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Research Articles

“Think Positive, Save a Life”? Resilience and Mental Health Interventions as Political Abandonment in a Refugee Settlement in Northern Uganda

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Pages 708-734 | Received 07 Mar 2021, Accepted 28 Apr 2023, Published online: 06 Jun 2023

References

  • Adaku, A., et al., 2016. Mental health and psychosocial support for South Sudanese refugees in northern Uganda: a needs and resource assessment. Conflict and Health, 10 (1), 18. doi:10.1186/s13031-016-0085-6.
  • Agenzia Info Salesiana (ANS), 2020. Uganda - isolation and food shortages for Palabek refugees due to coronavirus. Available from: https://www.infoans.org/en/sections/news/item/10522-uganda-isolation-and-food-shortages-for-palabek-refugees-due-to-coronavirus
  • Allen, T. and Vlassenroot, K., Eds., 2010. The lord’s resistance army: myth and reality. Zed Books Ltd. doi:10.5040/9781350223240.
  • Atube, F., et al., 2022. Farmers’ perceptions of climate change, long-term variability and trends in rainfall in Apac district, northern Uganda. CABI Agriculture and Bioscience, 3 (1), 46. doi:10.1186/s43170-022-00116-4.
  • Bäärnhielm, S., et al., 2017. Mental health for refugees, asylum seekers and displaced persons: a call for a humanitarian agenda. Transcultural Psychiatry, 54 (5–6), 565–574. doi:10.1177/1363461517747095.
  • Betts, A., et al., 2017. Refugee economies: forced displacement and development. First ed. Oxford: Oxford University Press.
  • Bukuluki, P., et al., 2020. The socio-economic and psychosocial impact of Covid-19 pandemic on urban refugees in Uganda. Social Sciences & Humanities Open, 2 (1), 100045. doi:10.1016/j.ssaho.2020.100045.
  • Bukuluki, P., et al., 2021. Suicide ideation and psychosocial distress among refugee adolescents in bidibidi settlement in West Nile, Uganda. Discover Psychology, 1 (1), 3. doi:10.1007/s44202-021-00003-5.
  • Bwesige, M.M. and Snider, L., 2021. Despair and suicide-related behaviours in palorinya refugee settlement, Moyo, Uganda. Intervention, 19 (2), 224. doi:10.4103/INTV.INTV_12_21.
  • Charlson, F., et al., 2019. New WHO prevalence estimates of mental disorders in conflict settings: a systematic review and meta-analysis. The Lancet, 394 (10194), 240–248. doi:10.1016/S0140-6736(19)30934-1.
  • Chiumento, A., et al., 2020. Exploring the mental health and psychosocial problems of Congolese refugees living in refugee settings in Rwanda and Uganda: a rapid qualitative study. Conflict and Health, 14 (1), 77. doi:10.1186/s13031-020-00323-8.
  • Clements, K.T., Shoffner, T., and Zamore, L., 2016. Uganda’s approach to refugee self-reliance. Forced Migration Review, 52, 49.
  • Cretney, R., 2014. Resilience for whom? Emerging critical geographies of socio-ecological resilience: resilience of what, for whom? Geography Compass, 8 (9), 627–640. doi:10.1111/gec3.12154.
  • Das, V., 1996. Critical events: an anthropological perspective on contemporary India. Delhi: Oxford University Press.
  • Dean, M., 2010. Governmentality: power and rule in modern society. 2nd ed. London; Thousand Oaks, California: SAGE.
  • Duffield, M., 2012. Challenging environments: danger, resilience and the aid industry. Security Dialogue, 43 (5), 475–492. doi:10.1177/0967010612457975.
  • Duffield, M., 2015. Resilience and abandonment. Resilience, 3 (2), 137–140. doi:10.1080/21693293.2015.1022990.
  • Easton‐calabria, E. and Herson, M., 2020. In praise of dependencies: dispersed dependencies and displacement. Disasters, 44 (1), 44–62. doi:10.1111/disa.12366.
