REDEFINING TRAUMA AND IDENTITY
Insights from an African Context
Ray Motsi, Ph.D. was born in Bulawayo, Zimbabwe. He left Zimbabwe at the age of 19 and attended college in England. After he graduated, he learned that there had been a massacre in Zimbabwe. This massacre was part of Robert Mugabe’s Gukurahundi Conflict. He knew it was time to take a stand and make a change. He has dedicated his life to combatting the conflict in Zimbabwe through peace-building and non-violence. President of the Theological College of Zimbabwe (TCZ) since January 1991. Dr. Motsi previously has served as a Baptist pastor in Bulawayo, Zimbabwe for more than 20 years and, in 2002, he founded Grace to Heal, a faith-based organization focusing on community peacemaking and conflict transformation. He graduated from TCZ with a B.A. in Practical Theology in 1990 and then later from the University of Pretoria in South Africa where he earned his M.A. in Old Testament and Hebrew in 2001, and his Ph.D. in Peacebuidling, Conflict Resolution, and Trauma Healing in 2009.
Yago: Ray, you are welcome to this blog called “Breathing Forgiveness.” In this blog we are aiming at deconstructing the energies of enslavement that keep perpetuating tremendous suffering in today’s world. In this interview we want to be enlightened by your insights and reflections as a peacebuilder practitioner and as a Pastor in the demanding context of Zimbabwe. You have been for decades at the forefront against the Mugabe regime. In the first half of the interview we want to reflect in your understanding of trauma in the African context and also its challenges for pastoral care. In the second half we shall focus in your experience as a church leader and a peacebuilder in the Zimbabwean context.
You are very much concerned about the “post-traumatic stress disorder” (PTSD) approach in the African context. For you is clear that PTSD is not the only measurement for trauma assessment. You say that trauma should not be left to medical psychiatry terms or be limited to PTSD alone. Could you tell us what does it mean PTSD and why is so predominant in the scientific western understanding of right intervention?
Ray: Trauma in African context is not just a psychological problem it is far more than that. It must be realised that trauma must not be removed from its context and it must take into consideration the world view within which it happens. Africans are social-centric by nature and not individualistic as the Westerners. My social and spiritual being is intertwined by the extended family and community. This is our first line of defense. Evidently, trauma in Africa is by and large a social and political ill rather than just a medical pathological problem.
Yago: In the context of your reflection on trauma in cultural context you ask yourself if the Western worldview is better than the African one. How would you answer this question? How would you describe the main characteristics and differences between a Western and African worldview?
Ray: The main difference between the Western world view and the African world view is the cultural emphasis. African culture is based on Ubuntu (I am because we are) We are a community of people not just an individual. I believe that this is also very biblical in its practice.
Yago: The psychological and psychiatry approach of the Western worldview perceive a person as ego-centric self. How does the ego-centric self understands the individual being and its relationship to trauma?
Ray: I am not an expert in Western culture or world view. I am an African, hence I notice and see the differences in the emphasis in terms of practice and approach to life existential crises. When an African is in a crisis he/she looks for family/relative to talk to. After that we will then go to a medical doctor or where ever to seek for help. When one gets sick the whole family is affected. It is not so with the Western people, they look for a doctor to fix it.
Yago: You say that from an African point of view the dualism which is foundational in psychology and psychiatry will lead to mistreatment of survivors as they become alienated from the community. The western view disregards the social origins and path of mental illness. You point out that most of the world’s population holds on to a more socio-centric conception of the self, where individuals exist within networks of social relationships. How does this conception of the self shapes the understanding of trauma?
Ray: The conception of the self is the basis of how to understand the whole picture. If therefore the self stands alone and has no relationship with the rest in a meaningful way there is no way anybody who seeks to help that individual should bother about others who may be involved or connected to that person. Trauma is perceived the same way. Psychology and Psychiatry avoid and ignore the social and political milieu within which trauma is caused. Hence, there are no efforts to find ways and means of how to avoid, address the causes of it and stop it from happening again. All PTSD practitioners do is to deal with the individual mental health.
