ȆǴƼƬdzơƨƸǐdzơ ȆȈǼȀǷƨŷƢLjǷǹƛ �ƧƾƸƬŭơƩƢȇȏȂdzơ ǁȂƬLJƽȁ Ņȁƾdzơ ǹȂǻƢǬdzơĿƢŠ �ƣƢǿǁȍơ ȄǴǟƣǂūơ�ƪƦƷƢǏ Ŗdzơ ƨȇǂLjǬdzơ ƩƢǬȈǬƸƬdzơĿƨȈLjǨǼdzơƔƢºººººƦǗȋơȁ śȈƟƢǐƻȌdzƢȈºººººǫȐƻƗ ƢȇƾŢ ƪǴưǷȂǷƢǻƢƬǻơȂƳĿ ǮdzƿĿƨȈǰȇǂǷȋơ ƨȈǠǸŪơ ƩƾǸƬǟơ śºƷ ȄǴǠǧ �ƧƾºƸƬŭơ ƩƢ ȇȏȂdzơ ĿśȈLjǨǼdzơƩƢǬȈǬƸƬdzơ ǮǴƫ Ŀ ƨǯǁƢnjŭơ ǺǷ ƢȀƟƢǔǟƗ ǞǼŤ ƨLJƢȈLJ ȆLjǨǼdzơƤǘǴdzǺǷ ƢǨdzƗ ���ŅơȂºº ºƷǶǔƫŖdzơȁdžǨǼdzơ ǶǴǠdz ƨȈǰȇǂǷȋơ ƨȈǠǸŪơ ǹƗ ȏƛȄǴǟƣǂūơ� Dzƻƾƫ ƿ ƛ �ǵȂȈdzơ �ƨǴƯƢŲ ƨºººººººLJƢȈLJ ƽƢǸƬǟơƪǔǧǁ ƔƢǔǟȋơǾƳƢƬŴ ȅǀdzơ ƢǷ�ǺǷƢưdzơ ƢȀǷƢǟ ƧƾºººƸƬŭơƩƢȇȏȂdzơ ƢȀƬǼººNjŖdzơ �ƣƢǿǁȍơśººƥ ƨººǬȈƯȂdzơǖººƥơȁǂdzơ ǽǀǿ �ǹƢººLjǻȍơ ǩȂººǬƷŚȇƢǠŭ ǁƢºƦƬǟȏơ ƧƽƢǟȍƵȁǁȄǴǟ ǂƯƚƬºLJǦȈǯ �śȈǰȇǂǷȋơ džǨǼdzơ ƔƢǸǴǟȁƨȈǰȇǂǷȋơƨȇǂǰºLjǠdzơƨȈǰȇǂǷȋơ Ƨǁơƽȍơ ǽƢšơ Ŀ ŚȈǤƫ ƭơƾººººººº ºƷȍǭƢǼǿ ƩƢȈǻƢǰǷƛ ȅ Ɨ �ƨǼȀŭơǩȂººǬƸǴdz ƢǸǟƽƨȇȂºǫ ƨȈŭƢǟ ƨȈºǫȂǬƷƨǯǂºƷ ƔƢǼºƥ ǺǰŻǦȈǯȁ �ƧƾȇƾŪơ

�ƧDŽǣ ǁƢǐūƾƷǞǓȂdzȁ ƨȈǼȈǘLjǴǨdzơ

In January 2007, UN Special Rapporteur John Dugardwarned that if the West cannot "demonstrate area l commitment tothe human rights of the Palestin ian people," the entireinternational human rights movement "will be endangered andplaced in jeopardy." Perhaps the two most potent symbols of thebetraya l of that movement today areGaza andGuant?namo. Thispaper will place the siege of Gaza in the framework ofpost 9/11US policy, which has put the entire human rights movement injeopardy. In Gaza, the US pushed for a democratic election andthen backed Israe l's policy of subject ing the entire popula tion tocollective punishment for voting the wrong way. Like Gazaunder s iege, Guant?namo is a laboratory for the test ing oftechniques designed to break human will and enforce absolutesubmission.The word Guant?namo has become shorthand for a range ofhuman rights vio lations, from the implementat ion of torture toindefin ite detention and the abolition of fundamental fairness anddue process procedures guaranteed by international law and theUS Constitution.Theparticipation of mental health professionals in coercive "waron terror" interrogations, includingat Guant?namo, haspresentedUS psychologists and psychiatrists with a moral cha llenge.While the Amer ican Psychiatric Association has endorsed apolicy banning its members from participating in theseinterrogations, the American Psychological Association, withnearly 150,000 members, has refused to endorse a similar policy.

As the US-declared "war on terror" enters its eighthyear, what will it take torestore respect for human rights norms?What do the close ties between the American milita ry andAmerican psychologists mean for the soul of the profession?What prospects a re there for a change in direction from the newAmerican Administration? How can a vigorous internationalmovement be built in support of Palestinian rights and an end tothe siege of Gaza?

From Gaza to Guantanamo:Building a New Movement for Human Rights

Dr. Na ncy Murray *

�ȂǷƢǻƢƬǻơȂƳ ńƛ ƧDŽǣ ǺǷǹƢLjǻȍơ ǩȂǬū ƧƾȇƾƳ ƨǯǂƷ ƔƢǼƥ ȂŴ

ȅơǁȂǷ ȆLjǻƢǻ �ƽ

*President, Gaza Mental Health Foundation, Inc.USA / [email protected]

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42i Ën�AÊ l UAË �A . . . ÑÍn Ã̄ ºA ÑZv ºAÊ i Bv�A

ĿNJȈǠƫ ƨǸǴºLjǷ ǂLJƗ ƨȈǻƢǸưdz ƨLJơǁƽ ƨƥ ƢưŠ ȆǿƨǫǁȂdzơ ǽǀǿdžŨƧǂƬǨdz ȂǷƢǻƢƬǻơȂƳ DzºººǬƬǠǷĿƢȀǴƟƢǟ DzºººǬƬǟơ ƢȀǔǠºº ƥ �ơǂƬǴųơ�� ȁ�� śºƥ ƢǷ ƵȁơǂƬƫ ƩơǂƬǨdz DZŗŭơĿǾƬǷƢºǫƛƩƽƾºƷ ƢȀǔǠºƥȁ �ƩơȂǼLJƧǁơǃȁǶǿƽƾŢ ǶȀǼȈǠºƥ ƽơǂǧƗ ǺǷ ȏƛ ƩơǁƢȇDŽdzơ ƾȈȈǬƫńƛ ƨǧƢǓƛ ƢȈǷȂȇ ƨǟƢLJƢǿȂǯǂƫŖdzơ ǽƽȐºƥ ńƛDzȈƷǂƬdzơ ǂǷơȁƗ ǾƳơȂ ȇ ƢȀǔǠƥȁ ƨȈǻƢǘȇŐdzơ ƨȈǴƻơƾdzơƩơǁƢȇǃȁƩȐƥƢǬǷ �ƲȀǼŭơ �ƨȈǰȇǂǷȋơ ƧƾƸƬŭơ ƩƢȇȏȂdzơńƛ DzȈƷǂƬdzơ ȁ ƗśƠƳȏǺǟ DzºǬƫ ȏ ƧǂƬǨdzȁ ƩȏƢūơǒǠºƥ ȅƩơȂǼºLJ ǞºƥǁƗȃƾǷ ȄǴǟ ǂLJȌdz ƨȈdzŗǷƧƾȇƾºNj ƨȈƫƢȈūơ ǥȁǂǜdzơ ǮǴƫ ǁƢƯƕ ȄǴǟƨºǫǁȂdzơ DŽǯǂƫ �ƩȏƢūơ Dzǯ Ŀ ƨǼºLJƨººƸǐdzơȄǴǟƢǷ ƨƳǁƾºƥȁƔƢºLjǼǴdz ƨȈºLjǨǼdzơ ƨºƸǐdzơ ȄǴǟƨºƥȂǠǐdzơǺǷ ƩƢȈǼȈǘºLjǴǧ ƨ ºLJơǁƾdzơ ǺȀƬǴſļȐdzơ ƔƢºLjǼdzơ �DZƢǨǗȌdz ƨȈLjǨǼdzơ����ǂǐǷ ���� DZƢǤǼºººººLjdzơ�ƢLjǻǂǧ ���� ƾǼŮơ�ƢȈǻƢǘȇǂºººººƥ ���� ǹƽǁȋơĿȁ�Ʊơȁǃȋơ ƢǷƗ���� ǹƽǁȋơȁ ��� ƢȈºººƦȈdz�ƢȈǻƢǘȇǂƥ ���� ǹƢƬººLjǯƢƥ�ƢȈǻƢǘȇǂƥƢȈºƦȈdzȁ ǂǐǷȁ ǂƟơDŽŪ ơȁ ƨȇƽȂǠLjdzơȁ śǘLjǴǧ ǺǷ �Ǻƥȏơ ȃǂƻƗĿȁ ƹȋơ ƨdzƢƷ

�ǩơǂǠdzơȁ ǹƢƬLjǯƢƥ�Ƣ ȈǻƢǘȇǂƥȁŖºLJơǁƽ ƨȇơƾºƥĿ Ƨƾȇƾnjdzơ ƨdzDŽǠdzơ ǺǷśǻƢǠȇ ǺǯƔƢLjǼdzơ ǞȈŦ�ƲƟƢƬǼdzơǂưǯƗƪǴưŤ �ƩȏƢūơǒǠººƥĿ Ǯdzƿ DZƾººƦƫ ǦȈǯ ƨººǫǁȂdzơ ƶǓȂƫ ǥȂºLJȁǵȂǼdzơ ƣơǂǘǓơȁ ƾȇƾººnjdzơƣƢƠƬǯȏƢººƥ ǁȂǠººnjdzơĿ ƢǟȂȈºNjƩȐǰºnjŭơĿ ƨºººƥȂǠǐdzơȁ ǦȈǔŭơǞǸƬĐơ Ǻǟ ƣơǂƬǣȏơȁ ƨȇƾº ººLjŪơ ȃȁƢǰººnjdzơȁƾºǫȁǶǴǫƘƬǴdz ƨǨǴƬű ƤȈdzƢLJƗ ƔƢLjǼdzơƪǷƾƼƬLJơ �DZ ƢǨǗȋơǞǷ DzǷƢǠƬdzơDzưǷƨǨǴƬű DzǷơȂǟȄǴǟ ơƽƢǸƬǟơ �ƨƫȁƢǨƬǷ ƩƢƳǁƾººººƥ Ǯdzƿ ĿǺººººƸųƨdzƢººƷ Ŀ� Ƨƾºnjdzơ ǞºǫȂƫȁƾǠºƥ Ǻǟ ȅǂºLJȋơǶǟƾdzơȁ ȆǸȈǴǠƬdzơ ȃȂƬºLjŭơȄǴǟƨȈǐƼººnjdzơ ǖŶńƛƨǧƢǓƛ �ǍȂǐŬơ ǾƳȁ ȄǴǟ śƬȈǼȈǘºLjǴǨdzơǺȀȈȈǷƢŰȁ ƔƢºLjǼdzơ ƧƾǟƢºLjǷ Ȃǿ ƨLJơǁƾdzơ ǺǷ ǥƾŮơ �ȅƽǂǨdzơ ȃȂƬLjŭơ�DZƢǨǗȋơ ƨǏƢƻȁ ǂLJȌdzƨƦLjǼdzƢƥ ƢȈǻƢǘȇǂƥĿ NJȈǠdzơ ƧƾNjǦȈǨţ ȄǴǟ

The paper will be a study of eight Muslim familiesliving in Britain whose fathers weredetainedin Guantanamo Bayfor five years; or subject to Control Orders which are, typ ically,house arrest for between22 and 12 hours a day, and restrictions onvisits to the house except by people screened by UK HomeOffice; or are in prison fighting deportation orders back to thecountries from which they were refugees, or extradition to theUS.Methodology: interviews and family visits to the homes for thelast four years in some cases, and more than one year inall cases.The focus has been on the effects, par ticularly on mental health,of these extremely adverse life condi tions on the women, and tosome extent also , inevitably, on the children. The women arePales t in ians f rom Jor d an (2 ) ; Br it i s h / India n (1) ;French/Senegalese (1); Egyptian (1); British/Pakistani (1);British/Libyan (1), Jordanian. (1) The husbands, or in one casethe brother, and another the son, are from Palestine, SaudiArabia,Algeria, Egypt, Libya, British/Pakistani, Iraq.Findings: All the women suffered extreme isolation at thebeginning of my work, though the paper will show how thatchanged in some cases. Serious depression, sleep disruption,physical aliments , alienation from the host socie ty, difficulties inmanaging the children, are amongthe common patterns of life tobe traced.The different copying mechanisms adopted by the women, andtheir different levels of success. These may depend on suchfactors as education level, family support at long distance, andcultural expecta tions of hardship (notably by the twoPalestinians), as well as on the indiv iduals' personality. Aims:Assistance to the women and their lawyers to mitigateeffects onfamilies, and especially children, of their circumstances inBritain.

Besieged in Britain

Ms. Victoria Brittain *

ƢȈǻƢǘȇǂƥ Ŀ ǹȁǂǏƢŰ śƬȇǂƥ ƢȇǁȂƬǰȈǧ

ƢȈǻƢǘȇǂƥ � ƨǴǬƬLjǷ ƨưƷƢƥȁ ƨƦƫ Ƣǯ * Independent writer and Journalist / [email protected]

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43Siege and MentalH ealth�W alls vs. Bridges

ǝơǂǐdzơ ŚƯƘƫ ȆǴǟ ƢȈŸǁƾƫ ǥǂǠƬdzơ Ļ ƾººººº ººǬdz �ƨȈźǁƢƫ ƨȈǨǴƻǹƜǧ �ǝơŗdzơ ƨǴººƷǂǷ ƔƢȀƬǻơƾǠºƦǧ �ƨȈºLjǨǼdzơ ƨºƸǐdzơȆǴǟȅǂǰºLjǠdzơŅƛ DZƚƫ ƾºǫ ƩƢƦǬǟȁ ǺŰǾƳơȂƫ ƾǫ ƨȈǠǸƬĐơ ƨȈLjǨǼdzơ ƨƸǐdzơ ǁƽƢǐǷƨººǬǘǼǷ ňƢǠƫ �ƢȀƳȐǟȁƨȈºLjǨǼdzơ ƩƢºƥơǂǘǓȏơ ȆǴǟ ǥǂǠƬdzơ Ŀ ǂƻƘƫ�Ǯºdzƿ ǺºǷǶǣǂdzơ ȆǴǟȁ �ƢǷƢǟśƯȐƯ ƧƾǷ ǵơƽ ǂȇǂǷ ǝơǂǏ ǺǷ ơƾǼdzǂȇ ơ DZƢſǝơǂǐdzơ ơǀǿ ǂƯơDžǁƾƫŖdzơƨȈǟȂǼdzơ ƨȈǰǼȈǴǯȏơƭƢŞȋơ ǺǷ DzȈǴºº ºǬdzơ ƾųƨLJơǁƾdzƢƥ ƢǼǿ ǩǂǘƬǻ �ƨdzƢūơǑǂǟ �ƨȈƫƢǠdzơ ƨǼƄơ ǮǴƫǖLJȁĿDžƢǼdzơ ȆǴǟƪººLJƢǧ DzȈººƥ ƣǂǣ Ŀ ǹȂǼǰºLjȇ Ǻȇǀdzơ ȆǓǂŭơ ƩȏƢºƷ ǺǷ ƨǴºLjǴLJ ŅƛǥȂººººLJ DžƢǼdzơ ǮƠdzȁƗ ǺǷǒǠºººƥ �ǝơǂǐdzơ ǮdzƿǶǔƻĿ ǹȂºº ºnjȈǠȇȁơǂǜǻ ƢȀǼǷ ơƔDŽƳǹȂǰȈºLJ ǂƻȋơ ǒǠºƦdzơȁ ƨºLJơǁƾdzơĿ ǕƢºnjǼƥ ǹȂǯǁƢnjȇƨƦǬǟ ƽƾǠdzơ Dzǰnjȇ ƢǸǼȈƥ �Ƣđ ǹȂǼǘǬȇŖdzơ ƨǬǘǼŭơŅƛ DZȂǏȂdzơ ǁǀǠƬdz�ǂǜǻƩƢȀƳȁȁ ƨǨǴƬű ƨȈǐƼººNj ƣǁƢƴƬdzǑǂǠƬǼººLJ ƢǼǻƜǧ �ƨȈººLjȈƟǁǥȂLJ �ƱȐǠǴdz ƨǨǴƬƼŭơ ǩǂǘdzơȁ ƨȈLjǨǼdzơ ƩƢƥơǂǘǓȐdz ƨǨǴƬű ǑơǂǟƗȁǺȇǀdzơ ƽơǂǧȋơ ǺǷƨǟȂǸĐơ ǮǴƫ ƾȈºǬǠƫĿ ǥȐƬƻȏơȁ ǾƥƢnjƬdzơśƥƢǷ ǹǁƢǬǻ

�ǝơǂǐǴdz ơȂǓǂǠƫǩǂǘººº ºººººƥ ƨǨǴƬű ƽơǂǧƗȆǴǟ ǂƯƚȇ ǹƗ ǺǰǸŭơ ǺǷǝơǂǐdzơ Ʃơƿ ǹƛ �ƨŤƢŬơƨǴºƷǂǷ ǑơǂǟƗƧǁơƽȍ ƨǼȇƢƦƬǷ ǁƽƢǐǷǵơƾƼƬLJȏƱƢƬŴ ƾǫ �ƢǔȇƗ ƨǨǴƬű

�ǝơǂǏȁƩƢǷǃȋǑǂǠƬƫ Ń ƣȂǠnjƥ ƢȀƬǻǁƢǬŠǮdzƿȁ ǝơǂǐdzơ ƾǠƥƢǷ

Background: The impact of armed conflict on mentalhealth is increasingly being recognised. After the conflict ends,adversities anddisparities in community mental healthresourcescan lead to delays in recognition and treatment of mentaldisorders. Northern Ireland suffered from conflict for over 30years. However, there is litt le qualitat ive clinica l research on theeffect this prolonged conflict had on people caught in the midst.Case Series: We present a case series of patien ts living in westBelfast through the conflict. Some were actively involved andothers became part of it due to the area they lived in. While thecommon denominator is the conflict itself, we present differentpersonal experiences and perceptions, different symptoms ofmental disorder and the different treatment modalities used. Wewill compare and contrast the similar ities and uniqueness of thecomplexity of this group of individuals given the prolongedconflict exposure. Conclusion: The same conflict can effect andbe perceived by different individuals in differing manners.Different resources needto be utilised for themanagement of postconflict symptoms as compared to a population not exposed toconflict.

Mental health symptoms post conflict:a case series of patients in west Belfast.

�ǝơǂǐdzơ ƾǠƥ ƢǷ ƨȈLjǨǼdzơ ǑơǂǟȋơƪLJƢǨǴƥ ƣǂǣ ǺǷ ƩȏƢƷ ƨLJơǁƽ

ƢȈǻƢǘȇǂƥ �ơƾǼdzǂȇơ DZƢſ �ƪLJƢǧ DzȈƥ �ƨȈǟƢǸƬƳȏơȁ ƨȈƸǐdzơ ƨȇƢǟǂǴdz ƪLJƢǧ DzȈƥ DŽǯǂǷ *Belfast Health and Social Care Trust, Belfast, Northern Ireland, [email protected], [email protected], [email protected]

Elizabeth Schumacher, Patr icia Campbell, & Maneesh Gupta* ƢƬƥȂƳ NJȈǻƢǷ ȁ DzƦǷƢǯ ƢnjȇǂƫƢƥ ȁ ǂƻƢǷȂNj ƪȈƥơ DŽȈdzơ

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44i Ën�AÊ l UAË �A . . . ÑÍn Ã̄ ºA ÑZv ºAÊ i Bv�A

ƣƢǐǟȋơȁdžǨǼdzơ ƤȈºƦǗ�ȂǯȂǯȂǻȁƗ ȅȂƥ ƢƬȈǯȁƗ Dzǰȇ ƢǷ ǁȂƬǯƽǞºƥƢƬdzơ ǃƢƴƬºƷȐdz ƧƾƸƬŭơ ǶǷȋơ ǪǧǂǷĿ ƨȈLjǨǼdzơ ƨƸǐdzơ ƧƾƷȁdžȈƟǁȁ

ơƾǻơȁǂƥ ƣǂūơǶƟơǂƳ ƨǸǰƄƾǻơȁǁ ƪºƦǰĄƫǁơ ňƢºLjǻȍơ ǹȂǻƢǬ Ǵdz ƨǸȈLjƳ ƩƢǯƢȀƬǻơ ǹƗ ǺǷȋơdžǴů ǭǁƽƗƨǸǯƢƄ ���� ŐǸǧȂǻ � ǵȂȇơƾǻ ơȁǂºƥ ƣǂūơǶƟơǂƳ ƨǸǰŰ ƘnjǻƗƾǬǧ ǾȈǴǟȁȃǂƻȋơ ƨǸȈººLjŪơ ƩƢǯƢȀƬǻȏơȁ ƨȈǟƢǸŪơ ƧƽƢºƥȍơƩƢȈǴǸǟ ǺǟśdzȁƚºLjŭơŕºƷȁ ǂ ȇƢǼȇ ǺǷƶƫƢǨdzơ śƥơƾǻȁǁ Ŀ ƪƦǰƫ ǁơŖdzơŅȁƾdzơňƢLjǻȍơ ǹȂǻƢǬǴdz

����� ŐǸLjȇƽ ǂȀNjƧƾºƷȁ Ƨǁơƽƛ ǶǜǼƫȁ ǶǰŢŖdzơ śǻơȂºǬdzơȁ ǵƢǰºƷȌdz ƨƳƢūơ Ʃǃǂºƥ ǹƗ ƾǠºƥȁǥƢǼƠƬºº ººLJơ ȁƗǶȀƬǸǯƢŰǹȁǂǜƬǼȇǺȇǀdzơ ǺȇDŽƴƬƄơ ǮƠdzȁȋ ǃƢƴƬºººƷȏơƩƢȇǂūơȁ ǹƢººLjǻȍơ ǩȂººǬƷǵơǂ ƬººƷơ ƧǁȁǂǓȁ ǶȀººǬŞ ƧǁƽƢǐdzơ ǵƢǰºƷȋơǃƢƴƬºƷȐdz ƧƾºƸƬŭơ ǶǷȋơǪǧǂǷ džLJƌƗ �ƧƔơŐdzơ ƨȈǓǂǧ ƨǏƢƻȁƨȈLJƢLJȋơĿ ǾººƦƬnjȇ ǺŭǃƢƴƬººƷơ ƧƘººnjǼǸǯ ƢȈǻơŗƬºƥ ƢºNjȁǁƗ Ŀ ����ȂȇƢǷ �� ǵȂȇ

�ơƾǻơȁǁ Ŀ ���� ǵƢǟƪƦǰƫǁơŖdzơ ƨȈǟƢǸŪơ ƧƽƢƥȍơ ǶƟơǂƳĿǶȀǯơǂƬNjơƨǠºƥƢƬdzơ ƨȈºLjǨǼdzơ ƨƸǐdzơ ƧƾƷȁĿ ƩDŽų ƌƗ Ŗdzơ ƨȈǨǏȂdzơ ƨLJơǁƾdzơ ǽǀǿǀǼǷǾȇƾdz ƧǂǧȂƬŭơƩƢǷȂǴǠŭơ ǵơƾƼƬººLJƢƥ ǃƢƴƬºƷȐdz ƧƾºƸƬŭơǶǷȋơ Ǫǧǂŭ

�ƨȈdzƢƬdzơ ǞȈǓơȂŭơNJǫƢǼƫ ǾźǁƢƫŕƷȁ ���� ȂȇƢǷ ��ǵȂȇ ǾƷƢƬƬǧơDZƢǸǟȋơ ǽǀǿ ƣƢǰƫǁƢººƥ śǸȀƬǸǴdz ƨȈººLjǨǼdzơ ƨȇƢǟǂdzơ ʼnƾººǬƫ ƩƢȇƾŢ ��ƨǷơǂǰdzơȁ ǹƢLjǻȍơ ǩȂǬū ǵơǂƬƷȏƢƥ ǶLjƬƫ ƨȈǴǸǟȄǴǟ ǙƢǨūơȁ ƨȈnjƷȂdzơ

�ƪǫȂdzơ džǨǻĿƨȈǻƢLjǻȍơ�śǸȀƬǸǴdzƨȈLjǨǼdzơǝƢǓȁȋơ ��

ǃƢƴƬƷȐdz ƧƾƸƬŭơ ǶǷȋơǪǧǂǷ Ƨǁơƽƛȁ ƨȈƟƢǫȂdzơ ƨƠȈƦdzơ ǽǀǿśƥDzǟƢǨƬdzơ ��ƧƾººƸƬŭơ ǶǷȋơǪǧǂǷ ƨƠȈºƦdz ȆƳȐǠdzơƤǻƢŪơȁ ǹƢǷȋơ ƧơƽƗ ǺǷǶǣǂdzơ ȄǴǟȁĿ ǂƯƚƫ ǺȇDŽƴƬƄơ ȄǴǟ ƨȈƦǴLJƨȈLjǨǻ ǁƢƯƗ Ǿdz DZơDŽȇ ȏǺƴLjdzơ ǹƜǧ �ǃƢƴƬƷȐdzǞǧǁĿ ƪºƸų ƾºǫ ƨȈºLjǨǼdzơ ƨºƸǐdzơ ƧƾºƷȁ Ǻǰdzȁ �ƧƘnjǼŭơƧǁơƽƛ ƨȈǴǸǟƆƢºǬǧȁ ƨǸǯƢƄơ ƩƢºLjǴƳĿǶȀƬǯǁƢnjǷĿ ǶȀLjȇ ƢŲ ǺȇDŽƴƬƄơƩƢȇȂǼǠǷ

�ƨȈdzȁƾdzơŚȇƢǠŭơ Dzǫȋ

Recognizing that serious violations of humanitarianlaw were commit ted in Rwanda, the SecurityCouncil crea ted theInterna tional Criminal Tribunal for Rwanda (ICTR) on 8November 1994 to prosecute the persons responsible forgenocide and other serious vio lations of interna tionalhumanitarian law committed in Rwanda between 1 January andDecember 1994. Recognizing the need for rules governing theadministration of detention unit for those detainees awaiting fortrialor appeal and the need to ensure respect for humanrights andfundamental freedoms particularly the presumption ofinnocence, the United Nations Detention Facility (UNDF), wasestablished on 26 May 1996 in Arusha, Tanzania, as a hold ing forthose suspected of takingpart in the1994 Rwandan Genocide.

In this descriptive study carried outin the mental healthuni t of theUNDF using the data collected from i ts opening on 26 May 1996up to date , we discuss: 1. The challenges of providing mentalhealth care to those accused of suchatrocitieswhile maintaining arespectful process of human rights and dignity; 2. The mentalhealth conditions of accused and 3. The interact ion between thisprotective environmentand the managementof the UNDFIn spite of the safety-device and the healing side of the UNDFenvironment, the imprisonment has still negative psychologicaleffects amongthe detainees which impacts onits management.

However, the mental health unit has effectively lifted up the spiritandmorale of detainees that contribute to their participation in thetrial proceedings in accordance with the minimal internationalstandard

United nations detention environment andaccused for genocide at the international criminaltribunal for Rwanda (ICTR) in Arusha, Tanzania

Michel Okita poy On'okoko *

ǝȂǴǔdzƢƥ ǹȂǸȀƬŭơ ǃƢƴƬƷơ ƨƠȈƥȁ ǥȁǂǛ�ƧƾƸƬŭơ ǶǷȋơ ȃƾdz ƨȈǟƢǸŪơ ƧƽƢƥȏơ ǶƟơǂƳ Ŀ

ơƾǻơȁǁ Ŀ ƣǂūơ ǶƟơǂƳ ƨǸǰŰ ǵƢǷƗ

ȂǯȂǯȂǻȁƗ ȅȂƥƢƬȈǯȁƗ DzǰȇƢǷ �ƽ

* MD, Neu ropsychiatrist, Head of menta l health unit, United Nations Detention Facility ( UNDF), International Criminal Tribun al for Rwanda (ICT R)o kitapoy@ un.org an d [email protected]

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45Siege and MentalH ealth�W alls vs. Bridges

ƨȇƽƢŭơ ǝƢǓȁȋơśº ƥ ƨƠºNjƢǼdzơ ƨºǫȐǠdzơŅ ơ ƨǫǁȂdzơǽǀǿ ǩǂǘƬƫ�ƨȈºLjǨǼdzơ ƨƷơǂdzơ ǵƾǟȁ ƧƢǻƢǠŭơ ƽȂƳȁ DZƢǸƬƷơśƥȁƨȈǧƢǬưdzơȁ ƨȈLJƢȈLjdzơȁǹơ ǶȀŭơ ǺǷ ƧƾȈǨǷ ƩơȁƽƘººƥ ƨūƢǐŭơƣǁƢšȁ ǁƢǐūơ ǂººLjǯDzȈǴŢ ƢǻƽȁDŽȇȁȆǟƢǸƬƳȍơ ǽƢǧǂdzơ ȆǴǟ Ǖȁǂººnjdzơ ǽǀŮDzǸƬƄơ ŚƯƢƬdzơ � ƢȀǼǷƢȀºƦǟȂƬLjǻ

�ǞǼŭơ ƩƢLJǁƢŲȁ �ƨ ǴǸƬƄơ ƨǻǂŭơ ǩǂǘdzơȁ �ȆLjǨǼdzơȁȆǴǟDŽǯǂȇ ȅǀdzơĺǁȁȋơƮººƸƦdzơ ƲƟƢƬǻ ǵƾºǬǻ ǥȂºLJƢǼǻƜǧ �ǍƢƻ DzǰºnjƥȁĿ ƩǀǨǻŖdzơ ƨūƢǐŭơ ǩǂǗȁ ƩƢǟơǂǐdzơ Ƨǁơƽơ ƨȈǨȈǯȁ �ǞǼŭơƩƢº ºººLJǁƢŲDŽǯǂȇǥȂºLJƮƸƦdzơ ǹƜǧ �ƾȇƾƸƬdzƢƥȁ ƨȇƽȁƾūơ ǪǗƢǼŭơ Ŀ ǞǬƫŖdzơ DžǁơƾŭơƢȈdzƢǘȇƗ� ơDŽȇơǁȂƳȁ � ƧƾƸƬŭơǶǷȋơ� ƪLJƢǨǴȈƥĿƩȏƢūơȄǴǟ ŐǯƗ ƢǷƢǸƬǿơǺǷ Ƕǣǂdzơ ȆǴǟDzǏƢƬŭơ ǪȈǸǠdzơ ǝơǂǐdzơ ǺǷ ƨƥǂƴƬƥ ǹƾŭơ ǽǀǿ ǭǂƬnjƫȁ �ǺǷ ƨǨǴƬű ƢººǫǂǗ ǶȀȈǗƢǠƫ ǺǷǶǣǂdzơ ȆǴǟ ȁ ƨȈźǁƢ Ƭdzơ ǶēƢȈǨǴƻ ǝȂǼƫĿ DZƢūơ Ȃǿ ƢǸǯǺȇƾdzơ ƤºººººƦLjƥ ǵƢººººLjǬǻơȁ ǝơǂǏ ƽȂƳȁ ǹƛ �ƨūƢǐŭơĿ DZƢūơ Ȃǿ ƢǸǯȆºººLJƢȈLjdzơȁ ȅƽƢŭơ ǝơǂǐdzơ ǺǷ ǂƻƗ ƆƢǟȂǻ ȁ �ƪººLJƢǨǴȈƥ�ƨȇȂºLjƬdzơ ǩǂǗȁǁƢǐūơ ǂLjǯ ƩƢLJǁƢŲ ǹƛ �ǵƢǸƬǿȐdz ŚưǷ ƞNjȂŮ ƢȇǃơǁȂƳƾȈǠǏ ȆǴǟ ŐƬǠŭơ DžƢºLJȋơ ǹȂǰƬºLJśƬLJơǁƾdzơśƫƢǿ DZȐƻǺǷ ƨǷƾǬŭơǹƛ �ĿƢºǬưdzơ ƔƢǼƦdzơȁ ƨȇȂŮơĿ ƨǯǂƬnjŭơ ƨȈǟƢǸƬƳȍơ ƨȈLjǨǼdzơƩƢȈǴǸǠdzơDZƢǨǗȌdz ƧƢǘǠŭơ ƩƢǗƢººnjǼdzơȁ ƨººLjLJƚŭơ ǁȁƽ ȆǴǟ ǹȂǰȇǥȂºLJ DŽȈǯǂƬdzơǹȂǰƫǥȂºLJ ƢȇǁǃȂƳȁ ƪºLJƢǨǴȈƥŅƢưǷśƥ ƨǻǁƢǬŭơǹƘƥ ǺǷƚǻ ƢǼǻƛ �ƣ ƢƦnjdzơȁƧǂǜǼºƥȁ �ƨǼºLjūơ ƩƢºLJǁƢǸŭơ� ǦȇǂǠƫŅƛ ƆƢǧƢǔǷřǠǷ ƩơƿƨŷƢºLjǷȆǟȂdzơ ƨȈǴǸǟ ȆǴǟǍƢƻǖǤǔºººƥȁǞǼŭơ ȅȂƬºººLjǷ ƩȏȏƽŅƛ ƨǏƢƻ

�ƨȈLjǨǼdzơ ƨƷơǂdzơ ǵƾǟȁ ƧƢǻƢǠŭơȆǴǟ ƾȇơDŽƬŭơ

Thiswork faces the relation existing among conditionsof physical, political and cultural separation and the possibleexistence of suffering and psychic d iscomfort. The analysis ofbreaking the siege and reconciliation experiences provides usefulinstruments to understand: the possible effect that theseconditions have on the psycho-social well-being , the possibleresilience strategies and the practices of prevention.Particu larly, the results of a European research will be presented.This research concerns the practices of prevention, themanagement of the conflicts and the reconciliation strategiescarried out in schools located in border areas.More specifically, itwill be given much attention to the cases of Belfast (U.K.) andGorizia (Italy). These cities share an experience of deeply rootedconflict, even if they have different h istorical backgrounds andthey have adopted diffe rent reconciliation strategies. Thepresence of a conflict and division due to religion (Belfast) andone more of physical and political type (Gorizia) is of particularinterest.The practices of breaking the siege and the reconc iliationstrategies presented through these two case studies will be thebase for a consideration on the psycho-social processes involvedin the dynamics of identity and cultural reconstruction.The focuswill be kept on the role played by the school and the activitiesaddressed to chi ldren and young people. We believe that thecomparison between the models of Belfast and Gorizia couldoffer a meaningful contribution to the definition of "GoodPractices" of reconciliation; with a special attention to theimplications at a prevention level and a particular stress on theawareness raising process on the suffering and psychicdiscomfort.