  • Epping-Jordan, J.E., et al., 2015. Beyond the crisis: building back better mental health care in 10 emergency-affected areas using a longer-term perspective. International Journal of Mental Health Systems, 9 (1), 15. doi:10.1186/s13033-015-0007-9.
  • Epule, T.E., et al., 2021. Identifying maize yield and precipitation gaps in Uganda. SN Applied Sciences, 3 (5), 537. doi:10.1007/s42452-021-04532-5.
  • Fanon, F., 1964. The North African syndrome. In: F. Maspero, ed. & H. Chevalier (Trans.). Toward the African revolution. New York: Grove Press, 3–16.
  • Fassin, D., 2011. Humanitarian reason: a moral history of the present. Berkeley and Los Angeles, California: University of California Press.
  • Fassin, D. and Rechtman, R., 2009. The empire of trauma: an inquiry into the condition of victimhood. Princeton, New Jersey: Princeton University Press.
  • Felli, R., 2016. The world bank’s neoliberal language of resilience. In: S. Soederberg, ed. Research in political economy. Vol. 31. Emerald Group Publishing Limited, 267–295. doi:10.1108/S0161-723020160000031014.
  • Foucault, M., 2008. The birth of biopolitics: lectures at the collège de France, 1978-79. Basingstoke; New York: Palgrave Macmillan.
  • Gorur, A. and Carstensen, N., 2016. Community self-protection. In: H. Willmot, R. Mamiya, S. Sheeran, and M. Weller, eds. Protection of civilians. Oxford; New York: Oxford University Press, 409–427.
  • Government of Uganda, and United Nations High Commissioner for Refugees (UNHCR), 2022. Uganda—refugee statistics August 2022—Palabek. Available from: https://data.unhcr.org/en/documents/details/95613
  • Hansen, R., 2018. The comprehensive refugee response framework: a commentary. Journal of Refugee Studies, 31 (2), 131–151. doi:10.1093/jrs/fey020.
  • Haushofer, J., Mudida, R., and Shapiro, J., 2021. The comparative impact of cash transfers and a psychotherapy program on psychological and economic well-being ( SSRN Scholarly Paper No. 3759722). doi:10.2139/ssrn.3759722
  • Hilhorst, D., 2018. Classical humanitarianism and resilience humanitarianism: making sense of two brands of humanitarian action. Journal of International Humanitarian Action, 3 (1), 15. doi:10.1186/s41018-018-0043-6.
  • Howell, A., 2011. Madness in international relations. Routledge. doi:10.4324/9780203828717.
  • Howell, A., 2015. Resilience as enhancement: governmentality and political economy beyond ‘responsibilisation’. Politics, 35 (1), 67–71. doi:10.1111/1467-9256.12080.
  • Ilcan, S. and Rygiel, K., 2015. “Resiliency humanitarianism”: responsibilizing refugees through humanitarian emergency governance in the camp. International Political Sociology, 9 (4), 333–351. doi:10.1111/ips.12101.
  • International Crisis Group (ICG), 2021. Toward a viable future for South Sudan. Available from: https://www.crisisgroup.org/africa/horn-africa/south-sudan/300-toward-viable-future-south-sudan
  • International Refugee Rights Initiative (IRRI), 2015. South Sudanese refugees in Adjumani district, Uganda: telling a new story? [online]. July. Available from: https://reliefweb.int/sites/reliefweb.int/files/resources/TellingADifferentStory.pdf
  • International Refugee Rights Initiative (IRRI), 2018. Uganda’s refugee policies: the history, the politics, the way forward. Rights in Exile Series [online], Policy Paper. October. Available from: https://reliefweb.int/sites/reliefweb.int/files/resources/IRRI-Uganda-policy-paper-October-2018-Paper.pdf
  • Inter Press Service (IPS), 2019. Malnutrition in Humanitarian Settings. Available from: http://www.ipsnews.net/2019/07/malnutrition-humanitarian-settings/
  • Jackson, M., 1998. Minima ethnographica: intersubjectivity and the anthropological project. University of Chicago Press. https://press.uchicago.edu/ucp/books/book/chicago/M/bo3626084.html
  • Jansen, S., et al., 2015. The “treatment gap” in global mental health reconsidered: sociotherapy for collective trauma in Rwanda. European Journal of Psychotraumatology, 6 (1), 28706. doi:10.3402/ejpt.v6.28706.