Yago: Mike Wessells, in his article “Trauma, Peacebuilding and Development: An African Region Perspective,” says that the trauma approach has also suffered from ethnocentrism and culture bias. The term ‘trauma’ has in many contexts been a neo-colonial imposition that tends to silence or marginalize local understandings and practices related to mental health and psychosocial well-being. It also reduces local peoples’ sense of dignity, empowerment and positive cultural identity. Are we marginalizing local knowledge coming from the African context?
Ray: The African Culture is marginalised as pagan/traditional. What even educated people forget is that there is no culture that is better than the other. All have strengths and weaknesses and positives and negatives. We would be taking great strides if we could consider positives from other cultures as we deal with trauma. The understanding of the person is based on the cultural value system that the person has been brought up in and what has been acquired educationally or through exposure.
Trauma in Africa is caused by politically motivated violence and not necessarily war or combat. This violence is community based and it affects the fabric of society and disables the cohesiveness of the society. In order to cover the full gamut of trauma we need to learn from others who have a different context. Trauma has does not have one face it is multifaced and layered.
Yago: You talk about the risk of using pre-packed universal interpretations, definitions, and approaches to psychological suffering and trauma. Can the victim be re-traumatized? Why are we so dependant in the science and in the power of the international scientific community?
Ray: It is easier to take a western approach in Europe, America and probably Australia. But it is impossible in Africa. Take for an example Rwanda. A million people were killed and as a result over three million people where affected. It takes a psychologist or psychiatrist to certify one person twelve to twenty weeks in order to certify a person as one who suffers from PTSD. How many years would it take us to go through three million people? Hence in my research I suggested a psychosocial approach as a comprehensive way of handling victims.
Yago: In the African worldview individualism is intertwined with the whole tribe and community and cannot be understood in isolation. So, could we say that a collective identity makes a person be traumatized because of the group being affected? And also that whatever happens to the individual happens to the whole group?
Ray: That is precisely the case for us here in Africa. That is the rational for Ubuntu.
Yago: Wessells says that the dominant focus of the trauma idiom, which in many African countries is PTSD, fails to take into account the on-going, cumulative nature of the distress. The protracted armed conflicts, the tendency of conflicts to spread across national boundaries, the intermingling of conflict and natural disasters such as the current drought, and the prevalence of ongoing sources of distress make it legitimate to ask “where’s the ‘post’ in ‘post-traumatic stress disorder.” What is your view on this regard?
Ray: According to Basoglu M. 1989, this is because of secondary, associated and recurrent trauma.
Yago: Wessells also says that war-affected Africans often report that their greatest sources of distress are not the emotional residues of past violence as suggested by the trauma approach but the large array of interacting stresses of daily living and the destruction of their systems of social support. Would you agree with him?
Ray: The destruction of property/homes, granaries and watching as your neighbours are being killed or beaten up is part of this problem. Sometimes one is forced to rape or kill his or her relative or neighbour in front of the whole community.
Yago: Culture provides the community with a system of values, lifestyles, and knowledge, the disruption of it will have deleterious effect on its members. How would you evaluate the legacy and aftermath of colonization, slavery and the current imposition of neo-liberal economies in the African continent? Can we say that we are in a traumatized continent?
Ray: To say that we were traumatized is overstating the case but we were taken a couple of decades back in more ways than one due to disenfranchisement. The results of colonialism have more disadvantages than advantages. Africa cannot speak with a clear voice due to the divide and rule plan of the West. The attitude of many Africans towards white people emanates from colonial legacy, vestiges and hangovers. Neo-liberalism maintains the western shackles not only on our ankles but in our brains; hence, slavery has taken a different form but it is slavery nevertheless. This slavery is now based on the supply matrix. As long as they can control the supply of money and other resources then Africa is a playing field for the big teams.
Yago: You also say that the symptoms are not the only way to ascertain trauma. Why?
Ray: Symptoms are signs / indicators that there might be something there and not the final results. The symptoms for trauma are not only unique to traumatised people. This is true because we now know that there are other methods of how to ascertain trauma not necessarily based on symptoms but on hard evidence. People do not respond to the same incident equally because their reaction and response depend on their disposition.