Breaking the Siege: Experiences of ReconciliationsFrom the European Project School on Borders

by Reverdito R*., Mo iraghi F**., de C ordo va F.* **, Inghilleri P.*

ƨūƢǐŭơ ƣǁƢš � ǁƢǐūơ ǂLjǯƽȁƾūơ ȆǴǟĺǁȁȋơ ǝȁǂnjŭơ ƨLJǁƾǷ ǺǷ

ȅǂǴȈǤ ǻƛ �ƣ ȁ ƢǧȁƽǁȂǯ ȅƽ �ǥ �ȆǣǁȂǷ �ǥ �ȂƬȇƽǂǧȁǁ �ǁ

* Department of Geography and Human and Environmental Sci ences Unive rsity of Mila n Italy** Bridges for Europe NGO - Ita ly*** Department of Psychol ogy and Cult ural Anthropology University of Veron a - [email protected]@bri dgesforeurope.org

Page 48: Siege and Mental Health

46i Ën�AÊ l UAË �A . . . ÑÍn Ã̄ ºA ÑZv ºAÊ i Bv�A

ĿŖȈȈǧȂººLjdzơ ȁDŽǤdzơ ƔƢǼƯƗ ƨǏ Ƣƻ �ǹƢƬºLjǻƢǤǧƗ Ŀƣǂūơ ǺǷƢǷƢǟ ǹȂƯȐƯDZȐƻǺǷ ňƢǤǧȋơƤǠºnjdzơ ƨºƥȐǏ ǂLjǯ ƨdzȁƢŰơȁƾǸǠƫ śƷ���� ǵƢǟƨȈǻƢLjǻȍơ Ǻǰdz���ƨȈǻƢLjǻȍơȁ ƨȈǗơǂǬŻƾdzơ� ǶLJƢƥ ƢǷƢŤ ƨƦȇǂǣƨǧƢǬƯǑǂǧňȂȈǴǷ ǺǷ ǂưǯƗ�ƨǴȈŦ ƨǸǴǯ ƢȀǼǷ ǂưǯƗ ŚŬơ DzǠǨdz ƔƢǘǣ Ȇǿ ƨȈǬȈǬūơƪºLJńƛ ƨǧƢǓȍƢºƥ ƨºǫƢǟȍƢƥ ơȂƦȈǏƗňƢǤǧƗ ǹȂȈǴǷ �ơȁƾȀnjƬLJơ ňƢǤǧƗ�ȃǂƻƗ ǹơƾǴºƥĿśƠƳȐǯNJȈǠdzơȁǶǿƽȐºƥ ǭǂƫ ńƛơȁǂǘǓơňƢǤǧƗśȇȐǷƨƦLjǼdzƢƥ ƨǷƾǐdzơ ƾǠƥ ƢǷ ƣǂǯ ƣơǂǘǓơ ńƛ ȅƽƚȇȅǀdzơƣƢƠƬǯȏơ ǺǰȇŃƨǴǷƢǠŭơ ƔȂºººLJȁ ƤȇǀǠƬdzơǞǷ ƨǴȇȂǘdzơ ƩơŐŬơƤººƦLjƥ śƠƳȐdzơ ƔȏƚŮńƛ ǁơǂǘǓȏơȁ �ȆǟƢǸƬƳȏơǶǟƾdzơ ƨǴºººǫ ƤºººƦLjƥ ƢǔȇƗ ƢŶƛȁ �ƤººLjƸǧƾǠdzƨƴȈƬǻ ƨǸƟȐǷ ŚǣȆººLjǨǻ ȐȈǴŢƨȀƳơȂǷȁ ƨººƦȇǂǣ ƨǧƢºǬƯ ƨȀƳơȂǷƨǧƢǯȁ śŦǂƬŭơ ƧƔƢǨǯ ĿǁȂǐººǫ ńƛ ƨǧơ�ơ ƨȈǧƢººǬưdzơ ǩȁǂǨdzƢº ƥ ȆǟȂdzơǮdzƿĿ �ŖȈȈǧȂºººLjdzơ NJȈŪơ ƽȂƳȁ ȄǴǟ ƪººƦƫǂƫŖdzơ ƨȈººƦǴLjdzơƲƟƢƬǼdzơǹȁƾºǬƬǨȇ ơȂǻƢǯƨȈǻƢºLjǻȍơ ǶLJƢƥ ǹȂƯƾƸƬȇ ǺǷ ǹƘƥ ƢȈǴƳ ǂǷȋơ ǹƢǯ ƪǫȂdzơǹƗ ơȂǯǁƽ Ɨ �ƣƢººƦnjdzơ ǶȀȈǧƢŠ �ňƢǤǧȋơƤǠººnjdzơǺǰdz �ƨȈǻƢººLjǻƛ Dzǯ ńƛȆǟƢǸƬƳȏơ ǝơǂǐdzơ Ŀ ǶȀǗơǂŵơƤǻƢƳń ƛǶǿǂºººLJ ƗǺǟ ǝƢǧƾdzơ ǶȀȈǴǟńƛ ƧƽȂǠdzơȁ ƣƢººƸLjǻȏơ ȄǴǟ Džȁǂdzơ ŐƳƗ Ľ ǺǷȁ ƨȇǂūơ DzƳƗ ǺǷǶŮƢǔǻȁƢǷȂǟƾǷ DzººǬǼƬŭơœǘdzơ ƝǁơȂǘdzơ DŽǯǂǷ ƢǻƘººnjǻƗƪºǫȂdzơ Ǯdzƿ Ŀ �ǶǿǁƢȇƽȄǴǟƢȀǼȈƥ ǺǷȁ�ȃǂƻȋơ ǹơƾǴƦdzơ DzƦǫ ǺǷȆǬȈǬƷ ƨǫơƾǏȁȆƟƢĔ ȏ ǶǟƾƥDZȐƳĿ ƨǯǂǠŭơǑ`Ɨ ȄǴǟƩơȂǼººLJdžŨ DZȐƻ�ƲȇȁǂǼdzơǍȂǐŬơ ǾƳȁ

�ƢŹǂƳ ����ƿƢǬ ǻƛ ǺǷ DŽǯǂŭơ ǺǰŤ ƽƢƥƗǺǷ ŚưǰdzơĿ ƨưȇƾūơƣǂūơƨdzƕ ƪºººƦƦLjƫŖȈȈǧȂºººLjdzơ DZȐƬººƷȏơ ƔƢǼƯƗDzºƥƢǼǫ ƪºƦƦLjƫ ƾǬǧ �ňƢǤǧȋơ ƤǠnjǴdz ƨȈLjǨǼdzơƩƢǷƾǐdzơȁ ƩȐǰnjŭơǝƢǨƫǁơĿ ƪººƦƦLjƫ ƤȇǀǠƬdzơńƛ ƨǧƢǓƛ ƨ ȇǁƢǘºnjǻȏơ DzºƥƢǼǬdzơȁŃƢºƥƢǼdzơƱơDŽŭơ ƩƢºººƥǀƥǀƫȁdžȈºººƥơȂǰdzơȁ ňơȁƾǠdzơ ǭȂǴºººLjdzơȁ ƣƢƠƬǯȏơ ƩȏƾǠǷȄǴǟǖººǬǧ ǂǐƬººǬƫ Ń ƢǻƽȐººƥȁ ƢǼdzǃƢǼǷ ŚǷƾƫ ǹƛ �ȆººLjǨǼdzơǖǤǔdzơȁǾdz ƤǠºNjȁ ǂºnjƦǯ ƢǼǟ ŐǠƫŖdzơ ƢǻǃȂǷǁ ƢǔȇƗƪǴſ ƢŶƛȁ ƨȇƽƢŭơ ƢǼƫƢǰǴƬŲƢǼǨȈǰƫ ƾǬǧ Ǯdzƿ ǞǷ �ƧƢȈūơĿ ǾƥȂǴLJƗȁ ǾǸȈǫȁ ƨǨǴƬƼŭơ ǽƾȈdzƢǬƫȁ ǾƬǧƢǬƯ

ƢǼǸȈǫȁ ƢǼƬǧƢǬƯ ĿƨǴưǸƬŭơ ƢǼƫȂǫ ƢǼƦǴLJǺǟ ơȁDŽƴǟƪȈȈǧȂLjdzơǹȋ ƢǼǴǿƘƫȁǺȇǀdzơ Ɣȏƚǿ Ƨơȁơƾŭ ƨ ȈǧƢǯ ƢǸƟơƽ ǹȂǰƫ ȏƨȇƢǟǂdzơ Ǻǰdz �ƢǼǼȇƽȁ ƨȇƾȈǴººººǬƬdzơƧƾººNjDzǠǨººƥ ơȂǔºǫ ǶȀǼǷ ǺȇŚưǰdzơ ǹƗ ƢǸǯ ƣǂºǫ Ǻǟ ǭǁƢǠŭơ ơ ȁƾȀºNjńƛ ǹȂƳƢƬŹ ǥȂLJƧƢȈūơ ĿǁơǂǸƬLJȏơ ǺǷ ǹȂƳƢǼdzơǺǰǸƬȇ Ȇǰdz �ǖǤǔdzơǶȀƬǧƢººǬƯȁ ǶēƢȈººƷ Ŀ ǶǰººƸƬdzƢƥ ǶǿǁȂǠººNjȁ ǶȀƬǷơǂǯƧƽƢǠƬººLJơƢȈǐƼººNjřǻƛ �ƧƢȈūơ ĿǶđȂǴºLJƗńƛ ƨǧƢǓƛȅƽƢǐƬºǫȏơǶȀǠǓȁȁƔƢŭơĿǮǸºLjdzơ DzưǷ �ƅƢƥǺǷƚǷřǻȋƤȇǀǠƬdzơȁDZƢǬƬǟȏơ ȄǴǟ ǑǂƬǟƗǂǓƢūơƪǫȂdzơĿ �ǾȈǧ ǵȂǠǻƔƢŭ ơ ǺǷ ǁƾǫƢǼdz ȄǬƦƫƮȈƷ ǶǴǫƘƬdzơ ǺǷ ƢǼǼǰŤƢǼǻƛ �ƨºƦȈƦūơ ȅƽȐºƦdz ȁDŽǤdzơ ǺǷ ƾȇƾƳǝȂǼºƥ ƾȇƾƳǺǷǃ Ɨƾ ƥ ŐǸƬƦLJ �� ƾǠƥȁȃǂƻƗƧǂǷ �ǦšǹƗ ǮNjȁ ȄǴǟƨǧƢǬƯ ǽƢȈǷƮȈƷ ƢȇƾȈƳơǂƫ ƢǠǓȁƾȀnjǻ ǹȉơĿ ƨººƦȇǂǤdzơ ƢǿƽƢººLjƳƗȁ ƢȀƬǧƢººǬƯ ǺººǬƷ ńƛ ƨȈƳǁƢŬơ ȃȂººǬdzơ ȄǠºLjƫƨȇƽƢŭơȁ ǁȏ ȁƾdzƢƥ ǂƻȉ ơǒǠƦdzơȁ ǵȐLJȍơȅǃĿ ơǂǰǼƬǷ ƢȀǔǠƥ �ǹƢƬLjǻƢǤǧƗȁDŽǤdzơƩơȂǫ ŚƯƘƫ ǺǷ ȃȂǫƗ ǶǿŚƯ Ƙƫ ǹƗ ƢǸǯƧǂŭơ ǽǀǿ ƔƢǯƿ ǂưǯƗ ǶĔƛ �ƨƴǨdzơǹƗ DzƦǫ DzǸƸƬȇ ǹƗ ǹƢLjǻȍơ ǞȈǘƬLjȇǶǯ�Ȃǿ ȅǂǿȂŪơ DZơƚLjdzơ �ƨȈƬȈǧȂLjdzơȅƽǂǨdzơ Ɣ ƢǨººnjdzơ ǹȋ Ǯdzƿ ƾǠºƥ ƢǷƢŤ DzǿƘƬǻ Ń ǹƢƬºLjǻƢǤǧƗĿƢǼǻƛ �ǞǔźȁDŽǤdzơƾǠºƥ ǺȇƾǷƢǏ ƢǼǨºǫȁƾǬdz �ȆǟƢǸƬƳȏơ ǞǓȂdzơ Ŀ ƢǼLjŢȆǟƾƬLjȇȁDŽǤdzơ Ɨƾºƥ śºƷ ƢǘºƦưǷ DZơǃȏǹƢǯ ƢǼƬǧƢºǬƯ ƨǟƢǼǷ ǃƢȀƳ Ǻǰdz �ŖȈȈǧȂLjdzơƵơǂŪơ Ƨơȁ ơƾǷ ńƛȄǠººLjǻ ǺŴȁ Ƨǂŭơ ǽǀǿǥŗȇ ƢǼººƦǠNj ǹƜǧ Ǯdzǀǯ �ƾȇƾŪơǹƗ ǭǁƾǻ ƢǼǼǰdz �ĺǂǤdzơȁ ȆºǫǂnjdzơśǟƢǘºǬdzơ Ŀ ǵƢǤdzȋơ DZȂºǬƷƢȇƢºƸǓȁƨǴǏȂºƦdzơ ǹơƾǬǧ ǞǷ �Ƨǂŭơ ǽǀǿ ƱȐǠdzơȄǴǟ ƨȈǐǠƬLjǷ ƨȈLjǨǼdzơ ƵơǂŪơǹƗ ǺǰŻǦȈǯ �ǾƬdzȏƽ ƢǼźǁƢƫƾºººǬǧȁ ƢǼƫǁƢǔºººƷ ƧƢȈǷ ƪǨƳ ƿȐŭơ ǵơƾǠǻơȁƨȈǻƢǤǧȋơ ƨƥǂƴƬdzơ ǹƛ �ĿƢǬưdzơ ƢǼǼǗȂǷ ƢǻƾǬǧ ƾǫ ƢǼǯ ơƿƛ DzȈǿƘƬdzơ Ŀ ǝǂnjǻƪºLjȈdz ƨȈºLjǨǼdzơ ƨǷƾǐdzơ ƱȐǟńƛ ƨǧƢǓƛ ƨȇƢǫȂdzơ ǹƗ ƵȂǓȂƥǦnjǰƫDzºƦǬȇ ǹƗ ƤȈºƦǘdzơ ȄǴǟ �ȅȁơƾŭơ ȄǴǟ �ȄǓǂŭơ ǺǷ ƽơƾǟƗ ǞǷ ƨȈǼǬƫ ƨȈǴǸǟǥƾǿǹȁƾºƥ �ǮǸLjdzơƩȂŻ ƔƢǷ ǹȁƾƥ �ƨǧƢǬưdzơ ƔƢǼƥ ƾȈǠȇȁ ȆǸŹǹƘƥ ȅƾƸƬdzơ

�ƢȀǬȇǂǗ ƨǷȁƢǬŭơ ƨǴǧƢǫ DzǔƫǥȂLJ

ȆLjǨǼdzơ Ńȋơȁ ƨǷƾǐdzơȁ ƨȈǗơǂǬŻƾdzơ

ƢŹǁ ƅơ ƾLJƗ �ƽ

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47Siege and MentalH ealth�W alls vs. Bridges

Yet sti ll we coped and rehabilitated because the Soviets were notable to take away our strengths such as culture, traditional values,and religion. However, sometimes care does not always healthose, who had witnessed close fighting or battle and there werethose who were killed by the power of stress. In order forsurvivors to move on, they will need to gain their dignity, control,culture , economic statues and their way of life again. I myselfcould oppose imprisonment as well as torture , because I am abeliever; like fish in thewater we were able to cope because therewasstill enough water for swimming.At the present, following 9/11, a new time has set in with a newkind of invasion which is going on in my beloved country. Wenow observe a tragic situation of the water of culture drying out.Again external powers inject their cu lture and foreign bodies inAfghanistan - some by the false name of Islamism, others bydollars and blunt material ism. This time they are smar ter, andtheir impact more severe then that during the Soviet times. Thecrucial question is; how much can a person take before bendingdown? We Afghans were still not fully rehabilitated becauseindividual healing is wedged in soc ial improvement. On footafter the Soviet occupation; our cultures immune system was stilldepressed at the time of this new invasion, a lso this time ourpeople bleed and again our trauma system, MMC, evacuate andheal land mine and war victims both in the Eastern and theWestern sector, but we can see, as well as our trauma doctors onthe ground report, that the invisible psychological wounds areharder to heal this time. With compass lost and nowhere to go-water dried out- also ourproud history loses its s ignificance. Howcan we help rehabilitate when the habitus- our cultural home-islost?The Afghan Experience clearly indicates that prevention inaddition to healing of psychological trauma is not a technicalmatter in individual patients. The healer, the doctor should takeon the challenge to protect and rebuild culture. Without water,fishes d ie. Without an aim, the caravan of resistance will ge t lost.

Afghanistan's 30 years of war, especially during theSoviet invasion in 1979, when they purposely tried to break theafghan people's strengths' by bringing a tota lly alien culture('democracy' & 'humanity ') to us, but true humanity is thedisguise of well doing rather than nice word.Two million Afghans were left martyred, one million disabled inaddition to six million who were forced out as refugees to othercountries, for those refugees the depression which leads to posttraumatic stress d isorder (PTSD) was not only due to the longterms of torture and abuse, however it was from poor socialsupport, having to face an alien like civilization, facing improperpsychiatric analyses because of unawareness of cross cultureissues, along with deficiency of interpreters and further more allthe misappropria te outcomes were down to the Soviet army. Atthe time it wascrystal clear that those say human were in fact in-human. The Afghans which included young adults who foundthat act ing out for their family along side community struggle awayof social reality witha psychological protec tion due to a fightfor freedom, they had had enough and as result the Russians wereforced back home.During this time MMC-Mobile Emergency Medical Cent re wasset up by us along with the endless support and friendship of othercountries, most thankfully Norway. In the course of five years inthe battle fields of Jalalabad, MMC successfu lly saved 4,200wars wounded. (Husum H, Reha A: Effect of early pre-hospitalrescue 4200 war injured: The battle of Jalalabad, Afghanistan,Prehosp Disaster Med 1999; 14:75-80).During the Soviet occupation among our people psychologicaltrauma was obviously caused due to the horrendous effects ofmodern warfare e.g. Napalm bombs, clustermunitionsas well astorture, caused depression, aggressive impulses, nightmares,mood swings, stress. The destruction of our homes and countrywas not just on our material possessions but on us, as well as oursymbols which represented us as humans and people who havetheir own culture with different traditions, values and ways oflife.

Democracy, Trauma & Psychological distress

Dr.Assaddullah Reha *

*C hief MMC-A fghan istan (I nstitut e of Tr aumat ic Eme rgency ) / a.r eha@b topenw orld.c om

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��ǝǁơȂnjdzơĿ ŚLJƢƫ ǃơǂǗ ǺǷƨȈǫƾǼƥǩȐǗƛ ȁƗ ƨȈƟƢƥǂȀǯǪǗƢǼǷĿ ƨȈºƷ ǂȇǁ ƢºǬƫȄǴǟ ǝȐǗȏơ ǺǷ ƩơȂ ǼLJǞƥǁƗȁ ȆźǁƢƬdzơ ƮƸƦdzơ ńƛ ơƽƢǼƬLJơȁȆǿȁ� ƨȈƯǁƢǰdzơ ƨȈdzƢũƗǂdzơ ǹƗǦȈǯ ƵȂǓȂººººƥ ƨǷƾǐdzơƤǿǀǷ ǂȀǜȇ �ƭǁơȂǰdzơǺǷňƢǠƫ ƪdzơǃ ȏŖdzơ ƩƢǠǸƬĐơ ƔƢǼº ƥȁƨºLJƾǼǿ ƧƽƢǟȍ ƢǠȇǂºLJ ƧǂǠƬºLjŭơ ƧǁơǂºnjdzơǀǼǷƣƢƬǰdzơǁƢƯƕ ƽȂǠƫƮȈºººƷ ����� ŐǸƬºººƦLJ� DZȂǴȇƗ �� Ŀ ƗƾººƦƫ Ń�ƨǷƾǐdzơƾȇƾǠdzơ ƪƳǂƻŖdzơȁ� ǹƢǷƾȇǂǧ ǹȂƬǴȈǷƨºLJƢƟǂƥ ȂǣƢǰ ȈºNj ƨǠǷƢŪ � ƢǷƢǟśºLjŨĿ ƢȇȂºººººǫǶǿŚƯƘ ƫDZơDŽȇ ȏ Ǻȇǀdzơȁś ȈdzơŐȈǴdzơ ǺȇǂǰǨŭơȁƽƾŪơ śǜǧƢƄơ ǃǂºººººƥƗ ǺǷ

Ǻǿơǂdzơ ƪǫȂdzơŕƷǺǘǼNjơȁƩ ƢººLJƢȈLjdzơ śººƥ ƩȐǐdzơ ǺǷ ƧƾǸƬºLjǷ � ƨƠƳƢǨǷǖºƥơȁǁ ǺǟƣƢºǬǼdzơ ǦºnjǯȁƩ ơǂºººƥƢƼŭơƨdzƢǯȁ ƢŮȂŤŖdzơ ƨȇǂººLjdzơ ƣǂūơȁ �Ƥǟǂdzơȁ ƨǷƾǐdzơ� � ƨȇƽƢǐƬººǫȏơ�Ʃ ƢȈǼȈººLjǸŬơ ĿDžơȂūơ ǺǷǹƢǷǂūơȁȆƟƢºƥǂȀǰdzơ ƤȇǀǠƬdzơĿ ƨȈǰȇǂǷȋơ ƨȇDŽǯ ǂŭơƲȈǴƻ Ŀ ǵȂȈdzơ ƨǷƾƼƬºLjŭơ ƤȇǀǠƬdzơƩƢºƦȈƬǯƨºƥƢƬǯĿ ƩƾǟƢºLJ Ŗdzơ ƭȂƸƦdzơȁ

�ȂǷƢǻƢƬǻơȂƳ� ǂǏƢǠŭơ ƢǼźǁƢƫ ǺǷ Ƕǣǂdzơ ȄǴǟ ǁƢǰǧȋơ ǽǀǿ ǪȈºººƦǘƫ ǞºººƦƬȇ ƨǷƾǐdzơƤǿǀǷ ǹƛ� ƧƾǸǠƬǷƪǻƢǯ ƤȇǂºǬdzơȆǓƢŭơƭơƾƷƗǒǠƥǹƗ ǦȈǯƨƬƦưǷ DzȈǏƢǨƫǾȈǧ ǂȀǜƫƣȐºººǬǻơ � ƨǷƾǐdzơƤǿǀŭ ƨǘººnjǻƵǁƢººLjǷƾǠƫƪǻƢǯŖdzơǺǯƢǷȋơśººƥ ǺǷȁƨŞǀǷȁ � ���� ǵƢǟĿƾǻȐǯȂǧ ǁDŽƳ ȄǴǟƣǂūơ � ���� ǵƢǟĿȆǴȈººNj ĿǾȈºNjȂǼȈƥ� ���� ǵƢǟ ĿļƢȈǧȂººLjdzơ ƽƢŢȏơ ǁƢȈĔơȁ � ���� ǵƢǟĿ ȅȁƢǸºLjdzơ ǵȐºLjdzơ ǹơƾȈǷ

����� ǵƢǟ ĿNJƬȈǷ ǁƢǐǟƛȁ���� ǵƢǟĿ ƨȇȂȈLJȉơƨȈdzƢŭơ ƨǷǃȋơ

.

In THE SHOCK DOCTRINE, Naomi Klein explodes the myth thatthe global free market triumphed democratically. Exposing thethinking, the money trail and the puppet strings behind the world-changing crises and wars of the last four decades, The Shock Doctrineis the gripping story of how America's "free market" policies havecome to dominate the world-- through the exploitation of disaster-shocked people and countries.At the most chaotic juncture in Iraq's civil war,a new law is unveiledthat would allow Shell and BP to claim the country's vast oilreserves�. Immediately following Septe mber 11, the BushAdministration quietly out-sources the running of the "War onTerror" to Halliburton and Blackwater�. After a tsunami wipes outthe coasts of Southeast Asia, the pristine beaches are auctioned off totourist resorts....New Orleans's residents, scattered from Hurricane Katrina, discoverthat their public housing, hospitals and schools will never bereopened� . These events are examples of "the shock doctrine":using the public's disorientation following massive collective shocks- wars, terrorist attacks, or natural disasters -- to achieve control byimposing economic shock therapy. Sometimes, when the first twoshocks don't succeed in wiping out resistance, a third shock isemployed: the electrode in the prison cell or the Taser gun on thestreets.Based on breakthrough historical research and four years of on-the-ground reporting in disaster zones, The Shock Doctrine vividlysh ows ho w disaster cap italism - the rapid-fire corporatereengineering of societies stillreeling from shock - did not begin withSeptember 11, 2001. The book traces its origins back fifty years, tothe University of Chicago under Milton Friedman, which producedmany of the leading neo-conservative and neo-liberal thinkers whoseinfluence is still profound in Washington today. New, surprisingconnections are drawn between economic policy, "shock and awe"warfare and covert CIA-funded experiments in electroshock andsensory deprivation in the 1950s, research that helped write thetorture manuals used today in Guantanamo Bay.TheShock Doctrine follows the application of these ideas thoughourcontemporary history, showing in riveting detail how well-knownevents of the recent past have been deliberate, active theatres for theshock doctrine, among them: Pinochet's coup in Chile in 1973, theFalklands War in 1982, the TiananmenSquare Massacre in 1989, thecollapse of the Soviet Union in 1991, the Asian Financial crisis in1997 and Hurricane Mitch in 1998.

The Shock Doctrine:The Rise of Disaster Capitalism

� ƨǷƾǐdzơ ƧƾȈǬǟƨȈƯǁƢǰdzơ ƨȈdzƢũƗǂdzơ ƽȂǠǏ

ǺȇȐǯ ȆǷȂǠǻNaomi Klein *

*E-m ail: k lp123@ gmai l.com

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�ƧDŽǣĿƨȈƸǐdzơƨȇƢǟǂdzơ ǵƢǜǻƩƢƳǂűȁ�ǁƢǐūơ �ȆºLJƢȈLjdzơ ǝơǂǐdzơ �ȆƸǐdzơǵƢǜǼdzơ �ƧDŽǣǝƢǘǫ

�ȆǴƻơƾdzơ ǵƢLjǬǻȏơ�ƮƸƦdz ơ ƶȈƫƢǨǷ

Gaza Strip exper iences an ongoing political turmoiland socioeconomic advers ity in the context of a protractedpolitical conflict. The main political determinants of health in theGaza Strip includes the Israeli policies and practices toward it,and the ongoing internal Palestinian division. The effects ofIsraeli siege onthe healthsector are manifested by restricting theaccess of patien ts to health services out side the strip, theeconomic recess ion and i ts influences on the health systemperformance and outcomes, and the effects of limited importedpower and commodities. The effects of recurrent militaryoperations and incursions are manifested by the increasedburden of conflict relatedhealth conditions, and the disruption ofthe regular performance of health care facilities. The effects of theinternal Palestinian division on thehealth care system inthe GazaStrip are manifes ted by the collapse of some health services'institutions; dupl icatedadministrative orders, de-motivation andabsenteeism among workforce, and disruption of servicesprovision at the Ministry's of Heal th facilities; limiting thestewardship func tion of the national health authorities; andhindering health planning and priority sitting in the Str ip. Thecurrent realities negatively influence the performance and theoutcomes of the health care system in the Gaza Strip, and willhave negative medium and long term effects. There will not be anormal performance of the Palestin ian health care systemwithout a radical solution for the Palestinian question; however,neutralizing the health affairs in the Gaza Strip f rom the politicalmotives, respecting the right to health, and increasing theinvolvement of international health organizations in Gaza couldgive a window of opportunity to prevent imminent deteriorationof the performance and the outcomes of the hea lth caresystem inGaza.

Gaza Strip, Health System, politica l conflict, siege,Interna l division.Keywords:

Health in the Gaza Strip underSiege, Fire and Internal Division.

Dr. Majdi Ashour *

�ƧDŽǣ ǝƢǘǫ Ŀ ƨƸǐdzơȆǴƻơƾdzơ ǵƢLjǬǻȏơȁ ǁƢǼdzơȁ ǁƢǐūơ

ǁȂNjƢǟ ȅƾů �ƽ

* Public Health and He alth Policy Special ist / ma jdyash @yah oo.com

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51 Siege and MentalH ealth�W alls vs. Bridges

ƾȇDŽȇ ƢǷ ǀǼǷ ƧDŽǣǝƢǘºººǫ ȆǴǟ ǑȁǂǨŭơȁ ǪǻƢŬơ ǁƢǐūơ ƨƴȈƬǻƨººƸǐdzơ ƧǁơǃȂººƥ ƨȈǠǸƬĐơ ƨȈººLjǨǼdzơ ƨºƸǐdzơƪǷƢºǫ ƾºǬǧ �ǵƢǠdzơ ǺǟǩȐǣȍơ ǂƯƗ ǂȀǜƬdz ƧDŽǣƩƢǜǧƢŰ Ŀ ƨȈǟȐǘƬºLJơ ƨLJơǁƾƥ ƨȈǼȈǘLjǴǨdzơȄǴǟƔơȂºLJ ƨǷƾºǬŭơ ƨȈǠǸƬĐơ ƨȈºLjǨǼdzơ ƨƸǐdzơƩƢǷƾƻ ȆǴǟ ǁƢǐūơȁƨȈººººLjǨǼdzơ ƨºººƸǐdzơ DŽǯơǂǷ ǞȈŦƪǴſ Ŗdzơȁ ȆǓǂŭơȁƗ śǴǷƢǠdzơDzǸºººnjƫ ƨƳȁƽDŽǷ ǾǻƢºººƦƬLJơ DzǸǟ Ļȁ�ƨººLjǸŬơƩƢǜǧƢƄơĿƨȈǠǸƬĐơǹȂºLjŨ Ɣơǁƕ ǞŦ ĻƮȈºƷ �ȆǓǂǸǴdzȃǂƻƗȁ ƨǷƾŬơ ȆǷƾºǬǷǝȐǘƬLJơśȈƟƢǐƻƗ �ǒȇǂŤ �ƔƢººººƦǗƗ� ƢēƢƠǧ ǞȈǸŝƨǷƾŬơȆǷƾººººǬǷǺǷ ƨǼȈǟ�ȆǓǂŭơ ǺǷ ǹȂºººº ººLjŨȁ �śȇǁơƽƛȁ ƨdzƽƢ ȈǏȁśȈǟƢǸƬƳơȁ śȈºººººLjǨǻDzǰºnjƥ ƨǼȈǠdzơ ǁƢȈƬƻơ Ļȁ �ȏǵƗ ǶǠǼºƥ ƢȀȈǴǟ ƨºƥƢƳȍơ ǺǸǔƬƫǾǻƢƦƬLJȏơȁǮºLJƢŤȁƲƟƢƬǼdzơ ƣ ǁƢºǬƫƶǔƫƗƮȈºƷȆƟƢǐºƷƛDzȈǴŢ DzǸǟ Ļȁ �Ȇ ƟơȂnjǟƨǷƾŬơ ȆǴǟ ���� ƨººƦLjǻǂƯơ ǁƢǐūơ ǹƗ ƲƟƢƬǼdzơƪǻƢǯȁ ǁƢººƦƬƻȏơ ƩƢººƦƯȁ�ȄǓǂŭơ ȁƗ śǴǷƢǠdzơ ƨǼȈǟ ȃƾdz ƔơȂºLJ ƨȈºƦǴLJ ƧǁȂǐºƥȄǓǂǸǴdz ƨǷƾǬŭơǁȂǏĿ ǮdzƿDzưŤȁ �ƔȂºLJ ȆºLjǨǼdzơȁȆǟƢǸƬƳȏơȁȅƽƢǐƬǫȏơǞǓȂdzơ ƽơǃȁƧǁƾººǫ ǵƾǟȁ ƨȇȁƽȋơǎºǬǻǹƗ śºƦƫśǴǷƢǠdzơ ƨǼȈǟȆǨǧƨǨǴƬƼŭơ ƨǷƾŬơśºƦƫ ȄǓǂŭơ ƨǼȈǟ Ŀ ƢǸǼȈºƥ ���� ƨƦLjǼƥ ƆƢƦǴLJ ǂƯƗ ƢǿƙơǂNj ȄǴǟ ȄǓǂŭơǵƾǟǺǷ ƆƢººƦǴLJ ơȁǂ ƯƘƫ ȄǓǂŭơ ǺǷ ���ȁ �ƢǿƙơǂºNjȄǴǟ ǺȇǁƽƢºǫŚǣ ��� ǹƗƪǻƢǯśǴǷƢǠdzơĿ ƢǸǼȈºƥ ƨȈƳǁƢŬơ ƨȈǟƢǸƬƳȏơ ƨȈºLjǨǼdzơƩƢǷƾŬơ ʼnƾºǬƫƨȈººººLjǨǼdzơ ƩƢǷƾŬơ ʼnƾººººǬƫ ǵƾǟ ǺǷ śǴǷƢǠdzơ ȃƾdz ����ƨººººƦLjǼdzơDZȂǏȂǴdz ƩƢºƥȂǠǏ ǺǷ ŇƢǟ śǴǷƢǠdzơǺǷ � �� ǹơȁ �ƨȈƳǁƢŬơ ƨȈǟƢǸƬƳȏơǹƗȁ �DŽǯơǂǸǴdz DZȂǏȂǴdz ƩƢººƥȂǠǏ ǺǷŇƢǟ śǴǷƢǠdzơ ǺǷ � ��ǹơȁ DŽǯơǂǸǴdzƨºƸǐdzơƩƢǷƾŬ ƨȈdzƢŭơ ƩƢǐǐƼŭơǦǠǓ ǺǷơȂǻƢǟ śǴǷƢǠdzơ ǺǷ ���ƨȈǐȈƼºnjƬdzơȁƨȈƳȐǠdzơ DzƟƢºLJȂdzơȁ ƩơƾǠŭơȁ Ʃơȁƽȋ ơǎºǬǻȁ ƨ ȈLjǨǼdzơȄǓǂŭơ ǺǷ ���ȁ ǹƗȁ ȆǸǴǠdzơ ǂȇȂǘƬdzơȁȆƳǁƢŬơȁȆǴƻơƾdzơƤȇǁƾƬdzơǎǬǻȁƪǴƯƢŤ ȁ �ƨǷƾŬơ ʼnƾǬƫ ǹƢǰŭ ƨǸƟȐŭơȁ ƨȈƦǘdzơ ƩơDŽȈȀƴƬdzơǎǬǻ ǺǷ ơȂǻƢǟǹƗ ȄǴǟ ƪƬººƦƯƗȁ �śǴǷƢǠdzơȁȆǓǂŭơ śººƥ ƨºǬưdzơ ǁȂǿƾ ƫĿ ��� ƨºƦLjǼdzơƨƦLjǼƥ ȄǓǂǸǴdz ƨǷƾǬŭơ ƨȈƦǘdzơƩƢǷƾŬơ ȆƷƢǼǷǞȈŦ ȄǴǟ ǂƯ Ɨ ǁƢǐūơȅȂºǬdzơ ǞȈŦƧȂǟƾºƥ ȄǏȂǻ ơǀŮȁ �ƧǂºNjƢƦǷ ƧǁȂǐºƥ ��� Ǻǟ ƾȇDŽƫ ƨǷƢǟƝƽƢºººƦŭ ơǒººǫƢǼȇ ȅǀdzơ ǁƢǐūơ ǞǧǁĿƢǿǁȁƽ ǀƻȋƨȈdzȁƾdzơ ƩƢººLjLJƚŭơȁ

�ǹƢLjǻȍơ ǩȂǬūƨȈLJƢLJȋơ

As a result of the constric ting siege imposed on theGaza Strip for more than a year the Community Mental HealthAdministration at the Palestinian Ministry ofHealth carried out asurvey in the governorates of Gaza to investiga te the impact ofclosure and siege on the provision of community mental healthcare services, regarding both workers and patients. The surveyinvolved all community mental heal th care centers in all fivegovernorates. Two questionnaires were prepared, one for healthcare providers and the other for patients. The sample of healthcareproviders included 50 individuals including doctors, nurses,psychologists, social workers, pharmacists and administrativepersonnel. In addition the survey included 50 randomly chosenpatients. Findings were subjected tostatistical analysis.One hundred percent of responses from both health careproviders and patients felt that the siege has negatively affectedthe provision of servicesand has worsened economic, social andpsychological conditions. The affected aspects of health careprovision included a lack of medication andpat ients' inab ility topurchase medication (100% of health care providers and 96% ofpatients); inadequate delivery of communitybased mental healthcare and social services (100% of providers, 96% of patients);difficul ty in reaching centers (96% of providers, 94% ofpatients); scarcity of financial allocations for mental healthservices, necessary equipment and diagnostic and therapeutictools, and a lack of internal and external training andopportunities for scientific development (98%of providers); lackof appropriateand necessary medical supplies needed for serviceprovision (80% of patients ) and deterioration of trust betweenpatients and providers (84%). The findings provide evidence thatthe siege has negatively affected all aspects of service provision(an overall 80%). We call upon all groups and internationalinstitutions to bear their responsibilities in lifting the siege, whichviolates basicprinciples of humanrights.

