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Well-Being and Mental Health in the Aftermath of Disasters: A Social Constructionist Approach

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Psychosocial Interventions for Health and Well-Being

Abstract

In the last couple of decades, the debates on the ways of conceptualizing disaster trauma and psychosocial intervention clearly indicate the need for involving a multidisciplinary approach in this process. This chapter outlines the reasons for such a paradigm shift and focuses on the utility of the social constructionist paradigm that endorses a multidisciplinary approach to study the mental health of disaster survivors. The use of the concepts of suffering and healing have been emphasized to understand the survivors’ experiences of threat to or reformulation of well-being and this has been attempted through the examples such experiences studied with the help of ethnographic or other qualitative approach in different communities of the world. The chapter ends with a deliberation on the ways the psychosocial interventions can be made more meaningful for the survivors through collaborations among the survivors and helpers within the mental health services with a critical understanding of the cultural and socio-political contexts in post-disaster settings.

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Notes

  1. 1.

    See Quosh and Gergen (2008) and Young (1995) for a fuller version of the critique of exclusive focus of psychology and psychiatry on PTSD.

  2. 2.

    ‘Kargil war’ is the name given to an Indian Armed Forces’ mission in the state to Jammu and Kashmir to counter the infiltrators who had crossed the Line of Control from Pakistan. These infiltrators waged a mini-war with the Indian Armed Forces in 1999.

References

  • Abramowitz, S. A. (2005). The poor have become rich, and the rich have become poor: Collective trauma in the Guinean Languette. Social Science and Medicine, 61, 2106–2118.

    Article  Google Scholar 

  • Acharya, N. (2000). Double victims of Latur earthquake. The Indian Journal of Social Work, 61, 558–564.

    Google Scholar 

  • Anderson, T., Lunnen, K. M., & Ogles, B. M. (2010). Putting models and techniques in context. In B. L. Duncan, S. D. Miller, B. E. Wampold, & M. A. Hubble (Eds.), The heart and soul of change: Delivering what works in therapy (2nd ed., pp. 143–166). Washington, DC: American Psychological Association.

    Chapter  Google Scholar 

  • Banish, S. G., Imel, Z. E., & Wampold, B. E. (2008). The relative efficacy of bona fide psychotherapies for treating post-traumatic stress disorder: A meta-analysis of direct comparisons. Clinical Psychology Review, 28, 746–758.

    Article  Google Scholar 

  • Bracken, P. J., Giller, J. E., & Summerfield, D. (1995). Psychological responses to war and atrocity: The limitations of current concepts. Social Science and Medicine, 40, 1073–1082.

    Article  Google Scholar 

  • Cassell, E. J. (2004). The nature of suffering and the goals of medicine (2nd ed.). New York: Oxford.

    Book  Google Scholar 

  • Cassell, E. J. (2013). The nature of healing: The modern practice of medicine. New York: Oxford University Press.

    Google Scholar 

  • Charmaz, K. (2006). Constructing grounded theory: A practical guide through qualitative analysis. Thousand Oaks, CA: Sage.

    Google Scholar 

  • Cukor, J., Spitalnick, J., Difede, J., Rizzo, A., & Rothbaum, B. O. (2009). Emerging treatments of PTSD. Clinical Psychology Review, 29, 715–726.

    Article  Google Scholar 

  • Das, V., & Kleinman, A. (2002). Introduction. In V. Das, A. Kleinman, M. Lock, M. Ramphele, & P. Reynolds (Eds.), Remaking a world: Violence, social suffering and recovery (pp. 1–30). Oxford: New Delhi.

    Google Scholar 

  • Denzin, N. K., & Lincoln, Y. S. (2011). The Sage handbook of qualitative research (4th ed.). Sage: USA.

    Google Scholar 

  • Gergen, K. J. (1985). The social constructionist movement in modern psychology. American Psychologist, 40, 266–275.

    Article  Google Scholar 

  • Gergen, K. J. (2009). An invitation to social construction (2nd ed.). London: Sage.

    Google Scholar 

  • Han, C. (2004). The work of indebtedness: The traumatic present of late capitalist Chile. Culture, Medicine and Psychiatry, 28(2), 169–187.

    Article  Google Scholar 

  • Hird, S. (2003). Individual wellbeing: A report for the Scottish executive and Scottish neighbourhood statistics. Retrieved from www.scotpho.org.uk/downloads/IndividualWellbeingAug03.doc.

