SELF-HELP ACTION SUPPORTING SURVIVORS OF TORTURE AND TRAUMA IN SE ASIA, OCEANIA AND AUSTRALASIA

A PLAN OF SMALL GENERALISABLE ACTIONS

 

Posted Jan 1998; Last Updated Feb 2007.

 

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Short Version of this Project

Evolving a SE Asia Pacific Self Help Trauma Support Intercultural Network - A Small Micro-Proposal
Micro local safe haven action evolving in Cairns and Darwin, Northern Australia.

Self-Help Action Rebuilding Well-Being
A Project fostering self help action restoring all aspects of wellbeing among disadvantaged Indigenous and Small Minorities in the SE Asia Oceania Australasia Region.

Contents

Brief Summary

Introduction

The Aftermath of Torture and Trauma

Participatory Self Help

Stretching Expert Resources Beyond Effectiveness

Themes for Adapting Micro-experiences - Healing Support for Children, adolescents, Women, Men, Families and Combatants

Getting a good nights sleep - children, adolescents and adults

Eliminating torture and trauma associated phobias, obsessions, compulsions and panic attacks and problematic behaviors

Reducing, interrupting, resolving and stopping anger and violence

Reconciling, rehabilitating and healing of torture and trauma survivors

Specific issues and needs for healing local people

Issues for enablers, healers, supporters, and carers

Healing Processes

Issues for skill-sharers

A Framework for Intercultural Healing

Healing micro-experiences

Conceptual backgrounds for wellbeing action

A Model of Sharing of That May Be Used in Small Sharings and Larger Gatherings

Contextual Material

A Micro-Example Of Everyday Healing

Conclusion

 

Brief Summary

This document is part of a wider project building support for Indigenous and disadvantaged small minority trauma and torture survivors throughout the SE Asia, Oceania and Australasia Region.

The following material provides scenarios of action extending a small Micro-proposal relating to the Focal people, namely East Timorese, Bougainvillian and other Indigenous/disadvantaged small minority and intercultural people in the Region. This Micro-project is outlined in the document 'Evolving a SE Asia, Oceania, Australasia Self-help Trauma Support Intercultural Network - A Small Micro-project'.

This plan for action uses a participatory self help model. The model has been successfully actioned by Indigenous, disadvantaged small minority and intercultural Regional Focal people for over thirty years. The page Communal Ways For Healing the World contains a historical timeline of this action.

This Plan is based on the following Treaty and Code:

Unique Healing Treaty
The Young Persons Healing Learning Code

This action has demonstrated that traumatised people can provide a healing support to each other as part of a healing community. It is self help. This is not discussing a 'service'. People may heal themselves and pass on what works to others within voluntary informal networks. The self-help healing network is already evolving in the Region among for example, East Timorese and Bougainville people. Uncompromising funding support can see it blossom. The possibility is that the further evolving of these healing networks will not only help bring healing to oppressed and war ravaged people, it may well be a major process for consolidating peace processes.

INTRODUCING THE PLAN

This document is about possibilities for small local self-heal self-help action supporting survivors of torture and trauma among Focal people in the Region. These healing ways have been successfully used for over thirty years by Focal people in the Region.

This document is expressed in very tentative terms because nothing contained in this document could happen unless local Focal people want it.

Support for torture and trauma sufferers; Rebuilding Well-being in all its forms:

The above list is in alphabetical order - no priority is implied

The Laceweb is an informal network of intercultural people engaged in self-help well-being action. This network/movement commenced in Australia in the 1940's. It has been evolving through small local self-heal self-help well-being action among Torres Strait Islanders, Australian South Sea Islanders, Australian Aboriginals as well as among Indigenous, disadvantaged small minority and intercultural people in remote and rural areas - Focal People. It is spreading throughout the SE Asia, Oceania, Australasia Region.

People from the Laceweb who have supported themselves and other locals in self-heal/self-help on many occasions, may be available in an enabling role to support survivors of torture and trauma among East Timorese, Bougainvillian and other Focal people in the Region. Actions may address relief from trauma, oppression, poverty, sickness, misfortune, destitution, and illness. As well, it may help sufferers of the following forms of pressures and trauma:

The Laceweb is not connected with any political group, faction or religion. They respect spiritual and cultural diversity.

