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ATOP's First Team Reporting from Lebanon

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  • ATOP's First Team Reporting from Lebanon

    Association for Trauma Outreach and Prevention
    185 E 85 Street, New York, NY 10028
    Contact: Anie Kalayjian <[email protected]>

    ATOP's Mental Health Outreach Project:
    FIRST TEAM REPORTING FROM LEBANON
    Dr. Ani Kalayjian and Crystal Barry

    The Association for Trauma Outreach and Prevention's (ATOP) first
    Mental Health Outreach Project (MHOP) team, invited by the Lebanese
    Psychological Association (LPA) as well as the American University of
    Beirut (AUB), arrived safely in Lebanon on May 15th. On the ground,
    the team met to review their tight schedule which included a series of
    lectures and presentations, a radio interview on the Voice of Van
    show, interviews with newspapers, a two-day post disaster humanitarian
    outreach training program, and a visit to Nabatieh and Tyre in the
    south of Lebanon to assess the traumatic imprint of the recent
    Israel-Hezbollah conflict on the children and other survivors in the
    area.

    Day 1: The first MHOP team toured Beirut to observe both the social
    and infrastructural impact of the Lebanon-Israeli conflict. The team
    was pleasantly surprised to observe a vibrant and lively community
    packed into the restaurants, pubs, beach clubs, night clubs, shops,
    and cafes of the area. Even in the drizzling rain and fog, it took
    over an hour to find a restaurant that could accommodate the team
    because most were already at capacity. The men and women of Beirut,
    it seemed, wanted to enjoy the moment in the company of friends and
    family. Most remembered all too well being deprived of their everyday
    social and personal livelihood in the recent past, and, in conjunction
    with the everyday threat of a future war, were left only with the
    present in which to enjoy themselves and practice a measure of control
    over their lives. In the wake of the conflict last year, one often
    heard such expressions as `live each day as if it were your last.'

    Day 2: Dr. Ani Kalayjian and Crystal Barry received a warm welcome
    from faculty and students at Haigazian University. At AUB, the team
    delivered a lecture entitled `Disaster and Mass Trauma: Coping,
    Resilience, and Meaning-Making,' which discussed the
    socio-psychological consequences of traumatic experience. At
    Haigazian University, Dr. Kalayjian lectured on `The Generational
    Transmission of Genocide, War, and Mass Trauma.' Both lectures were
    enthusiastically received by the audience for whom the topics struck a
    particularly personal note - the recent history of Lebanon is infected
    by the socio-psychological strain of violent conflict. Beginning with
    the 1975 civil war that lasted for over 25 years, the Israeli
    occupation from 1982 to 2000, the massacres of Qana of 1995, the
    assassination of former Prime Minister Hariri in February 2005, the
    war between Hezbollah and Israel in the summer of 2006, and the most
    recent conflicts between Lebanese political parties, the Lebanese
    people know too intimately the destabilized and chaotic nature of life
    during war. Remnants of the most recent war and the current political
    conflict, such as cluster bombs which remain scattered throughout the
    city and country alike. War and violent conflict has become the norm
    rather than exception to Lebanese life. It seemed to undercut any hope
    for peace and progress, leaving the trauma of a traumatic history and
    uncertain future unresolved. Most of the listeners at the lecture
    expressed a desire to get as much accomplished as possible before the
    inevitable war begins again.

    Days 3 and 4: The MHOP team was busy giving an intense two-day
    training program in which Dr. Kalayjian's Biopsychosocial and
    Spiritual Model was discussed and implemented with participants from
    the audience. The participants were in the difficult position of
    attempting to resolve and work through their current trauma when past
    traumas remained unresolved and future traumatic events were expected.
    When asked to speak about their present condition and experiences, the
    majority expressed feelings of helplessness and deep frustration
    concerning the perceived lack of Lebanese self-determination in the
    face of multiple and conflicting foreign political agendas. Some
    participants expressed anger and resentment at regional political
    schemes in which they saw Lebanon being used as a pawn in Middle
    Eastern power politics. In spite of these feelings of hopelessness,
    the participants seemed to sense that catharsis would come with
    communication, and exhibited courage and a genuine interest in peace
    throughout the session. Preliminary findings from the assessment
    showed mild to moderate levels of post trauma symptomatology.

    Post Traumatic Stress Disorder (PTSD), Depression, and Generalized
    Anxiety Disorders were discussed and reviewed throughout the training
    with a focus on types of traumatic experience. Whether the experience
    of western countries was comparable to the Lebanese situation was part
    of an open debate. Although the experience of trauma is universal
    (typically expressing itself through symptoms such as shock,
    disbelief, fear, etc.) there was a recognizable difference between
    people who, for example, experienced trauma after 9/11, versus people
    who live in a place such as Lebanon, Syria, Iraq, Iran, or Palestine,
    in which traumatic conflicts are ongoing, extending into the
    historical past and (for most participants interviewed) foreseeable
    future. It was eventually agreed upon and understood by the MHOP team
    and the participants that without peace and a follow-up dialogue for
    reconciliation people in Lebanon will not be easily assessed nor fully
    recovered.

    Days 5-7: The MHOP team traveled to Aleppo and Damascus in Syria to
    deliver lectures, meet community leaders, and give interviews. The
    streets and markets were full of celebrations as the Syrians
    anticipated the re-election of their president Bashar al-Assad on May
    25th.

    Day 8: As the borders had recently been closed due to new conflicts
    that had irrupted in Lebanon, the MHOP team had trouble returning to
    Beirut. Once there, the team noticed that the streets, shops and
    restaurants were deserted as people feared that the violent attacks
    cropping up all around Lebanon would move into the city, which is
    actually what happened. It was extremely difficult to travel around
    the city due to blockades, police barricades, military tanks, and
    check points at almost every corner. The only audible noises were the
    bombs and sirens that echoed throughout the city, a complete
    transformation from the lively urban atmosphere the team encountered
    on their arrival. Again the team had to drive for hours to find a
    restaurant, though this time it was not because they were overcrowded
    but because they were deserted.

    Though the MHOP team felt strongly about the positive impact they had
    had on individual Lebanese men and women, as well as on a team of
    psychologists, the team was deeply frustrated and dismayed by the
    complete lack of much needed dialogue and peace initiatives in the
    area. Peace building efforts and reconciliation groups were scarce
    and seemed to be eclipsed by the ever-present violence of day-to-day
    life in Lebanon. More details regarding South Lebanon and the
    continuation of the MHOP mission will follow.

    www.meaningfulworld.com
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