  • Jones, A.D., 2017. Food insecurity and mental health status: a global analysis of 149 countries. American Journal of Preventive Medicine, 53 (2), 264–273. doi:10.1016/j.amepre.2017.04.008.
  • Jones, L. and Ventevogel, P., 2021. From exception to the norm: how mental health interventions have become part and parcel of the humanitarian response. World Psychiatry, 20 (1), 2–3. doi:10.1002/wps.20808.
  • Joseph, J., 2013. Resilience as embedded neoliberalism: a governmentality approach. Resilience, 1 (1), 38–52. doi:10.1080/21693293.2013.765741.
  • Kapferer, B., 2015. Introduction: in the event—toward an anthropology of generic moments. In: L. Meinert and B. Kapferer. In the event: toward an anthropology of generic moments. Berghahn Books, 1–28.
  • Kienzler, H., 2008. Debating war-trauma and post-traumatic stress disorder (PTSD) in an interdisciplinary arena. Social Science & Medicine, 67 (2), 218–227. doi:10.1016/j.socscimed.2008.03.030.
  • Klein, E. and Mills, C., 2017. Psy-expertise, therapeutic culture and the politics of the personal in development. Third World Quarterly, 38 (9), 1990–2008. doi:10.1080/01436597.2017.1319277.
  • Krause, U. and Schmidt, H., 2020. Refugees as actors? Critical reflections on global refugee policies on self-reliance and resilience. Journal of Refugee Studies, 33 (1), 22–41. doi:10.1093/jrs/fez059.
  • Lancet Global Mental Health Group, 2007. Scale up services for mental disorders: a call for action. The Lancet, 370 (9594), 1241–1252. doi:10.1016/S0140-6736(07)61242-2.
  • Li, T., 2007. The will to improve. Duke University Press. https://www.dukeupress.edu/the-will-to-improve/
  • Mahdiani, H. and Ungar, M., 2021. The dark side of resilience. Adversity and Resilience Science, 2 (3), 147–155. doi:10.1007/s42844-021-00031-z.
  • Mahone, S., 2006. The psychology of rebellion: colonial medical responses to dissent in British East Africa. Journal of African History, 47 (2), 241–258. doi:10.1017/S0021853706001769.
  • Mahone, S. and Vaughan, M., 2007. Psychiatry and empire. Basingstoke and New York: Palgrave Macmillan.
  • Marlow, M., et al., 2021. Alcohol use during pregnancy in rural Lesotho: “there is nothing else except alcohol”. Social Science & Medicine, 291, 114482. doi:10.1016/j.socscimed.2021.114482
  • Meinert, L. and Whyte, S.R., 2017. “These things continue”: violence as contamination in everyday life after war in Northern Uganda. Ethos, 45 (2), 271–286. doi:10.1111/etho.12161.
  • Mills, C., 2015. The psychiatrization of poverty: rethinking the mental health–poverty nexus. Social and Personality Psychology Compass, 9 (5), 213–222. doi:10.1111/spc3.12168.
  • Mills, C., 2018. From ‘invisible problem’ to global priority: the inclusion of mental health in the sustainable development goals: mental health and the sustainable development goals. Development and Change, 49 (3), 843–866. doi:10.1111/dech.12397.
  • Mills, C., 2022. Strategic universality in the making of global guidelines for mental health. Transcultural Psychiatry, 13634615211068604. doi:10.1177/13634615211068605.
  • Mills, C. and Fernando, S. 2014. Globalising mental health or pathologising the global south? Mapping the Ethics, Theory and Practice of Global Mental Health. Disability and the Global South, 1 (2), 188–202.
  • O’Byrne, R.J., 2022. Resistant resilience: agency and resilience among refugees resisting humanitarian corruption in Uganda. Civil Wars, 0 (0), 1–29. doi:10.1080/13698249.2022.2092686.