The Laceweb enables actions and support for torture and trauma survivors using healing ways that may form a basis for evolving culturally appropriate healing among diverse Focal people.

The Laceweb has, for over thirty years, demonstrated that traumatised people can provide a healing support to each other as part of a healing community. It is participatory self help. This is not discussing a 'service'. People may heal themselves and pass on what works to others. This help and support may be passed on within an expanding integrating network, and thus support may grow exponentially. Extensive historical and research material on the Laceweb is available via the Internet. This has been prepared in part by a Laceweb member towards Ph.D. psychosocial research into the Laceweb and participatory self-help models. Laceweb people may take an enabling role in extending self help support networks in the Region.

THE AFTERMATH OF TORTURE AND TRAUMA

Virtually no-one on the islands of East Timor and Bougainville have been unscathed. For example, there are over 150,000 seriously traumatised people on Bougainville - a massive challenge. As reported by the UN Inter-Agency Report on Bougainville - 17 May 1995, the following are top priority issues in that context:

The above Report suggested that these four issues be resolved as a central part of any move to normalisation and reconciliation. It goes without saying that traumatised people have 'normal' functioning massively impaired.

PARTICIPATORY SELF HELP

It is noted that the PNG Government representative, in opening the talks as part of the final drafting of the UN Inter-Agency Report on Bougainville, stated that both 'the participation of local people' and 'self help' processes are crucial to any meaningful normalisation on the Island and that both should be incorporated into the Report's recommendations. The final Report also held out those two aspects as critical.

'Participation of local people' and 'self help'were again reiterated by a recent statement by Bougainville Member of the PNG Parliament, John Momis. He noted that all sorts of Australian organisations were wanting to come into Bougainville and provide various 'services' - in effect, to capitalise on opportunity. He cautioned against this. The Bougainville people want to help 'themselves' to return to normalcy.

The following view has been expressed by many Bougainvillians:

'We Bougainville people are very cautious of outsiders who want to come in to fix things for us. Massive needs exist in health, education, and infrastructure to name a few. We virtually need to start from scratch. Outside help 'is' needed. However we do not believe that having a massive range of 'services' devised and provided across the board by outside experts is the way.'

It is noted from a careful reading of the UN Inter-Agency Report that it's own recommendations contain virtually nothing that falls within the PNG Government's and the Report's own guidelines requiring 'participatory self help action by locals'. There is a dearth of 'participatory self help models' among both Government bodies and NGO's.

In the UN Inter-Agency Report, while there was 'lip service' to 'self help' and 'participation by locals', there was little evidence of the use of participatory self help action models. Virtually every one of the Report's recommendation was for 'centralised' 'uniform' programs that are 'devised', 'controlled' and 'implemented' by outsiders, and via 'top down', 'bureaucratically organised', 'service delivery' processes. This is prescribing forms of governance when 'governance' is a prime point of contention!

It is not surprising. This is the 'way' of the mainstream first nations. Virtually all mainstream funding uses 'top down service delivery' models as a starting point. This is never questioned. Both funding 'policy' and 'programs' are based on this 'service delivery' model. It is the model used at every level of Government. All Program funding 'criteria' and 'evaluation' are also based on the 'service delivery' model. Any 'sense' of participation and 'self help' is skewed into the service delivery model.

There is a real dilemma in all of this. Bougainville people have been cut off from the World for almost a decade.

'We are traumatised. We are very skeptical of outsiders. The last thing we want is someone coming in and running our lives for us. And yet the only model that Governments and NGO's have is 'service delivery'. Service delivery typically means 'You decide and do things for us'.'

'Participatory self help action' as the Laceweb know it, does not meet either the funding criteria or the evaluation criteria of 'service delivery' models. These two models belong in different worlds.

To attempt to place a top down service delivery organisation in a watchdog role over us using 'service delivery' criteria to 'ensure we are doing things 'properly' is unacceptable and unworkable in respect of this Participatory Self Help Action Plan and the accompanying Micro-proposal.