Yago: Let us move to the issue of torture as a traumatic event. Wessells says that “although torture survivors may experience PTSD and other maladies and may benefit from counselling, no amount of counselling will correct the structural violence, human rights violations, and systems of state oppression that produce many forms of trauma.” Do you agree with him?
Ray: Victim of Torture (VOT) is what I am more familiar with because it was the context of my PhD research. Yes I agree with Wessells. If one loses a hand and/ or an eye there is no amount of counseling that can replace that ha limb. The trauma may not be as painful as it was before but it remains traumatic experience. Volf Miroslav confirms that in his Book “The End of Memory.”
Yago: You say that by definition torture is a complex phenomenon with interacting social, culture, political, medical, psychological and biological dimension. It can not be adequately be dealt with by a single method. How would you approach people being traumatized by torture?
Ray: A psychosocial approach is what I suggest as a comprehensive way of handling the community and not just individuals. Mobilisation of different groups of expertise and organisations to try and restore and improve the community will hasten the healing.
Yago: Wessels proposes that in place of ‘trauma’, a better term is ‘psychosocial well-being’. He says that this phrase reaches across different levels more easily than does ‘trauma’ yet avoids imparting clinical meanings to distress that have political, economic and historic origins. Would you agree with Mike’s term and approach?
Ray: That was precisely my conclusion in my PhD dissertation. No two people have the same disposition hence there is need for a psychosocial approach.
Yago: Let us move now to issues of identity. How does our sense of identity affect our resiliency and capacity to navigate in violent and stressful contexts?
Ray: Our sense of identity is based on our world view and who we are. In an African context we have our motivation from a sense of belonging, our history, people and give me the identity that spurs me to live up to the name and family identity. This position is not always true in the western culture.
Yago: You say that the individuals understanding and the perception of the event will determine how a person is affected and how he/she responds; culture plays a key role in how individuals cope with potential traumatizing experiences. Could you elaborate more in depth these important insights?
Ray: In our case the way in which traumatising events take place is often mixed with tribal, political and religious undertones. These are aspects that connect us to others. The attack is not always aimed at an individual but to the group. These events are sudden, unexpected and beyond one’s control. As a result we look to others to explain or make sense of what happened. If those others are victims like you then there is a crisis which leads to trauma.
Yago: Shame is the response to helplessness, the violation of bodily, family and tribal integrity. How much shame distorts our real human identity?
Ray: It depends on what you call real. The fact that my wife/mother is raped in my presence takes away my identity as an African man who should protect his family from intruders and harm. My real identity is with my people and not as an individual. Tribal integrity is passed on and demonstrated by men within the clan. If therefore men become helplessness it means that tribe be ashamed amongst others and becomes a laughing object. The tribe is vulnerable, voiceless and weak.
Yago: You say that the more control people can exercise on a situation, the less they suffer from diverging symptoms and cope better in general. Could you expand on this?
Ray: Control over one‘s life gives a sense of responsibility and assurance that I am myself. But if I cannot have responsibility of myself and my circumstances then it is easier to be attacked from outside. Being able to cope with personal problems is a sign of personal inner resolve and functionality.
Yago: In developing effective psychosocial programs, it is vital to start from an analysis of how the affected people understand their situation and regard as their greatest problems. You say that it is about the importance of working with a critical eye. This is a quite challenging approach inviting the practitioner to develop active listening and profound respect for the experience of the other. Isn’t it?
Ray: It is not the practitioner who has a problem and therefore we must start with those that are not well by asking them to explain their pain/trauma or problem. There is a methodology called Empathy and Distanciation. Social scientist have now realised that there is no way one can engage a traumatised person and remain totally objective. Using empathy and distanciation will enable the practitioner to be empathetic but to also distance one’s self from the victim. To do this, one needs certain skills and experiences without a doubt. This is called “narrative social reconstruction” by Pollard.