  • O’Byrne, R.J. and Ogeno, C., 2020. Pragmatic mobilities and uncertain lives: agency and the everyday mobility of south Sudanese refugees in Uganda. Journal of Refugee Studies, 33 (4), 747–765. doi:10.1093/jrs/feaa085.
  • Oliver, M. and Boyle, P., 2019. In and beyond the camp: the rise of resilience in refugee governance. Oñati Socio-Legal Series, 10 (6), 1107–1132. doi:10.35295/osls.iisl/0000-0000-0000-1050.
  • Paddon Rhoads, E. and Sutton, R., 2020. The (self) protection of civilians in South Sudan: Popular and Community Justice Practices. Available from: https://doi.org/10.2139/ssrn.3666945
  • Pourmotabbed, A., et al., 2020. Food insecurity and mental health: a systematic review and meta-analysis. Public Health Nutrition, 23 (10), 1778–1790. doi:10.1017/S136898001900435X.
  • Pupavac, V., 2001. Therapeutic governance: psycho-social intervention and trauma risk management. Disasters, 25 (4), 358–372. doi:10.1111/1467-7717.00184.
  • Reid, J., 2010. The biopoliticization of humanitarianism: from saving bare life to securing the biohuman in post-interventionary societies. Journal of Intervention and Statebuilding, 4 (4), 391–411.
  • Rimke, H., 2016. Introduction – mental and emotional distress as a social justice issue: beyond psychocentrism. Studies in Social Justice, 10 (1), 4–17. doi:10.26522/ssj.v10i1.1407.
  • Rimke, H., 2020. Self-help, therapeutic industries, and neoliberalism. In: D. Nehring, O.J. Madsen, E. Cabanas, C. Mills, and D. Kerrigan, eds. The Routledge international handbook of global therapeutic cultures. 1st ed. Oxon; New York: Routledge, 37–50.
  • Roberts, T., et al., 2022. Reconceptualising the treatment gap for common mental disorders: a fork in the road for global mental health? British Journal of Psychiatry, 221 (3), 1–5. doi:https://doi.org/10.1192/bjp.2021.221.
  • Robinson, J., et al., 2022. The ‘good life’, personal appearance, and mental health of Congolese refugees in Rwanda and Uganda. Social Science & Medicine, 293, 114641. doi:10.1016/j.socscimed.2021.114641
  • Rose, N., 2006. Disorders without borders? The expanding scope of psychiatric practice. BioSocieties, 1 (4), 465–484. doi:10.1017/S1745855206004078.
  • Schramm, S., et al., 2016. Gender and age disparities in adult undernutrition in northern Uganda: high-risk groups not targeted by food aid programmes. Tropical Medicine & International Health, 21 (6), 807–817. doi:10.1111/tmi.12708.
  • Simpson, A., 2007. On ethnographic refusal: indigeneity, ‘voice’ and colonial citizenship. Junctures, 9, 67–80.
  • Smith, L.T., 2012. Decolonizing methodologies: research and indigenous peoples. London: Zed Books.
  • Stein, D., et al., 2022. Cash, COVID-19 and aid cuts: a mixed-method impact evaluation among South Sudanese refugees registered in Kiryandongo settlement, Uganda. BMJ Global Health, 7 (5), e007747. doi:10.1136/bmjgh-2021-007747.
  • Summerfield, D., 1999. A critique of seven assumptions behind psychological trauma programmes in war-affected areas. Social Science & Medicine (1982), 48 (10), 1449–1462. doi:10.1016/s0277-9536(98)00450-x.
  • Summerfield, D., 2008. How scientifically valid is the knowledge base of global mental health? The BMJ, 336 (7651), 992–994. doi:10.1136/bmj.39513.441030.AD.
  • Summerfield, D., 2012. Afterword: against “global mental health”. Transcultural psychiatry, 49 (3–4), 519–530.
  • Titeca, K., 2022. Who depends on whom? Uganda’s refugee ‘success story’, corruption and the international community. Third World Quarterly, 43 (1), 55–73. doi:10.1080/01436597.2021.1989301.