For example, a Laceweb proposal to the Australian Federal Government Health Department's Rural Health Support and Education Section (RHSET) in 1993 was prepared based on 'participatory self help'. The proposal was extremely appealing to the Department though deemed to be 'poorly written' - translate this as 'not using service delivery' frameworks. The Laceweb received a further 52 questions to be answered so that they could evaluate us. All of these questions assumed 'service delivery' and 'service delivery frameworks, contexts and criteria'. While all the questions 'made sense' within the service delivery' model, around 45 of the 52 questions made no sense within the 'participatory self help' model.

Examples of 'service delivery' questions the Laceweb was asked by the Australian Government's RHSET section:

QUESTION 1

Specify the services that you will be delivering?

Response:

None. The focus of action is 'self help' as specified in our Proposal. We may enable self-heal/self-help if asked.

QUESTION 2

Who will be delivering the services?

Response:

No services will be delivered. The Proposal is for self help healing action through informal networks. (The current 1998 interpretation of an appropriate response to the above question would be expressed as 'there may be the very circumscribed service of sharing helpful micro-experiences by Laceweb members' - if locals want this enabling).

QUESTION 3

How will services be delivered?

Response:

There's no service delivery. Action evolves self help healing networks - enabling sharing of micro experiences may take place at healing gatherings - see Proposal.

QUESTION 4

What is the roll-out timetable?

Response:

This isn't one. Action is a function of local inclination and action.

QUESTION 5

What fixed training agenda do you have?

Response:

We are enablers, not trainers. We have no fixed agenda and there is no fixed agenda among Focal people. There is however an 'open agenda' with the themes specified in the proposal. What happens during our time together may be a function of local operative concerns and needs.

QUESTION 6

What are the qualifications of outside experts being used to research the current need?

Response:

No experts are being used. Actions are based on local knowings and wisdoms about what is missing in the Focal people's wellbeing. Self help is based on action research by locals. Outside enablers, differ from 'experts', as detailed in the proposal.


The Australian Government's RHSET Program had an extensive set of criteria that had to be met for proposals to be 'acceptable'. The criteria presupposed that certain pre-specified things must and will happen.

Participatory self help is 'not' prearranged- rather it 'organically unfolds'. With our model, nothing has to happen. Action is inherently tentative. Note the pervasive use of the tentative expressions 'may' and 'it's possible' throughout this plan. At the same time, with this tentativeness, local self help energy may do what service delivery can never do!

Within RHSET frameworks, certain aspects of wellbeing were clumped together - others were excluded. The Laceweb proposal to RHSET was all about integrated holistic wellbeing action that was fundamentally different to the 'what, why, when, where, and how of 'sectorised service delivery'. Laceweb action has both integrity and extegrity - the expansion of wholeness (a Laceweb concept).

An offer was made by RHSET to waive their normal criteria, though they would use their normal criteria to evaluate progressive action. The Laceweb declined funding to ensure that existing Laceweb momentum was not compromised.

IMPLEMENTING PROPOSALS

For implementing proposals under this Plan we would accept co-vision relationships with international Indigenous/minority academic/research groups known to be experienced in participatory self-help models.

'Co-vision' is a concept borrowed from transnational management consulting. The term encapsulates contexts where trainers find that feedback from trainees train and change trainers so much that they have to change their training to fit the wisdom of the trainees. The concept equally applies to 'enabling' contexts.

The Laceweb realizes that it may participate in activities funded by others. It recognises the value of cross-cultural, cross-national and international guidance, and support in such circumstances.

The principles it favours are that in this wider context of humanitarian activities:

The principles of balanced wide representation of stake-holder entities can be continuously explored. The recent Irish peace initiatives provide valuable lessons in this regard.

We will be fully accountable for funds. However to tie funds to doing 'participatory self help' according to 'service delivery' criteria is unacceptable - it is a contradiction in terms and action.

Evaluation is built into every participatory self help action. However, it will be evaluation using 'participatory self-help criteria of local people', not 'service delivery' criteria.

If funding bodies are so tied to 'service delivery' that they insist that it be used, then funds will not be accepted for this Plan and the Micro-proposal, and our progress will be so much slower.

