IDEAS home Printed from https://ideas.repec.org/a/eee/socmed/v156y2016icp154-166.html
   My bibliography  Save this article

Long-term exposure to political violence: The particular injury of persistent humiliation

Author

Listed:
  • Barber, Brian K.
  • McNeely, Clea
  • Olsen, Joseph A.
  • Belli, Robert F.
  • Doty, Samuel Benjamin

Abstract

This study assessed the association between exposure to political violence over a 25-year period and adult functioning among a population that has experienced protracted and severe political conflict. Instead of aggregating exposure to political violence across time and type of exposure, as is commonly done, the event history calendar pioneered in this study assessed exposure to five forms of political violence annually from 1987 to 2011 in a representative sample of 1788 adults, aged 37 on average, in the occupied Palestinian territories (West Bank, East Jerusalem, and the Gaza Strip). This method allowed for the identification of trajectories of exposure to political violence from childhood to adulthood using latent profile analysis. We then correlated the trajectories of exposure to measures of economic, political, community, family, psychological, and health functioning. As expected, being shot at, having one's home raided, being hit or kicked, being verbally abused, and witnessing someone close being humiliated were all elevated during periods of heightened political conflict (the first intifada (1987–1993) and, less so, the second intifada (2000–2005)). In addition, 12% of women and men reported high and persistent levels of exposure to humiliation (being verbally abused and/or witnessing someone close being humiliated) across the entire 25-year period. These individuals lived predominantly in neighborhoods with a high Israeli military presence. Compared to those who experienced periodic exposure to political violence, persistently humiliated men and women reported significantly lower health, economic, political, and psychological functioning, as well as higher social cohesion and political expression. Relevant literatures are reviewed when concluding that persistent humiliation is a neglected form of political violence that is best represented as a direct (versus structural), acute (versus chronic), macro (versus micro), and high-grade (versus low-grade) stressor whose particular injury is due to the violation of individual and collective identity, rights, justice and dignity.

Suggested Citation

  • Barber, Brian K. & McNeely, Clea & Olsen, Joseph A. & Belli, Robert F. & Doty, Samuel Benjamin, 2016. "Long-term exposure to political violence: The particular injury of persistent humiliation," Social Science & Medicine, Elsevier, vol. 156(C), pages 154-166.
  • Handle: RePEc:eee:socmed:v:156:y:2016:i:c:p:154-166
    DOI: 10.1016/j.socscimed.2016.03.011
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0277953616301113
    Download Restriction: Full text for ScienceDirect subscribers only