ƨȈǟȐǘƬLJơ ƨLJơǁƽ ǎƼǴǷƨƸǐdzơ ƧǁơǃȂƥ ƨȈǠǸƬĐơ ƨȈLjǨǼdzơ ƨƸǐdzơ DŽǯơǂǷ Ŀ

ƨǷƾǬŭơ ƨȈLjǨǼdzơ ƨƸǐdzơ ƩƢǷƾƻ ȄǴǟ ǁƢǐūơ ŚƯƘƫ DZȂƷ

DzȈƸǯ ƽƢǸǟȁ ǁȂũ NJȇƢǟ �ƽ

Summary of a Survey o fCommunity Mental Health Centers of the Ministry of Health

Regarding the Impact o f Siege on Mental Health Service Provision

Dr.Ayesh Sammour and Mr. Emad Kuhail

ƧDŽǣ ƨƸǐdzơ ƧǁơǃȂƥ ȆLjǨǼdzơ Ƥǘdzơ ȄǨnjƬLjǷ ǂȇƾǷ aye sh_sam mour @hotm ail.com

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52i Ën�AÊ l UAË �A . . . ÑÍn Ã̄ ºA ÑZv ºAÊ i Bv�A

ȆƟơǀǤdzơ ǞǓȂdzơ ǶȈǬƫ Ņƛ ȆǠǘǬŭơ ȆǸǰdzơƶLjŭơ ơǀǿ ǥƾȀȇƧDŽǣƩƢǜǧƢŰĿ ơǂȀºNj �� Ņƛ �śƥƢǷ ǶǿǁƢǸǟƗƵȁơǂƬƫ ǺȇǀǴdzơ DZ ƢǨǗȌdzǪȇǂǗǺǟ śǴǿƚŭơ DZƢǨǗȋơǺǷ ȐǨǗ ��� ǁƢȈƬƻơ Ļ� džǻȂȇ ǹƢƻȁ DZƢǸnjdzơȁǵơƾƼƬºLJƢƥ DZƢǨǗȋơ ƩƢȀǷƗ ƨǴºƥƢǬǷ ƪȇǂƳƗ ƾºǫȁ �ƨȈƟơȂºnjǟƩƢǼȈǟ ǀƻƗƨȈǟƢǸƬƳơȁ ƨȈǧơǂǣȂŻƽ ƩƢǻƢȈºƥ � ȆƷơȂǻ ƨƯȐƯƪǴſ ƨǸǜǼǷƩƢǻƢȈƦƬLJơǽƢšƢȀǴǷƢǠƫ ƨȈǨȈǯ ȁ ǵȋơ ƩơŐƻŅƛ ƨǧƢǓƛ �ƨȈǻƢLjǻƛ ŚȇƢǠǷ �ƨȇƽƢǐƬǫơȁǶǴǠdz ȆƟƢǐºƷƛ ƲǷƢǻǂºƥ ǵơƾƼƬLJƢƥ ƩƢǻƢȈƦdzơ DzȈǴŢĻ ƾǫȁ �ƢȀǴǨǗ ƨȇǀǤƫ

�ƣȂLJƢūơ ǵơƾƼƬLJƢƥ ȆƟƢǐƷȍơ DzȈǴƸƬdzơ ƲǷƢǻǂƥȁ ǝƢǸƬƳȏơƢēơƽơǂȇƛ ƩơǂȇƾºǬƫƪǷƾºǫŖdzơ ǂºLJȋơ Ǟº ƥǁ ǺǷ ǂưǯƗ ǹƗ ƨLJơǁƾdzơ ƩǂȀǛƗȁǺǷ DzºǫƗ ȁƗ DzǰȈºNj ����śƥ ƢǷ ƨȇǂȀnjdzơ ƢŮȂƻƽ ƵȁơǂƬƫ � �ǖǬǧ " ������ƔơǀǤdzơ śǷƘƬdz ǥƢǯ Śǣ ǾǻƗȆǴǟ ƢȀǴƻƾdz ǂǜǼƫ ǂºººLJȋơ ǺǷ �"�� ��� �Ǯdzƿ�ǹǃȂdzơǎǬǻ ǺǷǹȂ ǻƢǠȇ ǶȀƬǼȇ ƢǠǷ ƪŤǺȇǀdzơ DZƢǨǗȋơ ǺǷ �"���� ǹƗ ƢǸǯƔȂººLJ ǺǷ ǹȂǻƢǠȇ " ��� � ǹǃȂdzơǥƢǠǓ �"� ��� �ȂǸǼdzơ ǦººǫȂƫǺǷ �" �����

�� ƨȇǂǸǠdzơ ƩƢƠǨǴdz08$& ȆǴǟ ơƽƢǸƬǟơ� ƨȇǀǤƬdzơ" ���� �ƨ ǴǷƢǯ ǂȀNjƗ � ƧƾŭǺŮƢǨǗƗǺǠǓǁơ ƩƢȀǷȏ ơ ǺǷ ǖǬǧȅǂƻȋơ ƨǸǠǗȌdzƤººLjǼdzơ ƢǷƗ �ƾººƦǰdzơ DZȁƢǼƬȇ Ń śǼȇƢǠŭơ DZƢǨǗȋơ ǺǷ� őǴdzơȁ � " ����� ǭƢũȋơȁ" ���� �ǒȈºººƦdzơ � " ���� � ǵȂū �ļȋƢǯ ȆȀǧƢǸǯȅƢnjdzơ ǹȂLjƬŹ śǼȇƢǠŭơ DZƢǨǗȋơǺǷ " ���� �" ���� � ǹƢƦdzȋơ ƩƢƴƬǼǷȆǬǴƬƫ " ���� � ƢȈǷȂȇ ƩơǂǷ�ńƛ � DZƾǠŠȅƢnjdzơ ǹȂƥǂnjȇǶȀǼǷ " ���� ǹƗ

�ǵƢǠǘdzơ ƩƢƦƳȁ ǞǷȅƢnjdzơǖºƦƫǁơ ƢǸǯ � ƨȀǯƢǨdzơ ǺǷ ƨȈǧƢǯ Śǣ ƨȈǸǯ ǀƻƘºƥǹǃȂdzơǎºǬǻ ǖƦƫǁơ ƾǫȁǦºǫȂƫ ǹƢǯȁ �ǁƢǔŬơ ǺǷ ƨȈǧƢǯ ŚǣƩƢȈǸǰºƥ ŚºƦǯƾºƷ Ņƛ ƨȇǀǤƬdzơ ƔȂLJǶƴºƷ Őǯȁ �ǾǯơȂǨ dzơȁ ǵȂºƸǴdzơ ƨȇƢǨǯǵƾǠºƥ ƧŚƦǯƨƦLjǼƥ ƢǘƦƫǂǷ ȂǸǼdzơƢǸǯ �DzȇȂǗƪºǫȂdz ƨȇǀǤƬdzơƔȂºLjdzǑǂǠƬdzơȁ �Dzƻƾdzơ ƨȇƢǨǯ ǵƾǟȁ �ƧǂLJȋơ�ǵƢƬŬơ Ŀȁ � ƧƢǘǠŭơ ǵȂƸǴdzơ ƨȈǸǯ ƨȇƢǨǯ ǵƾǟŅƛǞƳǂȇ ǵƢǠdzơǦǠǔdzơ ǹƗƨǷǃȋơ DzǛĿ � ƨǼǿơǂdzơ ƨȇƽƢǐƬººººººººººǫȏơ ƨǷǃȋơ ǹƗ ƢǷƢŤ ƶǓơȂdzơ ǺǷȁƨdzƢūơ ȄǴǟ ƧŚǘƻ ƩơŚƯƘƫ Ƨƾǟ ƢȀǼǟǒƼŤ ǩȐǣȍơȁ ƨȈºººººººººLJƢȈLjdzơĿ ǞǓȂdzơ ơǀǿǹƗ ǂǯǀdzƢººƥǂȇƾŪơ ǺǷȁ� ƧDŽǣ ǝƢǘººǫ Ŀ DzǨǘǴdz ƨȈƟơǀǤdzơ

� ƨǷǃȋơ ǽǀǿǦǫȂdz ȅǁȂǧ Dzƻƾƫ ǭƢǼǿ ǹȂǰȇ Ƣŭ ơƿƛ ƾȇơDŽƬǷ ǁȂǿƾƫ

14.5 ?

A rapid cross sectional quantitative survey aimed atassessing the nutritionalsta tus of children aged 6 - 59 months inGaza, North Gaza , and Khanyounisgovernorates.754 eligible children were selected using a cluster randomsampling method; the mothers of those children were interviewedusing a structured questionnaire that inc luded 3 parts,demog raphic and soc ioeconomic da ta, anthropometricmeasurements, and mother's knowledge and practice as perchild's nutrition. Data was analyzed using SPSS and Anthrostatistical analysis software programs.The study showed that more than one fourth of the families thatprovided estimates of their incomes (only 54.1% ), had monthlyincomes that are 1000 NIS or less. 62.6% of the familiesperceived their incomes as insufficien t for secur ing food. 2 .5% ofthe surveyed children were underweight, 10.3% stunted , 2.4%wasted, and 3.4% malnourished (based on MUAC for age).Only 14 .5% of the mothers exclusive ly breastfed their childrenfor exactly 6 month. 31.8% of the surveyed children neverreceived liver;the percentages for other foodswere, meat: 17.1%,eggs :10.9%, fish: 20.3%, and milk/ milk products:13.2% 69.4%of the surveyed children received tea; 32.9% of them did so 3 to 4times a day, and 59.5% received it wi th meals. Underweight wassignificantly linked to insufficient intake of fru its. Malnutritionwas significantly linked to insuffic ient intake of vegetable.Stunting was sign ificantly associated with insufficient intake ofmeat, decreased f ruit intake , large family size, insufficient familyincome, and history of malnutrition . Wasting was linked toinsuffic ient meat intake. In conclusion, it is qu ite clear that thecurrent economic crisis, in the shadows of the political hardshipand closure, has resulted in severe impacts on child's nutritionalstatus in the Gaza Strip; the situation can further deteriorate if noaction is immediately taken.

Nutritional Status of under FivePalestinian Children in the Gaza Strip

Jasem Humeid and Hamza Abdeljawad*

śȈǼȈǘLjǴǨdzơ DZƢǨǗȌdz ȆƟơǀǤdzơ ǞǓȂdzơƧDŽǣ ǝƢǘǫ Ŀ ƨLjǷƢŬơ ǺLJ ǹȁƽ

� jhumeid [email protected] m (Ja sem), hamja wad@ yahoo.com (Ham za)

ƽơȂŪơ ƾƦǟ ƧDŽŧ ȁ ƾȈŧ ǶLJƢƳ

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53 Siege and MentalH ealth�W alls vs. Bridges

ǝƢǘºǫ ȄǴǟ ȐǷƢºNj ȁ ȐǷƢǯ ƆơǁƢǐƷňȂȈȀǐdzơ ǹƢȈǰdzơǑǂǨȇƩƽơƽǃơ ƾºǫ ȁ ���� ȂȈǻȂȇ ǀǼǷ ƨǸºLjǻ ��������� ƨºƥơǂǫ ǾǼǘºǬȇ ȅǀdzơ ƧDŽǣǞǸƬĐơ ƩƢƠǧ DzǯǾǼǷ ňƢǠȈdz ����ŅƢūơ ǵƢǠdzơ ƨȇơƾºº ºƥ ǞǷ ǁƢǐūơ ƧƾººƷǶǰƄơ ǩȐǣȍơ ǁƢǐūơDzſƾºǫ ȁ �ƔƢǼưƬLJ ơ ǹȁƽ ǝƢǘǬdzơ ĿřȈǘLjǴǨdzơȁ ȆȀǘdzơ ǃƢǣ ƢȀȈǧ ƢŠ ƽȂººǫȂdzơ Ʃ ơƽơƾǷƛǞǼǷ ȁǎȈǴºǬƫ ƩơƔơǂƳƛ ȁ ǂ ºƥƢǠǸǴdzȁ ƨǷƢǠdzơ ƨºƸǐdzơǪǧơǂŭ ƨǷǃȐdzơ Ʃơȁƽȋơ DZƢƻƽƜºƥ ƵƢǸLjdzơ ǵƾǟȁ ƔƢƥǂȀǰdzơǾȈǴǟȁ �ƩƢǧȉơ ƨººƸǧƢǰǷ ȁƨºƦǴǐdzơ ƩƢȇƢǨǼdzơ ȁ ȆºƸǐdzơ ǥǂǐdzơȁ ǽƢȈŭơŃƢǠdzơĿ ŚǜǻƢŮ ƾƳȁ ƢǸǴºǫ ƢǧȁǂǛ ǹȂǻƢǠȇ ƧDŽǣ ǝƢǘºǫ ǹƢǰºLJ ƩƢƥ ƾǬǧƨȈºƸǐdzơ ȁ ƨȈƠȈºƦdzơ ǁƢƯȉơ ƨºLJ ơǁƽ ńƛ ƨȈǸǴǠdzơ ƨºǫǁȂdzơ ǽǀǿ ǥƾē �ǽǂLJƘƥDZȐƻǺǷ ǪǻƢŬơ ǁƢǐūơ ƔơǂƳƧDŽǣ ǝƢǘººººººǫ ǹƢǰºººººLJ ƢȀǼǷňƢǠȇŖdzơƤǻơȂŝ ƨºººǬǴǠƬŭơ ƨȈººƥƽȋơ ƩƢǠƳơǂŭơ ȁ ƨȈǻơƾȈŭơ Ʃơ ǁƢȇDŽdzơ ȁ ƩƢǜººƷȐŭơȁ ǂȇƾǐƫ ǞǼǷ ȁǁƢǐūơ ǹƗ ƨºǫǁȂdzơ ƩǂȀǛƗ �ƧDŽǣ ǝƢǘǫĿ ƨƠȈƦdzơ ȁ ƨƸǐdzơĿ ƤºƦLjƫ ƧDŽǣǝƢǘºǫ ńƛ ƨȈǠȈƦǘdzơ ƧǁȂǐdzƢƥ ƽȂǫȂdzơ DZƢǰNjƗƨǧƢǯ Ǫǧƾƫ

�ƢȀŷƗǺǷ DzǠdz ƢŮǂǐƷ ȏƨŦ ƨȈƸǏȁƨȈƠȈƥ DzǯƢnjǷƭȁƾƷŖdzơ ȁ ƢȀǠǸš ǺǯƢǷƗĿ ƢȀººLJƾǰƫ ȁƨºƦǴǐdzơ ƩƢȇƢǨǼdzơ Ƕǯơǂƫ ��ȃǂƻȋơ ƨ ȇǂºnjūơƩƢǧȉơ ȁ ƨȈºnjȇƢǠƬdzơǑǁơȂºǬdzơ ǁƢnjƬǻơ ƢȀǼǟǶƴǼȇƩơǃƢǤdzơ ȁ ƨȀȇǂǰdzơ ƶ Ɵơȁǂdzơ ǁƢºnjƬǻơ ȁ �ǾƬƠȈƥ ȁ ǹƢLjǻȍơ ƨƸǐdzƨȇƿƚŭơȁ ƨǷƢǸººǬdzơ ǵơȂǯƗ ǩǂºƷ ǺǟǶƳƢǼdzơ ƔơȂŮơ ƭȂǴƫ ȁ �ƨȇƿƚŭơ ƨǷƢºLjdzơƢŲ ƢēơǁƢǐǟ ȁ ƨººº ƦǴǐdzơƩƢȇƢǨǼdzƢººƥƨȈǧȂŪơ ǽƢȈŭơ ȁ ƨººƥǂƬdzơ ƭȂǴƫ

�ƨ ȈƠȈƦdzơ ƨƸǐdzơ ȁ ƨǷƢǠdzơ ƨƸǐǴdz ơƾȇƾēDzǰnjȇȅǀdzơƧDŽǣ ǝƢǘºººǫĿ ƨǷƽƢǠdzơ ǽƢȈŭơ ƨŪƢǠǷ ƩƢǘŰƧƔƢǨǯňƾƫ ��

ƤºººƦLjƫ ȁ ƢȇȂǼººLJ ƨǷƽƢǠdzơ ǽƢȈŭơ ǺǷ ƣȂǯ ǹȂȈǴǷ�� ǺǷ ǂưǯƗƲƬǼȇǶǜǠǷǦȇǂǐƫĿ ƢŮ ƽȂºǫȂdzơ ƩơƽơƾǷƛǦºǫȁ ȁ ƢȀȈǴǟ ƾƟơDŽdzơ DzǸūơƨȇƽȁȋơ ȁ ƨºƷȂƬǨŭơƩƢƠȈƦdzơ ĿƢȈƟDŽƳ ƨŪƢǠŭơ ȁƗ ƨŪƢǠŭơ Śǣ ǽƢȈŭơ ǮǴƫ

�ƨȇǂƸƦdzơ ƨƠȈƦdzơ ȁĿ ƾȈºƷȂdzơ ȅƾȈǴǬƬdzơ ǁƾǐŭơ ŐƬǠƫŖdzơ ƨȈǧȂŪơ ǽƢȈŭơ ƭȂǴƫ ƧƽƢȇǃ ��ƪǤǴºƥƮȈºƷǑơǂǷȋơ ƩƢºƦƦLjǷ ȁ ƾȇơǁȂǴǰdzơ ȁƩơǂƬǼdzƢºƥ ƧDŽǣ ǝƢǘºǫȅǀdzơƾºƸǴdz ƨǨǟƢǔǷ ơƽȁƾƷƾȇơǁȂǴǰdzơȁ Ʃ ơǂƬǼdzƢƥ ƭȂǴƬdzơ ƩƢȇȂƬLjǷDzǰºnjȇ ƢŲ ƣǂºnjdzơ ǽƢȈǷ ĿƨȈŭƢǠdzơ ƨºƸǐdzơ ƨǸǜǼǷ Ǿºƥ ƶǸºLjƫ

�DZƢǨǗȋơ ƢǸȈLJȏ ȁśǼǗơȂŭơ ƨƸǏ ȄǴǟơǂǘƻȁ ǾȈǧǂƬdzơ ǺǯƢǷƗŚǷƾƫ ȁ ƨȈƠǗƢºnjdzơ ȁ ƨȇǂºƸƦdzơ ƨƠȈƦdzơ ƭȂǴƫ ƧƽƢȇǃ ��Ŀ ƤºƦLjƬȇ ƢŲ �ƨºƦǴǐdzơ ȁ ƨǴƟƢLjdzơ ƩƢȇƢǨǼdzơ ƵǂǗƔơǂƳ ǵƢǸƴƬLJȏơǂºƸƦdzơƞǗƢºNjĿǹȁƾŸ Ǻȇǀdzơ śȈǼȈǘºLjǴǨdzơ ȄǴǟ ǩƢǼŬơ ǪȈȈǔƫĿ ƽƢºƷǎºǬǻ ǺǷ ƧDŽǣ ǝƢǘºǫ ǹƢǰºLJňƢǠ ȇ �ǶŮơƾȈºƷȁ ƢLjǨǼƬǷƾȈǐdzơ ƣǁơȂºǫ ǦºǫȂƫƤƦLjƥȆǰǸLjdzơ ǁƾǐŭơ ȅƿ ňơȂȈūơ śƫȁŐdzơ

�ƢȀ ǴȈǤnjƬdz ǵǃȐdzơ ƽȂǫȂdzơ ǝƢǘǬǻȏ ơǂǜǻ ƢȀǴǸǟ ǺǟƤººƦLjƥ ƨȈºLjǨǼdzơǑơǂǷȋơ ƢȀȈǧ ƢŠǑơǂǷȋơ ȁ ƨƠºƥȁȋ ơ ǁƢºnjƬǻơ ��ǵƢǠǘdzơ ǁƽƢǐǷƨǴǫ ȁ ƨȇȂǠŭơƩƢȈǴȈǨǘdzơ ȁǑȂǠƦdzơ ȁƩƢǧȉơ ǁƢnjƬǻơDŽƴǟȁ DzºǬǼdzơǖƟƢºLJȁ ƨǯǂºƷ ǦºǫȂƫƤºƦLjƥ ƢǿǁƢǠºLJ ƗǦǟƢǔƫ ȁǽƢȈŭơ ǁƢººººƥƕ ƩƢƼǔǷǶǜǠǷ ƽƢǸƬǟȏǶȀǴȈǏƢŰȅǁ ǺǷ śǟǁơDŽŭơ

�ǁȏȂLjdzơ ƽȂǫȁȄǴǟ

ƧDŽǣ ǝƢǘǫ ȄǴǟ ňȂȈȀǐdzơ ǁƢǐūơƨȈƸǐdzơ ȁ ƨȈƠȈƦdzơ ǽǁƢƯƕ ȁ

Ǿƥǁ ƾƦǟ ȆǸǜǻ ƵƢƬǨdzơ ƾƦǟ �ƽ

DUDERX#LXJD]D� HGX�S V �ňȁǂ ƬǰȈdzȍ ơƾȇŐdz ơ

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54i Ën�AÊ l UAË �A . . . ÑÍn Ã̄ ºA ÑZv ºAÊ i Bv�A

in Gaza. The lack of energy supplies to those stationsresulted in most of this wastewater being disposedof in openspaces, valleys andthe sea.3- Pollution of groundwater, traditionally the sole source ofwater in the Gaza Str ip, with n itrates, chlorides and othercontaminating elements. The level of nitrates and chloridesin drinking water has reached levels that are severa l timeshigher than those permitted by WHO, constituting a dangerto the health of citizens, especial ly children.4- Pollution of the sea environment, in addition torecreational sites, as a result of the disposal of liquid andsolid waste , which has further restric ted the l ives ofPalestinians , for whom the beach is the only access to freshai r and recreation. In addition the popula tion of the Gazast rip are suffering a marked shortage of animal proteinderived from fish, since fishing boats have stopped workingdue to a lack of fuel.5 - Increased prevalence of illness, including mental illness,resulting from increased parasitic infestations, a scarcity offood resources and increases in prices, due to difficultieswith transportation. In addition , farmers are no longer ableto water their land, since most water pumps depend ongasoline.

Since June 2007, the Zionist entity has imposed acomplete and tota l siege on Gaza, which has apopulation of about1,500,000. Since the beginning of 2008 the siege has tightened tothe detr iment and suffering of all sec tors of Pa lestinian societyliving in Gaza, without exception. The siege involved a tightclosure of all crossings and a reduction or ban on all energysupplies, including cooking gas and electricity. Entry ofnecessary supplies for health care,water, sanitat ion, and disposalof solid waste has been denied andconsequently the population ofGaza has been forced to endure living conditions that a re notfound elsewhere in the world. This paper describes theenvironmental and health consequences suffered by thepopulation of Gaza as a result of the s iege. The paper is based onobservations, field visits and literature reviews concern ing thehealth and environmental conditions in Gaza. The research hasdetermined that the siegehas led todangerous environmental andhealth hazards, foremostthe following:

1- Accumulation ofsol id waste resultingin the infestation ofrodents and insects, harmful to both the health of humansand the envi ronment; the spread of foul smells, poisonousgases and air pollution due to the burning of garbage piles;so il and groundwater pollu tion from solid waste,constituting a threat to publicand environmental heal th.2- Decreased efficiency of wastewater management stations

Environmental and Health Consequencesof Zionist Siege on Gaza

Dr.Ab del Fattah Na zmiAbd Rabb o

Em ail: arab ou@iu gaza.ed u.ps

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Dzǰnjƥ ƧƢȈūơ ƨȈǻƢǰǷƛ ȄǴǟǹơȁƾǠdzơ ǺǷƢǟȂǻ ǁƢǐūơ ƨdzƢƷ DzưŤƨȈºººƷƢǼdzơ ǺǷ ƔơȂº ººLJ DZƢǨǗȋơ ǁȂǘƫƨȈǴǸǟ ȄǴǟǹơȁƾǟ ƢĔƗ ƢǸǯ �ȅƽƢǟĿǂǠŭơ ǁȂǘƬdzơ ǹƛ �ƨ ȈǧǂǠŭơƨȈº ººººƷƢǼdzơ ǺǷ ȁƗ ƨȈǟƢǸƬƳȏơȁ ƨȈººººLjǨǼdzơǺǷ ƨȇơƾººƥ ƨȈǠȈººƦǘdzơ ƧƢȈūƢº ºƥ ǁȂǠººNjȄǴǟ ƾǸƬǠȇ DZƢǨǗȌdzňơƾƳȂdzơȁǁơǂǸƬLJȏơ Ȃǿ ƨȇƽƢǠdzơ ƶǴǘǐŠ ƽȂǐǬŭơ � ƢǿƾǠƥ ƢǷń ơȁ ƧǂǰƦŭơ ƨdzȂǨǘdzơǮŻǶȀǨdzơ ǺǷƢǗƢŶƗȁ �ǪºǬƸƬdzơ ǾǼǰŲƩƢǠºǫȂƫȁ �ǺǷDŽdzơ ǞǷƩơŐŬơ ǁơǂǰƫȁƨȇƽƢǠdzơ ƧƢȈūơĿ �ƩȐǷƘƫ ĿƢǿǂȇȂǘƫȁƢȀƬȈǸǼƫȁ Ǻȇǂƻȉơ ǞǷ ƢȀƬǯǁƢººnjǷǹƘººººººººnjƥǑȁƢǨƬdzơ ǺǰŻ ƢǸǯ �ǁǂǔdzơȁ ȃƿȋơƶȈǴǐƫǺǰǸŭơ ǺǷ ǹȂǰȇ

�ƨȇƢǟǂ dzơȁ ƨȈdzȂƠLjŭƢƥ ǁȂǠnjdzơ ǹƢǘƦƬLJơȁ ƩƢǧȐŬơȆǴººǬǠdzơ ǁȂǘƬdzơ Ȅ Ǵǟ ǁƢǐūơ ǁƢƯƕ Ŀ ƮººƸƦdzơ ńƛƨǴƻơƾŭơ ǽǀǿ ȄǠººLjƫǂºǐǼǟ ȄºǴǟ DŽȈǯǂƬdzơ ǞǷ ƨȇƽƢǠdzơ ƧƢȈūơ DZȐƬƻȏ ȆǴǯ ǁȂǜǼǷ ǺǷDZƢǨǗȌdzƩƢǐǻȍơ ǹƛ �ƨȈƟƢǸūơ DzǷơȂǠdzơ ƾººººƷƘǯ DzǨǘdzơȁDzǿȋơśºººƥ DzǏơȂƬdzơńƛ ȄǠººLjȇȁ ƧƢǻƢǠŭƢººƥ ǥǂƬǠȇȁ DzȈǏƢǨƬdzƢººƥ ǶƬȀȇ ƣȂǴººLJƘƥ DZ ƢǨǗȌdzƨǰººƥǂŭ ơ ƩơŐŬơ ȄǴǟ ƨȈdzƽƢººƦƬdzơȁŘǠŭơ ƔƢǨǓƛƨȈǴǸǟ ǂºLjȈȇ ƢȀƟơȂƬºƷơƩƢǐǻȍơ ǹƛ �ƨȇƽƢǠdzơ ƨȇǂLJȋơ ƧƢȈūơ ǹȂǸǔǷȂǿǮdzƿȁ ǁơǂǬƬLJȐdz ƧƽƾȀŭơȁDzǿȋơ ǁȂǠºNjƤƦLjƥ ǁƢǐūơ ƪŢ DzǿȌdz ƨƦLjǼdzƢƥƤǠǏ ǂǷƗ Ȃǿ DZƢǨǗȌdzǹƗ ƢǸǯ �ƨȇƢǸūơȁƩƢƳƢȈƬºººƷȏơ ŚǧȂƫ ȄǴǟ ǺȇǁƽƢººǫŚǣ ǶĔȂǰdz DzƴŬƢººƥǁȂǷȋơ ƽơ ƽDŽƫǮdzǀǯ �Ǿdz ơŚºLjǨƫ DZƢºǬȇ ǹƗ ǺǰŻ ƢǸȈǧǭƢƦƫǁȏơ ƤƦLjȇ ǁƢǐūơȁƗ ƣƢƠƬǯȏơȁ DŽƴǠdzƢºƥ ǁȂǠnjdzơȁ ǹơƾǬǨdzơȁ ǪǴǬdzƢƥ Dzǿȋơ ƨƥƢǏƛ ǞǷ ơƾȈǬǠƫǮdzǀǯ �ǁȂǷȋơ ƔƢȈdzȁȋ ƩơƽƢºNjǁȍơǒǠºƥ ƨǴƻơƾŭơ ǽǀǿ ǵƾǬƫ ǥȂLJ �DžƘȈdzơƧDŽǤdzŅƢūơ ǁƢǐūƢº ºƥ ƨǏƢŬơƩƢǸºLjdzơǒǠºƥ ńƛ ƨǴƻơƾŭơ ŚºnjƫǥȂºLJǶȀǧȄǴǟȁ ƨȇƾdzơȂdzơ ƨºLJǁƢŲ Ȅ Ǵǟ ƧǁƾǬdzơ Ȅ Ǵǟ ȆLjǨǼdzơ ǽŚƯƘƫńƛ ƧǁƢNjȍƢƥǵƾǟȁ ƩƢǔººǫƢǼƫȁ �ƧDŽǣĿƨȇƽƢǐƬººǫȏơ ƨȈǸǼƬdzơŚǷƾƫ �ŃƢǠǴdz DZ ƢǨǗȋơƔƢºƥǂȀǰdzơ Ǟǘºǫ ƨȈƟơȂºnjǟȁ ��ǕƢƦƫǁȏơǮǧ� ǀǼǷ ȆLJƢȈLjdzơǖȈƄơ ƵȂǓȁ�ƤºƷƢǐȇ� ƢǷȁ �ǂºƸƦdzơ ƭȂǴƫȁ Ȇ ºƸǐdzơ ǥǂǐdzơǒȈǧȁ �ƽȂǫȂdzơ Ʃ ơƽơƾǷƛȁƩƢºȈǧȁ DZƾºǠǷǝƢºǨƫǁơȁ ƔơǀǤdzơ ƱƢƬǻȍ ƨȈǴƄơ ǁƽƢǐǸǴdz ŚǷƾƫ ǺǷ Ǿ Ǵǯ ǮdzƿƾǸƬºLjƫǥȂLJ �ȆƟơȂnjǠdzơƩȂǸǴdz ǺǯƢǷƗń ƛ ǾȈǧǂƬdzơ ǺǯƢǷƗ DZȂŢȁ ǞǓǂdzơĿ DZƢǨǗȋơȁ Dzǿȋơ ǞǷ ƨȈǻȂǨȈǴƫ ƩȐºƥƢǬǷ ǺǷ ƢēƽƢǷ ǺǷ ƢǔǠƥ ƨǴƻơƾŭơDZƢǨǗȋƢƥ ƨǏƢŬơ ƨȈǰȈǼȈǴǯȍ ơƩƢȈƥƽȋơ ǞƳơǂǷ ǵƾƼƬLjƫ ǥȂLJ ƢǸǯ ƧDŽǣ

�ǺȇǂnjǠdzơ ǹǂǬdzơĿ ǁƢǐūơ ƩƢȇǂǯƿȁ ƣǂūơƩƢǬƷȐǷǺǷ śƳƢǼdzơ

A state of siege constitutes an attack on the possibilityof ordinary life, and so isalso an attack on children's psychosocialand cognitive development. Children 's cognitive and emotionaldevelopment is scaffolded on a sense of ord inary life frominfancy onwards. Ordinariness means continuity and recurrencesof experiences over time; expectations that can be sustained;understandings that can be shared and grow and emerge intoreflectiveness. In ordinary life damage and harmfulness can berepaired, differences negotiated, responsibility and nurturanceinternalized. This presentation proposes considering the effectsof siege on children's menta l development from the overarchingperspective of the undermining of ord inary life , with a focus onthe role of parent/child communication as a protective factor.Listening to children in a way that delights in particulars, andacknowledges and contains distress, facilitates transformingchaotic and destabilizingexperiences into coherent narrative andmutuality, which is the stuff of ordinary family life.Listening to children is diff icult for parents under siege becauseof parental shame at not be ing able to provide and protect, andconfusion over what can be said. Parental anxiety, grief,helplessness, depression or despair may enter in. Someguidelines for parents will be suggested. Several particularfeatures of current siege of Gaza will be considered withreference to psychological impact on capacities for parenting andon children's understanding of the world: the prior "de-development" of Gazan economy; cont radic tions andambiguities of political surround since "disengagement;"arbitrariness of interdiction of electricity and fuel supplies;sewage overflow and pollut ion of the sea; "colla teral" destructionof local sources of food production; increased infant mortality;sites of recreation become sites of random death. Some materialwill be drawn from telephone inte rviews with parents andchildren in Gaza. Clinical li teratureon child survivors of wartimepersecution, and 20th century siegememoirswill be referenced.

Listening to Children Under Siege

Dr. Elsa First*

ǁƢǐūơ ƪŢ DZƢǨǗȌdz ƩƢǐǻȍơƪLJŚǧ ơDŽǴȇƛ�ƽ

*N ewYo rk Univ ersity P ostdoc toral Pr ogram in Psyc hoanal ysis and Psych otherap y; facu lty, Tra uma Sp ecializa tion ef 13@ny u.edu or elsaf irst@gm ail.com

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57Siege and MentalH ealth�W alls vs. Bridges

ƧȂǫ�ĺȂdz ǪȇǂǧǪǴŬ ƢȈǬǘǼǷ ƢLJƢLJƗ ƽƢŸȍ ƨǫǁȂdzơǽǀǿ ǥƾēDzǰdzǹƛ ǑǂƬǨǻ ƢǼǻƛ �ƧDŽǤºƥŅȁƾdzơ ǶȈǴǠƬdzơ DzƳƗ ǺǷśȈºƥǂŭơ ǺǷ�ƨǘǣƢǓǾdzƢǨǗƗ ǺǰŻ ǹƗƶƬǨǼǷ ǞǸƬů Dzǰdz ȆǤººƦǼȇ ǾǻơȁǶȈǴǠƬdzơĿǪūơDzǨǗǦȇǂǠƫ ƢǼǼǰŻ ơǀǿŅ ƛ ơƽƢǼƬººººLJơȁ �ŅȁƽǶȈǴǠƫȆǴǟ DZȂǐūơĿ Ǫūơ ǺǷDzƦǫǺǷ Džǁƾȇ ƢȈdzȁƽ ƢȈLJơǁƽ ƢƴȀǼǷ ǵƾǬƫ ƨLJǁƾǷ ǾǻƗȆ Ǵǟ Ņȁƾdzơ ǶȈǴǠƬdzơŃƢǠdzśǼǗơȂǷơȂǻȂǰȈdz ƣȐǘdzơ ǹȂǴǿƚȇ Ƕǿǁȁƾººƥ ǺȇǀdzơȁśȈdzȁƽ ƧǀƫƢºLJƗŚƻȋơ Ƨǁơƽȍơ Ǫȇǂǧ Ŀ ƔƢǔǟƘǯ ǺȇƾǿƢƳƢǼǴǸǟ ƾºººººǬdz �ƨŭȂǠdzơ ȂŴ ǾƴƬȇǝƢǘºǫ Ŀ ƨȇƙǂdzơ ǽǀǿ DzưǷǀȈǨǼƬdz śǴǿƚǷ śºLJǁƾǷ ƢǼǻȂǯ Ņƛ ƨǧƢǓȍƢƥǮǴƫƪǻƢǯ DzǠǨdzƢººƥ � ����B���� ǵƢǟƧDŽǤººƥ ƨȈǰȇǂǷȋơ ƨºLJǁƾŭơĿ ƧDŽǣƢǼǼǰdz � ƨ ȇƢĔ Ņƛ ƪdzƗ ƽƢǰdzƢººƥ ƢĔƗŕººƷ ƩơȂǼºLjdzơ ƤǠǏƗǺǷ ƨǼºLjdzơǶȈǴǠƬdzơ ǹƛ ǝƢǼƬºǫȏ ơ Dzǯ ǹȂǠǼƬǬǷ ƧDŽǣǺǷ ƢǼǴƷǁƩƢǫȂǠŭơ ǽǀǿDzǯǶǣǂƥȁ

� DzǬƬLjǷ ƾǴƦǯ ƧDŽǣ ǁȂǘƫȁ ǝơƾƥƛ ǺǷ ƔDŽƳƶƦǐȇ ǹơȁ ƾƥȏŅȁƾdzơǥƾŮơ ơǀǿ ǪȈºººǬŢ ǵƢǷƛƨºº ºƦǬǟ ŐǯƘǯ ǁƢǐūơǦǼǐǻ ƢǼǻƛƾǯƚŭơ ǺǷȁǶȈǴǠƬdzơ ƢŮƢǨǗȋ ǵƾººǬƫǹơ ƨǴƬŰ ƨdzȁƽ ȆǴǟ ƤǠǐdzơ ǺǷǾǻơ ƮȈººƷ�ǽǀǿǶǟƾdz ƨǴǐǨǷ ƩƢǛȂººƸǴŠ ƢǻƽȁDŽƫ ƨººǫǁȂdzơ ǽǀǿ ǹƢǧ ƢǷƢƬƻ � ƣȂǣǂŭơǺǷ ƢȀǠŦ Ļ ƩƢǷȂǴǠǷ ȆǴǟDžƢººLJȋƢƥ Ƣ ǼǴȈǴŢ ƾǸƬǠȇȁ ƢǸǯ � ƨǘººǬǼdzơƢǼººƥǁƢš DzȈƴºLjƫǪ ȇǂǗ ǺǟǮdzƿȁ ƤºǫơǂǸǴdz ȆǐƼºnjdzơ ƣȂǴºLJȋơ DZȐƻ

ƨLJǁƾŭƢƥǾȈǧ ƢǼǴǸǟȅǀdzơƪǫȂdzơƾǠƥȁ DZȐƻƢǼƫƢǟƢƦǘǻơȁ

The aim of this paper is to provide a rationale for thecreation of a lobby groupof educators for internationaleducationin Gaza. We postulate that every child has a righ t to an education,and every open society has the duty to provide its children withaccess to international education. We define internationaleducation as a school tha t offers an international curriculumtaught by international teachers who prepare students to becomecitizens of a global world. We were members of the last team ofadministrators and teachers to implement such a vision for Gazaat the American International School - Gaza (AISG) in 2005 - 6.That was a difficult year, and we barely made it to the end. Inspiteof the obstac les, welef t Gazamore convinced than ever thatinternational education should be part and parcel of Gaza'screation and development as an independentstate. The siege mustsurely rank as the largest obstacle to achiev ing this goal. Acountry that is occupied cannot properly educate its ch ildren.Thepaper willprovide detailed observations to support thi s point.Our analysis is based on information we collected through theanthropological technique of participant observation; werecorded our experiences and impressions during and after thetimewe worked a t the school.