Yago: You say that “quiet often trauma has to involve a betrayal of trust.” The shattering of one’s sense of connectedness between individual and community creates a crisis of faith. Could you explain how influential this is in the African sense of self?
Ray: First and foremost the betrayal is a personal one where one thinks he/she lost control of one’s self. Secondly, it is on the part of the family or community that did not protect me during my ordeal. Trauma’s major effect is inward even though the causes are by and large outward. Because of the shattering of the sense of self one cannot be able to build meaningful relationships. Hence, lack of connectedness.
Yago: You define trauma from a psychosocial perspective. Could we say that the image/concept of a broken social fabric is fundamental in the understanding of trauma in the African context?
Ray: Absolutely, the social fabric plays the role of the second line of defense. When one fails to protect oneself then the community jumps in and where there is no community/family particularly extended the crisis is worse.
Yago: You are asking for an integrated and inter-disciplinary approach. In which way psychosocial programmes are likely to increase the survivors’ own coping resources?
Ray: The possibility of individuals coping with multiple approaches is far better than a single phased approach. People do not respond the same to an incident.
Yago: Finally, you say that the ongoing discussion about how useful or limited this diagnosis of PTSD and how widely it should be used, especially in large-scale ongoing traumatic events in both western and non western societies should not distract us from the task ahead. Which is the task ahead of us?
Ray: The task ahead is to care for the survivors of torture, victims of injustices, survivors of and prisoners of war and abused people. We can not wait until we have come up with a methodology that is acceptable to all.
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If you are working out two occasions per week – we recommend beginning with 50mg of Anavar per day. For instance, in case you are figuring out 4 times per week – we advocate starting with 20mg of Anavar per day. If you would possibly be figuring out more than three times per week, we suggest beginning on the lower finish of the dosage vary. If you may be working out 3 times per week or less, you can start at the higher end of the dosage range. If you’re consuming a calorie-deficient diet, we recommend beginning on the lower finish of the dosage vary. If you are eating a calorie-surplus diet, you can begin at the greater finish of the dosage vary.
It can happen in both men and women, and it’s most probably to happen if you first begin taking the drug. Regardless Of the truth that Anavar is an oral steroid, the kidneys also process it, so it doesn’t put much pressure on the liver. Thus, we think about the danger of significant liver harm through this cycle to be low. A trenbolone/Anavar cycle is considered one of the mildest trenbolone cycles you can do, second solely to trenbolone/testosterone. Anavar is a gentle steroid, hence why it’s successfully used in drugs for treating ladies and babies (without damaging effects). The mixture of trenbolone and Anavar makes for an efficient slicing cycle.
It does not offer features in mass and water weight, similar to Dbol or Naps. What it does do, is assist to burn visceral fats and promote positive aspects in lean muscle tissue. Muscle positive aspects and fats loss slow; the consequences of the steroid used for 6-7 weeks lessens if the dose just isn’t elevated or breaks are not taken. This is a testosterone derived steroid; corresponding to Sustanon or Testosterone Enanthate, which is used for far longer than the “kick start” (8-10 weeks).
Oral exercise is additional supported by the 17α-methyl substitution, which protects the compound from breakdown in the liver. Whether Or Not you’re a seasoned competitor or simply exploring the world of fitness, understanding Anavar’s unique advantages might help you make knowledgeable decisions on your journey to peak performance. The majority of those results are triggered whenever you abuse, take excess dosage or have an underlying/hidden medical situation. It’s all the time finest to speak to your physician earlier than starting any kind of supplement routine. There isn’t a lot distinction in Anavar dosage for bodybuilding purposes whether or not you’re a person or girl. This treatment is often taken orally, although it can additionally be injected. The ordinary beginning dose is 10 mg per day for men and 5 mg per day for women.