    File URL: https://libkey.io/10.1016/j.socscimed.2016.03.011?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Bernhard Leidner & Hammad Sheikh & Jeremy Ginges, 2012. "Affective Dimensions of Intergroup Humiliation," PLOS ONE, Public Library of Science, vol. 7(9), pages 1-6, September.
    2. Pedersen, Duncan & Tremblay, Jacques & Errázuriz, Consuelo & Gamarra, Jeffrey, 2008. "The sequelae of political violence: Assessing trauma, suffering and dislocation in the Peruvian highlands," Social Science & Medicine, Elsevier, vol. 67(2), pages 205-217, July.
    3. Gernot Kohler & Norman Alcock, 1976. "An Empirical Table of Structural Violence," Journal of Peace Research, Peace Research Institute Oslo, vol. 13(4), pages 343-356, December.
    4. Johan Galtung, 1990. "Cultural Violence," Journal of Peace Research, Peace Research Institute Oslo, vol. 27(3), pages 291-305, August.
    5. Neuner, Frank, 2010. "Assisting war-torn populations - Should we prioritize reducing daily stressors to improve mental health? Comment on Miller and Rasmussen (2010)," Social Science & Medicine, Elsevier, vol. 71(8), pages 1381-1384, October.
    6. Miller, Kenneth E. & Rasmussen, Andrew, 2010. "Mental health and armed conflict: The importance of distinguishing between war exposure and other sources of adversity: A response to Neuner," Social Science & Medicine, Elsevier, vol. 71(8), pages 1385-1389, October.
    7. Panter-Brick, Catherine, 2010. "Conflict, violence, and health: Setting a new interdisciplinary agenda," Social Science & Medicine, Elsevier, vol. 70(1), pages 1-6, January.
    8. Hobfoll, Stevan E. & Mancini, Anthony D. & Hall, Brian J. & Canetti, Daphna & Bonanno, George A., 2011. "The limits of resilience: Distress following chronic political violence among Palestinians," Social Science & Medicine, Elsevier, vol. 72(8), pages 1400-1408, April.
    9. Paul E Farmer & Bruce Nizeye & Sara Stulac & Salmaan Keshavjee, 2006. "Structural Violence and Clinical Medicine," PLOS Medicine, Public Library of Science, vol. 3(10), pages 1-6, October.
    10. Miller, Kenneth E. & Rasmussen, Andrew, 2010. "War exposure, daily stressors, and mental health in conflict and post-conflict settings: Bridging the divide between trauma-focused and psychosocial frameworks," Social Science & Medicine, Elsevier, vol. 70(1), pages 7-16, January.
    11. Cattell, Vicky, 2001. "Poor people, poor places, and poor health: the mediating role of social networks and social capital," Social Science & Medicine, Elsevier, vol. 52(10), pages 1501-1516, May.
    12. Bracken, Patrick J. & Giller, Joan E. & Summerfield, Derek, 1995. "Psychological responses to war and atrocity: The limitations of current concepts," Social Science & Medicine, Elsevier, vol. 40(8), pages 1073-1082, April.
    13. Khamis, Vivian, 2012. "Impact of war, religiosity and ideology on PTSD and psychiatric disorders in adolescents from Gaza Strip and South Lebanon," Social Science & Medicine, Elsevier, vol. 74(12), pages 2005-2011.
    14. Akello, Grace & Reis, Ria & Richters, Annemiek, 2010. "Silencing distressed children in the context of war in northern Uganda: An analysis of its dynamics and its health consequences," Social Science & Medicine, Elsevier, vol. 71(2), pages 213-220, July.
    15. Betancourt, Theresa S. & Agnew-Blais, Jessica & Gilman, Stephen E. & Williams, David R. & Ellis, B. Heidi, 2010. "Past horrors, present struggles: The role of stigma in the association between war experiences and psychosocial adjustment among former child soldiers in Sierra Leone," Social Science & Medicine, Elsevier, vol. 70(1), pages 17-26, January.
    16. Eggerman, Mark & Panter-Brick, Catherine, 2010. "Suffering, hope, and entrapment: Resilience and cultural values in Afghanistan," Social Science & Medicine, Elsevier, vol. 71(1), pages 71-83, July.
    17. Barber, Brian K. & Spellings, Carolyn & McNeely, Clea & Page, Paul D. & Giacaman, Rita & Arafat, Cairo & Daher, Mahmoud & El Sarraj, Eyad & Mallouh, Mohammed Abu, 2014. "Politics drives human functioning, dignity, and quality of life," Social Science & Medicine, Elsevier, vol. 122(C), pages 90-102.
    18. Summerfield, Derek, 1999. "A critique of seven assumptions behind psychological trauma programmes in war-affected areas," Social Science & Medicine, Elsevier, vol. 48(10), pages 1449-1462, May.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Bert Ingelaere & Marijke Verpoorten, 2020. "Trust in the aftermath of genocide: Insights from Rwandan life histories," Journal of Peace Research, Peace Research Institute Oslo, vol. 57(4), pages 521-535, July.
    2. Panter-Brick, Catherine & Eggerman, Mark, 2018. "The field of medical anthropology in Social Science & Medicine," Social Science & Medicine, Elsevier, vol. 196(C), pages 233-239.
    3. Andrea Guariso & Bert Ingelaere & Marijke Verpoorten, 2018. "When Ethnicity Beats Gender: Quotas and Political Representation in Rwanda and Burundi," Development and Change, International Institute of Social Studies, vol. 49(6), pages 1361-1391, November.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Panter-Brick, Catherine & Eggerman, Mark, 2018. "The field of medical anthropology in Social Science & Medicine," Social Science & Medicine, Elsevier, vol. 196(C), pages 233-239.