  • Hubble, M. A., Duncan, B. L., Miller, S. D., & Wampold, B. E. (2010). Introduction. In B. L. Duncan, S. D. Miller, B. E. Wampold, & M. A. Hubble (Eds.), The heart and soul of change: Delivering what works in therapy (2nd ed., pp. 23–46). Washington, DC: American Psychological Association.

    Chapter  Google Scholar 

  • Kinezler, H. (2008). Debating war-trauma and post-traumatic stress disorder (PTSD) in an interdisciplinary arena. Social Science and Medicine, 67, 218–227.

    Article  Google Scholar 

  • Kirmayer, L. J. (2012). Cultural competence and evidence-based practice in mental health: Epistemic communities and the politics of pluralism. Social Science and Medicine, 75, 249–256.

    Article  Google Scholar 

  • Kleinman, A. (1987). Anthropology and psychiatry: The role of culture in cross-cultural research on illness. British Journal of Psychiatry, 151, 447–454.

    Article  Google Scholar 

  • Kleinman, A. (1988a). The illness narratives: Suffering, healing and human condition. New York: Basic Books.

    Google Scholar 

  • Kleinman, A. (1988b). Rethinking psychiatry: From cultural category to personal experience. New York: The Free Press.

    Google Scholar 

  • Lewis-Fernandez, R., & Kleinman, A. (1994). Culture, personality and psychopathology. Journal of Abnormal Psychology, 103, 67–71.

    Article  Google Scholar 

  • Marsella, A. J. (1998). Toward a “global-community psychology”: Meeting the needs of a changing world. American Psychologist, 53, 1282–1291.

    Article  Google Scholar 

  • Marsella, A. J., & Christopher, M. A. (2004). Ethnocultural considerations in disasters: An overview of research, issues, and directions. Psychiatric Clinics of North America, 24(4), 521–539.

    Article  Google Scholar 

  • Mehta, K., Vankar, G., & Patel, V. (2005). Validity of the construct of post-traumatic stress disorder in a low-income country: Interview study of women in Gujarat, India. British Journal of Psychiatry, 187, 585–586.

    Article  Google Scholar 

  • Misra, G. (2010). The cultural construction of self and emotion: Implications for well-being. In Ralf Schwarzer & Peter A. Frensch (Eds.), Personality, human development, and culture: International perspectives on psychological science (Vol. 2, pp. 95–112). New York: Psychology Press.

    Google Scholar 

  • Misra, G., & Gergen, K. J. (1993). On the place of culture in psychological science. International Journal of Psychology, 28, 225–243.

    Article  Google Scholar 

  • Neria, Y., Nandi, A., & Galea, S. (2007). Post-traumatic stress disorder following disasters: A systematic review. Psychological Medicine, 1–14. https://doi.org/10.1017/S0033291707001353

  • Pedersen, D. (2002). Political violence, ethnic conflict, and contemporary wars: Broad implications for health and social well-being. Social Science and Medicine, 55, 175–190.

    Article  Google Scholar 

  • Pedersen, D., Tremblay, J., Errazuriz, C., & Gamarra, J. (2008). The sequelae of political violence: Assessing trauma, suffering and dislocation in the Peruvian highlands. Social Science and Medicine, 67, 205–217.

    Article  Google Scholar 

  • Priya, K. R. (2005). Suffering and healing: A psycho-social study of the survivors of Bhuj earthquake. (Unpublished doctoral dissertation). University of Delhi, Delhi, India.

    Google Scholar 

  • Priya, K. R. (2007). Healing as facilitated by socio-centric health beliefs: An ethnographic account of the survivors in post-earthquake rural Kachchh. Eastern Anthropologist, 60(2), 217–232.

    Google Scholar 

  • Priya, K. R. (2010). Research relationship as a facilitator of remoralization and self-growth: Postearthquake suffering and healing. Qualitative Health Research, 20, 479–495.

    Article  Google Scholar 

  • Priya, K. R. (2012a). Social constructionist approach to suffering and healing: Juxtaposing Cassell, Gergen and Kleinman. Psychological Studies, 57, 211–223.

    Article  Google Scholar 

  • Priya, K. R. (2012b). Trauma reactions, suffering and healing among riot-affected internally displaced children of Gujarat: A qualitative inquiry. Qualitative Research in Psychology, 9, 189–209.