Unfavorable changes to levels of cholesterol, as can be brought on by Anavar, can heighten your risk of heart-related illness and even stroke. In some folks, LDL ranges may be elevated (this is the “bad” sort of cholesterol), while the “good” cholesterol of HDL is decreased. One of the larger risks of oral steroids is how they will stress the liver, doubtlessly causing liver harm or poisonous hepatitis36. Anavar has a modification to its chemical structure, generally identified as 17-a-alkylation modification, which permits us to make use of this steroid orally. However compared to injectable steroids, oral steroids will take longer to clear from the liver, and that’s the place the attainable risk lies for liver stress or liver damage. This assumes you are not using extreme doses of Anavar and not using it continually over a protracted period. In those circumstances, you’ll be able to expect a lot larger stress on the liver, possibly inflicting permanent damage.
At first look it’s fair to say these ingredients are very weak for a natural fat-burner (especially one claiming to replicate the results of anavar). Anvarol is a cutting supplement manufactured by Crazy Bulk, designed to imitate the identical fat-burning results as anavar (oxandrolone). So if you wish to purchase anavar from the black market, the key is to get a good, dependable provider (which is difficult to come by). Unethical suppliers have been the reason for users experiencing terrible unwanted effects, by selling substances which weren’t steroids.
Anavar enhances metabolic price and lipolysis15; this makes Anavar an especially powerful fat-burning steroid where calories and saved body fat are effectively utilized as power. Your metabolic fee will enhance, and you can see burning fat faster and extra environment friendly. Naturally, your diet should help fats loss, which can at all times be the case on a slicing cycle.
Unlike plenty of fat-loss medication, Cardarine is not a stimulant, which provides it an edge over some other substances that stimulate the nervous system, inflicting many antagonistic results. Nonetheless, it’s critical to bear in mind that the lack of intensive research and knowledge means we do not know what potential long-term issues utilizing Cardarine can cause, especially at larger doses. Different side effects can include headaches, aggression, joint pain, fatigue, and low to average testosterone suppression. As always, the unwanted effects you experience rely in your reaction and dosage. Early customers of S23 used trial and error, and many shared their personal experiences with specific doses so the the rest of us might make as informed a call as potential. If you’re going to run a S23 cycle, try my full S23 SARM cycle guide. S4 is a SARM that has seen a large take-up by athletes in various disciplines.
Proper Dosage and DurationAdhering to beneficial dosage tips and cycle duration is vital for minimizing the risk of unwanted effects. Beginning with a lower dose and gradually increasing it over time allows the body to adapt to the compound. It is crucial never to exceed the beneficial dosage as it may significantly improve the chances of antagonistic effects.
Anavar is an oral steroid, thus a number of the drug has to move through the liver before entering the bloodstream. This may cause some stress on the liver, nonetheless, this effect is regarded as mild, due to the steroid additionally being metabolized by the kidneys. This testosterone-suppressing effect however is prone to be gentle, with endogenous testosterone ranges normally recovering in a matter of weeks or a few months. Anavar is a relatively gentle steroid, compared to other AAS such as trenbolone or anadrol.
References:
steroids for cutting weight (https://jobrails.co.uk/employer/female-anavar-cycle-before-and-after/)
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If you expertise any of those unwanted side effects, you will want to speak along with your physician or pharmacist. In most instances, these unwanted effects will go away on their very own or could be managed with treatment. Liquid Anavar has a bitter style, just like that of the tablet form. Nevertheless, the taste could be extra intense because of the focus of the steroid in the liquid form. If you’re looking for high quality Anavar, you’ll need to put some effort and time into your search. You mustn’t make a purchase on the premise of the product being supplied, but somewhat search out independent critiques on the model and provider in query. Failure to take action will greater than doubtless end in an inferior product.
It is crucial for girls to make use of Anavar with warning as a outcome of potential for virilization, which is the event of male-like characteristics. If you’re working out two instances per week – we recommend starting with 50mg of Anavar per day. For instance, if you are understanding 4 occasions per week – we recommend starting with 20mg of Anavar per day. If you might be an skilled user and you weigh 200 lbs, we advocate starting with 100mg of Anavar per day. Anavar (oxandrolone) is a man-made steroid, much like the naturally occurring steroid testosterone. Anavar dosage could be difficult – too little and you won’t see outcomes, too much and you would experience some nasty unwanted effects.