Culture, Democracy and Civil Society:Siege and the Obstruction to the Right of an Education

Dr. Hendrik Taatgen; Marga Kapk a *

� ňƾŭơ ǞǸƬĐơȁ ƨȈǗơǂǬŻƾdzơ � ƨǧƢǬưdzơ� ǶȈǴǠƬdzơ Ŀ Ǫūơ ǵƢǷƗ ǪƟơȂǠdzơȁ ǁƢǐūơ

ƢǰƥƢǯ ƢƳǁƢǷ ȁ ǺšƢƫ ǭǁƾǼǿ �ƽ

* Ph. D. in Anthropo logy from SUNY at Stony BrookM.A. in English Li terature from Western Washington Univers ity / [email protected]; / [email protected]

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�ƨLJơǁƾdzơǺǷ ǥƾŮơ

�ƨºLJơǁƾdzơƲȀǼǷ

�ƲƟƢƬǼdzơ

ǁƢºnjƬǻơ DZƾǠǷĿƮƸƦdzơńƛ ƨLJơǁƾdzơǽǀǿ ǥƾēƨǷƾǐdzơ ƾǠºººººº ºººƥ ƢǷ ƣǂǯ ƣơǂǘǓơDzưǷ �ƢŮDzǠǨdzơ ƽȁƽǁȁ ƨǷƾǐdzơƮȈºƷ ǺǷ ƽȂǸǐdzơ DzǷơȂǟĿƮºƸƦdzơĽ ǺǷȁ ƢǷȂǸǟ ƨȈºLjǨǼdzơ ƨƸǐdzơȁƩȐǰºnjǷȁ ƨǷƾǏ ƾǠºƥ ƢǷ ƣǂǯ ƣơǂǘǓƢºƥ ƨƥƢǏȎdz ƨȈǴƥƢǬdzơ ǑƢǨŵơ

�ƨǷƾǐǴdzDzǠǧ ƽǁȁ ȃǂƻȋơ ƨȈLjǨǼdzơ ƨƸǐdzơ���ŅƢŦƛ ǺǷDzǨǗ ���ǺǷ ƨºLJơǁƾdzơ ƨǼȈǟ ǹȂǰƬƫ��������� ƨºƥƢƴƬLJȏơ DZƾǠǷ ǹƢǯ ƮȈºƷ �ƨºLJơǁƾdzơ ǶȀƬǧƾȀƬLJơ DzǨǗƭƢǻȍơ ǺǷ ��� ǹƢǯ śºººººƷȄǴǟ �������� ǁȂǯǀdzơ ǺǷ ơȂǻƢǯ DZƢǨǗȋơ ǺǷ����� ǂǸǟǖºLJȂƬŠ ƢǷƢǟ�� ȁ �śºƥ ƢǷ DZ ƢǨǗȋơǁƢǸǟ ƗƪºƷȁơǂƫ ��������ƩƢǷƾǐdzơDžƢȈºǬdz ƩƢǻƢȈƦƬLJơ ǵơƾƼƬLJƢƥ DZƢǨǗȋơ ǞǷ ƨǴƥƢǬŭơ ƪŤ �ƢǷƢǟ

�ƽȂǸǐdzơǖŶȁ DZƢǨǗȌdz ƨȈLjǨǼdzơ ƨƸǐdzơȁĿ ƨººLJơǁƾdzơ ĿśǯǁƢººnjŭơ ǹȂȈǼȈǘººLjǴǨdzơ DZƢǨǗȋơǑǂǠƫƭƾººƷ ���� ȁ ȆǴȈƟ ơǂººLJȍơ ǹơȁƾǠǴdz ƨƴȈƬǻ ƭƾºƷ�� ��� ƽƾǠdzǖºLJȂƬŭơǺǷ ƭƢǻȍ ơȁ ǁȂǯǀdzơ śºƥ Ƣºǫǂǧ ƨºLJơǁƾdzơƾšŃ �ǦƟơȂǘdzơśƥ ǝơŗdzơƤƦLjƥǖºLJȂƬǷ ƨºLJơǁƾdzơ ƩƾǏǁ �ƢŮ ơȂǓǂǠƫŖdzơ ƨǷƽƢǐdzơƭơƾºƷȋơƮȈºƷ�����ĿǑơǂǟȋơ ǝƢƳǂƬºººLJơ ������ĿƨǷƾǐdzơ ƾǠºººƥ ƢǷƣǂǯ ǑơǂǟƗ�ƨǼȈǠdzơ ǺǷ ����Ŀ ǽƢººƦƬǻȏƢƥ ƨǴǏ ƩơƿǑơǂǟƗȁ ���� Ŀ ƨȈººƦǼš ǑơǂǟƗĿ ƨǷƾǏ ƾǠºƥ ƢǷ ƣǂǯƣơǂǘǓƢºƥ ƨºƥƢǏȍơ DZƢǸƬºƷơ ƨLJơǁƾdzơ ƪǴƴLJǝƢƳǂƬºº ºººLJơ�ƾººººƷơȁǑǂǟ ǶȀȇƾdzǹƢǯ ȐǨǗ��� �DZƢǨǗȋơ ǺǷ �����ơȂǴƴººLJ DZƢǨǗȋơ ǺǷ ��� �������� �ǽƢºƦƬǻȏơ ǕǂǧȁƗ ƤǼƴƬdzơȁƗ ƭơƾºƷȋơ���ȁ ������� �ȆƟDŽƳ ƨǷƾǏƾǠººƥ ƢǷƣǂǯ ƣơǂǘǓơ�Ǒơǂǟȋơ ǺǷśǼƯơ�������� ƨǷƾǐdzơ ƾǠººƥ ƢǷƣǂǯ ƣơǂǘǓơǑơǂǟƗ ǶȀȇƾdz Ǻǰƫ Ń DzǨǗƣơǂǘǓƢºƥ ƨºƥƢǏȍƢƥ ǪǴǠƬȇ ƢǸȈǧ śºLjǼŪơśºƥ ƢǼǷ ǩȁǂǧ ǭƢǼǿ Ǻǰƫ ŃƣơǂǘǓƢƥ ƨƥƢǏȍơ Ŀ ƨdzơƽƧƽƢȇǃ ƨLJơǁƾdzơ ƪǴƴLJ�ƨǷƾǐdzơ ƾǠƥ ƢǷ ƣǂǯ�Őǯȋơ DZƢǨǗȋơśƥ ƢȀǼǟ ƢǼLJ ǂǤǏȋơDZƢǨǗȋơ śƥ ƨǷƾǐdzơƾǠƥ ƢǷƣǂǯƢǷ ƣǂǯ ƣơǂǘǓơDžƢȈºǬǷȄǴǟ ƩƢƳǁƾdzơŅƢŦƛǹƗ ƲƟƢƬǻƪºƸǓȁƗ ƢǸǯȆǴȈƟơǂºLJȍơ ǹơȁƾǠ dzơƤºƦLjƥ ƨǷƽƢǐdzơƭƾºƷȋơ ǞǷ ǵǃȐƬȇ ƨǷƾǐdzơ ƾǠƥ

ƣǂǯƣơǂǘǓƢºƥ ƨº ƥƢǏȍơśƥ ƨdzơƽ ƨǫȐǟ ƽȂƳȁ ǺǟƨLJơǁƾdzơǦnjǰƫŃȁǑơǂǟȋơ ƩȏƾǠǷǖºLJȂƬǷ �ǦƟơȂǘdzơśƥ ƩƢǟơŗdzơśƥȁ ƨǷƾǐdzơ ƾǠƥ ƢǷǑơǂǟƗ ����� ƨȇƾººLjƳ ǵȏƕ ����� ƨȈºLjǨǻ ƨºƸǏǑơǂǟƗ �ŅƢƬdzƢǯ ƪǻƢǯśºººƥ ƨdzơƽ ǩȁǂǧǹȁƽ ���� ǥȂƻǑơǂǟƗȁ���� ǪǴºººǫǑơǂǟƗ ����� ƣƢƠƬǯơ�ƢǼººLJǂǤǏȋơ DZƢǨǗȋơśººƥ ǂưǯƗǥȂŬơǑơǂǟƗƪǻƢǯ ǹƛȁ ǁȂǯǀdzơȁ ƭƢǻȍơǶǰºƸƬdzơȁ ������ ǵơDŽƬdzȏơȁ ������ƪǻƢǯȆºLjǨǼdzơƽȂǸǐdzơƩƢƳǁƽ DZƾǠǷśººƥ ȁƗƭƢǻȍơȁ ǁȂǯǀdzơ śººƥƔơȂººLJ ƨdzơƽ ǩȁǂǧ ǹȁƽ ����� ȅƾºƸƬdzơȁ �����ŅƢººŦƛ ǹƗ ƲºƟƢƬǼdzơ ƩǂºȀǛƗ �ƨºȇǂǸǠdzơƩƢºƠǨdzơǦºǴƬű ǺºǷDZƢºǨǗȋơǞǷ ƢȈºLjǰǟ ƢºƦLJƢǼƫ ƪºƦLJƢǼƫ ȆºLjǨǼdzơ ƽȂǸǐdzơDžƢȈǬǷ ȄǴǟ ƩƢƳǁƾdzơƤºLJƢǼƫ Ǯdzǀǯ �ƤǼƴƬdzơȁ ǽƢƦƬǻȏơ ƨƳǁƽȁ ƨǷƾǐdzơƾǠƥ ƢǷ ƣǂǯƣơǂǘǓơDzǔǧȋơ ȆººLjǨǼdzơ ƽȂǸǐdzơ ȁȁƿ DZƢǨǗȋơ �ǽƢººƦƬǻȏơ ǞǷ ƢȈºLjǰǟ ǵơDŽƬdzȏơǑơǂǟƗȁ ƤǼƴƬdzơȁ ƨǷƾǐdzơƾǠºƥ ƢǷ ƣǂǯƣơǂǘǓơǺǷDzǫƗ ƨƳǁƽ ơȁǂȀǛƗƽȂǸǐdzơ ƩƢƳǁƽƪºººƦLJƢǼƫǮdzǀǯ �DZƢǨǗȋơ ǂȀǛƗƮȈººƷ �ǽƢººƦƬǻȏơ ǕǂǧƨȇƾºLjŪơ ǵȏȉơȁ ƨȈºLjǨǼdzơƨºƸǐdzơ ŅƢŦƛǞǷ ƢȈƦǴLJ ƢƦLJƢǼƫ ȆLjǨǼdzơ�ǪǴººǬdzơ ǞǷ ƢȈºLjǰǟ ƢºƦLJƢǼƫ ƪºƦLJƢǼƫ ǵơDŽƬdzȏơ ƩƢƳǁƽ �ǥȁƢƼŭơȁ ǪǴºǬdzơȁƪºƦLJƢǼƫ ȅƾºƸƬdzơ ƩƢƳǁƽȁ �ǥȁƢƼŭơ ǞǷƢȈºƦǴLJ ƪºƦLJƢǼƫ ǶǰƸƬdzơ ƩƢƳǁƽ

�ǥȁƢƼŭơ ǞǷ ƢȈƦǴLJ ƢƦLJƢǼƫ

ƨȈººLJǁƾǷȁ ƨȈǠǸƬů ƲǷơǂºƥ Ŀ ǝȁǂºnjdzơ ƨȈŷƗńƛ ƲƟƢƬǼdzơǽǀǿ ŚºnjƫǶǟƽDzƳƗ ǺǷ ƨȈǟƢǸƬƳȏơ ƩơǁƢȀŭơȁ ǪǧơȂƬdzơȁ ǶǴºººººººǫƘƬdzơ ƩƢȈdzƕ ǂȇȂǘƬdzǮǴƫĿśLJǁƾŭơȁ Dzǿȋơ Ʊơǁƽƛ ǹƜǧ Ǯdzǀǯ�DZƢǨǗȋơȃƾdz ȆLjǨǼdzơ ƽȂǸǐdzơƾƟơƾººººººnjdzơ ȄǴǟ ƤǴǤƬdzơǺǷ ǶȀǼǰŻȁ DZƢǨǗȋơǶǟƾȇ ƾºººººǫ ƲǷơŐdzơDzǷơȂǟ ŚƯƘƫ ƨLJơǁƾdz ƭƢŞȋơǺǷ ƾȇDŽǷńƛ ƨƳƢŞ ǺƸǼǧǮdzǀǯ �ƩƢǷƾǐdzơȁƩơǁƢȀŭơ ȄǴǟ ƤȇǁƾƬdzơ ǶȈȈºººǬƫȁ ȆǟƢǸƬƳȏ ơǶǟƾdzơȁ ƧǂºººLJȋơDzưǷ ȃǂƻƗDzǏơȂƬdzơ DzƦLJ ǂȇȂǘƬdz ȃǂƻƗ DzƟ ƢLJȁ ƧǁȂǴƥ ń ƛ ƨƳƢŞƢǼǻƗ ƢǸǯ �ƨȈǟƢǸƬƳȏơ

�ƩƢǟơŗdzơ DzƷȁ

ƨȈǰȈǼȈǴǯȍơƲƟƢƬǼdzơȁƨǏȐŬơ

ƨƥȐǐdzơȁ ƨȈLjǨǼdzơ ƨƸǐdzơȁ ƨȈLjǨǼdzơ ƨǷƾǐdzơƧDŽǣ ǝƢǘǫ Ŀ śȈǼȈǘLjǴǨdzơ DZƢǨǗȋơ ȃƾdz ǖȈLJȁ DzǷƢǠǯ

ƪƥƢƯ DŽȇDŽǠdzơ ƾƦǟ �ƽ

Em ail: thab et@gc mhp.ne t

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59Siege and MentalH ealth�W alls vs. Bridges

boys and girls in total general mental health, somatic pains,anxiety, depression, and fears. Fears were more in younger agechildren.Children repor ted mean resilience scores were 58.52,commitment subscale mean was 23 .78, control subscale meanwas17 .58, and challenging subscale mean was 17.60. There wereno significant d ifferences between boys and girls and age ofchildren in total resilience, committment, contro l, andchallenging.The results showed that total scores of resilience were correlatednegatively with total PTSD, arousal, and avoidance.Commitment was correlated negatively with arousal, childrenwith better resil ience had less PTSD, avoidance, and arousalsymptoms and children with commitment had less arousalsymptoms. Total scores of resilience were correlated negativelywith total mental health, somatic pains, anxiety and fears.Commitmentwas correlated negatively withanxiety, cont rol wasnegatively corre lated with fears, and challenge was negativelycorrela ted with fears.

These results highlight the important of starting programs incommunity and schools to develop better coping strateg ies andsocial skills training to increase children resilience. Alsoinvolv ing of parents and teachers in such programs may supportthe children and enable them of being able to overcome theadvers ities andtrauma.Other factors such as family and social support had to beevalua ted in next studies. More applied research in evalua ting theeffectiveness of social sk ills training and other methods ofdeveloping better communication and conflict resolu tion isneeded .

Conclusion and clinical implications

Keywords: Trauma, PTSD, Mental health, Resi lience

Aim:

Method:

Results :

The aim of this study is to investigate the frequency andreactions to trauma suchas PTSD and general mental health, thenexamining resil ience from the perspective of decreasedvulnerability to PTSD and mentalhea lth problems in reaction totrauma.

The study sample consisted of 386 children from total of400 children targeted as study population with respond rate of96.5%, 201 of children were boys (52.07%) and 185 were girls(47.93%). Children age ranged from 7-18 years with amean ageof 13.44 years. Children were interviewed using Gaza FactionalFighting and Israelis Aggression Trauma Scales, Child MentalHealth, UCLA-PTSD, and Resilience Scale.

Palestin ian children exposed to mean of 10.18 eventsdue to Israeli aggressionand 7.42 events due to factional fighting.No ge nder d ifferences in repo rted trau matic e vents.Posttraumaticstress symptoms mean was 25.94, re-experiencingsymptoms mean was 7.50, avoidance symptoms mean was 8.21,and arousal symptoms mean was 7.65. Forty eight 48 childrenreported probable PTSD(12.4%), 103 children were reported oneCriteria (reexperiencing, or avoidance, or hyperarousal) (26.7%),86 of children reported two criteria-Partial PTSD (22.3%), and149 chidren had no PTSD symptoms (38.4%). No genderdifferences in PTSD. Younger age children was significantlyreported total posttraumat ic stress symptoms than older agechildren. The results showed that total scores of PTSD werecorrelated with traumaticevents due to Israelis aggression PTSD,reexperiences, hyperarousal, and avoidance. No significantcorrelation between trauma due to factional factions andposttraumatic stress symptoms. Mean mental health symptomsmean was 9.05, somatic pains mean was 1.31, depressionsymptoms mean was 4.36, anxiety mean was 2.21, and fearsmean was 1.14. There were no signi ficant differences between

Trauma, PTSD, Mental Health, and Resilienceas mediator factor in Palestinian children in the Gaza Strip

Dr.Ab delAziz Thabet

Email : thabe t@gcm hp.net

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ȆººººLjǨǼdzơ ǪǧơȂƬdzơ ȃƾǷȄǴǟ ǥǂǠƬdzơń ƛ ƨºººLJơǁƾdzơ ǥƾēńƛƨºººººLJơǁƾdzơǥƾē ƢǸǯ ǁƢǐūơDzǛĿ Ƕǐdzơ DZƢǨǗȌdz ȆǟƢǸƬƳȏơȁDZƢǨǗȌdz ǭȂǴººLjdzơȁ ƨȈººLjǨǼdzơ ƨºƸǐdzơ ȄǴǟ ǁƢǐūơ ŚƯƘƫ ȄǴǟ ǥǂǠƬdzơDZƢǨǗȌdz ƽƢºNjǁȍơȁ ȆLjǨǼdzơ ǶǟƾdzơƩƢǷƾŬ ǁȂǐƫ ǞǓȁ ƨdzȁƢŰȁ �ǶǐdzơȆǟƢǸƬƳȏơȁ ȆºLjǨǼdzơ ǪǧơȂƬdzơ DžƢȈºǬǷ ǹƢưºƷƢƦdzơ ǵƾƼƬºLjȈLJȁ ǶȀȇȁƿȁǶƟȐƬȈdz ǾǴȇƾǠƫǶƬȇȁdžſśǟ ƨǠǷƢƳ DzººƦǫ ǺǷƾǠŭơȁ ǶƳǂƬŭơ ǶǐǴdzȆǨǏȂdzơ ƲȀǼŭơ ǹƢưºººƷƢƦdzơ ǵƾƼƬººLjȈLJȁ ƨȈǼȈǘººLjǴǨdzơƨƠȈººƦdzơ ǞǷƨȈƟƢǐºƷȏơ ƤȈdzƢLJȋơ ǹƢưƷƢƦdzơ ǵƾƼƬLjȈLJ ƩƢǻƢȈƦdzơ ƨŪƢǠŭȁ �ȆǴȈǴƸƬdzơƨǷƢǿ ƲƟƢƬǻńƛDZȂǏȂǴdz ǹƢưºƷƢƦdzơ DzǷƘȇȁ �6366 ƲǷƢǻǂƥ DZȐƻǺǷ ƨǸƟȐŭơ

�řȈǘLjǴǨdzơ ǞǸƬĐơ ǵƾţ

This study aims to identify the extent of psychologicaland soc ial adjustment among deaf children under siege. It alsoaims to identify the impact of siege on the mental health andbehaviour of deaf children wi th a view to de veloprecommendations for the psychological support and counselingservices needed by the children and their families. The authorswilluse the psychological and social adjustment scale, translatedand prepared by Ain Shams University. The scale will be adaptedto the Palestinian context. The authors will use a descriptiveanalytical methodology. The SPSS program will be used toundertake the appropriate statistical analyses of results. Theauthors hope to reach relevant conclusions that can be of serviceto Pales tiniansociety.

ȆǟƢǸƬƳȏơȁ ȆLjǨǼdzơ ǪǧơȂƬdzơ ȃƾǷǁƢǐūơ DzǛ Ŀ Ƕǐdzơ DZƢǨǗȋơ ȃƾdz

ǃơǂǯ Ǻŧǂdzơ ƾƦǟ ǶLJƢƥ ȁ ƨƳƢƦǯ ȅƽƢŮơ ƾƦǟ ǶȈǠǻ

Psychological and Social Adjustmentamong Deaf Children under Siege

Naim Abdel Hadi Kabaga & Bassem Abdel Rahman Koraz

naim [email protected]; baqs _1015@ hotmail .com,

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61 Siege and MentalH ealth�W alls vs. Bridges

ǥƾȀƬºLjƫ ƨȈŭƢǟ ƨ ȈǻƢºLjǻơ ƨǟDŽǻ Ȇǿ Ɣơƾǧ NJºƦǰƥ ƨȈƸǔƬdzơǾǴǠǧ ƢǷ Ȃǿ ơǀǿ�Ǻȇ ǂƻȉơȄǴǟ Ƣđ ǥǂƬǠŭơ Śǣ ƨȈƦǴLjdzơ ƩƢǨǐdzơ ǕƢǬLJơƪºƦƦLjƫǮdzƿ ƾǠºƥ �ȆǓƢŭơ ǹǂºǬdzơƩƢȈǼȈǠȈºƥǁƗŕƷ ƢƥǁȁǁȁƗĿǹȂȈǓƢǨdzơƲƟƢƬǼdzơ ǺǷ Śưǰdzơ Ŀ śǘºLjǴǧĿ ƨȈǰȇǂǷȋơ ƧƾƸƬŭơ ƩƢȇȏȂdzơ ƩƢLJƢȈLJǮǴƫDZȐǜººƥǥǂƬǠȇ ȏ ȆǰȇǂǷȋơ ȆǠǸŪơ ȆǟȂdzơ ǹƜǧ Ǯdzƿ ǞǷȁ�ƨȈººƦǴLjdzơ�ƣƢǿǁȏ ơ� ƨǨǏǖººǬLjȇǶǴº ºǫƘƬdzơ ȄǴǟ ƨȈƟDŽƳ ƨdzȁƢŰ Ŀȁ �ƩƢºLJƢȈLjdzơśºƥƧơȁƢLjŭơ ǹƘƥ ǺǷƚȇ ȆǰȇǂǷȋơ ȆǠǸŪơȆǟȂdzơ ǹƛ �Ǻȇ ǂƻȉơ ȄǴǟ ƨȈƦǴLjdzơśǘºLjǴǧĿ �ƨȇǂǿȂƳ ƨǸȈǫ Ȇǿ �Ǻȇƾdzơ ȁƗ ǩǂǠdzơ Ǻǟ ǂǜǼdzơǒǤƥ �ǞȈǸŪơƔƢŴƗǦǴƬűĿǂºnjƦdzơ ǺǷŚưǰdzơ �ȃǂƻȋơ ȄǴǟ ƨǟȂǸůśºƥDŽȈȈǸƬdzơ ǶƬȇƽȂºǬǠdzơ ǾƫƾȀNjȅǀdzơ DZȂƸƬdzơ Ŀ ȆLJƢLJƗ ƤƦLJ Ȃǿȁ �Ǯdzƿ ǹȂǯǁƾ ȇŃƢǠdzơńơ ǩȂºǬƸǴdz ƨǸǟơƽȁ ƨȇǂŢ ƧȂºǬǯ ƧƾƸƬŭơ ƩƢȇȏȂdzƢƥ ƣƢƴǟȏơǺǷ ƨȈǓƢŭơ�śǘLjǴǧ�DzȈƟơǂLJ ơĿ ȆǫǂǠdzơ DŽȈȈǸƬǴdz ƢȀǸǟƽ ƤƦLjƥ �ǶǿȂdzơ ơǀŮ ǚǨdzŃƢǠdzơ Ɣ ƢƳǁƗ ǦǴƬű ĿƨȈǰȈǷǁȋơ ƨǼǯơƾdzơ DZȐǜdzƢºƥ ȆǟȂdzơ ơǀǿ ǂºnjƬǼȇȁǦǴƬƼŭ ǂǐƬƼŭơǑ ǂǠdzơ ƾǠƥ �ƢȀLjǨǻƧƾƸƬŭơƩƢȇȏȂdzơ Ŀ ǂnjƬǼȇ ƢŲ ǂưǯƗǥȂºLJ �śǘºLjǴǧ�DzȈƟơǂLJơ ǽƢš ƧƾƸƬŭơ ƩƢȇȏȂdzơƩƢLJƢȈLJĿƩƢȈƦǴLjdzơǑǂǠǻƮȈºƷ �ƨȈºƦǴLjdzơƲƟƢƬǼdzơ ǮǴƫ ǃŐȇ ǾǼȈǠƥ DZƢůȄǴǟ ǃȂȈǯǂƬdzƢƥ ǵȂǬǻƨȈºLjǨǼdzơ ƨºƸǐdzơ DZȁƢǼƬƫŖdzơ ƨȈŻƽƢǯȋơ ƩȏƢºǬŭơȁ ƩƢȈºƥƽȋơ Ŀ ƮƸƦdzǵƾºǬǻǥȂºLJ �ĿơǂǤŪơ ƢȀǠȇǃȂƫ Ǻǟ ǂǜǼdzơ ǒǤºƥƨȈǼȈǘLjǴǨdzơ ƨȈǫǂǠǴdzǮdzƿȂǿȁ ȆººLJƢȈLjdzơǦǼǠdzơƲ ƟƢƬǻĿƮººƸƦƫŖdzơ ƩȏƢººǬǸǴdz ƢǐƼǴǷƩƢººLJƢȈLjdzƢƥ ǂººNjƢƦǷ Dzǰºnjƥ ǂƯƘƫ ȅǀdzơ ƨȈºLjǨǼdzơ ƨºƸǏȏǺǷ ƤǻƢŪơǮdzƿĿ ƢŠ ƨȈºLjǨǼdzơ ƨǷƾǐdzơ ǝơȂǻƗ ǦǴƬƼŭǑǂǠƬǻ ǥȂºLJȁ�ƨȈǰȇǂǷȋơśºǬǿơǂŭơȁ DZƢǨǗȋơ ǺǷ ���śºƥ ƨǷƾǏȏ ƾǠƥ ƢǷƣǂǯ ƣơǂǘǓơ ǁƢnjƬǻơǺǷ ƧŚƦǰdzơ ƩƢǟȂǸĐơ ǹƘnjƥ ƩƢǷȂǴǠŭơƣƢȈǤdz ǦLJƘǻ ƢǼǻƛ �śȈǼȈǘLjǴǨdzơƱǁƢƻśƠƳȐdzơƩƢǸȈűǺǷƧƽȂǠdzơ ǹȁǂǜƬǼȇ ǺȇǀdzơƔȏƚǿ ƨǏƢƻ �ǹƢǰLjdzơȆǟȂdzơ ǺǷ ƨǸǴǜŭơ ƨººººǬǘǼŭơǮǴƬdz ƢǷƢǿ ƢƳƿȂŶDzưŻ ȅǀdzơ �śǘºººLjǴǧȆǿśȈǼȈǘºLjǴǨǴdz ƨȈLjǨǼdzơ ƨǷȁƢǬŭơ Ƕǣǁ �ƧƾƸƬŭơ ƩƢȇȏȂdzơĿ ȆǠǸŪơǹƘººƥ DZȂºǬǻ ƢǼǻơȏơƭƢŞȋơȁƩƢºLJơǁƾdzơĿ ƵȂǓȂdzơ ǺǷ ŚưǰºƥǾdzȁƢǼƫ Ļ ǂǷƗƨǴǐdzơ Ʃơƿ ƣȂǠººnjdzơ ƨǧƢǰdz ƨºƦLjǼdzƢƥ �ǞºLJȁƗ ǩƢǘǻ ȄǴǟ ƵȁǂŪơ ƧơȁơƾǷȆǰȇǂǷȋ ơ ȆǠǸŪơ ȆǟȂdzơ ǭǁƾȇ śººƷ ǖººǬǧ ǪºǬƸƬȇ ǥȂºLJ �ƨºǬǘǼŭƢƥƧƾºƸƬŭơ ƩƢȇȏȂdzơ ƩƢºLJƢȈLJȄǴǟ ƪƦƫǂƫ Ŗ dzơ ƧŚưǰdzơ ƩƢȈƦǴLjdzƢƥ ǥǂƬǠȇȁ

�ƨǬǘǼŭơĿ

Scapegoating is the universal human tendency toproject unacknowledged negative attributes , or "shadow"material, onto others. The fascists did this in Europe to the1940's; afterwards, US polic ies in Palestine have produced manynegative consequences. However, the collective Americanpsyche does not acknowledge this shadow, and as a partial way ofcoping, projects the negative quality of "terrorism" ontoothers.TheAmericancollectivepsyche holds equality for all, regardlessof race or religion, as a core value. In Israel/Palestine, one groupis privi leged over another. Many people around the world areaware of this, a core reason for theshift over recent decades fromadmiration of the US as a liberatingsupporterof the rights of all todisillusionment--in Israel/Palestine because of support for ethnicprivilege. Others worldwide are more aware of this Americanshadow than isgenerally the case in the US.After acknowledging br iefly var ious downsides of USIsrael/Palestine policies, one specific area of negativeconsequences is focused on, by giv ing result s of a literaturesearch for academic articles on the mental hea lth of people ofPalestinian ethnicity regardless of geographical location. Asummary is made of articles probing the results of politicalviolence, the aspect of Palestinian mental hea lth most directlyresulting from American policies. Data on various types ofpsychological trauma are c ited, including 70% child/adolescentPost-Traumatic Stress Disorder preva lence. Lack of informationabout la rge groups of the population , especially those awaitingreturn f rom refugee camps outside Palestine, is regretted as animportant example of this shadow area of the US collectivepsyche.Though Palestinian resilience is clearly identified in studies, it isargued that healing on a much wider scale, for all peoples withties to the region , will come as the American collective psycheacknowledgesthe many downsidesof its actions there.

Grieving the Catastrophe:Coming to terms with the American Shadow in Palestine

Dr. Bill Slaughter*

�ƨƯǁƢǰdzơ ǵȏƕśǘLjǴǧ Ŀ ƨȈǰȇǂǷȋơ DZȐǜdzơ ƣƢǠȈƬLJơ

ǂƫȂǴLJ DzȈƥ �ƽ

*Harvard Medical School- USA / [email protected] .edu

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62i Ën�AÊ l UAË �A . . . ÑÍn Ã̄ ºA ÑZv ºAÊ i Bv�A

ǩȂººǬƷ ƩƢǯƢȀƬǻơ ȆǴǟ ƔȂǔdzơ ǂȇǁƢºǬƬdzơ ǺǷ ƾȇƾǠdzơ ƪǘǴºLJĿ �ǝơǂǐdzơ ƩƢǫȁƗ Ŀ ǶȈǴǠƬdzơȁ ƨƸǐdzơȁ ƧƢȈūơ ĿǪūƢƥ ƨǬǴǠƬŭơ ǹƢLjǻȍơNJȈǠȇ �Ƨƾȇƾǟ DZƢǰNjƘƥȁ ƆơǂǸƬLjǷǝơǂǐdzơ DZơǃȏƮȈƷřȈǘLjǴǨdzơ ǞǫơȂdzơǪȈǠȇȁǶēƢȈººƷǁƾǰȇ ȅǀdzơ ǪǻƢŬơ ǁƢǐūơ ƤººƦLjƥ Ƨǂ ȇǂǷ ƧƢǻƢǠǷ DZƢǨǗȋơĿ DZƢǨǗȋơȁ ƩƢȈƬǨ dzơ ǹƗŅƛ ǂȇǁƢºǬƫ ƧƾǟƩǁƢºNjƗ ƾºǫȁ �ƨǼǷƕ ƨƠȈƥĿ ǶǿȂŶǥȂºLJ �śǻƾǷ ǶĔȂǯ DZƢūơ ƨǠȈºƦǘƥƩƢº ƦǰǼdzơȁƣȁǂūƢºƥ ǹȁǂƯƘƬȇƤdzƢǤdzơȆǴǟǝơǂǐdzơ ǂƯƗȁ ƩƢȈǼȈǘººLjǴǨdzơ ƩƢȈƬǨdzơ ƨdzƢººƷDZ ƢºǬŭơ ơǀǿ ȆǐºǬƬȇŅȁȋơ ƨ ººLjǴŪơƢǻƽȁDŽƫ �ƩƢººLjǴƳ ƨǠººƥǁƗ DZ ƢººǬŭơ ơǀǿ DzǸƬºnjȇ �ǶēƢȈºƷƨȈǻƢưdzơ ƨºLjǴŪơƢǷƗ �śǘºLjǴǧ Ŀ ȆºLJƢȈLjdzơ ǞǓȂdzƢƥ ǪǴǠƬƫ ƩƢǷȂǴǠŠƨºnjǫƢǼǷ ǶƬȈºLJȁ �ƨȈǻƢưdzơƨǓƢǨƬǻȏơǝȏƾǻơĿ ǝơǂǐdzơ ŚƯƘƫǺǟ ƭƾƸƬƫĻ ƮȈºƷ ƨưdzƢưdzơƨºLjǴŪơ ĿƨºƦǗǂǫ ƨLJǁƾǷ ƩƢƦdzƢǗ ƣǁƢš Ņƛ ǝƢǸƬLJȏơƨººLJǁƾǷ Ŀ ƩƢǸǴǠǷȁ ƩƢºƦdzƢǗ ǞǷ ƪȇǂƳƗ ƩơƔƢºǬdz DZȐƻ ƩƢǻƢȈºƦdzơ ǞŦƨȈǸǼƬdzơ ƩƢººƦǴǘƬǷ DZȁƢǼƬƫǥȂºLJ ƨȈǷƢƬŬơ ƨºLjǴŪơ ƢǷƗ �ƩƢǼºƦǴdz ƨºƦǗǂǫ

�ƢǷƾǫ ȆǔǸǴdz ƨƷƢƬŭơDzƦLJȁ ƨLJǁƾŭơ ƩƢȈƬǧ ȃƾdz ǁȂǘƬdzơȁ

Many reports have highlighted thevio lationsof humanright to life, health, and education during times of conflict. In thecase of Palestine, where the conflic t is continuing and takingdifferen t shapes, children have suffered from the impact of theconflict on their lives anddevelopment. Many reportsshow thatgirls and children are mostly affected by war and crisis ascivilians, this article examines the case of Palestinian girls and theimpact of the conflict on their lives. The article consists of foursessions. The first section provides some contextual informationon the political situation in Palestine. The impact of the conflictfrom the eruption of the second Intifada will be discussed in thesecond section, while listening to the experience of Qurtobaschool girls will be presented in the th ird section . The data wascollected through interviewing the girls and teachers of QurtobaSchool. The final section reflects on the developmental needs ofthe school girlsand possible ways forward.