    2. Tay, Alvin Kuowei & Rees, Susan & Chan, Jack & Kareth, Moses & Silove, Derrick, 2015. "Examining the broader psychosocial effects of mass conflict on PTSD symptoms and functional impairment amongst West Papuan refugees resettled in Papua New Guinea (PNG)," Social Science & Medicine, Elsevier, vol. 132(C), pages 70-78.
    3. Rees, Susan & Thorpe, Rosamund & Tol, Wietse & Fonseca, Mira & Silove, Derrick, 2015. "Testing a cycle of family violence model in conflict-affected, low-income countries: A qualitative study from Timor-Leste," Social Science & Medicine, Elsevier, vol. 130(C), pages 284-291.
    4. Harnisch, Helle & Montgomery, Edith, 2017. "“What kept me going”: A qualitative study of avoidant responses to war-related adversity and perpetration of violence by former forcibly recruited children and youth in the Acholi region of northern U," Social Science & Medicine, Elsevier, vol. 188(C), pages 100-108.
    5. Eggerman, Mark & Panter-Brick, Catherine, 2010. "Suffering, hope, and entrapment: Resilience and cultural values in Afghanistan," Social Science & Medicine, Elsevier, vol. 71(1), pages 71-83, July.
    6. Trani, Jean-François & Cannings, Tim I., 2013. "Child Poverty in an Emergency and Conflict Context: A Multidimensional Profile and an Identification of the Poorest Children in Western Darfur," World Development, Elsevier, vol. 48(C), pages 48-70.
    7. Sim, Amanda & Fazel, Mina & Bowes, Lucy & Gardner, Frances, 2018. "Pathways linking war and displacement to parenting and child adjustment: A qualitative study with Syrian refugees in Lebanon," Social Science & Medicine, Elsevier, vol. 200(C), pages 19-26.
    8. Flora Cohen, 2023. "Cultural idioms of distress among displaced populations: A scoping review," International Journal of Social Psychiatry, , vol. 69(1), pages 5-13, February.
    9. Barber, Brian K. & Spellings, Carolyn & McNeely, Clea & Page, Paul D. & Giacaman, Rita & Arafat, Cairo & Daher, Mahmoud & El Sarraj, Eyad & Mallouh, Mohammed Abu, 2014. "Politics drives human functioning, dignity, and quality of life," Social Science & Medicine, Elsevier, vol. 122(C), pages 90-102.
    10. Zraly, Maggie & Nyirazinyoye, Laetitia, 2010. "Don't let the suffering make you fade away: An ethnographic study of resilience among survivors of genocide-rape in southern Rwanda," Social Science & Medicine, Elsevier, vol. 70(10), pages 1656-1664, May.
    11. Hobfoll, Stevan E. & Mancini, Anthony D. & Hall, Brian J. & Canetti, Daphna & Bonanno, George A., 2011. "The limits of resilience: Distress following chronic political violence among Palestinians," Social Science & Medicine, Elsevier, vol. 72(8), pages 1400-1408, April.
    12. Seguin, Maureen & Lewis, Ruth & Amirejibi, Tinatin & Razmadze, Mariam & Makhashvili, Nino & Roberts, Bayard, 2016. "Our flesh is here but our soul stayed there: A qualitative study on resource loss due to war and displacement among internally-displaced women in the Republic of Georgia," Social Science & Medicine, Elsevier, vol. 150(C), pages 239-247.
    13. Jayawickreme, Nuwan & Mootoo, Candace & Fountain, Christine & Rasmussen, Andrew & Jayawickreme, Eranda & Bertuccio, Rebecca F., 2017. "Post-conflict struggles as networks of problems: A network analysis of trauma, daily stressors and psychological distress among Sri Lankan war survivors," Social Science & Medicine, Elsevier, vol. 190(C), pages 119-132.
    14. Zenker, Olaf, 2010. "Between the lines: Republicanism, dissenters and the politics of meta-trauma in the Northern Irish conflict," Social Science & Medicine, Elsevier, vol. 71(2), pages 236-243, July.
    15. Mendelsohn, Joshua B. & Rhodes, Tim & Spiegel, Paul & Schilperoord, Marian & Burton, John Wagacha & Balasundaram, Susheela & Wong, Chunting & Ross, David A., 2014. "Bounded agency in humanitarian settings: A qualitative study of adherence to antiretroviral therapy among refugees situated in Kenya and Malaysia," Social Science & Medicine, Elsevier, vol. 120(C), pages 387-395.
    16. Jordans, M.J.D. & Tol, W.A. & Komproe, I.H., 2011. "Mental health interventions for children in adversity: Pilot-testing a research strategy for treatment selection in low-income settings," Social Science & Medicine, Elsevier, vol. 73(3), pages 456-466, August.
    17. Teerawichitchainan, Bussarawan & Korinek, Kim, 2012. "The long-term impact of war on health and wellbeing in Northern Vietnam: Some glimpses from a recent survey," Social Science & Medicine, Elsevier, vol. 74(12), pages 1995-2004.
    18. Khraisha, Qusai & Sawalha, Lama & Hadfield, Kristin & Al-Soleiti, Majd & Dajani, Rana & Panter-Brick, Catherine, 2024. "Coparenting, mental health, and the pursuit of dignity: A systems-level analysis of refugee father-mother narratives," Social Science & Medicine, Elsevier, vol. 340(C).
    19. Gelkopf, Marc & Berger, Rony & Bleich, Avraham & Silver, Roxane Cohen, 2012. "Protective factors and predictors of vulnerability to chronic stress: A comparative study of 4 communities after 7 years of continuous rocket fire," Social Science & Medicine, Elsevier, vol. 74(5), pages 757-766.
    20. Beiser, Morton & Wiwa, Owens & Adebajo, Sylvia, 2010. "Human-initiated disaster, social disorganization and post-traumatic stress disorder above Nigeria's oil basins," Social Science & Medicine, Elsevier, vol. 71(2), pages 221-227, July.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:socmed:v:156:y:2016:i:c:p:154-166. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.