Whether taken orally or sublingually, Anavar can assist in reaching a extra defined and sculpted physique. Gary David is the founder and CEO of CrazyMass, one of many nation’s main complement corporations. Earlier Than starting CrazyMass in 2006, Gary was a bodybuilder and private coach for a number of gyms throughout Northwest Michigan, helping purchasers meet their fitness targets. He noticed that the majority weight gaining merchandise to extend muscle were made with ingredients that had been harmful or of poor quality. He knew there was a safer and healthier means to do this, so he created a particular mix of herbs, amino acids, and vitamins to help bodybuilders slim down and gain muscle.
We find that Anavar customers can drink small quantities of alcohol and not expertise any important hepatic points. This is as a result of of Anavar being metabolized by the kidneys, thus inflicting much less stress to the liver. Trenbolone is predominantly an injectable steroid, with the commonest variations being acetate and enanthate. The only exception to that is methyltrienolone, which is basically oral trenbolone.
We have discovered that valerian root dietary supplements may be effective for delicate insomnia, decreasing the time taken to go to sleep and the quality of sleep (36, 37). In one examine, members reached sleep 36% faster after a single dose of valerian (38). A strategy to forestall overstimulation is to take Anavar doses earlier within the day. If a person has no desire and equally needs to build muscle and burn fat at the same time, upkeep energy could also be optimum.
These can be a variety of the most debilitating and physique-ruining unwanted aspect effects of steroid use and embrace bloating or water retention and gynecomastia. You can count on nice dry features without estrogenic unwanted effects except you embody other aromatizing steroids in your Anavar stack. Anavar is hugely well-liked with female customers, however ladies do not require the sort of post-cycle therapy that males do after an Anavar cycle. An essential thing to contemplate when planning your Anavar stack is the significant advantage of its lack of water retention as a result of it doesn’t convert to estrogen. You can use this by stacking it with other compounds that don’t aromatize, like Trenbolone and Masteron. Such a stack can successfully have you ever not having to think about fluid retention in any respect except you resolve to take a higher dose of testosterone in the stack.
You would possibly see people claiming SARMs to be safer or inflicting fewer unwanted side effects. Consequently, albuterol’s unwanted effects may be more tolerable, doubtlessly making it extra cardiovascular-friendly. Nevertheless, the outcomes on albuterol are less noticeable in our expertise, with fats loss and energy ranges being extra distinguished on clenbuterol. Winstrol can also cause endogenous testosterone production to shut down, taking a number of months for ranges to recover back to normal (hence why bodybuilders go for post-cycle therapy). It mimics the fat-burning and thermogenic results of clenbuterol, however without any will increase in coronary heart fee or blood pressure. Some users report no anabolic results from clenbuterol, whereas others report enhancements in lean muscle tissue. Earlier Than you start taking Anavar, you ought to be informed of the risks.
For instance, if you are stacking Anavar and Testosterone – we recommend beginning with 50mg of Anavar and 250mg of Testosterone per week. Your diet issues when it comes to finding the right Anavar dosage for you. For instance, if you are a beginner and you weigh 200 lbs, we recommend starting with 40mg of Anavar per day. In common, the heavier you’re – the upper the dosage you’ll need. In this weblog submit, we’ll assist you to find the best Anavar dosage for your wants. In many places, Anavar is classified as a controlled substance and requires a prescription for medical use.
So you’re feminine and serious about leaping into the world of SARMs? A few years in the past, you would have been in a tiny minority of hardcore professionals. However that doesn’t imply you bounce on the bandwagon without analysis, data, or plan. You MUST know what you’re moving into earlier than you start taking anything. So, a hardcore cutting cycle will nearly all the time be about trimming these final bits of stubborn fat, and you’ll have a look at aesthetics as your main aim. Whether for competitive functions or just wanting to reach your peak potential as a personal objective – a hardcore SARMs cycle requires hardcore commitment and self-discipline with food plan and coaching. To take issues even further, one other advanced cutting cycle contains the addition of YK-11 alongside S-23.
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