Sociality and temporality in local experiences of distress and healing: Ethnographic research in northern Rwanda.

Journal: Transcultural psychiatry

Volume: 58

Issue: 4

Year of Publication: 2021

Affiliated Institutions:  University of Oxford, Oxford, UK. London School of Hygiene & Tropical Medicine, London, UK.

Abstract summary 

Prior studies have traced sociality and temporality as significant features of African healing. However, association between the two has not been explicitly investigated. This paper explores how sociality and temporality are associated in local experiences of distress and healing among northern Rwandans. The ethnographic research, including in-depth interviews, focus-group discussions and participant observation, was conducted in 2015-2016, with 43 participants from the Musanze district who have suffered from not only the genocide but also post-genocide massacres. Findings identified common local idioms of distress: (wounded feelings), (mental disturbances), (trauma), and (illness of the head, severe mental illness). One stage of distress was perceived to develop into another, slightly more serious than the previous. Social isolation played a significant role in the development as it activated 'remembering' and 'thinking too much' about the past and worsened symptoms. Subsequently, healing was experienced through social reconnection and a shift of time orientation from the past to the future; the healing experience traced a process of leaving the past behind, moving forwards and creating a future through community involvement. The experiences of distress and healing in this population were explained by two axes, i.e. sociality (isolation - reconnection) and temporality (past - future), which are associated with each other. Given the sociality-temporality association in African post-war healing, the study highlights that assistant programmes that facilitate social practice and future creation can be therapeutic and be an alternative for people who cannot benefit from talking-based and trauma-focused approaches.

Authors & Co-authors:  Otake Yuko Y Tamming Teisi T

Study Outcome 

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Statistics
Citations :  Amnesty International. (1997, December 19). Rwanda: Civilians trapped in armed conflict: “The dead can no longer be counted”, Index: AFR47/43/97, Retrieved from https://www.amnesty.org/en/documents/afr47/043/1997/en/
Authors :  2
Identifiers
Doi : 10.1177/1363461520949670
SSN : 1461-7471
Study Population
Male,Female
Mesh Terms
Anthropology, Cultural
Other Terms
Rwanda;global mental health;healing;hope;local idioms of distress;war and conflict
Study Design
Study Approach
Country of Study
Rwanda
Publication Country
England