  • Tol, W.A., et al., 2011. Mental health and psychosocial support in humanitarian settings: linking practice and research. The Lancet, 378 (9802), 1581–1591. doi:10.1016/S0140-6736(11)61094-5.
  • Torre, C., et al., 2019. Is promoting war trauma such a good idea? Anthropology Today, 35 (6), 3–6. doi:10.1111/1467-8322.12538.
  • Torre, C., 2021. Therapy in Uganda: a failed MHPSS approach in the face of structural issues. Forced Migration Review, 66, 43–45.
  • Trudell, J.P., et al., 2021. The impact of food insecurity on mental health in Africa: a systematic review. Social Science & Medicine, 278, 113953. doi:10.1016/j.socscimed.2021.113953
  • Tseris, E., 2017. Biomedicine, neoliberalism and the pharmaceuticalisation of society. Routledge Handbooks Online. doi:10.4324/9781315399584.ch19.
  • Twecan, D., et al., 2022. Climate change vulnerability, adaptation measures, and risk perceptions at households level in Acholi sub-region, Northern Uganda. Land Use Policy, 115, 106011. doi:10.1016/j.landusepol.2022.106011
  • United Nations High Commissioner for Refugees (UNHCR), 2005. Handbook for self-reliance. UNHCR. https://www.unhcr.org/44bf7b012.pdf.
  • United Nations High Commissioner for Refugees (UNHCR), 2017. Resilience and self-reliance from a protection and solutions perspective. Available from: https://www.unhcr.org/excom/standcom/58ca4f827/resilience-self-reliance-protection-solutions-perspective.html
  • United Nations High Commissioner for Refugees (UNHCR), 2020. Suicides on the rise among South Sudanese refugees in Uganda. UNHCR. https://www.unhcr.org/news/stories/2020/1/5e2afb5b4/suicides-rise-among-south-sudanese-refugees-uganda.html.
  • United Nations High Commissioner for Refugees (UNHCR), 2022a. Global trends report 2021. https://www.unhcr.org/publications/brochures/62a9d1494/global-trends-report-2021.html
  • United Nations High Commissioner for Refugees (UNHCR), 2022b. Uganda—analysis of suicide incidents, March 2022. Available from: https://reliefweb.int/report/uganda/uganda-analysis-suicide-incidents-march-2022
  • United Nations High Commissioner for Refugees (UNHCR), n.d. The sustainable development goals and the global compact on refugees. Available from: https://www.unhcr.org/events/conferences/5efcb5004/sustainable-development-goals-global-compact-refugees.html
  • Vorhölter, J., 2019. Struggling to be a “Happy self”? Psychotherapy and the medicalization of unhappiness in Uganda. Current Anthropology, 60 (2), 194–223. doi:10.1086/702337.
  • Welsh, M., 2014. Resilience and responsibility: governing uncertainty in a complex world: resilience and responsibility. The Geographical Journal, 180 (1), 15–26. doi:10.1111/geoj.12012.
  • Wiegratz, J., Martiniello, G., and Greco, E., Eds., 2018. Uganda: the dynamics of neoliberal transformation. London: Zed Books.
  • Wilhelm-Solomon, M., 2016. Disease as dwelling: sustaining life with HIV in post-displacement Northern Uganda. African Studies, 75 (3), 316–337. doi:10.1080/00020184.2016.1197665.
  • World Bank, 2018. Poverty maps of Uganda mapping the spatial distribution of poor households based on data from the 2012/13 Uganda national household survey and the 2014 national housing and population census technical report. World Bank. https://documents1.worldbank.org/curated/en/456801530034180435/pdf/Poverty-Maps-Report.pdf
  • World Health Organization (WHO), 2013. Building back better: sustainable mental health care after emergencies. WHO: Geneva. https://apps.who.int/iris/bitstream/handle/10665/96378/WHO_MSD_MER_13.1_eng.pdf?sequence=8
  • World Health Organization (WHO), 2017. Scalable psychological interventions for people in communities affected by adversity: a new area of mental health and psychosocial work at WHO. World Health Organization. https://www.jstor.org/stable/resrep28224.