Search

The author states that this work is based off of a few things, including multiple years of field work in Ukraine throughout 1990 to 2000.

Based upon her observations within research and medical facilities within Ukraine during these visits she defined patterns of issues affecting the population.

Using her knowledge and past experience as well she established these patterns and their effects in order to understand the situation in Ukraine.

She also interviewed russian scientists to understand their perspective on the issues as well.

1) "Interventions in the acute phase directly following the disaster are designed to promote survivors’ safety and stability and to help them cope with their experiences (12). One such intervention, psychological debriefing or critical incident stress debriefing, was developed in the 1980s for emergency responders and has been used with other victims of trauma (46)."

2) "Exposure to potentially traumatic events is disaster-specific and often measured differently between studies, making it difficult to compare experiences and mental health consequences or to generalize findings to all disaster-affected populations (22). Additionally, most instruments that assess symptoms of mental disorder have been developed and validated in the United States (23, 48) and may lack cultural relevance and validity in areas impacted by disasters worldwide"

3) "These studies can help us understand what factors are associated with different courses of mental illness, which can help us identify the most vulnerable populations and inform tailored interventions"

The main argument is that the cultural translation of a patient’s history is a very complex and difficult process, and can almost eliminate any chance at getting to the root of the patient’s problem.

The article includes multiple in-person interviews, including with Canadian officials (such as the Nunavut Premier), a professor of psychiatry at the University of Saskatchewan, and several prominent figures in the Native community.

Fukishima's emergency response, public and corporate messages on Indian Point, Entergy Corporation

"To return to the story: with humanitarians effectively governing in crisis zones, it is not surprising that gender-based violence should become an issue; having been categorised as a human rights violation, one which garnered significant attention, it could not be easily ignored or brushed aside as a ‘private’ matter. Still, approaching gender-based violence as a humanitarian issue required some translation. Humanitarians are primarily concerned with saving lives and relieving suffering; humanitarianism of the sort practised by MSF is most significantly focused on health, and the lives and wellbeing of populations."

"The complications of treating gender-based violence as a humanitarian issue were raised early on by MSF in their work in the Congo Republic. In his essay, Marc Le Pape discusses how, because of rape and violence perpetrated by groups of armed men who set up roadblocks and then proceeded to do as they pleased with those they trapped, humanitarians had to decide whether to accept military escorts on aid convoys to protect against such roadblocks, again with serious political repercussions. Caritas did eventually allow trucks to carry military escorts, yet these escorts in turn invited their friends – armed militiamen – onto the trucks, even as they carried with them the spoils of their plunder"

"Humanitarianism’s mission has expanded so that it now occupies a dominant place in the global political arena – whether humanitarians asked for this or not. But the incorporation of genderbased violence shows humanitarianism at its limit; gender relations and gender-based violence cannot be contained by forms of crisis-driven, moral and medical intervention. In other words, this type of politics based on protecting a universal humanity cannot do all our political work for us; such violence renders visible inequalities that are simply unmanageable and unchangeable by its methods."