The Impact of the Siege on the Palestinian girlsListening to the Girls of Qurtoba School

Dr. Sa ida Affouneh *

ƨƦǗǂǫ ƨLJǁƾǷ ƩƢƦdzƢǗ Ņƛ ǝƢǸƬLJȏơ

ƨǻȂǨǟ ƧƾƟƢLJ �ƽ

* Saida Affouneh, PhD, Educational Consul tant, Birzeit Universit y, PalestineE-mai l: saffouneh@b irzeit.e du, s_j aser@hotmail. com

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63Siege and MentalH ealth�W alls vs. Bridges

ƨȈºLjǨǼdzơ ƨºƸǐdzơ ǁƢƯƕ ȄǴǟ DzǷƢºNj ƮŞ ƔơǂƳƛ ĻƧŚƻȋơ ƩơȂǼºLjdzơ DZȐƻƢŠ ƣǂūơ ǪǗƢǼǷĿ ȆººººLJƢȈLjdzơ ǦǼǠǴdz ǹȂǓǂǠƬȇ Ǻȇǀdzơ DZƢǨǗȋơ ȄǴǟƩǂȀǛƗ ƾºǫ ƩƢLJơǁƾdzơ ǽǀǿǹƗ ǺǷǶǣǂdzơ Ȅ Ǵǟȁ �řȈǘLjǴǨdzơǞǸƬĐơ ƢȀȈǧƢȇƢǔºººǬdzơǒǠºº ºƥ ƪdzơǃȏǾǻƗ ȏƛ �ƽƾǐdzơ ơǀǿĿƧǂǧơȁ ƩƢǻƢȈººº ƥ ǹƢȈǠǴdz� DzƦǬƬLjŭơĿ ƭȂƸƦǴdz ƩƢȇƾŢ ŚưƫŖdzơ ƨȈǫȐƻȋơȁ ƨȈƴȀǼŭơȁ ƨȇ ǁȂǐƬdzơǝȂǓȂŭơ ơǀǿ ǺǟƮºƸƦdzƢƥƨºǬǴǠƬǷ ƢȇƢǔºǫǑǂǠdzơ ơǀǿĿǑǂǠƬLJƘLJŖdzơ ƩƢȇƾºƸƬdzơ ǮdzǀǯǑǂǠƬºLJƗ ǥȂºLJ ȁ �śȈǼȈǘLjǴǨdzơ DZƢǨǗȋơ śƥǑǂǠƫȄ Ǵǟ ƨºƦƫǂƬŭ ơ ƨȈºLjǨǼdzơ ǁƢƯȉơ DZȂƷ DzƦǬƬLjŭơ Ŀ ƭȂƸƦdzơ ǾƳơȂƬLJ

�ȆLJƢȈLjdzơǦǼǠǴdzśȈǼȈǘLjǴǨdzơ DZƢǨǗȋơȁ ƨȈdzƢƬdzơ ǞȈǓơȂŭơ NJǫƢǻƘLJƩƢȇƾƸƬdzơȁƨȇǁȂǐƬdzơƢȇƢǔǬdzƢƥ ǪǴǠƬȇ ƢǸȈǧȁǕƢŶƗ ȁȆºLJƢȈLjdzơ ǦǼǠǴdzƩƢºƥƢƴƬLJȏơ � ȆǿȁDzƦǬƬLjŭơƭȂƸƦƥ ƢȀƬǫȐǟƨȈǿƢǧǁ �ƨȈǼȈǘLjǴǨdzơ ǂLJȋơ ǺǷ ƧǂLJƗĿ ȆLJƢȈLjdzơ ǦǼǠdzơǞǷ DzǷƢǠƬdzơƧǂºLJȋơ Ŀ ƨǷȂǷȋơȁ ƧȂƥȋơǕƢŶƗ �ƨȈǼȈǘLjǴǨdzơ ƧǂLJȋơ Ŀ ƧƢȈūơ ƨȈǟȂǻȁƨǧƢǓƛ �DzǨǘǴdzƨȈºLjǨǼdzơƨƸǐdzơ ȄǴǟ ǕƢŶȋơ ǮǴƫ ǂƯƗ ȁ ƨȈǼȈǘLjǴǨdzơǁƢƯƕ DZƢººǬƬǻơ ƨȈdzƢǸƬººƷơ Ŀ�ȅǂºƸƬdzơ�ǪȈǬƸƬdzơ ƨȈŷƗNJºǫƢǻƘLJ Ǯdzƿ ńƛǮdzǀǯ �ƔƢǼººƥȋơńƛ Ľ ǺǷȁ ƔƢººƥȉơ ńƛ ƽơƾƳȋơ ǺǷ ȅƗ � ȆººLJƢȈLjdzơǦǼǠdzơ� ƨǨǨƼŭơƩơŚǤƬŭơ ȁ ƨǻȁǂŭơȁ ƨȇƢǸūơ DzǷơȂǟ ĿƮºƸƦǴdz ƨƳƢūơ NJºǫƢǻƘLJƨȈǸȈǜǼƬdzơȁ ƨȇǂºººLJȋơȁ ƨȈƳǁƢŬơȁ ƨȈǴƻơƾdzơ ƨȈǐƼºººnjdzơDzǷơȂǠdzơ ȅƗƨȈºLjǨǼdzơ ƨƸǐǴdz ƨȈƦǴLjdzơ ǁƢƯȉơ ǺǷǦȈǨƼƬdzơ ƢȀǼǰŻŖdzơ �ƨȈǧƢǬưdzơȁ

�ȆLJƢȈLjdzơ ǦǼǠǴdz DZƢǨǗȋơǑǂǠƫǺǟ ƨŦƢǼdzơƢȇƢǔººººǬdzơ ȄǴǟ ƔȂǔdzơ ǖǴºººLJƘLJȆƴȀǼŭơ DzǷƢǠ dzƢºººƥ ǪǴǠƬȇ ƢǸȈǧ ȁDZƢǸǟƗ DzȈǠǨƫ ȁDžƢȈººǫ ȁ � ƢȀǸƴººƷȁ ƩƢǼȈǟ ǀƻƘºƥ ƨºǬǴǠƬŭơƩƢȇƾºƸƬdzơȁƨººƸǐdzơ džºLJƗ DZȂºƷ ƨȈºƥǂǤ dzơ ŚȇƢǠŭơ ǵ ơƾƼƬºLJơ ȁ �ȆºLJƢȈLjdzơ ǦǼǠdzơ

�ƭȂƸƦdzơ ǶȈǸǐƫȁ � ƨȈLjǨǼdzơƩƢȇƾºƸƬdzơȁ ƢȇƢǔºǬdzơ DZȁƢǼƫƗ ǥȂºLJ �ȆºǫȐƻȋơ DZƢĐơ Ņƛ ƨºƦLjǼdzƢƥ � ƆơŚƻƗȁǁǂǔdzơȁ �ƩơƽƢǧƛʼnƾºǬƫ ȄǴǟƨºǬǧơȂŭơȁ �ƨȇǂ ºLjdzơȁ ǶºLJȍơ DZƢǨǣƜƥ ƨǬǴǠƬŭơ�ǝȂǓȂŭơ ơǀǿ ǺǟƮºººƸƦdzơ Ŀ ǹȂǯǁƢºººnjȇ ƢǷƾǼǟDZƢǨǗȋơ ǪººƸǴȇ ȅǀdzơśȈǼȈǘººººLjǴǨdzơ DZƢǨǗȋơ ȄǴǟ ǵƾººººǬƫ ǹƗ ǺǰŻŖdzơƩƢǷƾŬơ Ǯdzǀǯȁ

�ǶǿǂLJƗ

In recent years, extensive research has been conducted on themental health consequences of children's exposure to politicalviolence in war zones, including Palestinian society. Althoughthese studies have elicited abundant data on the topic, there arestill some conceptual, methodological, and ethical issues thatpose s ignificant challenges for future research. In thispresentation, I wi ll review issues related to research on the topicamong Palestinian children, and will presentcha llengesfor futureresearch on the psychological effects of Palestinian children'sexposure to political violence.Withregard toconceptual issues and challenges, I will discuss thefollowing topics and their relevance for future research: theresponses to and patterns of coping with political violence inPalestinian children's famil ies; well-being and quality of life inthe Palestinianfamily; the s tructure, processes, and dynamics ofthe Palestinian family; and parenting patterns in the Palestinianfamily, and the impact of those patterns on children's mentalhealth. In addition , I will discuss the importance of investigatingthe potential for intergenerational transmission of theconsequences of political violence (i.e., from grandparents toparents to children). Furthermore, I will discuss the need forresearch on protective and resiliency factors and bufferingvariables (i.e., personal, in terpersonal, familial , organiza tional,and cultural factors) that can mitigate the negative mental healthconsequencesof children's exposure to political violence.Withregard to the methodologicaldomain, Iwil l highligh t issuesandcha llengesrelated tosamplingand sample size, measurementand operationalization of political violence, the use of Westernmeasures for mental health constructs, and research designs.Finally, with regard to the e thical domain, I wil l deal with issuesand challenges related to anonymity and confidentiality,informed consent , harm caused to children when they participatein research on the topic, and services that can be offered toPalestinian children and the ir families .

Issues and Challenges in Studying theMental Health Consequencesof Children's Exposure to

Political Violence: The Case of Palestinian Children

Dr. Muhamm ad M. Haj-Yahia *

ƨƦƫǂƬŭơ ǁƢƯȉơ ƨLJơǁƽĿ ƩƢȇƾŢ ȁ ƢȇƢǔǫȆLJƢȈLjdzơ ǦǼǠǴdz DZƢǨǗȋơ ǑǂǠƫ ȄǴǟ�

śȈǼȈǘLjǴǨdzơ DZƢǨǗȋơ ƨdzƢƷŜŹ ƱƢūơ ƾǸŰ �ƽ

*PaulBaerwald School of SocialWork and Social Welfare The Hebrew Universityof J erusalem / [email protected]

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64i Ën�AÊ l UAË �A . . . ÑÍn Ã̄ ºA ÑZv ºAÊ i Bv�A

ŚºƦǯ Dzǰnjƥ ƩƾǟƢLJŖdzơ ƨȇƢǸūơ DzǷơȂǟ ǺǟǪǸǠƥǦnjǰdzơ ńƛ ƨLJơǁƾdzơ ƪǧƾǿƨȈǟƢǸƬƳơȁ ƨȈººLjǨǻƩƢºƥơǂǘǓƢƥ ǶȀƬºƥƢǏƛǺǷ DzȈǴºǬƬdzơ ȁƗ DZƢǨǗȋơƨȇƢŧ ĿdžŨǺǟ ƾȇDŽȇ ƢǷ ńƛǑǂǠƫ ƾǫ ƨLJơǁƾdzơ ǽǀǿ ĿDzǨǗDzǯ ǹƗ Ƕǣǂdzơ ȄǴǟ ƨȈƸǏȁ�Dz ȇȂǘdzơ� ǞººLJȁƗ ƨººLJơǁƽ ǺǷƔDŽƳ ȂǿƮºƸƦdzơơǀǿ ǹƘº ƥƆƢǸǴǟ � ƨǷƽƢǏ ƧŐƻ ƧǂºnjǟDZƢººǨǗȋơ ȄººǴǟ ƨººǼǷDŽŭơ ƨººǷƽƢǐdzơ ƩơŐººƼǴdz ǑǂººǠƬdzơ ǁƢººƯƕ ƪºdzȁƢǼƫ �����

� ƧDŽǣ ǝƢǘǫĿśȈǼȈǘLjǴǨdzơƪŤƮȈºƷ ƨǼLJ ������� śƥǶǿǁƢǸǟƗ ƵȁơǂƬƫ DZƢǨǗƗ � �� ǺǷ ƨLJơǁƾdzơ ƨǼȈǟ ƪǻȂǰƫǶǿǁƢȈƬƻơ Ļ ƾǫȁ �ƧǂǤǐŭơ ƨǴǰȈȀŭơ ƨǴƥƢǬŭơ ƩƢȈǼǬƫ ǵơƾƼƬLJơ DZȐƻ ǺǷ ǶȀƬǴƥƢǬǷ

�ƨȈdzƢƬdzơ Ǖȁǂnjdzơ ǾȈǧƪǬǬŢǺȇǀdzơ�ńȁȋơ ƨLJơǁƾdzơ ƨǼȈǟ ƽơǂǧƗ ǺǷ�ƩƢǷƾǏ Ƨǂnjǟ Ǻǟ ƾȇDŽƫ ƨȈLJƢǫ ƨǷƽƢǏ ƩơŐŬ ơȂǓǂǠƫ ƾǫ ơȂǻȂǰȇ ǹƗ�Ɨ

�ƨǨȈǨƻǑơǂǟƘºƥ ǶȀƬºƥƢǏƛȁƗ ƧƾȈƳ ƨȈºLjǨǻ ƨºƸǐƥ ǹȂǠƬǸƬȇ ǺŲ ơȂǻȂǰȇ ǹƗ �ƣƨǴºƥƢǬŭơ ǀȈǨǼƫ Ļ ƾºǫȁ �ƨǴǰ ȈȀǷ ǾƦNj ƨǴƥƢǬǷƪǼǸǔƫƨǷƾƼƬLjŭơDž ƢȈǬdzơ ƩơȁƽƗǭ ƢǼǿ ǹƘºƥ ƨºLJơǁƾdz ơƲƟƢƬǻ ƪºƸǓȁƗ �ƨȇDŽȈǴųȍơńƛ ƢȀƬŦǂƫ Ļ ƢǸǯ ƨȈƥǂǠdzơ ƨǤǴdzƢƥƨº ºººƥƢǏȍơǺǷśǷȁƾǐŭơ DZƢǨǗȋơƔȏƚǿ ƨȇƢŧ ȄǴǟ ƩƾǟƢººººLJ ƨǷƢǿ DzǷơȂǟ

�ȆǴȇ ƢǸǯ ȆǿȁǑơǂǟȋơǮǴƫǁȂǘƫ ȁƗ ƨǷƾǐdzơƾǠƥ ƢǷ ƩƢƥơǂǘǓơǑơǂǟƘƥǞǷǦȈǰƬdzơȄǴǟ ƨȈdzƢǟ Ƨǁƾºǫȁ ƨȈºƥƢŸƛ ƨȈǐƼºNjƩƢǸLjƥDZƢǨǗȋơ Ɣȏƚǿ ǞƬŤ ��

�ƧDŽǣǝƢǘǫĿ ƨȇȁƢLJƘŭơ ƧƢȈūơ ǥȁǂǛƾȇƾnjdzơ ǶȀƦƷ DZȐƻǺǷ DZƢǨǗȋơ Ɣȏ ƚŮ ȅȂǬdzơȆƳȂdzȂȇƾȇȍơ ǵơDŽƬdzȏơȁ ƔƢǸƬǻȍơ ��Ŀ ǶȀºǬƷȁǶȀƬȈǔºǫ ƨdzơƾǠºƥ ǹƢŻȍơȁ �ǾǴƳƗǺǷ ƨȈºƸǔƬǴdz ƽơƾǠƬLJȏơȁ ǺǗȂǴdzƨȇǂūơ ƝƽƢººƦǷ ȄǴǟ ƩƢººƦưdzơȁ�Ǿdz ǝȂǔŬơ ǵƾǟȁ DzƬƄơ ƨǷȁƢººǬǷĿǶȀºǬƷȁ ƧƢȈūơ

�DzƬƄơ ƨȀƳơȂǷĿ ŐǐdzơƨȈŷƘƥ ȅȂǬdzơǶĔƢŻƛǮdzǀǯȁ �ƨȈǗơǂǬŻƾdzơȁȆººººLjǨǼ dzơ Ƕǟƾdz ơǂǧȂƫ ǹƛ �DzǨǘǴdz ȆǟƢǸƬƳȏơȁ Ȇºº ºLjǨǼdzơ Ƕǟƾdzơ ƨǰºººƦNj ��ƣ ǁƢºǫȋơ ȁ śǸǴǠŭơȁ ƔƢºǫƾǏȋơȁ ƾƴºLjŭơȁ ƧǂºLJȋơ DZȐƻ ǺǷ DzǨǘǴdz ȆǟƢǸƬƳȏơȁ

�ȆǷȂǰūơȁňƾŭơǞǸƬĐơ ƩƢLjLJƚǷȁǑȁǂǟ �ƨȈǸȈǴǠƬdzơȁ ƨȈȀȈǧǂƬdzơ ƣƢǠdzȋơ � �DzưǷ �ƨȈǴººººLjƬdzơȁ ǾȈǧǂƬdzơ DzƟƢººººLJȁ ��ƨǯǁƢºnjǸǴdzǝȂǘƬdzơȄǴǟ ǾƦ ȇǁƾƫ �ňƾŭơ ǞǸƬĐơƩƢLjLJƚŭƩơǁƢȇǃ� ƩȐƷǁ �ƨȈƷǂLjǷƩ ƢȈdzƢǠǧ ƢȀǴǴƼƬƫ ƨººƷȂƬǨǷ ǵƢȇƗȁ ƩơƔƢººǬdz � ƧƾȈǨŭơ ƨ ȈǠǸƬĐơ DZƢǸǟȋơ ǒǠººƥ ĿƪǏȁƗ ƾºǫȁ��ł ƛ � �ƨȈǓƢȇǂ dzơ ƨǘºnjǻȋơ �ƨȈǨȈǐdzơ ƩƢǸȈƼŭơ �ƨȈǨȈǬưƫȁ ƨȈȀȈǧǂƫDZƢǨǗȋƢǧ �śǘºLjǴǧĿ ƨdzȂǨǘdzơ ƨȇƢŧ ȄǴǟ DzǸǠdzơƨǟǂºLJȁƨȈŷƘºƥ ƨLJơǁƾdzơŃƢǠdzơ DZƢǨǗƗ ȆºǫƢ ƥDzưǷ ǶȀƬdzȂǨǘºƥ ǞƬǸƬdz ơǺǷ ơȂdzơǃƢǷȁ ơȂǷǂºƷ ǹȂȈǼ ȈǘºLjǴǨdzơǹơȁȋơ ƩơȂǧ DzºƦǫ ǝǁ ƢºLjǻ Ń ơƿƜǧ �ƾȇƾºNj ǂǘƻĿ ǶȀƬdzȂǨǗ ƪºƸǓƗ ƮȈºƷ ��ǂūơƶººººƦǐȈLJȁ ��DZƢǨǗȋơǺǷ DzȈŪơ ơǀǿǂººººLjƼǼLJ ƢǼǻƜǧ �ƢȇȂǼǠǷȁ ƢȇƽƢǷǶȀƬȇƢǸŞ

�ƆơƾƳ ƨƦǠǏƾǠƥ ƢǸȈǧ ǶēƾǟƢLjǷȁǶȀƳȐǟ� DZƢǨǗȋơ ĿƨǷƾǐdzơƾǠº ƥƢǷ ƣǂǯ ƣơǂǘǓơ � ƨǼǷ DŽŭơ ƨƥƢǏȍơ �ƮƸ Ʀdzơ ƶȈƫƢǨǷ

�ǹȂȈǼȈǘLjǴǨdzơ DZƢǨǗȋơ� ƨƟƾȀŭơ ǂǏƢǼǠdzơ

This research aimed to explore, in depth, some of themoderating factors relating to Palestinian children in the GazaStrip who have been exposed to chronic traumatic experiences,particularly thechildrenwho are doing well or show lowlevels ofPTSD. It formed part of a la rger study (Altawil , 2008) about theeffects of chronic traumatic experiences on Palestinian childrenin the Gaza Strip. The sample consisted of six childreninterviewed by using a semi-structured interv iew. They wereagedbetween13-18 years. Those children hadall been exposed toat least 15 traumatic events which for some of them should besevere, showed low levelsymptoms of PTSD, and theyshould beliving in clashing areas in the GazaStrip.The measurements used were a semi-structured interview. Theparticipants were interviewed in Arabic and the interviewschedule was also translated into English.The results revealed that the modera ting factors and levels ofinfluence which protected children from developing PTSD arepositive personality traits, ideological commitment, a network ofpsychosocial support, entertainm ent and adaptation oracclimatization.The study concluded that a lthough some children in Gaza whohave been exposed to traumatic experiences seems to be doingreasonably well at present, there isa significant risk that they willcontinue to beexposed to further traumatic experiences. If theseand other less fortunate children inGaza do not get adequa te help(both preventative and reactive). We might face the prospect of alost generation of Palestinian children. Key words: Chronictrauma, childhood PTSD, modera ting factors, Palestinianchildren.

What are the Possible Reasons forDifferent Re-actions to Chronic Trauma?

A Qualitative Study

Dr. Mohamed Altawil, & Dr.Pieter Nel*

DzǠǨdzơ ƽȁƽǁ ǥȐƬƻȏ ƨǴǸƬƄơ ƣƢƦLJȋơ�ƨȈǨȈǯ ƨLJơǁƽ� �ƨǼǷDŽŭơ ƩƢǷƾǐǴdz ǑǂǠƬdzơ Ɣơǃƛ

DzȈǻ ǂƬȈƥ �ƽ ȁ DzȇȂǘdzơ ƾǸŰ �ƽ

E-mail: m [email protected]

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65Siege and MentalH ealth�W alls vs. Bridges

ǍƢŬơȁ ǵƢǠdzơśǟƢǘººǬdzơśººƥ ƢǷ ƧȂƴǨdzơ ǹƗ ǦȈǯ ƨºLJơǁƾdzơǽǀǿ DZȁƢǼƬƫƩƢȇƾŢ DzǰºººnjƬdz ƧƽƾŰƨȈºººLJƢȈLJƢǸƬƳơ ǥȁǂǛ Ŀ UHDUWLFXODWHGȆǿȁ ƽơǂǧȋơ śºººƥ ǦǼǠdzơ DZƢůĿ śǷƢǠdzơ ƩƢǷƾŬơ ȆǷƾºººǬŭ ƨȈƟƢǼưƬººLJơǞȇǁƢººnjŭơ ǺǷ ƾȇƾǠdzơ ƲƟƢƬǻ ǑǂǠƬººLjǻ ǺŴ ƢǼǿ ȁ�ƨȈ ººLjǨǼdzơ ƨººƸǐdzơȁ ������ǹȁǂƻƕ ȁ ŚǴȈƬºLJƢƥ ȁ ������ǹȁǂƻƕ ȁ ǂǴƬǻƢºnjƫ ǝȁǂºnjǸǯ ƨȈưƸƦdzơǞȇǁƢººnjŭơ ǮǴƫ Dzǯ �������ǹȁǂƻƕȁŜººǬȇĈƾǏȁ ������ǹƢǷƽȂºƥ ǝȁǂºnjǷĿ ƧƗǂŭơ ƾǓ DžǁƢǸŭơ ȅǂººººLJȋơ ǦǼǠdzơ ǞǼŭ ƨȈƟƢººººǫȂdzơ ƩƢǷƾŬơ DZȁƢǼƬƫȁ �ƨȈǷȂºǫ ȁ ƨȈǼȇƽ ƨȈǧƢºǬƯ ƩƢȈǴºǫƗ ƢǿǁƢºƦƬǟơ ƨȈǨǴƻ ȄǴǟ ƧƾƸƬŭơ ƨǰǴǸŭơĿ Ņȁȋơ DzǸǠdzơ DZȐƻ ǙȂºƸǴǷ Dzǰnjƥ �ȅǂLJȋơǎƻȋƢƥ �ȁǦǼǠdzơ ȄǴšƆƢȇǂǿȂƳ ƆƢºƦLJǂǷơȁƾǤȈdz DZȂŢŚƻȋơ ǹȋ Ɔơǂǜǻ ƨȈLjǨǼdzơ ƨƸǐdzơ Ƕǟƽ DZƢůǂŤƚŭƢºƥ ƆƢǬȈƯȁ ƆƢǗƢƦƫǁơ ǖƦƫǂȇ ȅǀdzơ ňƢǘȇŐdzơ ǹƘnjdzơĿ ǂǷȋơ ȁ�ƽȂǐǬǷ ŚǣŚǣƩƢLjLJƚŭơ ǹƢǷǂƷȁ �ƧǂƴŮơ ȄǴǟ ƨƥƢǫǂ dzơĿ ƾLjƴƬŭơ ƨdzȁƾdzơ ǦǼǟ ȂǿǞǷ Ȅººº ºººººººNjƢǸƬȇ ȅǀdzơ ǂǷȋơ ȅƽƢŭơǶǟƾdzơ ȄǴǟDZȂǐūơ ǺǷ śǼǗơȂŭơǺǷ ƱȁǂŬơ ǺǷ ƔƢºLjǼdzơ ǞǼŭǹȂǷǂĐơ ƢȀǷƾƼƬLjȇ ǹƢǯŖdzơ ƩƢȈƴȈƫơǂƬLJȏơǞǷ Ƣǿƙơ ǂƳƛ ĻŖdzơ ƩȐººƥƢǬŭơ ǹƗ Ǧȇǂǘdzơ ǺǷȁ �ƨǨȈǼǠdzơ ƩƢºǫȐǠdzơ ƨǷơȁƽŚºƦǯDzǰnjƥ ƩǂȀǛƗ ȃȂƬLjŭơ ȆǠȈǧǁƩƢLJƢȈLJ Ȇũơǁ ȁ ƩƢǷƾƻ ȅǂȇƾǷDzǷơȂǠdz ơ ǽǀǿ ǹƗǦȈǯ ƨȇơǁƽȄǴǟ ơȂºLjȈdz Ɣȏƚǿ ǹƗƧƾºƷȂǷ ǾºƦNj ƧǁȂǐƥȁƩƢȈǨǴŬơ ǮǴƬdz ƩƢȈǸƬǼŭơ ƔƢºLjǼǴdz ǞǼŤƨȈǧƢǓƛ DzȈºǫơǂǟ ƪǴǰNj ƨȇǂǿȂŪơśºººººº ƥ ƧȂƴǨdzơ ǹƗ ȃǂȇƮºººººƸƦdzơ ơǀǿ ǹƛ �ƩƢǷƾŬơǮǴƫńƛ DZȂǏȂdzơ ǺǷƨȈºLJƢȈLJȁƨȈǟƢǸƬƳơǥȁǂǛǪǧȁƶǓơȁ DzǰnjƥǍƢŬơȁ ǵƢǠdzơśǟƢǘǬdzơśºƥǦǼǠdzơ DZƢůĿ śǴǷƢǠdzơ ƩƢǷƾŬơ ȆǷƾºǬŭƩƢȇƾŢ Dzǰºnjƫ Ƣēơǀºƥ

�ƨȈLjǨǼdzơ ƨƸǐdzơǶǟƽȁ ƽơǂǧȋơ

This paper considers how the divide between publicand pr ivate is rearticula ted within specific socio-politicalcircumstances to present particula r challenges to serviceproviders working around interpersonal violence and mentalhealth support. We review findings ar ising from several researchprojects (Chantler et al, 2000; Bats leer, et al, 2002; Burman,2004, Siddiqui, et al, 2008) addressing domestic violence serviceprovision for women from cultural-religious and nationalminority backgrounds in the UK. Significantly, the focus ondomestic violence emerged through initial work on mental healthsupport provision, since this turned out to be a key causalprecipitant. Of particular relevance to this conference is how, inthe UK context, state violence (in the form of immigrationcontrol) and institutionalexclusionof non-citizens fromaccess tostate-funded support services was found to interact with thestrategies used by perpetra tors to prevent women from leavingviolent relationsh ips. Interestingly, interviews with senior servicemanagers and pol icymakers almost uniformly indicated that theywere unaware of how these material fac tors constitutedadditional barriers for women from such backgrounds inaccessing services. The paper considers how the divide betweenpublic and private is rearticulated within specif ic socio-politicalcircumstances to present particula r challenges to serviceproviders working around interpersonal violence and mentalhealth support.

'Walls within walls: intersections betweenstate, political and domestic violence'

Erica Bur man, Khatidja C hantler and Nadia Sid diqui*

�ǁơȂLJȋơ Dzƻơƽ ǁơȂLJƗȆǴƻơƾdzơ ȁ ȆLJƢȈLjdzơ ǦǼǠdzơ ȁ ƨdzȁƾdzơ ƩƢǠǗƢǬƫ

ȆǬȇĈƾǏ ƨȇƽƢǻ ȁ ǂǴƬǻƢnjƫ ƨŸƾƻ ȁ ǹƢǷǁȂƥ Ƣǰȇǂȇƛ

E-m ail:e .burm an@m mu.ac.uk

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67Siege and MentalH ealth�W alls vs. Bridges

ǂººƥƢǠŭơ ǩȐǣƛ ƨºLJƢȈLjdz DzȈƟơǂ ºLJƛ ƱƢȀƬǻơ ƨºǫǁȂdzơǽǀǿ DZȁƢǼƬƫśºƥȄǟƢŦ ƣƢºǬǠǯ ƧDŽǣ ǝƢǘºǬdz ƢŮȐƬºƷơ ǀǼǷDzºǬǼƬdzơ ȁ ǂǨLjdzơ ǞǼǷȁƤººǬǟ ƧDŽǣ ǝƢǘººǬdz ȆǴȈƟơǂºLJȍơ ǁƢǐūơ Ǻǟ ƭƾºƸƬƫ Ľ �ȃǂƻȋơȁ ƨǼȈǨdzơǮdzƿǾȈǧ ƤºººƦLjƫ ƢǷȁ � ǵ ���� ǵƢǟ ǞǴǘǷ ľ ƨȈǠȇǂººnjƬdzơ ƩƢººƥƢƼƬǻȏơȄƷƢǼǷ ǦǴƬűľ ǝƢǘǬdzơ ǹƢǰLjdz ƧƢǻƢǠǷȁ �ƽƢǐƬǫȐdz ƣǂǓǺǷ ǁƢǐūơDzȇȂŢȁ � ǵ �����ǹơǂ ȇDŽƷ�ȂȈǻȂȇǦǐƬǼǷǺǷ ǁƢǐūơ ƾȇƾnjƫ DZȁƢǼƬƫ Ľ�ƧƢȈūơ

�ŚƦǯ ǺƴLJńƛ ǝƢǘǬdzơȄǴǟǪǻƢŬơ ǁƢǐūơ Ǯdzƿ ǂƯƗǺǟ ƮȇƾºººƸǴdz Ǯdzƿ ƾǠººƥ ƨººLJơǁƾdzơ DzººǬƬǼƫǺǷ DZƢĐơ ơǀŮ Ƣŭ �ƨºƸǐdzơǝƢǘǫ ƨLJơǁƾƥ ƗƾƦƫȁ �ƧDŽǣľ ƨȈǸǼƬdzơ ƩƢǟƢǘǫǁƢǐūơ ǁƢƯƕDžǁƾƫ Ľ �ƨȈǸǼƬdzơ ƤdzȁDžƢººLJƗ Ȃǿ ǹƢºLjǻȍƢǧ �ƨȈǸǼƬdzơ ȄǴǟ ǂƯƗƩȏȁƢºǬ ŭơȁƩơƔƢnjǻȍơ ǝƢǘǫȄǴǟ DŽǯǂƫȁ � ƨǟơǁDŽdzơȁ ƨǟƢǼǐdzơȁ ƧǁƢƴƬdzơ ȄǴǟDzǸǠdzơ ƨººǫǁȁ DZȁƢǼƬƫ ƢǸǯ ƨȈǸǼƬdzơ ƨȈǴǸǟ ľ ƢǸȀǷ Ƣº Ʀǐǟ DzǰºnjȇŕdzơƢđƤººƦLjƫŕdzơ ƧǂǷƾŭơ ǁƢƯȏơ ȄǴǟ DzȈdzƾƬǴdz ƨdzƢǘººƦdzơȁ ǂºǬǨdzơ ƩȏƾǠǷȄǴǟǁƢǐūơ ǁƢƯơƢǔȇơ ƨººººǫǁȂdzơDžǁƾƫȁ ƧDŽǣ ǝƢǘººººǫ ƨȈǸǼƫȄǴǟ ǁƢǐūơȄǴǟ ǁƢǐūơ ǂƯơDZȁƢǼƬƫȁ ƨƬȈǸǼƫ ǺǷ ƾūơľ ǶȀLJơǦȈǯ ƶǓȂƫȁ ǶȈǴǠƬdzơƲƟƢƬǼdzơ ǺǷ ƽƾǠººººƥ ƨººººLJơǁƾ dzơ ǶƬƬţȁ ƨ ȈǸǼƬdzơ ȄǴǟ Ǯdzƿ ǂƯơȁ ƨƠȈººººƦdzơ

ƩƢȈǏȂƬdzơȁ

The paper addresses the Israeli policy of closure, restriction ofmovement and travel since its occupa tion of the Gaza strip, as acollective punishment. It then addresses the Is raeli siege of theGaza st rip after the legislative elections in the beginning of 2006resulting in the de terioration of the Palestinian economy and thesuffering of the Gaza population in all aspects of life. It furtherdescribes the esca lation of the siege since mid June 2007, turningthe Gaza strip into a big prison. The paper proceeds to describethe impact of this siege on development sectors in Gaza,beginning with the healthsector inview of itscrucial importance,since the human bring constitutes the bas is and core ofdevelopment. It also addresses the impact of siege on trade,industry and agricultureand focuses on the cons truction and realestate sector which constitu te important elements in the processof development. It provides a review of the rates of pover ty, andunemployment to indicate the destructive impact of the siege.Finally it demonstrates the impact of siege on education and itsconsequent deterioration. The paper closes with a number ofconclusions and recommendations.

ƨȈǸǼƬdzơ ȄǴǟ ƧDŽǣ ǝƢǘǫ ǁƢǐƷ ǁƢƯƕȃǂǔŬơ ȄƳƢǻ DZƢŦ

Impact of the Gaza Siege on Development

Jamal Nagi El Khod ari

E-mail: freegaz a.ps@ gmai l.com

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�ȆºLJǁƾŭơ ǦǼǠdzơ� ƨƴǘǴºƦdzơ� ǶȀǨdzƨdzƢūơ ƱƿȂŶǵƾƼƬºLjȇƱƿȂǸǼdzơǑǂǟ ŐƬǠȇƮȈºƷ �śǘºLjǴǧȁ DzȈƟơǂºLJƛśºƥ ƩƢºǫȐǠdzơ ŚLjǨƬdzƢȀȈǧƢŠ ƨȈǼǠŭơȁ ƨǴǟƢǨdzơƩƢȀŪơ ǞȈŦǁȁƽ ǶȀǧ ȄǴǟ ƾǟƢºººººLjǷ DzǷƢǟŖdzơ ƩƢȈƴȈƫơǂƬººººLJȏơȁ �śǠǧơƾŭơȁ śºººƦǫơǂŭơȁ �ƢȇƢ ºººƸǔdzơȁ ǺȇƾƬǠŭơ �6DOPLYDOOL� +XWWXQHQ�ǁơȁƽȋơ ǽǀǿƤǠǴdz ƧƾººƷơȁ Dzǯ ƢǸȀǷƾƼƬººLjƫǺǷ Dzǯ DzǸººººnjȇ ƆƢƳƿȂŶ ȆºººLJǁƾŭơ ǦǼǠdzơ ǂǧȂȇ/DJHUSHŖdzơ ǁơȁƽȋơ ǞȈŦȁ �śǠǧơƾŭơȁ śƦǫơǂŭơȁ ��ƨǟȂǸƴǸǯ� ȅƾƬǠŭơ �ƨȈƸǔdzơDzȈƟơǂLJ ƛśƥ ƩƢǫȐǠdzơ ȄǴǟƱƿȂǸǼdzơ ơǀǿ ǪȈƦǘƫ ǹƛ �ƧǂǿƢǜdzơ ǽǀǿ ƢȀȇȂƬŢŖdzơ ƨdzƢǠǨdzơƩơȂǘŬơȁ ƩƢȈƴȈƫơǂƬººLJȏơ ǶȀǧȄǴǟ ƾǟƢºLjȇśǘºLjǴǧȁDZȁƗ ǹƜºǧ �ǽǀºǿ ǂºǜǼdzơ ƨºȀƳȁ ǺºǷ ��/HUD� ����� ǥơǂºǗȏơ ǞȈŦ ƢēǀţơǦǼǠdzơ Ƥǰƫǂȇ ƢǷƾǼǠǧ �ǁơȁƽȋơ ǽǀǿ ǵȂȀǨǷ Ȇǿ ƢȀººƸȈǓȂƫ ƤŸ ƨȈǔºǫśººƥ ȃȂºǬdzơ ǝơǂǏ DžƢºLJƗȄǴǟ �ƧǁǂǰƬǷ ƨºǬȇǂǘƥȁ ƆơƾǸǟ ƢȇƢºƸǔdzơ ƾǓƮȈũ� �ǝơǂǏ džȈdzȁ �ƨǨȈǼǟ ƨºǫȐǟ ƾdzȂƫ ńƛ ȅƽƚȇ Ǯdzƿ ǹƜǧ śºƦǻƢŪơśȈǼȈǘLjǴǨdzơśƥ ǩǂǨdzơ ǹƗ śƦƫ ƨdzƢƸǴdz DzȈǴƸƬdzơDZȐƻ ǺǷ ������ �ƣǁƢNjŃƢǠdzƢºƥ ƆƢǷƾǬƫǂưǯȋơ ƵȐLjdzơ Ǿȇƾdz ǶǿƾƷƗ � ƆơƾƳDzƟƢǿ ǩǂǧśȈǴȈƟơǂLJȏơȁǦǼǠdzơ ƣƢǰƫǁơ Ļ�ƧǁƢƴūƢºƥǾLjǨǻ Ǻǟ Ǟǧơƾ ȇ ǹƗ ȃȂLJǮǴŻ ȏ ǂƻȉơ ƤǻƢŪơȁƶǓơȂdzơ ǺǷ ȁ ǵƢǟ ��� ǺǷǂưǯƗ ǁơƾǷ ȄǴǟ śȈǼȈǘºLjǴǨdzơ ǹƢǰºLjdzơ ƾǓƢŮǖǘű ȁ ƧƾǸǠƬǷ ƪǻƢǯ śȈǼȈǘºLjǴǨdzơ ƾǓƩƢǸƴŮơ ǞȈŦ ǹƘºƥƨǨȈǼǟ ƨººǫȐǟDzȈǴŢ ǁȂǗĿƢǼǻȋ ơǂǜǻȁ �ƨ ȈǴȈƟơǂººLJȍơƩơȂºǬdzơ DzºƦǫ ǺǷƨȀƳȁ ǺǸǧ �DzȈǴƸƬdzơ ƨǴȀLJƨǫȐǠdzơǮǴƫ Ŀ śƦǻƢŪơ ǁơȁƽƗ ǹƜǧ ��ƨƴǘǴƦdzơ�ǝƢǧƾdzơ ƩƢȈdzƖƥ ǶǿƾȇȁDŽƫ ńƛƨƳƢŞ ǶĔƜǧ �śȈǼȈǘLjǴǨdzơ� ƢȇƢƸǔdzơ �ǂǜǻƩƢǸƴŮơ DzǛĿƧƢȈūơ ƾȈººǫ ȄǴǟ ƔƢººǬƦdzơ ǺǷ ơȂǼǰǸƬȇŕºƷȆºLjǨǼdzơǹƗřǠƫŖdzơȁ ƨȈºººLjǨǼdzơ ƨºººƥȐǐdzƢƥ ǪǴǠƬƫƩƢȈdzȉơ ǽǀǿ �ƧǂǸƬºººLjŭơȄǴǟǹȁǁƽƢºǫ ȁ ǺȇDŽƳƢǟ Śǣ ǶĔƘºƥ ǁȂǠºnjdzơȁ ƨǬưdzơ ǶȀȇƾdzśȈǼȈǘLjǴǨdzơƩƢȈƴȈƫơǂƬLJȏơǹƜǧ �ǺȇƾƬǠŭơ ǂǜǻ ƨȀƳȁ ǺǷ �ƤǟƢǐŭơ ǽǀǿ ȄǴǟ ƤǴǤƬdzơơǁƽƢºǫ ǹȂǰȇ ǹƗ DzƳƗ ǺǷ ȅȂǼǠŭơ ǕƢºƦƫǁȍơǮǧ ƩƢȈdzƕȆǿ ƢǷơƾƼƬºLJ ơ ǂưǯȋơǺǷ ǝȂǼdzơ ơǀǿȁ �ƔƢȇǂ ººƥƗ DžƢǻƗ ƾǓ ƨƬȈǸŭơƩƢǸƴŮơ ǮǴƬººƥ ǵƢȈººǬdzơ ȄǴǟ

tz¡ 1997).