    Article  Google Scholar 

  • Priya, K. R. (2013a). Suffering and healing. In D. Kenneth Keith (Ed.), Encyclopedia of cross-cultural psychology. Malden, MA: Wiley-Blackwell. https://doi.org/10.1002/9781118339893.

    Chapter  Google Scholar 

  • Priya, K. R. (2013b). Disaster mental health. In D. Kenneth Keith (Ed.), Encyclopedia of cross-cultural psychology. Malden, MA: Wiley-Blackwell. https://doi.org/10.1002/9781118339893.

    Chapter  Google Scholar 

  • Priya, K. R. (2013c). Broadening of consciousness: A healing process among the survivors of Kachchh earthquake. Cornelissen RMM Misra G Varma S Foundations and applications of Indian psychology (pp. 351–362). New Delhi: Dorling Kindersley.

    Google Scholar 

  • Priya, K. R. (2015). On the social constructionist approach to traumatized selves in post-disaster settings: State-induced violence in Nandigram, India. Culture, Medicine and Psychiatry. https://doi.org/10.1007/s11013-014-9423-6.

    Article  Google Scholar 

  • Quosh, C., & Gergen, K. J. (2008). Constructing trauma and its treatment: Knowledge, power and resistance. In K. J. Gergen, T. Sugiman, W. Wagner, & Y. Yamada (Eds.), Meaning in action: Constructions, narratives, and representations (pp. 97–111). New York: Springer.

    Chapter  Google Scholar 

  • Sampson, E. E. (1993). Identity politics: Challenges to psychology’s understanding. American Psychologist, 48, 1219–1230.

    Article  Google Scholar 

  • Sinha, D. (1990). Concept of psycho-social well-being: Western and Indian perspectives. NIMHANS Journal, 8, 1–11.

    Google Scholar 

  • Summerfield, D. (1999). A critique of seven assumptions behind psychological trauma programmes in war-affected areas. Social Science and Medicine, 48, 1449–1462.

    Article  Google Scholar 

  • Summerfield, D., & Hume, F. (1993). War and posttraumatic stress disorder: The question of social context. Journal of Nervous and Mental Disease, 181, 522.

    Article  Google Scholar 

  • Summerfield, D., & Toser, L. (1991). ‘Low intensity’ war and mental trauma in Nicaragua: A study in a rural community. Medicine and War, 7, 84–99.

    Article  Google Scholar 

  • Viswambharan, A. P., & Priya, K. R. (2015). Documentary analysis as a qualitative methodology to explore disaster mental health: Insights from analyzing a documentary on communal riots. Qualitative Research. https://doi.org/10.1177/1468794114567494.

    Article  Google Scholar 

  • Weiss, M. G., Saraceno, B., Saxena, S., & van Ommeren, M. (2003). Mental health in the aftermath of disasters: Consensus and controversy. Journal of Nervous and Mental Disease, 191, 611–615.

    Article  Google Scholar 

  • WHO (2013). Mental health: A state of wellbeing. Retrieved from http://www.who.int/features/factfiles/mental_health/en/.

  • Yasan, A., Saka, G., Ozkan, M., & Ertem, M. (2009). Trauma type, gender, and risk of PTSD in a region within an area of conflict. Journal of Traumatic Stress, 22(6), 663–666.

    Google Scholar 

  • Young, Allan. (1995). The harmony of illusions: Inventing post-traumatic stress disorder. Princeton, New Jersey: Princeton University Press.

    Google Scholar 

Download references

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Authors and Affiliations

  1. Department of Humanities and Social Sciences, Indian Institute of Technology Kanpur, Kanpur, 208016, Uttar Pradesh, India

    Kumar Ravi Priya

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  1. Kumar Ravi Priya
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Correspondence to Kumar Ravi Priya .

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Editors and Affiliations

  1. Mahatma Gandhi Antarrashtriya Hindi Vishwavidyalaya, Wardha, India

    Girishwar Misra

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Priya, K.R. (2018). Well-Being and Mental Health in the Aftermath of Disasters: A Social Constructionist Approach. In: Misra, G. (eds) Psychosocial Interventions for Health and Well-Being. Springer, New Delhi. https://doi.org/10.1007/978-81-322-3782-2_23

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