ƩƢǘǴºººLjdzơ ƤǻƢƳ ǺǷ ǾºººƥƤǟȐƬdzơȁƧȂºººǬƥ ǾǷơƾƼƬººLJơǶƬȇ ƩƢȈdzȉơƾȇǂšȁ ǶȀºººLjǨǻƗ Ǻǟ ǝƢǧƾdzơ DzƳƗ ǺǷƨǨȈǘǴdzơ ƩơǁƢº ºƦǠdzơ ǵơƾƼƬººLJƢƥǶȀǴȈǸŢȁ ƢȇƢºƸǔdzơ ȄǴǟ ǵȂǴdzơ ƔƢºǬdzƛȁǶȀƬȈǻƢºLjǻơ ǺǷ śȈǼȈǘºLjǴǨdzơƽǁơȂŭơ ȁ ǹȁƾƬǠŭơƢȀǴǰººNjŖdzơ ƨǰºƦnjdzơ ǹƜǧ Ǯdzǀǯ �łƛ �ǹơȁƾǠ dzơ ƲƟƢƬǻǶȀǷơƾƼƬºLJơȁ �ŅƢǠdzơ ƿȂǨǼdzơ ȅȁƿ ƩƢǟȂǸĐơ Ƕǟƽȁ �ƽƢǐƬǫȏơȁ �ƨǨǴƬƼŭơǵơƾƼƬLJơĿǶǿŚǣȁ śȈƥȁǁȁȋơ ȄǴǟ ŚƯƘƬdzơȁ �ǵȐǟȍơ DzƟƢLJȁ ȄǴǟ ŚƯƘƬdzơĿƩƢºLjLJƚŭơȁ ƽơǂǧȋơ ǹƜǧ�śƦǫơǂǸǯ �śȈǼȈǘLjǴǨdzơǽƢš ƨȈƦǴLJ DZƢǠǧƗ ƽȁƽǁǹȂºǗǁȂƬǷ ơȁŐºƬǠȇ ǶºĔƜǧ DzºǠǧ Ƨƽǁ ȅƗ ƿƢ ºţơ ǹȁƽǞºǓȂdzơ ńƛǂǜǼƫŖdzơǶƬȇǥȂºLJǮdzƿǹƜǧ śƳǂǨƬǷśƦǫơǂŭơƔƢǬƥ ƨȈǴǸǠdz DzȈǴŢ�ƔơƾƬǟȏ ơǶƟơǂŝ

�ǾǴȈǴŢƨººȈǷȂǰūơ ŚººǣƩƢººǸǜǼŭơ Ŀ ƆƨººǴưǸƬǷ �śºǠǧơƾŭơ ǁȁƽ Ȃºǿǁơȁƽȋơ ǂºƻƕƧƾǟƢºLjǷ DZȁƢŢȁ ƨȈǐƼnjdzơ ƝƽƢƦŭơȁƩƢǟ ƢǼǬdzơ Ǟǫơȁ ǺǷȆǿ śǟȂǘƬŭơȁƨǠǷƢƳ Ŀ ƣȐǘdzơ ǂǜǻ ƨȀƳȁDzȈǴŢ Ļ �ƨdzƢū ơ ǽǀǿƤƴNjȁśȈǼȈǘLjǴǨdzơǺǷ ƨǼȈǟ ǵơƾƼƬºLJƢƥƪǴǸƬºNj ơ ƨǼȈǟ ǩȐƻ ǺǷ ǁȂǜǼŭơ ơǀǿ ǺǷƨȈǴȈºƦNjơȃƾǷǺǟ ǶŮơƚºLJ Ļ ǹƢȈºƦƬLJȏơĿ �ƩƢǐǐƼƬdzơ ǞȈŦ ǺǷƤdzƢǗ ����ǥơǂǗȋơ ǺǷ ǥǂǗDzǯ ǾºººƦǠǴȇ ǹƗ ƤŸȅǀdzơ ǁȁƾdzơȁǞǓȂdzƢºººƥǶȀƬǧǂǠǷǺǟ ƨƟȂǘű ƩƢǷȂǴǠǷ ǶȀȇƾdz ƨººƦǴǘdzơ ǶǜǠǷ ǹƗ Ʋ ƟƢƬǼdzơ ƩǂȀǛƗƾºǫȁǹƗ ǶȀǸǜǠǷ ƾǬƬǟ ơ ƾǬǧ �ȆǴȈƟ ơǂLJȏơřȈǘLjǴǨdzơ ǝơǂǐdzơśƥ ƨǫȐǠdzơ�ǞºǫơȂdzơ Ŀ Ȃǿ ƢǸǯ ŚºƦǯ DzǰºnjƥdžȈdzǺǰdzȁ ƨǨǴƬű śºƦǻƢŪơśƥ ȃȂǬdzơńƛ ƢȇƢºƸǔdzơ ǁȁƽƾǼºLjȇ ǺǷǶȀǼǷ " ���ƨƠǗƢŬơ ǁƢǰǧȋơ ǽǀǿ Ƕǣǁȁ �Ǻǰdzȁ�ƧƾºƸƬŭ ơ ǶǷȏơńƛ śƦǫơǂŭơ ǁȁƽȁ �DzȈƟơǂLJơ ńƛ ǺȇƾƬǠŭơ ǁȁƽȁ śȈǼȈǘLjǴǨdzơDzưǸƬƫ ơƾ ȈǨǷ ǹȂǰȇ ǹƗ ǺǰŻƩƢȈƴȈƫơǂƬºººLJȏơ ǂưǯƗ �ǽǀǿ ǂǜǼdzơ ƨȀƳȁ ǺǷƨȈŷƗ ƩƢƷǂƬǬŭơ ǽǀǿ ǺǷȁ�ǁơǂǸƬLJȏơȄǴǟ ƢȇƢƸǔǴdz ƧƾǟƢLjŭơ ʼnƾǬƫĿśºƥƩƢºǫȐǠdzơ śºLjŢĿ śºLJǁƾŭơ Ƕǟƾdz ȆºLJǁƾŭơ DzƻƾƬdzơƲǷơǂºƥ ƔƾƥśºLjŢ ȁ DŽȇDŽǠƫ ǶƬȇ ŕºƷ �džǨǼdzƢºƥ ƨºǬưdzơ ȁ ƩơǀdzơǵơǂƬºƷơ ƧƽƢȇǃȁ �ƣȐǘdzơ�ƨȈººƦǿǀdzơ ƧǂǜǼdzơ� ƵǂƬººǬŭơ ơǀđ ƔƾºƦdzơ Ļ �ǶȀȇƾdz ƨȈºLjǨǼdzơ ƨºƥȐǐdzơ

ZZZ�JROGHQ��RUJ ǂǧȂƬǷ ȂǿśǘLjǴǧĿGolden5

ƨƴǘǴƦdzơ ǭȂǴLjdz ȏƢưǷ śǘLjǴǧ Ŀ ǦǼǠdzơ DzȈǴŢ

ơŚdz ǾȇǃȂƻ ƢȇǁƢǷ �ƽ

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69Siege and MentalH ealth�W alls vs. Bridges

frequently used are moral disengagement mechanismsin order tobe able to carry on such kind of deathly attacks against innocentpeople . That kind of mechanisms are strongly manipulated by theauthor ities using euphemisms like need to defend themselves,stereotypes and dehumanization of Palestinian people, blamelessthe vic tims for the consequences of the aggressors, and so on.Also the network made by the aggressors, the resources,economy, and the support of the most powerful group will beanalysed, likethe influence on themass media, and thesupport ofEEUU and Europe in their evil behaviours against Palestinians.As observers, people or ins titutions that just look at the s ituationwithout any actions against of them are also manipula ted. Ananalys is of the process tha t keeps the observers just observingwillbe provided.The last role is the defenders, actually represented by NGO andvolunteers that under personal principles are trying to helpPalestinians and denouncing the situation.The perspective of the students at Seville University have beenanalysed fromthis perspective. Asample of 500 students f rom allthe subjects has been analysed. In the questionnaire we askedthem about their knowledge of the situation and which role willassign to each one involved. Results shown that most of thestudents have wrong information about the israel-Palestinianrelations; in fact, most of them think that the different of powerbetween bothsides is not as big as is in reality. However, and spitethese misconceptions, 80% of them assigns the role ofvictims toPalestinians, Israel as aggressors, and the UNas the observer.From this point of view more strategies can be useful presentedfor the victims in order to help them to carry on. One of theproposals we have is to start school interventions supportingteachers in improving relat ionships with students, andincreasingtheir self-esteem and confidence, so resilience will be alsoenhance. Theproposal we have already started in Palestine is theimplementation of Golden5 programme (seewww.golden5.org).

The contextual model to understand "school bullying"is used to explain the relations between Israel and Pales tine. Apresentation of the model helps to understand the role of all theactors involved: aggressors , victims , observers and defenders,andthe strategies used byeach oneto play these roles (Salmivalli,Huttunen, & Lagerpetz, 1997).

School bullying provides us with a contex tual model thatincludes the victim, the aggressor (as a group), the observers anddefenders, as all the roles including in this phenomenon. Theapplica tion of this conceptual model to the relations betweenIsrael and Palestine helps to understand the s trategies and theeffectiveness of the actions taken byal l the parts (Lera, 2007).Fromthis point of view, the first issue to clarify is the definition ofthe roles. When the violence is committed intentionally againstthe victims, in a repetitive way, and under the basis of a relevantdifferen t of power between both sides, then the relation is aviolent relation (not a conflict)(Smith & Sharp, 1994).Fromany point of view the analysisof the situation shows that thedifference between Palestinians and Israelis are enormous; one ofthem has the most developed army in the world, while the othersidemost of the time hasto defendthem withstones. Theviolencehas been executed for over 100 years against the Palestinianpopulation, and obviously all the a ttacks against Palestinianshavebeen totally intentiona l and well plannedby Israeli forces.Given that we are analysing a violent relation(bullying), roles ofparts involved are easy to analyse. From the perspective of thevictims (Palestinians) they need to be provided with copyingstrategies mechanisms in order to carry on surviving under theconstant attacks . These copying strategies are related toresilience, that means, a way to perceive the situation as it wouldbe end sometimes ; it is taken undersense of humour, and is basedon the security and confidence under the feelings thatPalestinians will overcome such tremendoussituation.From the point of view of the aggressors, the strategies most

Analysis of violence in Palestine as an example of bullying behaviour

Dr. Maria-Jo se Lera *

E-m ail: Lera@ us.es

Page 72: Siege and Mental Health

70i Ën�AÊ l UAË �A . . . ÑÍn Ã̄ ºA ÑZv ºAÊ i Bv�A

ǁƢǐūơ ǂƯơ ȄǴǟǥǂǠƬdzơńƛƨȈưººººƸƦdzơ ƨº ºººǫǁȂdzơǽǀǿ ƪǧƾǿǽǂƯƗǹƢȈƥ Ǯdzǀǯȁ �ǶȀƬȈƥǂƫȁDZƢǨǗȋơ ǶȈǴǠƫ ȄǴǟ ƧDŽǣ ǝƢǘǫ ȄǴǟǑȁǂǨŭơƲȀǼŭơ ƮºƷƢƦdzơǞƦƫ ơ ƾǫȁ ȆǟƢǸƬƳȏơƲȈLjǼdzơȁ ƨȈǼȈǘLjǴǨdzơƧǂLJȋơ ȄǴǟ

�ƨȈdzƢƬdzơ ƨǴƠLJȋơ Ǻǟ ƨƥƢƳȎdz ȆǴȈǴƸƬdzơ ȆǨǏȂdzơ� ƧDŽǣ ǝƢǘǫĿȆLJƢLJȋơǶȈǴǠƬǴdz ŅƢūơ ǞǫơȂdzơ ƢǷ

DZƢǨǗȋơǶȈǴǠƫȄǴǟ ƧDŽǣ ǝƢǘºººǫȄǴǟǑȁǂǨŭơ ǁƢǐūơ ǂƯơ ƢǷ�ǶȀƬȈƥǂƫȁ

ǞǸƬĐơȁ ƨȈǼȈǘººLjǴǨdzơ ƧǂººLJȋơ ȄǴǟǑȁǂǨŭơ ǁƢǐūơ ǂƯƗ ƢǷ�řȈǘLjǴǨdzơ

ƨȈººƦǴLjdzơ ǁƢƯȉơǺǷ ƾºƸǴdzƨȈǴǸǠdzơ ƩơƔơǂƳȍơȁ ƩƢºƷǂƬǬŭơ ƢǷ�ǁƢǐƸǴdz

ƧDŽǣǝƢǘºǫĿ ȆºLJƢLJȋơǶȈǴǠ Ƭdzơ Ǟºǫơȁ ǦǏȂºƥƮºƷƢƦdzơ ǵƢºǫ ƾºǫȁ ơǀǿĽ �ǁƢǐūơǑǂǧDzººƦǫ ǵƢǠdzơ ǶȈǴǠƬdzơ ǝƢǘºǫ Ŀ ƪŤŖdzơƩơǃƢųȏ ơǑǂǟȁƨȇȂºººƥǂ Ƭdzơȁ ƨȈǸȈǴǠƬdzơ ƨȈǴǸǠdzơ ȄǴǟ ǽǁƢƯƗȁ ǑȁǂǨŭ ǁƢǐūơ ǂǿƢǜǷ śºººƥ

�ƧDŽǣ ǝƢǘǫĿƨȈǼȈǘLjǴǨdzơ ƧǂLJȋơȄ ǴǟǮdzǀǯȁDZ ƢǨǗȌdzǁƢƯȉơ ǺǷ ƾºƸǴdzƧǂǸưŭơ ƩƢȈǏȂƬdzơȁ ƩƢºƷǂƬǬŭơ ǺǷƽƾǠºƥ ƨºǫǁȂdzơ ƪƳǂƻȁ

�ŃƢǜdzơ ǁƢǐūơ ơǀŮ ƨȈƦǴLjdzơ

This paper aimed at recognizing the impact of siege onEducation for the children in Gaza Strip, and to illustrate theimpact of the adversity situation on the Palestinian family andcommunity. The researcher used the descr iptive analyticalmethod to answer the following questions :

What is the present status of basic education in GazaStrip?What i s the impact of siege on teaching / learningProcess in Gaza Strip?What is the impact of siege on the Palestinian familyandcommunity?What are the proposals to commute the impact ofsiege?

In this paper the researcher described the status of education andthe accomplishment achieved in Gaza Strip before the imposedsiege, in education to illus trate the impact of siege teaching /learning Process and the impacts ofliving in adversity situation.Many useful recommendations andproposalswere determined toreduce and commute thenegative impacts of this cruel siege.

�ƧDŽǣ ǝƢǘǫ ȄǴǟ ǑȁǂǨŭơ ǁƢǐūơǶȀƬȈƥǂƫȁ DZƢǨǗȏơ ǶȈǴǠƫ ȄǴǟ ǽǂƯƗȁ

ƣƢȇƽ ǩǃǁ DzȈȀLJ �ƽ

Impact of the Gaza Siege on Children'sEducation and Development

Dr. Su hail Diab

E-mail: suhaildiab@h otmail.com

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71 Siege and MentalH ealth�W alls vs. Bridges

ƩƢȈǷƢǼȇƾdzơ ǵȂȀǨǷ ǺǟǦºººººnjǰdzơńƛ ƨºººººLJơǁƾdzơ ǥƾēƨǷǃƗ ƨȀƳơȂǷ ĿƩƢƥȂǠǐdzơ ƨǧǂǠǷȁ �ǁƢǐūơ ƨȀƳơȂŭ ƨȈƷȁǂdzơ ƨ ȈLjǨǼdzơƨǷǃƗ ƨȀƳơȂǷ ĿƨȈºººLjǨǼdzơ ƩƢȈǷƢǼȇƾdzơ Ǻǟ Ǧººnjǰdzơ Ǯdzǀǯȁ �ǁƢǐūơǺǷ ƨȇƢǫȂdzơ ƩƢȈdzƕ ƨƥƢưŠ ƨȈƷȁǂdzơ ƨȈLjǨǼdzơ ƩƢȈǷƢǼȇƾdzơ ŐƬǠƫ ƮȈƷ �ǁƢǐūơƢŠ ƢēƢƦǬǟ DzȈdzǀƫȁ ƨǴǰnjŭơ ƨȀƳơȂǷȁƨȈLjǨǼdzơƩƢƥơǂǘǓȏơĿ ǝȂǫȂdzơƔƢǔºǬǴdz ƶȈºƸǐdzơǶȀǨdzơ ǺǷ ȄƷȂƬLjǷȁ ƧƾȈǬǠdzơ Ƶȁǁ ǺǷƾǸƬLjǷ Ȃǿ

�ǁƾǬdzơȁƨȈƯƢǣȍ ơƩơƔơƾǼdzơ ǪǴǘǼƫ DZȁƾdz ơ ǺǷ ƨdzȁƽ ȅƗ Ŀ ƨǷƢǟ ƨǟƢů ǞºǬƫ ƢǷƾǼǠǧǃŐƫȁ � ƣȂǏȁƣƾƷ Dzǯ ǺǷƨȈǻƢLjǻȍơƩơƾǟƢLjŭơńơȂƬƫȁ �� ŃƢǠdzơ ƔƢŴƗĿňƢLjǻȍơ ŚǸǔdzơ ǹƘƥ ǹƢLjǻȍơ ǂǠnjȇ Dzǰnjƥ ƨƷƢLjdzơ Ŀ ƨȈdzȁƾdzơ ƩƢƠȈŮơǺǷ ƤƴǠdzơ DzǯƤƴǠdzơ Ǻǰdzȁ �ƧƢȈººººƷƨȈºººǬƥ ǾȈǧ DZ ơDŽƫ ȏ ǵȂȈdzơ ƢǼŭƢǟĿƤǠºNj ƾǓ DzȈƟơǂºLJƛ ǾºLJǁƢŤ ȅǀdzơ DzǷƢnjdzơ ǁƢǐūơǺǟȆŭƢǠdzơ ƪǸǐdzơǹơȁƾǠdzơ ńƛ ǃȁƢšDzººƥ �œǴººLjdzơ ǁƢǐūơ ĈƾºƷ ƾǼǟǞǓȂdzơ ǦºǬȇ Ń �� ƧĈDŽǣƣƢºººƦnjdzơȁ DZƢǨǗȋơ ƢȀȈǧƾȀººnjƬLJơŖdzơ ƨȈǴȈƟơǂººLJȍơ ǁǃƢĐơȁ ȅȂǷƾdzơƩƢƠȈȀǴdz ňƢºLjǻȍơ ŚǸǔdzơ Ƥǿƿ ǺȇƗ �ƨȈnjƷȁ ƨǬȇǂǘƥśǼLjŭơȁ ƔƢLjǼdzơȁ��DZƢǨǗȋơȁ ƔƢºLjǼdzơ ǺǷ ǁƢǐūơ ƢȇƢºƸǓǺǟ ƪǸǐdzơ ơǀǿ ơƿƢŭȁ �� ƨȈdzȁƾdzơȂǿ ȁƗ � ȆººLJƢȈLjdzơ ǥȐŬơȂǿ Dzǿ � Ǯdzƿ Ɣơǁȁ ƨȈºǬȈǬūơƣƢºƦLJȋơ Ȇǿ ƢǷȁȂǿ ǂÊǏƢƊƄơ ǹȋ ȁƗ � ǾƬǷȂǰººººƷ ȄǴǟǒǨƬǼȈdz ƤǠººº ºnjdzơȄǴǟǖǤǔdzơȄǴǟƢǿǁƢººƦƳƛ Ǻǟ ƧƾººƸƬŭơ ǶǷȋơƩDŽƴǟŖdzơ ƧƾȈºƷȂdzơ ƨdzȁƾdzơ DzȈƟơǂºLJƛƆơǁŐǷǹȂǰȇ ǹƗ ǺǰŻ ȏȆººLJƢȈLjdzơǥȐŬơ ǹƛ � ƨȈdzȁƾdzơ ƩơǁơǂººǬdzơ ǪȈººƦǘƫȏ ȅƾƟƢºǬǠdzơǥȐŬơŕƷ �ǶȀǼǷ ƔƢȇǂƥȋƢƥ ǁơǂǓȍơȁ DzǷƢǯ ƤǠNj ƤȇǀǠƬdząǶƌǰċǼăǷÊǂ ąƴ ăȇ Ɗȏ ăȁ ���� �ńƢǠƫ DZƢºººǫ ƢǸǯ � ƩȁŐŪơȁ ǶǴǜǴdz ƆơǁŐǷ ǹȂǰȇ ǹƗƶǴǐȇƌǹƕǂºººǬdzơ ƵƾǷ Dzººƥ � ��� ȃ ăȂ ƒǬċƬǴ Êdz Ąƣ ăǂƒǫƊƗ ăȂĄǿ ƒơȂ ƌdz Êƾ ąǟơ ƒơȂƌdzÊƾ ąǠ ăƫ ōȏƊƗ ȄƊǴ ăǟÇǵ ąȂƊǫ ƌǹƖăǼ ăNjȄƊǴ ăǟ ăǵƢ ăǠ ōǘdzơ ƊǹȂĄǸ ÊǠ ƒǘĄȇăȁ� �ǾǻƢºƸƦLJ DZƢºǬǧ �ŚLJȋơȁƾǠdzƢƥ ǥƗǂƫ Ŗdzơ ƨĈǷȋơ

� ƆơŚ ÊLJƊƗ ăȁ ƆƢǸȈ ÊƬ ăȇăȁ ƆƢǼȈ Êǰ ąLj ÊǷ ÊǾ ďƦĄƷ�ȆǴȈǴºƸƬdzơ ȆǨǏȂdzơƲȀǼŭơ ƮºƷƢƦdzơ ǞºƦƬȈLJ ƨºLJơǁƾ dzơǥơƾǿƗǪȈǬƸƬdzȁƆƢȀƳȁ ƨȀƳơȂŭơ ȄǴǟ ƾǸƬǠƫƮºƸƦdzơ ƩơȁƽƗ ǺǷ ƧơƽƗǵơƾƼƬºLJơǶƬȈLJ ƮȈƷ�ƨȈºƸLjŭơ ƨǴƥƢǬŭơ ƆơƾȇƾŢȁƨǴƥ ƢǬŭơ Ȇǿȁ ȆȀǨnjdzơƣȂǴLJȋơ ƧǀƼƬǷ ǾƳȂdzǺǷ ƨȈºƦȇǂš ƨǼȈǟȄǴǟ ƢȀǬȈƦǘƫǶƬȈLJȁ ƨ ǴƥƢǬŭơ ƨǴƠLJƗ ƔƢǼƥǶƬȈLJ ƮȈƷƨººLJƢȈLjdzơ ƔơŐƻ �ƨ ȈººƥǂƬdzơ DZȂǏƗ �ȆºLjǨǼdzơ ƽƢºNjǁȍơ �ǍƢǐƬƻȏơ ȅȁƿ

�ƧȂƳǂŭơ Ʋ ƟƢƬǼdzơńƛ DZȂǏȂǴdz� ƽƢǐƬǫȏơȁ

This papers aims toexplore the psycho-spiritual dynamicsfor encountering a siege. It introduces the difficulties that arise whenencountering the crisis of a siege. It also explores the psychologicaldynamics necessary to encounter such a crisis. Psycho-spiritualdynamics are preventive mechanisms against falling in the trap ofpsychological disorders and help encounter troubles and overcometheir repercussions based on our beliefs and concepts stemming fromthe correct interpretation of fatalism.When a famine strikes a country, appeals for aid are launchedworldwide. Humanitarian aid flows from all parts of the world.International bodies intervene on the ground in a way that makes usfeel that human conscience isstill functional. However, the weirdestthing ever is that the whole world is silent with regard to the tightsiege imposed by Israel on thePalestinian people in Gaza. It is notjusta negative state of imposing siege, but it goes beyond a bloody assaultandmassacres by theIsraeli army, where kids, youth, women andtheelderly were savagely killed. Where is the human conscience of theinternational bodies? Why is everyone silent while women andchildren are victimized by this siege? What are the real reasonsbehind that silence? Is it the political disagreement? Is it a way topressure a population in orderto rise up against their government? Isit because Israel is theState to impose this siege, the onlystate that theUN failed to oblige to apply international resolutions? Politicaldisagreement cannot be a valid justification to torture a wholepopulation and causedamageto innocent people. Even abelief-baseddisagreement cannotbe a validreason for injustice and tyranny.Allahsays in the Holy Quran: ' [O you who believe]� let not the enmityand hatred of any people seduce you that you avoid justice. Dealjustly, that is nearer to your duty and piety .' Moreover, the HolyQuran praised those who have mercy with captive enemies: '[thepious and righteous]� give food, for love of him [God], to the poor,the orphan and the captive.'

To achieve the objective of the paper, the researcher will follow theanalytical-descriptive method. He will utilize a tool of research thatdepends on one on one encounter, adopting a verbal protocol of faceto face encounter, which is a survey interview. Anumberof questionswillbe compiled and will be asked to asample of specialized persons(psycho-counseling, basics of education and experts of politics andeconomics) in order to achievethe desired results.

ƨȈƷȁǂdzơ ƨȈLjǨǼdzơ ƩƢȈǷƢǼȇƾdzơǁƢǐūơ ƨǷǃƗ ƨȀƳơȂŭ

ǎǸŮơ řǤdzơ ƾƦǟ ƵƢƬǨdzơ ƾƦǟ �ƽDr. Abdelfatta hAbdelghani El-Hims

[email protected]:

Mental and Spiritual Mechanisms inConfronting Siege Crisis in Gaza

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ƩȐǰººººnjǷ ƨȈǷƢǼdzơ DZȁƾdzơ Ŀ ƨȇƽƢǐƬºº ºǫȏơ ƨȈǸǼƬdzơ ǾƳơȂƫǞǔźƾǴººƥĿƨȈǸǼƬdzơ Ǻǰdz �ƨȇƽƢȈƬǟȏơǥȁǂǜdzơ DzǛ ĿŕººƷ ƧŚººLjǟǹƗ ńƛ ƨ ȈǸǼƬdzơ ƩƢȈºººƥƽƗ Śººnjƫ ƿƛ �ǂǘƻơȁ Őǯơ ƢȇƾŢDzưŤœǼƳƗ DZȐƬººƷȏDzƬƄơ ƾǴƦdzơ ƽƢǐƬǫơȁ �ǶȈŭơǂLjǰƥ� ǂ ÊǸǠƬLjŭơ ƽƢǐƬǫơ śƥ ƨǫȐǠdzơ ƨǠȈƦǗȄǴǟDzƬƄơ ƾǴºƦdzơ Ƨǁƾǫ DZȐƬƷȏ ơ ƤǴƬLjȇ ƮȈƷ �ƨȈǠƦƫ �ƧǂǘȈLJƨǫȐǟ Ȇǿ

�ƽȂȈǬdzơȁ ƩƢLJƢȈLjdzơ ǺǷ ƧŚƦǯƨǟȂǸůDZȐƻ ǺǷ �ƔƢǸǼdzơ ȁ ǁȂǘƬdzơǽƢšƨȈǴȈƟơǂºLJȍơ ƩƢºLJƢȈLjdzơ DzǸů �DzǷƢnjdzơ ǾǷȂȀǨŠ ǁƢǐūơ ǹƢǯ ƢŭȁDzƦǫƨȈǴȈƟơǂLJȍơ ƨLJƢȈLjǴdzƢȈLJ ƢLJƗ ƢƴȀǼǷDzưŻ �ƨȈǼȈǘLjǴǨdzơȆǓơǁȋơDzºƦǬƬLjǷȁ ǁƢǐūơ śºƥ ƨºǫȐǠdzơ ǶȀǧǺǷ ƾºƥȐǧ�ǽƾǠ ºƥȁ ƨǘǴºLjdzơ ǵƢȈǫƨȈǸǼƬdzơ DzºƦǬƬLjŭ ȆºLjȈƟǂdzơ ȅƾƸƬdzơDzưŻ ǁƢǐūơǁƢƦƬǟƢƥ ƨȈǸǼƬdzơ ƨȈǴǸǟǺǷ ƢǷƢǟ ǂºnjǟƨǠºƥǁƗ ƾǠºƥ Ǿǻơ ƶǓơȂdzơ ǺǸǧ �ƨȈǼȈǘLjǴǨdzơȆǓơǁȋơĿȆǿƨȈǴȈƟơǂºLJȍơ ƨ ȇƾȈȈºǬƬdzơ ƩƢºLJƢȈLjdzơȁ ŚºƥơƾƬdzơ DZơDŽƫ ȏ ƨǘǴLjdzơ ǵƢȈǫȄǨźȏȁ �ƨȈǼȈǘºLjǴǨdzơ ȆǓơǁȌdz ƨȇƽƢǐƬºǫȏơ ǩƢǧȉơ ȄǴǟȄǤǘƫŖdzơƽƢǐƬººǫȏơ ǥƢǠǓƛ DZȂººƷǁȂºƸǸƬƫ �ǁƢǐūơ�ƩƢºLJƢȈLjdzơ ǽǀǿ ǥơƾǿƗ ǹƗƨȇȂǸǼƫ ƩȏȁƢŰƨȇ ƗȄǴǟ ƔƢǔººººǬǴdz�ȐǏ ƗǦȈǠǔdzơ�řȈǘºººLjǴǨdzơǁȂǐƫǺǟ ơƾȈǠººƥ ƨ ȈǼȈǘººLjǴǨdzơ ƨdzȁƾdzơ ǵƢȈººǫǍǂǧ ǺǷ ǃDŽǠƫ ƨȈºǬȈǬƷ

�ǾƬȇƙǁȁ DZȐƬƷȏơƤǴǘƬȇ ȂǸǼdzơ ǁƢºLjǷ ȄǴǟřȈǘºLjǴǨdzơ ƽƢǐƬºǫȏơ ǞǓȁ ǹƢǧ �ǾȈǴǟ ƔƢǼƥơǀººŮ DzººƳȋơƨºǴȇȂǘdzơ ƨºȈǸǼƬdzơ ƩƢºȈǻƢǰǷƛ ĿƧǂºƯƚŭơ ǝƢºǓȁȋ ơǶºȀǧƨǨǔdzơ DZȐƬººƷơ ƣƢºǬǟƗ ĿƪƠºnjǻƗŖdzơ DzǯƢȈŮơ ƨǏƢşȁ�ƽƢǐƬºǫȏơǽǀǿǹƛ �ǽȂŶ ƩƢȈǷƢǼȇƽ Ŀ ǂƯƚƫŖ dzơ ƨȈLjLJƚŭơ ƨȈǼƦdzơȁ �ƧDŽǣ ǝƢǘǫȁ ƨȈƥǂǤdzơDzȈºƦLJ ȏ śǠǷǁȂǘƫ ǁƢºLjǷ ǮºNj ȐƥƩƽƾƷ ƨȈLjLJƚŭơŘƦdzơȁ DzǯƢȈŮơƽƢǐƬºǫȐdz ƨǴǷƢǰdz ơřȈǘºLjǴǨdzơ ƽƢǐƬºǫȏơ ƨȈǠƦƫ DzǛĿǾǼǷ ƱȁǂƼǴdz

�ȆǴȈƟơǂLJȍơDzºƦǬƬLjǷ ȄǴǟǞºLJơȂdzơ ǾǷȂȀǨŠ ǁƢǐūơ ǂƯƗ ƾȇƾºƸƬdz ƨǫǁȂdzơǽǀǿ ǥƾē�ǩȐǣȍơȁ ǁƢǐūơśººƥ ƨººǫǂǨƬdzƢƥ ƨººǫǁȂdzơ ǶƬē ǥȂºLJȁ �ƨȈǸǼƬdzơ ƨȈǴǸǟǒǠººººººººƥ ȄǴǟ džȈdzȁ ƨȈǸǼƬdzơ ƨȈǴǸǟȄǴǟ ǁƢƯȉơ ƾȇƾŢĿǮdzƿ ƨȈŷȋǂǿƢǜǷ ȆǿŖdzơ �ǂºǬǨdzơȁ ƨdzƢǘºƦdzƢǯ ƨȈǟƢǸƬƳȏơȁ ƨȇ ƽƢǐƬǫȏơ ƩơǂNjƚŭơ

�ƨǴǰnjǸǴdz ǑơǂǟƗȁƩƢȈdzƕ DzưǷ �ǁƢǐūơ ǵȂȀǨǷƾȇƾŢ ƾǠºƥ�ǞȈǓơȂǷ Ƨƾǟ ƨºǫǁȂdzơǑǂǠƬºLjƫǁƢǐūơ ƢȀǓǂǨȇŖdzơ ƩƢȇƾººƸƬdzơȁ �ƨȇƽƢǐƬººǫȏơ ǽǁƢƯƕȁ ǾƫơǁȂǘƫȁ ǁƢǐūơƨȇƙǂdz ǵƢǟ ǁȂǐƫǞǓȂººººƥƨºººǫǁȂdzơ ȆȀƬǼƫ ÈăǶƊƯ ǺǷȁ �ƨȈǸǼƬdzơƨȈǴǸǟ ȄǴǟǍȐƼƬººLJơ ƢȀºƦǬǠȇ �ƨȈǼȈǘºLjǴǨdzơȆǓơǁȋơ Ŀ ƨȈǸǼƬǴdz ƨȈǴºƦǬƬLjǷ

�ƨƦLJƢǼŭơƩƢȈǏȂƬdzơ ǞǓȁȁƲƟƢƬǼdzơ

Economic development in developing countries facemajor challenges even under normal circumstances. However,development in an occupied country is even a greater challenge.Development literature indicates that the nature of the relationshipbetween the economic of the occupant and the occupied is a relationof control/dependence, where the occupier deprives the occupied ofthe potential for growth and development through a series of policiesand restrictions. Since siege in its broad context (i.e. the totality ofIsraeli policies towards the Palestinian territories) represents anessential element of Israeli policy, before and after the establishmentof the Palestinian Authority, we have to understand the relationbetween the siege and the future of development, where the siegeconstitutes the major challenge to the future of development in thePalestinian territories. It is clear, after 14 years of establishment ofthe Palestinian authority, that the restrictive Israeli measures andpolicies continue to dominate the economic horizons of thePalestinian territories.It is no secret that hose policies (the siege) targets the weakening ofthe already weak Palestinian economy to abort any attempts at a realdevelopment, which might enhance the opportunities for theestablishment of a Palestinians state outside the control and vision ofthe occupation.Accordingly, to put the Palestinian economy on the path towardsdevelopment, we have to understand the conditions which impactthe long term potential of development of that economy, especiallythe structures that have been introduced upon the occupation of theWest Bank and Gaza and the institutional structure that affects thedynamics of its growth. Those structures and institutional constructshave undoubtedly determined a specific path for development thatcannot be challenged in view of the total dependence of thePalestinian economy on the Israeli economy. This paper aims toidentify the impact of siege, in its broad sense, on the future of theprocess of development. It will differentiate between siege andclosure in view of the importance of that differentiation inidentifying the consequences on the process of development and notmerely on some economic and social indicators such asunemployment and p overty, which are symp toms andmanifestations of the original problem. After outlining the conceptof siege the paper will address other issues such as the mechanismsof siege, their development and their economic impact, and thechallenges imposed by the siege on the process of development. Thepaper will conclude with an overall suggestion for a future vision ofdevelopment in the Palestinian territories, followed by a number ofrecommendations.

ǁƢǐūơ DzǛ Ŀ ƨȈǸǼƬdzơ DzƦǬƬLjǷƨǴƴǠdzơ ƵȐǏ ǹǃƢǷ

The Future of Development under SiegeMazen Salah El Ejla

E-mail: e [email protected]

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ǺǨdzơȁ ƨǷƾǐdzơśºƥ ƨǫȐǠdzơ ǂǿƢǜǷǒǠƥ ƨǫǁȂdzơǽǀǿ DZȁƢǼƬƫĿ DZȐƬºƷȏơƪŢ śȈǼȈǘºLjǴǨdzơ ǹƢǰºLjdzơ śƥ ƽȂǸǐdzơȁ ǵƢǠdzơ ȆǠǸƬĐơƨȈǠǸƬů ƩƢȇǁơƾƳ Ƨƾǟ ǺǷƩƢǷȂǴǠŭơǞŦ Ļ ƾǬdz �ƧDŽǣȁ ƨȈƥǂǤdzơ ƨǨǔdzơǞǷ ǹȁƢǠƬdzƢºƥ ƩơȂǼºLJ ǂºnjǟ ȃƾǷ ȄǴǟƢȀũǁȁ ƢȀǸȈǜǼƬºƥǺȇǂƳ ƪǷƢǫǝȁǂººnjǷ ȄǴǟ ƨǴƻơƾŭơ DŽǯǂƫ ǥȂººLJ �ƪǸǐdzơ ǂººLjǯ ƩƢȇǁơƾƳ ǝȁǂºnjǷśººƥ ǭǂƬºnjǷǝȁǂºnjǷ Ȃǿȁ �ƢȈºƦǸȈdzȁƗȁ ƶǧǁŖǼȇƾǷ śºƥ ȆƻƖƬdzơ ƨȇǁơƾƳ�ƪǸǐdzơ ǂLjǯƩƢȇǁơƾƳ ǝȁǂnjǷȁ �ƨdzơƾǠdz ơ DzƳƗ ǺǷȅ ǁȂǯ DzNjơǁ ƨLjLJƚǷǺǸǔƬȇ ȅǁơƾŪơ ǝȁǂºººnjŭơ �ƧDŽǣ Ŀƶǧǁȁ ǺǘǼººNjơȁ ƢȈººƦǸȈdzȁƗ ǹƢǰººLJȁŐǟ ƔƢǼººƦdzơǥƾȀƬº ºLjƫƶǧǁȁ ƢȈºƦǸȈdzȁƗ ǺǷ DzǯĿƨǷƢǟ ƨȈǼǧƩƢǟȁǂºnjǷǺǷ ǞººººLJơȁ ǦȈǗ ǺǟŐǠƫ ǹƗȁ ƨǴƟƢŮơ ƨ ȈǧơǂǤŪơƩƢǧƢººººLjŭơȁ ƩƢǯǂūơƨǷȁƢºǬŭơȁ ǵƢǠdzơ ǕƢºnjǼǴdzǂºnjƦdzơ ǵơƾƼƬºLJơ ǩǂǗǮdzƿ Ŀ ƢŠƩƢȈǷƢǼȇƾdzơƾǼƬººLjƫ �ƔƢººƦƷȋơ ǹơƾººǬǧ ȄǴǟ ǹDŽūơȁ ƩƢǷƾǐdzơ ƨȀƳơȂǷĿǝơƾºƥȍơȁƢǸȈǧȆºLjǨǼdzơDzȈǴºƸƬdzơ ƩƢȇǂǜǻȁ ȅƾǬǼdz ơȁ ȆǴƻƾƬdzơ ƮƸƦdzơńƛ ƨǴƻơƾŭơŘǠǷ ȄǴǟ ƔȂǔdzơ ƔƢººǬdzƛȁ ǶȀǨdz ƨdzȁƢŰ Ŀ ǂǯǀƬdzơȁ ƨǷƾǐdzƢºƥ ǪǴǠƬȇ�ǹơƾººǬǨdzơƩơŐƻȁ ǦǼǠdzƢººƥ ƔȆǴǷ ǩƢȈºLJ Ŀ ȆǠǸƬĐơ ǺǨdzơƩƢǟȁǂºnjǷƢºLjǼdzơ ƢȀǼǷňƢǟŖdzơ ƩƢǷƾǐdzơ śºƥ ƨǫȐǠdzơ DZȁƢǼƫ ńƛ ǝȁǂnjŭơ ȄǠLjȇǹƛ� �ƭȁǁƢǯ ȆƯƢǯƪdzƢºººǫ ƢǸǯ �Ņȁƾdzơ ǞǸƬĐơ Ŀȁ ƢȀǼȈǠºººƥ ƩƢǠǸƬůĿ�ƺȇǁƢƬdzơ ǹƗ Ŀ ƪǴưŤ �ƾȈƷȂƬdzơȁ ȄLJȂǷ�Ǿƥ ƢƬǯ Ŀ ƨȈLJƢLJȋơ ƾȇȁǂǧ ƧŚǐƥơƾȇƾŢ ȂǿƺȇǁƢƬdzơ ǹƛ ��ƽǂǨdz ƢǰǴǷ ơƾºººººººººƥƗ ǹȂǰȇȏ �ƨǷƾǐdzơ DzưǷ ǾǴưǷǍ ������Ǻȇǂƻȉơ ƩƢǷƾǏĿ ƢºƦƦLJȁƗ ƢǧǂǗ ƢđƶºƦǐǻŖdzơ ƨǬȇǂǘdzơ

����

If haunting describes how that which appears to be notthere is often a seething presence, acting on and often meddlingwith taken for granted reali ties, the ghost is just the sign , or theempirical evidence if you like, that tells youa haunting is takingplace�Haunting is a very particular way of knowing, beinghaunted draws us affective ly somet imes against our will andalways a bit magically, into the structure of feeling of area lity wecome to experience, no t as cold knowledge, but as atransformative recognition .Ghostly Matters, Avery Gordon(1997, p8).This presentation explores some of the relationships betweentrauma, community public art and resilience in refugeepopulations living underoccupation in Palestine's WestBank andGaza. The data is collected from a series of community murals,that Greene has organized and painted collaboratively over thelast10 years with Break the SilenceMural Projec t (BTS).Thefocus of the presentation will be on the Olympia-Rafah SisterCity Mural Project, a collaboration between the Rachel CorrieFoundation for Peace and Justice, BTS, the people of OlympiaWashington and Rafah inGaza. Themural projec t includes publicart projects in both Olympia and Rafah that aim to build acrossmovements and large geographicaldis tances, and will articulate awide range of dynamics including the way people make use ofactivism, resistance and creativity in the face of trauma andmourning.The study makes use of action and critical research,psychodynamic and analytic theories of trauma and memory inan attempt to understand and illuminate the meaning of publiccommunity art projects and solidarity in the context of high levelsof violence and traumatic losses. The projectseeks to address therelationship between the traumas suffered in individualcommunities and the world community. As Cathy Caruth notes:Freud's central insight in "Moses and Monotheism" is thathistory, like trauma is never simply one's own- that his tory isprecise ly the way we are implicated in each other's traumas(1996, p.11).

Public Art, Solidarity andResilience in Occupied Palestine

Dr. Su san Greene.*

ǺǷƢǔƬdzơȁ ȆǠǸƬĐơ ǺǨdzơƨǴƬƄơ śǘLjǴǧ Ŀ ƽȂǸǐdzơȁ

ǺȇǂƳ ǹơǃȂLJ �ƽ

* San Francisco Art Institute USA / [email protected]

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74i Ën�AÊ l UAË �A . . . ÑÍn Ã̄ ºA ÑZv ºAÊ i Bv�A

ĿĿƢºǬưdzơ ǞǓȂdzơ ȄǴǟ ǁƢǐūơ ǂƯƗ śƦƬdz ƨLJơǁƾdzơ ǽǀǿ ƩƔƢƳǁƢƯƕ ǃơǂƥƛ Ȃǿ ƨLJơǁƾdzơ ǾȈdzƛ ȄǠLjƫȅǀdzơǥƾŮơ ǹƜǧŅƢƬdzƢƥȁ �ƧDŽǣƩƢǜǧƢŰǺǨdzơ �ƵǂººººLjŭơ �ƩƢººººƦƬǰŭơ �Ŀ DzưǸƬƫ ƨȈººººLjȈƟǁ ƤǻơȂƳȄǴǟ ǁƢǐūơĻƮȈººƷ �ȆǨǏȂdzơ ƮººƸƦdzơ ƲȀǼǷ ƨººǫǁȂdzơ ƩƾǸƬǟơ ƾººǫȁ �ȆǴȈǰºnjƬdzơǺǷ ƨȇƾǴºƥ Dzǯ ǺǷ ƨƦƬǰǷǀƻƗ ĻȁƩƢȇƾǴƦdzơ ƩƢƦƬǰǷ ńƛƩƢƦƬǰŭơǦȈǼǐƫǢǴºƥȃǂƻȋơ ƨǷƢǠdzơ ƩƢºƦƬǰǸǴdz ƨȈƟơȂºnjǟ ƨǼȈǟ ǀƻƗ Ľ �džǸŬơ ƩƢǜǧƢƄơǺǷ ƨȈƟơȂººººnjǟ ƨǼȈǟ ǁƢȈƬƻơ Ļ ƢǸǯ �ƩƢººººƦƬǰǷ� ƢȀǼǷ ƣƢƴƬºº ºLJơ ǺǷƢȀǼǷƣƢƴƬLJơƮȈƷ ƩƢȈƷǂLjǷǑǂǠƫȁ ƲƬǼƫŖdzơȁ ƨȈƷǂLjŭơƩƢLjLJƚŭơƨȈƟơȂºnjǟ ƨǼȈǟǀƻƗ Ļȁ ƢǸǯ �ǶȀǠǷ ƩȐºƥ ƢǬǷ DzǸǟ Ļ ƮȈƷ �ƩƢLjLJƚǷ �ǹƢȈººƦƬLJơ ǞȇǃȂƫĻȁ �ƧDŽǣ ƩƢǜǧƢŰ ǦǴƬű ǺǷ śǻƢǼǨdzơ ǺǷ ƨǟȂǸů ǺǷƪǨºǫȂƫ ƮȈƷ ƨŦ ǁƢƯƕ ǁƢǐƸǴdz ǹƗśƦƫ ƨLJơǁƾdzơ ƲƟƢƬǻ DZȐƻǺǷȁ �ǶȀȈǴǟ�ƢǿŚǣȁ ƧǁƢǟȍơƩƢǷƾƻȁ ƨǷƢǠdzơ ƩƢºƦƬǰŭơ ǶǜǠŭƤƬǰdzƢºƥ ƾȇȁDŽƬdzơ ƨǯǂºƷǑȁǂǠdzơȁ ƩƢȈººƷǂLjŭơ ƽƾǟƮȈººƷ ǺǷȆºƷǂLjŭơDzǸǠdzơ ǶƴºƷǎǴºǬƫȁǶȀƳƢƬǻƛ ƮȈºººººƷ ǺǷ ǁƢǐūƢºººººƥśǻƢǼǨdzơ ƱƢƬǻƛ ǂƯƘ ƫ ƢǸǯ �ƨǷƾºººººǬŭơńƛ ƨººǫǁȂdzơƪǐǴƻ ƢǸǯ �ƨȈƳǁƢŬơƩƢºNjǁȂdzơȁǑǁƢǠŭ ơĿ ǶēƢǯǁƢºnjǷȁ

�ƢȀǼǷƩƢȈǏȂƬdzơ ǺǷ ƨǟȂǸůƩƢǷȂºǬǷĿ ƨǷƢǿ ǂǏƢǼǠǯ ǶǴǠdzơȁ ƨǧǂǠ ŭơȁ ƧƔơǂǬdzơ ǞȈƴnjƫ

�DzƬƄơ ǾƳơȂǷȁ ƽȂǸǐdzơǾºǫȐǘǻơ ǞȈƴºnjƫȁřȈǘºLjǴǨdzơ ȆǴȈǰºnjƬdzơ ǺǨdzơ ǞȈƴnjƫǵȏƕǺǟ ŚºººƦǠƬdzơĿ ǶȀºººLjƫ ƨȈŭƢǟƨǤǴǯ ȆƳǁƢŬơ ƔƢǔǨǴdzDzƟƢººLJȂdzơ Dzǯ śǷƾƼƬººLjǷ �řȈǘºLjǴǨdzơ ƤǠºnjdzơ DZƢǷƕȁ

�ƨȇǂǐǬdzơ ƽȁƾƸǴdz ƧǃȁƢƴƬǷ �ƨưȇƾūơƨȈǻȁǂƬǰdzȍơȁ ǢȇǂǨƬdzơȁ ŚºƦǠƬdzơ ƤȈdzƢºLJƗ ƾºƷƘǯ ƵǂºLjŭơȁ ƢǷơǁƾdzơ ǞȈƴnjƫƢǔȇƗȁ �DZȐƬºººƷȏơ ƶǔǨƫƨȈǷȐǟƛ ƨǴȈºººLJȂǯ ƢȀǠȈƴººnjƫĿ �ƨưȇƾūơ ƨȈǻȁǂƬǰdzȍơ DzƟƢººLJȂdzơ ȁ ƪǻǂƬǻȍơ ǺǷ ƧƾȈǨƬººLjǷ

�ƢȈŭƢǟȁ ƢȈǴŰ ǁƢnjƬǻȏơ ȁ DZȂǏȂdzơ

This study came to showthe impact of the Israeli siegeon the cultural situation in Gaza provinces ,therefore the aim ofthe study is to seek the effects of the Israeli siege on three mainaspects presented in : libraries, theatre and visual art.The paper has adopted a descriptive research approach, whichclassified the libraries toMunicipal libraries that were taken fromeach of the five provinces municipality, and then take a samplerandom of the other public libraries which 6 of them respond.Also another sample random has been selected from institutionswhich produce and present plays and 5 of them respond and hadan interviews;Also a sample random was selec ted from a groupof artists from different Gaza provinces and a questionna ire wasdistributed to them, and through the results of the study showedthat the siege had a negative effects. where the acquisition ofbooks had stopped for most of public librar ies and the loanservices and many others. Also the theatre work reduced from thenumber of plays and presented shows. and the artists productionhad been effected from their produc tion and participation inexhibitions and workshops for Foreign Affairs . Also this paperfound set of conclusionsand recommendations Including:

Encourage reading and science and knowledge as animportant elements of Steadfastness in the face of theoccupier.Encourage thePalestinian Art Studio and motiva te it tolaunch of outer space as a universal language toexpress the pain and aspirations of the Palestinianpeople, using all modern electronic means, by passingthe borders.Encourage drama and theater as an expression andunloading methods and encourage it as a media exposethe occupation, and also taking advantage of theInterne t and the modern e lectronic means to accessandcontribute locally and globally.

ǥƢǬưdzơ ǞǓȂdzơ ȄǴǟ ǁƢǐūơ ǂƯƗƧDŽǣ ƩƢǜǧƢŰ Ŀ ȅ

ƅơ ǂǐǻ ƽƢǸǟ

The Impact of the Israeli Siege onthe Cultural Situation in Gaza Provinces

Mr. Emad Nasrallah

E-mail: [email protected]

Page 77: Siege and Mental Health

75Siege and MentalH ealth�W alls vs. Bridges

ǞǸƬĐơ ƩƢǸǜǼǷ ƲȈºLjǻ ǺǷ ƔDŽƴǯ ƨȈǴǿȋ ơ ƩƢǸǜǼŭơ ƪºƦǠdzǹƢººƥƗ ƨǷȁƢºǬŭơȁ ƽȂǸǐdzơ DzƳƗ ǺǷ ƨȈǸǼƬdzơ ƩƢȈdzƕ DŽȇDŽǠƫ Ŀ ƆƢǷƢǿ Ɔơǁȁƽ ňƾŭơƨǷƢǠdzơ ƩƢººººLJƢȈLjdzƢƥ ŚƯƘƬdzƢººººƥ ƪŷƢººººLJ ƢǸǯ �ȃŐǰdzơƨǓƢǨƬǻȏơƩơƿ ƢȇƢǔºǬdzƢƥ�� ǵƢǟ ƾǠƥƨȈǼǗȂdzơ ƨǘǴLjdzơ DzȈǰnjƫ ǹƢƥƗ ƩƢǠȇǂnjƬdzƢƥȁńƛ ƨǧƢǓƛ ƨǨȈǠǔdzơȁ ƨºnjǸȀŭơ ƨȈǟƢǸƬƳȏơ ƩƢƠǨ dzơŁƢǐŠ ƨºǫȐǠdzơǹƢLjǻȍ ơ ǩȂǬƷȁƨȈǗơǂǬŻƾdzơ ǶȈǫȁ ƨǧƢǬƯ ǵơǂƬƷƢƥƨǏƢŬơ ƩƢȀƳȂƬdzơ ǮǴƫ

� ƨȈǻƢLjǻȍơ ƨȈǸǼƬdzơȁƩȏƢºººº ºººǬƬǟȏơȁ � ƨdzȁƾdzơǺǷƗ ƨǸǰŰƪǔǧǁ ƩƢǸǜǼŭơ ǮǴƫ ǹơ ǂǯǀȇȁDzȈǰººnjƫȁ ŚººƦǠƬdzơȁ ƾºǬǼdzơȁ ȅƗǂdzơ ƨȇǂºƷ ǺǷ ƾūơƩȏȁƢŰȁƨȈºLJƢȈLjdzơƨȈǟƢǸƬƳơ ƩƢƠǧŁ ƢǐǷ Ǻǟ ŐǠƫŖdzơƩƢȈǴǟƢǨdzơȁƩƢººƥƢǬǼdzơȁ ƩƢȈǠǸŪơƨȇȂǘǴºLjdzơȁ ƨȇȂºƥȋơ DZƢǰNjƗ Dzǯ ƪǔǧǁ ȆȀǧ ŅƢƬdzƢ ƥȁ� ǞǸƬĐƢƥ ƨǨǴƬűǪƷǺǟ ƪǠǧơƽȁǞǸƬĐơ ƩƢǸǜǼǷȁ DzǯƢȈǿȁŘƥ ȄǴǟ ƧǂǘȈLjdzơ ƩȏȁƢŰȁńƛ ƽƢǼƬºLJȏơȁ ƶǷƢLjƬdzơ ǵȂȀǨǷ ǺǷ ƪƼLJǁȁ ƨȇƽƾǠƬdzơ ƨǧƢǬƯȁ ǥȐƬƻȏơ

� ƾȈdzƢƥ ǹȂǻƢǬdzơ ǀƻƗ ƩȏȁƢŰǺǷ Ɔȏƾƥ ǹȂǻƢǬdzơƧƽƢȈLJ ƗƾƦǷƔơǂƳƛ ǽƢšƢºººººƥƢǿƾȀŝ ňƾŭơ ǞǸƬĐơ ƩƢǸǜǼǷ ƪǠǧƽ ȅǀdzơƪºººººǫȂdzƢƥȁƔƢĔƛ ǥƾđ � ���������Ŀ ƪŤŖdzơ ƨȈǠȇǂºnjƬdzơ ƨǏƢƻȁƩƢºƥƢƼƬǻȏơƨºLjLJƚŭơ ƨȈǼºƥ ƨǣƢȈǏ ƧƽƢǟƜºƥ ƨŷƢºLjŭơȁ ƨǘǴºLjdzƢƥ ƨȈƳơȁƽ ǃȏơ ƨdzƢƷƧƾǟƢºǫ ȄǴǟȁ ƧƾºƷȂǷ džºLJƗ ȄǴǟ ƨȈǼȈǘºLjǴǨdzơ ƨȈǻȂǻƢǬdzơȁƨȈLJƢȈLjdzơǩȁƾǼǐºƥ ȁƗƩƢºƥƢƼƬǻȏƢƥ ƢȀǼǟ ŐǠŭơ Ƨǂūơ Ǿƫƽơǁƛȁ ǺǗơȂŭơ ȅƗǁńƛ ƽƢǼƬLJȏơǺǷ ƩƢƥ ƢƼƬǻȏơ Ǻǟ ƨšƢǼdzơ ƨȈƯǁƢǰdzơ ƲƟƢƬǼǴdz ƧǁȂǘşƩǂǜǻ ƢĔƜǧ � ǝơǂƬǫȏơȃƽƗ ȅǀdzơ ǵƢºLjǬǻȏơȁ ƪƬǨƬdzơ ƆơŚƻƗȁ ǂƫȂƬdzơȁ ǹƢºǬƬƷȏơ ƨdzƢºƷ ƺȈLJǂƫ ƮȈƷ� ƆƢȈǧơǂǤƳȁ ƆƢȈºLJƢȈLJ řȈǘºLjǴǨdzơ ȆºLJƢȈLjdzơ ǵƢǜǼdzơ ƨȈǼºƥǁƢǘnjǻơ ńƛǝƢǘºǫ ĿDžƢŧƨǯǂºƷ ǾȈǴǟ ƪǷƾºǫƗ ȅǀdzơ ȅǂǰLjǠdzơǶLjūơ Őǟ ƔơȂLJƢȀȈǴǟ ǵƾǫƗŖdzơ ƨȈǻȂǻƢǬdzơȁ ƨȇ ǁơƽȍơ ƩơƔơǂƳȍơ ŐǟȁƗ � ���������Ŀ ƧDŽǣÅƔơȂºLJ ƩƢLJǁƢǸŭơ ǮǴƫ � ƆƢǔȇƗ ƨǨǔdzƢƥǑƢȈǧ �ƽ ƨǷȂǰƷȁ ǹǃƢǷȂƥƗ džȈƟǂdzơ

Ŀ ǁơǂǓȋơƪºǬūƗȁ ƨLjLJƚŭơ ƧƾƷȁǒȇȂǬƫńƛƩƽƗ ƨȇǁơƽȍơ ȁƗƨȇǂǰLjǠdzơƧƾºƷȁĿ ƪƬǨƬdzơ ƨdzƢºƷ ǺǷƪƼLJǁ ƢǸǯ �řȈǘLjǴǨdzơřǗȂdzơ ǝȁǂnjŭơƩǂƯƗǽǂǘƻ ƩƢȈǟơƾƫ ńƛ ǵƢººLjǬǻȏơ ơǀǿȃƽƗ ƮȈºƷ �ȆǟƢǸƬƳȏơƲȈºLjǼdzơƨdzƢºƷǮdzƿ ǺǷ ƺLJǁ ƢǸǯ � ƨǷƢǟ ƧǁȂǐƥ ƨLjLJƚŭơȁƨLJǁƾŭơȁ ƧǂLJȋơ ȄǴǟŐǟ ÅƔơȂºLJ ƨȈºƥǂǤdzơ ƨǨǔdzơȁ ƧDŽǣ ǝƢǘºǫ ǺǷ Dzǯśºƥ ƢǷ DZƽƢºƦƬŭơ ǵƢǬƬǻȏơǥǂǘǴdz ƽȂǠƫŖdzơƩƢȈǠǸŪơ ǩȐǣƛ ȁơ ȆººLJ ƢȈLjdzơ DZƢºǬƬǟȏơ ƧǂǿƢǛ ƾȇƾšȅǀdzơȁ ǹȂ ǻƢºǬdzơ ƨǘǴLJǥƢǠǓƛ ńƛ ȃƽƗȅǀdzơ ǂǷȋơśƬǬǘǼŭƢƥǮdz ƿȁ ǂƻȉơ

�džȈLjƬdzơȁ ƨȈƥDŽūơ ƨȇȂƠǨdzơ ƨdzƢū ǂƻȉơ Ȃǿ Ǟǔƻňƾŭơ ǞǸƬĐơƩƢǸǜǼǷ ƣǁƢšȁ ƺȇǁƢƫ ȄǴǟ ÅƔƢǼºººƥȁ ƆƢºººƦȇǂǣ ǺǰȇǶǴǧ ǾȈǴǟȁƨdzƢºººƷ ƔƢĔƛ ńƛ ƨȈǷơǂdzơ ƩƢȈǴǟ ƢǨdzơȁ ƩơǁƽƢººƦŭơ ǺǷƨǴººLjǴLjƥ ƢȀǷƢȈººǫDzƻƾŭơ DzǰººnjȇǮdzƿ ǦǏȂººƥ ƨȈǼǗȂdzơ ƧƾººƷȂdzơƧƽƢǠƬºLJơȁ ǵƢºLjǬǻȏơǞǸƬĐơ ƲȈºLjǻ ƧƾºƷȂdzȁ řǗȂdzơ ǝȁǂºnjǸǴdz ǁƢƦƬǟȏơ Ƨƽ Ƣǟƛ ǽƢšƢƥ ȆLjȈƟǂdzơ

� ƪǫȂdzơ džǨǻĿȆǴƻơƾdzơ� ňƾŭơ ǞǸƬĐơ ƩƢǸǜǼǷ ƢȀȈǴǟ ƪǷƾººººǫ ƗŖdzơ ƩȐǸūơȁ ƩơǁƽƢººººƦŭơ ǹƛȃȂºǬdzơ ǞǷ ǹȁƢǠƬdzƢƥ ƨȈǴǿȋơƩƢǸǜǼŭơ ƨǰƦNj � ƩƢǠǷƢŪơ ƧǀƫƢLJƗ ƨ ȈǠŦDzºƷDŽǯǂǷ� � DžƢŧȁ ƶƬǧ�śȈºLjȈƟǂdzơśºƦǘǬdzơƧǂƟơƽ ƱǁƢƻ ƨȈºLJ ƢȈLjdzơƩȐŧƢȀȈǠŦ�ł ƛ ���� řǗȂdzơ ǩƢǧȂdzơ ƨǼŪȁ �ǮǼȈƯ DZƢººººººƥ � ƩƢǟơŗdzơǵƢLjǬǻȏ ơ ƨdzƢƷ ƔƢĔƛ ȄǴǟ ňƾŭơ ǞǸƬĐơƩƢǸǜǼǷǍǂƷdžǰǠƫ ƩơǁƽƢƦǷȁȅǀdzơǞǸƬĐơƲȈººLjǻ ƧƾººƷȁ ǶȈǷǂƫ ƧƽƢǟȍ ȅDŽǯǂŭơDzƻƾŭơ Dzǰººnjȇ ȅǀdzơȁ

� ƾ ȇƾƦƬdzơȁǮƬȀƬǴdz ƆơǂƻƚǷ ǑǂǠƫǦȈǬưƫȁ ƨȈǟȂƬdzơ ǺǷ ƲǷơŐƥƨǬǧǂǷ ƩơǁƽƢƦŭơȁ ƩȐǸūơ ǽǀđ ǁơǂǸƬLJȏơ ǹƛƔƢǐººǫȍơ ƨººLJƢȈLJ Ǻǟ ƽƢǠƬº ºƥȏơȁ ǂƻȉơ DzºƦǬƫ ƨǧƢºǬƯ DŽȇDŽǠƫǽƢš ǞǸƬĐơǞǸƬĐơ džLJȋ ƨǸƸǴdzơ ƧƽƢǟƛ DzƳƗ ǺǷ ƨƸǴǷ ƧǁȁǂǓƩƢƥ � ƨǬȈǬūơ ǁƢǰƬƷơȁƨȈǗơǂººº ºǬŻƾdzơǶȈǿƢǨŭơȁ ŚȇƢǠŭơńƛ DŽǰƫǂȇ ǹƗƤŸȅǀdzơřȈǘºººLjǴǨdzơ

� ƨǴǷƢNj ƧǁȂǐƥřǗȂdzơ ǝȁǂnjǸǴdzDžƢLJƗ ƧƾǟƢǬǯ

ňƾŭơ ǞǸƬĐơ ƩƢǸǜǼǷ ǁȁƽǞǸƬĐơ ƲȈLjǻ ƧƾƷȁ ȄǴǟ ǙƢǨūơĿ

ǹƢǔǷǁ Ȃƥơ ǺLjŰ

E-mail: [email protected]

Page 78: Siege and Mental Health

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Bank as well. Those undertakings, whether military oradministrative, have led to the jeopardy of the institutional unityand has greatly harmed the Palestinian national project. Theyhave also established a state of fragmentation of the unity ofsocial matrix, since that split has led to dangerous consequenceswhich affected the family, the school, and the institution ingeneral. It has also lead to a state of ongoing mutual revengebetween the Gaza strip and the West Bank, whether through thepolitical detentions or closure of organizations belonging to theother party, in both areas. This inevitable lead to a weakening ofthe power of the law, which itself has been subjected tosectarianisms and political polarization. Accordingly it was nota surprise that civil society organizations undertake a series ofinitiatives and actions targeting to put an end to the state ofdivision and to reclaim national unit, since this is the most crucialentry point towards a rebuilding of the national project and theunity of Palestinian society. The initiatives and campaignsundertaken by civil society organizations (association ofuniversity professors, PINGO in collaboration with politicalgroups other than the two poles Fath and Hamas, center forconflict resolution, Pal Think, committee of national consensus,etc.) all reflect the determination of civil society organizations toend the state of division and to rehabilitate the unity of socialmatrix which has been subject to violation and breach. Thecontinuation of those campaigns and initiatives accompaniedwith awareness raising and community education programstargeting acceptance of the other, rejection of exclusion andmonopoly of the truth has become an urgent necessity in order tobuild cohesion in thestructure of Palestinian society which has tobe based on democratic principles and values as a basis for acomprehensive national project.

Non-Governmental Organizations as part of civil society haveplayed an important role in the enhancement of developmentmechanisms in support of resilience and resistance after themajor intifada. They have also influenced public policies andlegislations upon the formation of the national authority after 94as regards the interests of marginalized and vulnerable groups inthe community. They have also forwarded recommendationsregarding respect for the culture and values of democracy,human rights and human development. We note that thoseorganizations have rejected the state security court, politicaldetentions, attempts at restriction of freedom of opinion,criticism, expression and formation of associations and unionsand all structures representing the interests of different socialsectors in society. They have rejected all forms of patriarchy,hegemony and attempts to control the structures andorganizations of civil society. They have defended the right todiffer and the diversityof culture. They have called for principlesof tolerance and respect of law instead of taking justice in one\sown hand. Civil society organizations have spent their effortscalling for e lections, especially legislative elections, which tookpart on the 25th of January 2006 in the hope that this will end thestate of double authority and have contributed to thereformulation of the Palestinian political and legal infrastructureon unified principles and on the basis of referring to the free willof citizens expressed in the ballot box through elections.However, they have also viewed with concern the catastrophicresults of those elections in so far as they precipitated a state ofcongestion and tension, and eventually split, which lead to adivision of the Palestinian political system, both politically andgeographica lly, established militarily by Hamas in the Gaza stripand through administrative and legal procedures undertaken byPresident Abu Mazen and the Dr. Fayyad government in the West

Role of Civil Society in the Maintenanceof Community Cohesion

MohsenAbu Ramadan

E-mail: [email protected]

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ǶǿǁƢºººººƦƬǟƜƥdžǨǼdzơ ƔƢǸǴǟ ƨǟƢŦȁǺȇǂǰǨŭơ ȆǴǟ ƤŸ ƢŠǁDzưǷǶȀǴưǷ DŽȈǯǂƫȁ ǵƢǸƬǿƗǁȂŰ ǹȂǰȇǹƗȆǷƢǜǻȃȂƬºLjǷȄǴǟ Ǻ ȇǂǰǨǷǺǷ ƨȈºLJƢȈLjdzơȁ ƨȈǫƢǬưdzơȁƨȇƽ ƢǐƬǫȍơȁ ƨȈǟƢǸƬƳȏơ ȆƷơȂǼdzơ ǺǷ ǶǿŚǣǝơǂǐdzơ ƤººƦLjƥ ǂƟ ƢºLjƻǺǷǹƢºLjǻȍơ ǾǠǧƾȇ ƢǷȁǁƢƯȉ ơȁ ƣƢºƦLJȋơƮȈºƷǺǷ ƨȈdzȁƾdzơ ƩƢǰºƦnjdzơ ǦºǬƫ �Ǯdzƿ ǺǷǶǣǂdzơ ȆǴǟȁ �DZȐƬƷȏơȁ ȅǂǰLjǠdzơƾȈǯƗ ơǀǿȁ �ƢȇƢǔºǬdzơ ǽǀǿ Ɣơǃƛ Ɣ ƢǸǏ śȈǟƢǸƬƷȍơdžǨǼdzơ ƔƢǸǴǟ ƨǟƢŦơǀdz �ƩƢǟȂǓȂŭơǽǀǿ ǽƢš DZȂƠºLjǷȁ ƽƢƳ ǦǫȂǷ ȅƗ ơȁǀƼƬȇ ŃǶĔƗ ƮȈƷǽƢšǶȀººLjǨǻƗśȈººLjǨǼdzơ śǐƬƼŭơ Ɣȏƚǿ ǾƳȁǦȈǯDzƟƢººLjƫƗřǻƜǧƔơǁȁǦǼǠdzơ Ʃȏȏƽ ƢºººººººǬƷ ǹȂǯǁƾȇ ơȂǻƢǯƢǷ ơƿơȁŃȂǠŭơǦǼǠdzơ ǵȂȀǨǷȄǴǟǺȇǁƽƢºǫ ơȂǻƢǯƢǷ ơƿơ ƆƢǔȇƗ DzƟƢºLjƫƗȁ �ȆǐƼºnjdzơȁ ȆǴƻơƾdzơ ȅȂƬºLjŭơDzǷƢǠƬdzơ ȅƾǷȁȆǐƼºnjdzơ ȅƾŭơ ǃȁƢƴƬƬdz ǦǼǠdzơǂǿơȂǜdz ǶȈǿƢǨǷ ǞǓȁĿ Ɣȏƚǿ ƵƢų ȅƾǷ Ǻǟ ƢǔȇƗ DzƟƢºººLjƫƗňƜǧ ǮdzƿȆǴǟ ƧȁȐǟ �ƽơǂǧȏơ śººƥ�ƨȈƳǁƢŬơȁ ƨȈǴƻơƾdzơ ƨȈǷȂºǬdzơ ǾºƦǻơȂƳǺǸǔƬȈdzǦǼǠdzơ ǵȂȀǨǷ ƵƢǔȇơǺǟ ǵȂȀǨŭơ ơǀǿDzưǷ Ŀ ƨȈºLJƢȈLjdzơ ƢȈǧơǂǤŪơȁ ƩƢǯǂnjdzơ ƢǔȇƗ DzǸnjȈdzȁśȇƽƢǐƬºǫȍơȁśLJƢȈLjdzơǺǷ śǬƥƢLjdzơ ǦǼǠdzơƣƢƸǏȋƵƢǸLjdzơ ǪȇǂǗƶũȅƾǷ ȅƗŅơ � DZƢưŭơ DzȈºƦLJ ȆǴǠǧ� ƨǴǷƢǰdzơ ƨȈǧƢǨnjdzƢƥơȂǸLjƬȇ ǹȋDzǔǧơȆ Ǵǟ ǀƻȋơ ǺǷƩƢǷȂǰūơȁ ƩƢǯǂºººººººnjǴdzǞǸƬĐơȁdžǨǼdzơ ƔƢǸǴǟƔȂºLJƗ ȆǴǟ ƨȇǁƢǸǠƬºLJȏơŁƢǐŭơȁ ƩƢǯǂºnjdzơƪǠƴºNjǦȈǯȁ DZơȂƷȏơǞǸǗǺǷ ƨºƦƦLjƬŭơ ǦǼǠdzơ DZƢǸǟȋ DzǷƢǯ DzȈǴŢ ǺǷ DzǫƗ DZȐƻǺǷ DZơȂƷȋơƢǻƽȁDŽȇ ƾºǫ ȅǂǰºLjǠdzơ DZȐƬºƷȏơȁ ƣǂūơǹƛ � ȆºLJƢȈLjdzơ ƾºǬūơȁ ƩƢǯǂnjdzơƔơǃƛ ǶȀǷƢǸƬǿơ ơȁƾºƦȈdz ǞǸƬĐơȁdžǨǼdzơƔƢǸǴǟ ȅƾȇƗȆǴǟƣǂǔǴdz ǥƢǘŬƢƥǥǂǠȇ ƢǷ Ņơ Śºººnjǻ ƢǼǻƜǧǮdzƿ DzǠǨººƥȁ DzǷƢººnjdzơȁ ǶǜǼŭơ ǦǼǠdzơǕƢŶơǞǸƬĐơȁdžǨǼdzơƔƢǸǴǟƩƢǰºƦNj Ŀ ȆLJƢȈLjdzơ DzǸǠdzơ Ƨǁƾǻ ǂǓƢūơ ƪǫȂdzƢƥǂưǯƗDzǰºnjƥ ƨȈƸǔdzơ ƨǴǰnjǷǑǂǠdz ǦǫơȂŭơ ǵơDŽƬdzơ ƩƢƦƯȍƨƳƢūơŅƛȁƤȈǐǼƬdz ǵƢǠdzơȅƗǂ dzơ ǞǷ ƾººǫƢǻ DzǰºnjƥǕơǂŵȏơȁǵƢǜǼdzơ ƨǻơƽƛȁ �Ƣ ºƷȂǓȁ

�śǿƢšȏơ ȐǯĿ ȏƢŷƛǹȁƾƦȇ Ǻȇǀdzơ ǞǸƬĐơȁdžǨǼdzơ ƔƢǸǴǟ

As system-level thinkers, communi ty psychologistsshould perhaps be as focused as anyone else on the social,economic, cultural and political causes, effects and human costsof military conflicts and occupations. However, internationalnetworks of community psychologists appear to have been muteon such issues, certainly they have not taken a discernable publicstance. I ask how community psychologists orient themselvestowards the concept of globalised violence and whetherthey fullyrecognise the manifestations of violence beyond the level of theintra and interpersonal. Further, I ask how successfu l havecommunity psychologists been at conceptualising violence toinclude its intra- and inter-national aspects, and to include thecorporate and the geo-political in such a conceptualisation bypermitting the political and economic antecedents of violence tobe made fully transparent.For example, to what extent has community psychology at bestallowed corporations and governments off the hook and at worstpromoted corporate and colonialist in terests through a less thanfull ana lysis of the violence caused by corporate greed andpolitical misanthropy? War and military occupation couldprovide the hooks upon which to lash community psychologicalconcerns over widespread and systemic patterns of violence andin doing so to point to what is perhaps, at present, a dearth ofpoliticised action in networks of communitypsychologists and tothe need to demonstrate the disciplines' commitment to rendermore visible the plight of the victim, the culpability of the systemand to engage critically with the public positioning of apsychology that appearsnegligent towards both.

Community Psychology's Response toMilitary Conflicts and Occupations

Dr Pa ul S. Du ckett *

ȆǠǸƬĐơ džǨǼdzơ ǶǴǟ ƨƥƢƴƬLJƛDZȐƬƷȏơȁ ƨȇǂǰLjǠdzơ ƩƢǟơǂǐǴdz

ƪȈǯơƽ DZȂƥ �ƽ

* D epartm ent of Psycholog y and Social Change, Manche ster [email protected]

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ƾƳȂȇ ǾǻƢǧ � ǺȇǁǂƄơȁ ȃǂLJȋơ Ƨǁơǃȁ ĿƢǼȇƾdz ƧǂǧȂƬŭơ ƨȈƟƢǐƷȍơƩƢǻƢȈƦǴdz ƆƢǬǧȁȁśǟǃȂǷ Ɣȏƚǿȁ � DzǨǗ ���� � ȁ ƧŚLJƗ � ��� ǶȀǼȈƥ DzǬƬǠǷ ����� ƨƥơǂǫ ǹȉơ

�ǦȈǫȂƫ DŽǯǂǷȁ ƆȐǬƬǠǷȁ ƆƢǼƴLJ �� ƨƥơǂǫȄǴǟƢȀƬǟƢǜǧȁ ƢēȁƢºLjǫƩƾƬºNjơȁ ƆơƾƳ ƨǴȇȂǗȃǂºLJȋơǪŞƩƢǯƢȀƬǻȍơ ƨǸƟƢǫ

� ƢǿǃǂƥƗȁ ǵȐǟȍơDzƟƢLJȁǺǟ ơƾȈǠƥȁƪǷƢǏDzǰnjƥ� ǁƢǐūơ ƨȇơƾƥǀǼǷǺȇǀdzơ � ƧDŽǣ ǝƢǘºǫȆǴºǬƬǠǷ ƨǧƢǰdzȆǟƢŦDzǰnjƥDzǿȋơƩơǁƢȇǃ ǺǷǹƢǷǂūơƧǁƢȇǃ ǺǷ ȃǂºLJȋơ ŅƢǿƗ ǺǷ ƧŚƦǯ ƽơƾǟƗ ǞǼǷȁ �DzǬƬǠǷ ���� ºƥ ǶǿƽƾǟǁƾǬȇǹƢǷǂººƷřǠȇ ơǀǿȁ �řǷȋơ ǞǼŭơ � ȄǸººLjȇ ƢǷƪŢȅƽǂǧDzǰºnjƥǶȀƟƢǼºƥƗƨȇȂƬººnjdzơdžººƥȐŭơȁ � DzǿȋơǪȇǂǗǺǟ � ƢǼȈƬǼǰdzơ � DZơȂǷƗȆººǬǴƫ ǺǷ ŚºLJȋơȃǂºººLJȋơ ƩƢºººƥƢLjƷ ǩȐǣơ ńơ ƨǧƢǓȍƢºººƥ �ƨȇȁƽȋơȁ ƨȇǁȁǂǔdzơ ƨȈǘǣȋơȁǶººǫƢǧ ƢŲ ƣƢºƦLJȋơ ǾǨƫȋǶȀȈǴǟ ƨȈdzƢǷƩƢǷơǂǣǑǂǧȁ ǶŮơȂǷƗ ƧǁƽƢǐǷȁ

� ǶȀȇȁƿȁ ȃǂLJȋơ ƧƢǻƢǠǷǺǷƨȈºLJƢǫ ƨȈLjǨǻ ƨƥǂǓDzǰnjƫȁDzǿȋơ ƩơǁƢȇǃ ǺǷ ǹƢǷǂūơ ǹƢǧ ǾȈǧǮNjȏƢŲȁȄǴǟ ƨǨǟƢǔǷ ƨººƦǠǏƨȈººLjǨǻ ƆơǁƢƯƕ ǭǂƬȇȆǟƢŦƣƢººǬǟ Ȃǿȁ � ǶȀºǬŞ� ƢǸȀǼȈºººƥ ƢǸȈǧ ƨȈǟƢǸƬƳȍơ ƨººǫȐǠdzơ ĿƧȂƴǧǪǴźȁ �śǧǂǘdzơƩƢȈººLjǨǻƨºǫǁȁȁ � ƨȈǻƢLjǻơ ƩƢƬǨdzńơ ǾdzȂŢȁǝȁǂnjŭơ Ǫūơ ơǀǿƤǴLJDzǏơȂƫ DzȈƟơǂLJơȁDzǯȃƾdz ƭƾŹ Ƣŭ ơǂǜǻ ǪǴºǫ ƨdzƢºƷĿ Ǿȇȁƿȁ ŚºLJȋơȄºǬƦȇȁ � ƨǷȁƢLjǷȁǃơDŽƬƥơǾȈǧ ƩƾǟƢǐƫƪººǫȁĿơǀǿ �ňƢưdzơǥǂǘdzơ ȃƾdz ƨººǬǴǬǷƭơƾºƷƗ ǺǷǥǂǗƨƥơǂǫ ńơ ǾȈǧśǴǬƬǠŭơƽƾǟ DzǏȁȁ ǁƢǐūơǺǷDZȁȋơ ǵƢǠdzơ DZȐƻ ƩȏƢǬƬǟȍơƩȐǬƬǠǷȁ ǹȂƴLJDzƻơƽ � ȃǂLJƗ � � ǾdzȐƻƾȀnjƬLJơ ƢǸȈǧ � � ǺǗơȂǷ ���� �

�DZȐƬƷȍơƢĔƜǧDžƾººººǬdzơȁ ƨȈºººƥǂǤdzơ ƨǨǔdzơŅƢǿȋƩơǁƢȇDŽdzơƪŤǹƛȁ �ƢǿǁƢƯƕȁ DŽƳơȂūơƆơǁȁǂǷȁ �ƪȈºƦdzơ ǺǷ ƱȁǂŬơ ƨǜūǺǷ ƗƾºƦ Ƭǧ � � ƨȇǁơǂǘǓƛ ƧƢǻƢǠǷ ƨǴƷǁDzǰnjƫƩƢººǫǂǘdzơȄǴǟ ƨǧƢưǰººƥ ƧǂººnjƬǼŭơ ƨȇǂǰºLjǠdzơ DŽƳơȂūơ ǺǷƩơǂºnjǠdzơ ŐǟƨǓƢǨƬǻơ DZȐƻ ǙȂºººƸǴǷDzǰºººnjƥƩƽơƽǃơŖdzơȁ ǹƾŭơȁƩƢǸȈƼŭơ DzƻơƾǷȁǹƢȀƬǷơȁDzȇȂǘdzơ ǁƢǜƬǻȍơȁ DZȏƿȍơ ƢȀǴǴƼƬȇȁ � ƨȈºƥǂǤdzơ ƨǨǔdzơ ĿȄǐºǫȋơDzºǬƬǠǸǴdz ȁƗ ǺƴLjǴdzDZȂǏȂdzơśƷȁ � ƆȐ ȇȂǗ ƢƬǫȁȁ ơƾȀƳǥŗƬLjƫȁ � ƨǷơǂǰǴdzƨƠȈºººLJ ƨǴǷƢǠŭ ǹȂǓǂǠƬȇ ǶĔƜǧ � ǶǿƢǼǰºººLJǺǯƢǷƗ Ǻǟ ƆơƾƳ ƾȈǠºººƦdzơDzººƦǫ ǺƴººLjdzơ ƨººƥơȂƥǵƢǷƗ ƆȐȇȂǗ ǁƢǜƬǻȎdz ǹȁǂǘǔȇȁƨdzǀǷ ƩƢººnjȈƬǨƫȁƧŚưǯ ƆƢǻƢȈºƷƗĿȁ � ƣǂǔdzƢºƥ ǶȀȈǴǟ ȃƾƬǠȇ ƆƢǻƢȈºƷƗȁ � ƧǁƢȇDŽdzƢºƥ ǶŮƵƢǸLjdzơǺƴLjdzơ Ƨǁơƽƛ ƢȀǫȂLjƫ ƨȈǿơȁ ǞƟơǁƿƪŢȁ ǶȀƟƢǼƥƗ ƧǁƢȇǃ ǹȁƽǶēȂȈƥńơ ǹȁƽȂǠȇƩơǂnjǠƥ ǁȁǂŭơ Őǟ ȃǂƻơƧƢǻƢǠǷDzǰnjƫǶēƽȂǟǹƢǧ � ȏǵơ ƧǁƢȇDŽdzơ ǺǷ ơȂǼǰŤȁ �

� ƨȇǂǰLjǠdzơDŽƳơȂūơǶȀȇȁƿȁ ȃǂººLJȋơȄǴǟ ǁƢǐūơ ǁƢƯƕ ǺǷǦȈǨƼƬdzơ DZȁƢŢ ǺȇǁǂƄơȁ ȃǂºLJȋơ Ƨǁơǃȁ

ƨǟȂǼƬŭơƩƢǷƾŬơȁƩƢȈdzƢǠǨdzơȁ ƨǘnjǻȋơ ǺǷ ƾȇƾǠdzơ DZȐƻǺǷ

Accord ing to statistical data available at the ministry there are atpresent around ten thousand prisoners of war, among them 94women and 344 children distributed over 25 prisons, detentioncenters and incarceration centers. The list of vio lationscommitted against the detainees is extremely long and hasescalated in severity and brutality since the beginning of thesiege, a ll in silence and without any media coverage. Theseinclude a violation of basic human rights, includ ing thecollectivedeprivation of family visits for all de tainees from the Gaza strip(about 920 detainees) and the prevention of large numbers offamilies from vis iting their children on an individual basis underthe pretext of security. This constitutes a violation of internationalconventions and humanitarian laws.

This lack of visi tation deprives the detainees from receivingfunds for use in the canteen, winterclothes, medication, blankets,etc. In addition, the bank accounts of detainees are closed, theirmoney is confiscated and they are fined for trivial reasons,causing extra stress for them and their families. It is a collectivepunishment that results in complex psychological consequencesfor both parties and creates a socia l gap between them. Thedetainees and their families continue to live a state of insecurity,each worrying about what is happening to the other. For familiesattempting to visit detainees, a visit to the West Bank andJerusalem is a tedious journey. It requires passing through tens ofmilitary checkpoints along roads and at entrances to camps andcities. Upon arrival at prisons or detention centers, which arelocated far from people's residences, family members aresubjected to maltreatment, humiliating searches and long hoursof wait ing in front of the prison gate before they are allowedinside. Sometimes they are beaten. Other times , they may returnhome without visiting their loved ones under weak, artificialpretexts. The number of detainees has increased during the firstyearof the siege, reaching around 8000 detainees in addition to 6people who were martyred inside the prisons and detentioncenters . This paper focuses on the impact of the siege on POWandthe ir families.

śȈǼȈǘLjǴǨdzơ śǴǬƬǠŭơ ȄǴǟ DŽƳơȂūơȁ ǁƢǐūơ ƩơŚƯƘƫ� ƧDŽǣ ǝƢǘǫ ȆǴǬƬǠǷ ƢǸȈLJ ȏ ǶȀȇȁƿȁ

ƨǻơȁ ǂǧ ňȂǟ ǂǏƢǼdzơ ƾƦǟMr. Abdel NasserAw ni Ferwana*

E-mail: [email protected]

The Impact of Siege and Blockade onPalestinian Detainees and their Families,

in particular, the Gaza Detainees

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81 Siege and MentalH ealth�W alls vs. Bridges

ǑȁǂǨŭơ ȆǴȈƟơǂºLJȍơ DZȐƬºƷȏơȄǴǟ ƨºƦƫǂƬŭơ ƲƟƢƬǼdzƢƥ ǵƢǸƬǿȏơ ǁƢǗơĿƨȇǂºLJȋơƩƢºǫȐǠdzơȆǴǟƩơŚƯƘƫǺǷ ǾdzƢǷȁřȈǘºLjǴǨdzơƤǠºnjdzơȆǴǟƣƢǠȈƬººLJơ ƨȈǨȈǯȄǴǟ ƔȂǔdzơƨººǫǁȂdzơ ǽǀǿ ǖǴººLjƫ �ƨºƥơǂǬdzơ ƨǴǏȁǾdzȐƻ ǺǷƤǗƢƼƬdzơȁ ǾƬººººººLJǁƢŲ ǶƬȇȆȈǼȇƽ ǥǂǠǯ � ƨȇƢǟǂdzơ� ǵȂȀǨǷ�ƔơƾȀºnjdzơȁ śǼȈǘLjǴǨdzơ ƔƢǼƴLjdzơ ǂLJƗ DzƻơƽǒǫƢǼƬǷ Dzǰnjƥ ǾǯơǁƽƛȁǹƗ ǁƢºººƦƬǟơ ȆǴǟDžƢǼdzơǺǷ ƨǼȈǠǷ ƨƠǨººƥřǠƫ ƨººǫǁȂdzơ ǽǀǿ ǹƜǧ ơǀđȁĿ ǂǜǼdzơ ǹƛ �ƧƾȈǨƬºLjŭơ ƩȐƟƢǠdzơśƥ ǺǷǶǿ �ƨȈdzȁȋơ ƨȇƢǟǂdzơȆǷƾǬǷ�DZƢǘºººƥȋơ ƔȏƚǿƩȐƟƢǟ ǹȋ ƨȈŷȋơ ƨȇƢǣĿ ǂǷƗ Ȃǿ ƨȇƢǟǂdzơƩƢººLJǁƢŲřȈǘºLjǴǨ dzơƤǠnjdzơǶŮ ǞǴǘƬȇ ǺȇǀdzơǍƢƼNjȋơ ǺǷǶǿśȈǼǗȂdzơDzǸūǺȇǂǘǔǷ ƧǂººLJȋơ ƽơǂǧƗ ƾų ƢǼǻƜǧ ǂººLJȋ ơ ǽǀǿDzƻơƽĿȁ �ǾƬǷǂººƥǒǠºƦdzơǶȀǔǠºƥśºƥȁ ǶȀºǬƫƢǟȆǴǟ ƨȈǻơƾƳȂdzơȁ ƨȇƽƢŭơƩƢȈdzȂƠºLjŭơƢººǬǧȁȁ �ƧƢǧȂdzơȁƗ ǺƴººLjdzơƤººƦLjƥǺººƥȍơ ȁƗ ƱȁDŽdzơƣƢȈǣ DZƢºƷĿǮdzƿȁƨºººLJǁƢǸŭơ DZȐƻ ǺǷdžǰǠǼȇ Ǯdzƿ ǹƢǧ �śǘºººLjǴǧĿǵƢǠdzơ ƣ ƢǘƼǴdzƩƢººǫȐǠdzơȁ ƩƢºLJǁƢǸŭơȆǴǟ Ƥưǯ Ǻǟ Ƨǂǜǻ ƢǼȈºǬdzơ ơƿƛ ƢǼǼǰdzȁ �ƨ ȈǴǸǠdzơƧƢȈūŅƢưŭơ DzȈƼƬdzơ ĿƣȂȈǟȁ ƩƢºǫƢǬnjǻơ ƢǼdz ƶǔƬȇ ǥȂºLjǧ ƨȇǂºLJȋơǂƬǯƗ DzǸºnjȇřȈǘLjǴǨdzơ ƤǠnjǴdzňƢǰLjdzơ ƽ ơƾǠƬdzơ ǹȏ ơǂǜǻȁ �ƧǂLJȋơDzǰºnjƫƨȈǷȐºLJȍơ ǶȈºǬdzơȁ ƩơƽƢǠdzơ ǹƜǧŅƢƬdzƢºƥśǸǴLjŭơǺǷ ���ǺǷƩơƽƢǠdzơ ǽǀǿ ǶǿƗǺǷ DzǠdzȁ �ƨȈǼȈǘºLjǴǨdzơ ƨȈǟƢǸƬƳȍơ ƧƢȈºƸǴdz ƆƢLJƢLJƗơǁȁƽ ƤǠǴƫ ƢĔƗƮȈºººƷ ǵƢǸƬǿȏơȁ ƨȇƢǟǂdzơ ƔơƽƗ ȆǿƩƢººLJǁƢǸŭơȁ ƨȈǼȇƾdzơřǻƛ �ƣǁƢºǫȋơȁ ƧǂºLJȋơƨȇƢǟǂºƥǪǴǠƬȇ ƢǸȈǧ ƢǸȈLJȏȁ ǵȐLJȍơĿ ƢȇǁȂŰƨȇƢǟǂdzơ ƨºLJǁƢǸŭ ơǁƢǗƛ DzǰºnjȇȅǀdzơȆǫȐƻȋơ ȆŭƢǠdzơ ǵơDŽƬdzȏơ ơǀǿǞƳǁơ

ƨȈǟƢǸƬƳơ ƨººLJǁƢǸǸǯƨǤǴdzƢººƥǪǴǠƬȇ ƢǸȈǧȁ �ƢȀººLjǨǻƨȇƢǟǂdzơ ƵȁǁŅƛȆŮǹơǂºǬ dzơ ƧƔơǂǬdz ƨȈǼȇƾdzơ ƧƽƢǠdzơ ǹƗ ƨǫǁȂdzơ ǽǀǿǑǂƬǨƫ �����džǻƢǿ�ƾºǬƬǠȇȁ ƢǸǯ �ƧǂLJȋơ ƽơǂǧƗ ǺǷǺȇǂƻȉƢƥ ƨȇƢǼǠdzơȁƨȈƫơǀdzơ ƨȇƢǼǠǴ dz ƨǴȈLJȁƢǸǯȆǨǗƢǠdzơȁ ȅƾºLjŪơŃȋơȁ ǂƫȂƬdzơ ƧƾºƷǺǷǦǨţǹơǂºǬdzơ ƧƔơǂºǫ ǹƗǵƢǟ ňơƾȈŭơ DzǸǠdzơŅƛ ơƽƢǼƬLJơȁ �ǹƢLjǻȍơDzƻơƽĿŐǐdzơƵȁǁDžǂǤƫ ƢĔƗƔƢǼƴºººLjdzơȁ ƔơƾȀººnjdzơ ǂººLJƗśººƥ ƨȈººƥǂǤdzơ ƨǨǔdzơĿ���� �����ƨȈǼȇƾdzơ ƧƽƢǠdzơ ǹƘnjƥǪȈǬƸƬdzơ ǹƗ Ņƛ Śnjƫ ƨǫǁȂdzơ ǽǀǿ ǹƜǧ �śȈLJƢȈLjdzơ�ƨȈǼȈǘººLjǴǨdzơ ƨȇƢǟǂdzơ Ƶȁǁ ĿƩƢººǫƢǬnjǻȏơ ƩǁƢƯƗ ƾºǫǹƕǂºǬdzơ ƧƔơǂºǬdzDzǷơǁƗȁ ƔƢǼƴºººLjdzơ ƩƢƳȁǃ ƣǁƢšĿśººƦƬƫƩƢººǫƢǬnjǻȏơ ǽǀǿ ȅƾººƷƛȁǹơǶŮDZȂºǬdzƢƥ ǦǗƢǠƬdzơǶŮǹȁƾºƦȇ ƧǂºLJȋơ ƽơǂǧƗ ǹƗƪȈºƷ ƔơƾȀnjdzơǺǰdzȁ �ǺȀƳ ơȁǃƗ ƣƢȈǣ ƨǼŰǺǷǦȈǨƼƬdzơ DzƳƗ ǺǷ ǹơǂºǬdzơ ƧƔơǂǫ ǶȀȈǴǟƨȇƢǟǂdzơ ǺǷ ƨȈǼȇƾdzơƩơƽƢǠdzơ ǽǀǿDzưǷ ǹƗŅƛ �ƨdz ƘºLjŭơ ǽǀǿŅƛ ǂǜǼƫ ƧƗǂŭơ�ǶȀƬǼººººººƸŠȁ ǶđǵƢǸƬǿȏơdžȈdzȁ ǶŮDZƢŷȍơ ǾƳȁƗ ǺǷ ƢȀƳȁƾǠƫDzǏȂȇȏ ȏ Ǯdzƿ ǹƘǧ �ǹƕǂººǬdzơ ƧƔơǂºǬdzřȇƾdzơ ǥǂǠdzơ ƨºLJǁƢŲȄǐºǬƬƥȁȄǴǟ DŽȈǯǂƬdzƢººƥȁ �ƨȈǼȇƾdzơ ƨȇƢǟǂdzơ ƩƢººLJǁƢǸŭ ƨǔºǫƢǼƬŭơ ňƢǠŭơ ǖºǬǧƢǻƽȁDŽȇ ǹƗ ǾǻƘººNjǺǷǮdzƿǹƜǧ �ǹƢǟƿȎdz ƨȈǟơƾdzơ ƨȈǼȇƾdzơ ƨȇƢǟǂdzơƩ ƢººLJǁƢŲśǼǷDŽǷ ƢººƸƦǏƗ ǺȇǀdzơȁǦǼǠdzơȁ ƩƢǟơǂǐdzơ ǦȈǯ DZȂºƷ ƨºƦǫƢƯ ƧǂǜǼºƥƢŭ ȆºººLJƢLJȋơ ǶȀǨǴdz ƧǂǏƢǠŭơ ƱƿƢǸǼdzơǺǷ Ɔȏƾººƥ �����ǡƢǧ ǭǁƾǼǿ�

�ƧǂǏƢǠŭ ơřȈǘLjǴǧĿƨȈǟơǁ ƧǂLJƗǹȂǰȇ ǹƗ ǾȈǼǠȇ

džǨǼdzơ ȆǴǟ ƧǂǘȈLjdzơȁ ƨȇƢǟǂǴdz řȇƽ ǥǂǠǯ ǹơǂǬdzơ ƧƔơǂǫ B ƨȇƢǟǂdzơ ǺǷ ƾǠƥƗ ȂǿƢǷ ŅƛƔơƾȀnjdzơȁ śLJƢȈLjdzơ ƔƢǼƴLjdzơ ȅȁƿ ǺǷ ƨȈǼȈǘLjǴǨdzơ ƩȐƟƢǠdzơ śƥ

NJƫȂƥ ƩȂdz

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82i Ën�AÊ l UAË �A . . . ÑÍn Ã̄ ºA ÑZv ºAÊ i Bv�A

Qur'an is a way of performing care for self and others infamilies. Reading the Qur'an is believed to relieve tension,emotional and bodily distress as well as engendering patience[sabr].

Based on fieldwork in 2007 and 2008 in the WestBank amongfamilies of martyrs and political prisoners, the paper suggeststhat investigating the religious practice of reading the Qur'anilluminates fractures within the Palestinian ethos of care. Onesuch fracture shows in the experiences of prisoners' wives andmartyrs' widows' of their family members' supposed displayof care by telling them to'read the Qur'an' in order to alleviatethe distress of enduring the absence of their husbands. But, tothe women in question, these religious practices of care areperceived to display carelessness rather than care about theirdistress.

Investigating the religious practice of reading the Qur'antherefore conveys not only the contested meanings ofreligious practices of ca re; a focu s on religious,intersubjective practices of care provides us with a glimpse ofhow violent conflict that has become chronic (Henrik Vigh2008) rather than temporary moulds the basic understandingof what it means to be a caring family in contemporaryPalestine.

Framed by a concern with the consequences of theIsraeli occupation of the Palestinian people on familyrelations and intimacy, this paper investigates how 'care'understood as a religious practice is enacted, negotiated andperceived contradictorily within families of Palestinianpolitical prisoners and martyrs. The paper is thus concernedwith the category of people considered to be the 'primary caregivers' among beneficiaries' families. Examining religiouspractices of care among these families is significant becausethe families of the national heroes are someone the entirePalestinian population cares about. And, within thesefamilies, family members are obliged to take financial andemotional care of each other in the absence of the husband orson due to his imprisonment or decease. According to publicdiscourse in Palestine this is reflected in practice, but taking acloser look at family relations and practices of care displaysignificant fractures in this ideal imaginary of family life.Since the Palestinian population is comprised of 97 %Muslims, norms and values rooted in Islam underliePalestinian social life. One such religious value and practice isthe performance of care which in Islam plays a pivotal role,particularly with regards to caring for and about family andkin. I term the moral universe of obligation that framespractices of care for 'an ethos of care'.

Regarding language as a social practice (Hanks 1995) thispaper assumes that that the religious practice of reading the

Beyond Care - Reading the Qur'an as Religious Practices of Care and (self-)control in Palestinian families of Political Prisoners and Martyrs

Ms. Lotte Buch *

*Inst itute of Anthropo logy, University of C openhagen Denmark / lotte [email protected]

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83Siege and MentalH ealth�W alls vs. Bridges

ƩƾǸǟ �ƧDŽǣ ǝƢǘºǫȁ ƨȈºƥǂǤdzơ ƨǨǔǴdz ȆǴȈƟơǂºLJȍơ DZȐƬƷȏơ ƩơȂǫ DZȐƬƷơǀǼǷƢēǂǘȈLJ ǖLjƦdz �ǹƢLjǻȍơ ǩȂǬƷƩƢǯƢȀƬǻơ ǺǷ ƨǟȂǼƬǷ DZƢǰNjƗ ƨLJǁƢŲȄǴǟƩǂǸƬººLJơȁ �śȈǼȈǘººLjǴǨdzơ DZƢººǬƬǟơ ȄǴǟ ƪǴǸǠǧ �ǹƢººLjǻȍơȁ ǑǁȋơȄǴǟȏȁ ƨȈǻƢLjǻȍơ ƧƢȈūơ ǕȁǂNj ǞǷ ǪǨƬƫ ȏ ǃƢƴƬƷơ ǺǯƢǷƗĿ ǶȀǠǓȂƥ ƢȀƬLJƢȈLJƢǸȈºLJȏ ǹƢºLjǻȍơ ǩȂǬƷǖLjƥƗǺǷ ǶĔƢǷǂƷ Ļȁ �ƨȈƻƢǼŭơ ǥȁǂǜdzơ ǞǷ ǵƔȐƬƫǪūơȁ �ƨºƸǐdzơ Ŀ Ǫūơȁ �ƨƠȈºLjdzơ ƨǴǷƢǠŭơ ȁƗ ƤȇǀǠƬǴdzǑǂǠƬdzơ ǵƾǟĿǪūơ

�ƨdzƽƢǠdz ơ ƨǸǯƢƄơ ĿƧDŽǣǝƢǘºǫĿȅǂǰºLjǠdzơ ǶºLjūơ ƲƟƢƬǻ ȆǴȈ ƟơǂLJȍơDZȐƬƷȏơƩơȂǫ ƪǴǤƬLJơǥƾđ �ƩơǁơǂºǬdzơȁ śǻơȂºǬdzơ ǺǷ ƨǟȂǸů ǁơƾǏƜƥ ƩƗƾƥȁ ǵ���������ƺȇǁ ƢƬƥǁơǂºǬdz ǹƢǰǧ �ƧDŽǣ ǝƢǘºǫĿ śȈǻƾŭơ ǹƢǰLjdzơ ǪŞ ƨȈǟƢǸŪơ ƢēƢƥȂǬǟƨǴǏơȂǷĿ śȈǼȈǘºLjǴǨdzơ śǴºǬƬǠŭơ ƪǴſ ơǁƢƯƕƨȇƽƢǠǷ ƨºǬǘǼǷ ƧDŽǣ ǝƢǘǫ ǁƢƦƬǟơ�ǶȀȇȁǀdzśǴººǬƬǠŭơ ƧǁƢȇǃ ǞǼǷ ǁơǂºǬdzơ ơǀǿ ȄǴǟ ƤƫǂƬǧ�ƨȈǴȈƟơǂºLJȍơ ǹȂƴºLjdzơŚȇƢǠŭ ǦdzƢűȆǴȈƟơǂLJƛ ǹȂǻƢǬdz ƢǬǧ ȁ �śȈǟǂNj Śǣ śǴƫƢǬǷ� ǶȀǔǠƥ ǁƢƦƬǟơȁ

�ƨȈǻƢLjǻȍơśǻơȂǬǴdzȁ ƨdzƽƢǠdzơ ƩƢǸǯƢƄơ

śǴººǬƬǠŭơ ȄǴǟ ƧDŽǣ ǝƢǘººǫ ǺǷƣƢºƸLjǻȏƢƥ ȆũƢǷ ǂƯƗ � DZȁȋơ ǁȂƄơ�śȈǼȈǘLjǴǨdzơ

�ǶȀȇȁǀƥ ƔƢǬƬdzȏơ ǺǷƧDŽǣ ǝƢǘǫ ȆǴǬƬǠǷǞǼǷ�ňƢưdzơ ǁȂƄơȆǴºǬƬǠǷǒǠºƥȄǴǟ �ȆǟǂºNj Śǣ DzƫƢºǬŭơ� ǹȂǻƢǫ ǪȈƦǘƫ�ƮdzƢưdzơ ǁȂƄơ

�ƧDŽǣ ǝƢǘǫŅȁƾdzơ ǹȂǻƢºǬdzơ ƾǟơȂǬdzȆǴȈƟơǂLJȍơ DZȐƬƷȏơ ƩơȂǫ ƨǨdzƢű �Ǟƥơǂdzơ ǁȂƄơ

�ƧDŽǣǝƢǘǫ ȆǴǬƬǠǷƨǴǷƢǠǷĿ�ƨǏƢƻ ƩȏƢƷ�džǷƢŬơ ǁȂƄơ

ǝƢǘºǫ ǺǷƣƢƸLjǻȏƢƥȄǸLjȇ ƢǷǂƯƗ DzǸǠdzơƨǫǁȁ ǺǷDZȁȋơ ǁȂƄơĿ ǑǂǠƬLjǻȁĿ ǑǂǠƬºLjǻ ƢǸǯ �ƧDŽǣǝ ƢǘºǫĿśǴºǬƬǠŭ ơ ȄǴǟ ƨǫȐǠdzơ ƩơƿƩơǁơǂǬdzơȁ �ƧDŽǣǺǷśȈǼȈǘººLjǴǨdzơ śǴººǬƬǠŭơȆǴȈƟơǂºLJȍơ DZȐƬºƷȏơ ƩơȂºǫǞǼǷňƢưdzơ ǁȂƄơǂŧȋơƤȈǴǐdzơ ǁȁƽȁśǴºǬƬǠŭơ ǽƢš ƨȈǴȈƟơǂºLJȍơ ƩơƔơǂƳȍơȁ ǶȀȇȁǀƥ ƔƢǬƬdzȏơDzƫƢººǬŭƢƥ� ȆǸºLjȇ ƢǷǦȇǂǠƫƮdzƢưdzơ ǁȂƄơĿDZȁƢǼƬǻ ƢǸȈǧ �ƩơǁƢȇDŽdz ơ ǝȂǓȂǷ ĿǁȂƄơĿȁ �ƧDŽǣ ǝƢǘºǫ ȆǴºǬƬǠǷ ȄǴǟ ǾºǬȈƦǘƬdz ƨȈǻȂǻƢǬ dzơ ƽƢǠƥȋơȁ �ȆǟǂNjŚǣśǻơȂººǬdzơȁ ƩơƔ ơǂƳȍơ ƨǨdzƢű ȃƾǷȁ ƨdzƽƢǠdzơ ƨǸǯƢƄơŚȇƢǠǷ DZȁƢǼƬǼºLJ ǞºƥơǂdzơdžǷƢŬơ ǁȂƄơ ƢǷƗ �ƨǠººƥơǂdzơ ǦȈǼȈƳƨȈººǫƢǨƫơȁ ŅȁƾdzơǹȂǻƢººǬǴdz ƨȈǴȈƟơǂººLJȍơńƛǶȀǴȇȂŢ ĻǺŲ Ǻȇǂƻƕȁ ƾȈǠLJ Ǻƥ ƾdzƢƻ DzǬƬǠŭơ ƨdzƢƷ ȄǴǟ ƔȂǔdzơǖǴLjȈLJȅȁƿ ƧƢǻƢǠǷǒǠººƥǑǂǠƬººLjǼLJȁ �ƧŚƻȋơƨǻȁȉơĿśȈǟǂººNjŚǣ śǴƫƢºǬǷǹȂƴºLjdzơĿśǴǬƬǠŭơǶȀƟƢǼƥƘƥ ƔƢǬƬdzȏơ ǺǷ ǶĔƢǷǂƷ ƩơƔơǂƳƛ ǺǷ śǴǬƬǠŭơ

�ƨȈǴȈƟơǂLJȍơ

�ǁȁ ƢŰ ƨLjŨ DzǸǠdzơ ƨǫǁȁ DZȁƢǼƬƬLJ

Since its occupation of the West Bank and the Gaza St rip, theIsrae li Occupation Forces (IOF) intentionally breaches humanrights indiffe rent ways to control both man andland . Itarrested thePales tinians and continued with its policy of imprisoning them injails with inadequate standard of l iving. Prisoners are deprivedfrom their most basic human rights , especially the right not to besubjected to torture and inhuman, cruel treatment , right to heathcare andrigh t tofair trial.The IOF util ized the repercussions of the Hamas takeover on 14June 2007. It issued a number of laws and decisions with the aim tocontinue imposing a col lective punishment of the civilianpopulation of the Gaza Strip . Its dec ision to consider the Strip as ahosti le territo ryhas impacted the Palestinian prisoners in the Israelijails. As a result, families were banned from visiting theirimpr isoned persons. TheIOF considered some of those imprisonedpersons as 'il legal fighters' in accordance with an Is raeli law that isdefiant tothe standards of fai r trials andhumanitarian laws.The paperwi ll discuss thefo llowing:The impact of the so-called 'pullout from Gaza' on the PalestinianprisonersBanningGaza'sprisoners from meet ing thei r familiesApplying the 'illegal fighter' lawon someof theStrip 'sprisonersThe IOF's violation of the ru lesof the international law with regardto the Gaza Strip's pr isonersSpec ial cases

The f irst topic will explore the impact of the so-called 'pullout fromGaza ' and re lated decisions on the Strip's prisoners. The secondwill explore the IOF 's banning Gazan fami lies from visiting theirrelatives imprisoned in the Israeli jails. It will also deal with theIsrae li measures against pri soners and the role of the Red Crosswith regard to such visits. The third topic will discuss the so-calledlaw of 'illega l fighter' and the legal consequences of applying it onthe Strip's prisoners. Thefourthtopic will di scuss the standardsof afair t rial and to what extent the Israe li laws are in defiance with theinternational law and Fourth Geneva Convention. Finally, the lasttopic will shed ligh t on the case of Khal id bin Said and otherprisoners who were recently considered il legal fighters. We willexplore afew aspects of thesuffering ofthei r families after banningthem fromvisiting their relat ives imprisoned in the Israeli ja ils.

śǴǬƬǠŭơ ǝƢǓȁƗ ȄǴǟ ǁƢǐūơ ŚƯƘƫƨȈǴȈƟơǂLJȍơ ǹȂƴLjdzơ Ŀ śȈǼȈǘLjǴǨdzơ

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The Siege's Impact on PalestinianPrisoners in Israeli Jails

Advocate Jamil Sarhan*

E-mail: [email protected] s