And it was for good reason that the Australian Government's Austrade and Ausaid jointly ran the conferences in Melbourne and Sydney a couple of years ago called 'Aid Business is Good Business'. Laceweb members' recollection from attending the Melbourne Conference is that more than 90% of Australian Aid money returns to Australian organisations who do the work, that every dollar of aid generates a further six dollars of follow-on business and that about 75% of aid projects fall down either completely or partly. The reasons given for this failing was because there is only central government involvement by the recipient country, and because of lack of substantive participation by grassroots people at the local level.

Put this record in front of say the a war traumatised, skeptical Bougainville people who are very wary of outsiders, with the Panguna Copper mine (implicated in the outbreak of hostilities) hovering in the background, and no wonder people are wary of those bringing gifts! 'Just what is it that you intend to do for us, eh?'

STRETCHING EXPERT RESOURCES BEYOND EFFECTIVENESS

It is possible that in large scale disasters, healing self-help is the only process that may work with the large number of traumatised people involved. It is understood that the model of delivery of care and support by 'experts' almost invariably falls down in contexts where large scale disasters occur. This is because the sheer size of the task to be done stretches expert resources beyond effectiveness. Typically, you can not get the numbers of experts that would be needed to help tens of thousands of people. The cost would be enormous.

Sure, there are different contexts and issues, however we understand that AusAid has put substantial money into 'service based' trauma support for Palestinians, and yet after a couple of years only a few hundred have been supported. We are talking about substantive support to 150,000 people in Bougainville alone!

What we are suggesting is that in large scale disasters, with the large number of traumatised people involved, healing through voluntary informal networks by experienced locals, enabled to engage in self-help healing action, is the only process that may work. This applies to both man made and natural disasters. It applies Globally.

An evolving experienced voluntary self help network holds forth the possibility of placing healing and nurturing experiences and behaviors out in the local communities. Here they may be spread and incorporated into every aspect of communal life, as people go about their daily lives. Some people may desire to take on the enabling, healing micro-experience sharing, nurturing and/or caring roles. People in these roles may develop further nurturing carers within the communities in evolving the self help support network.

Following many years of gatherings and discussions between Laceweb enablers Australian Indigenous/disadvantaged small minorities, East Timorese, Bougainvillian and other like minority people, self help healing networks are already evolving in a number of areas of the Region. For example, small healing networks of East Timorese and Bougainvillians are evolving around respective safe havens in Top End Northern Territory, and Far North Queensland regions in Australia (refer the accompanying Micro-proposal). Conceptions of transfer sociograms as to how the sharing of healing ways may work may be found on the Internet.

Some local nurturers among Focal people are sharing healing ways. They are very keen to extend their healing micro-experiences. Admittedly, there is little psycho-social trauma support experience-base among 'natural nurturers' within East Timor, Bougainville and other hot spots in the Region. Local people haven't had years of war and oppression before. There is little trauma support experience base, we understand, in Indonesia and PNG either.

Following these gatherings and discussions between Laceweb enablers and East Timorese/Bougainvillian and other Focal people, the following possible themes, processes and healing micro-experiences may be shared and explored.

THEMES FOR ADAPTING HEALING MICRO-EXPERIENCES

The following material has now been prepared as a manual for 14 Workshops found at Trauma Healing Program.

Healing Support for:

  • Children
  • Adolescents
  • Women
  • Men
  • Families
  • Communities

Themes and contexts for healing within and between the above groups

  • Establishing rapport
  • Gaining acceptance of the healing support role
  • Identifying specific issues to be resolved, including 'being safe' and 'exploitation of sexual identity'
  • Resolving anger and violent behavior
  • Resolving the effects of psycho-social, physical and sexual abuse - feeling safe again
  • Identifying and using existing psycho-social resources
  • Healing grief, shame and loss
  • Letting go 'war zone' mentality - feeling safe again
  • Using individual, family and community healing processes
  • Healing play, games, fantasy and fun
  • Enabling well-being resources
  • Empowering well-being
  • Enabling the building of community; developing resources; forming support coalitions and fostering
  • support networks and friendship
  • Strengthening caring law
  • Evolving humane democratic community

Getting a good nights sleep

Resolving the following:

Eliminating torture and trauma associated phobias, obsessions, compulsions and panic attacks, and problematic behaviors

Reducing, Interrupting, Resolving and Stopping Anger and Violence

Actions may evolve according to local operative needs, concerns and issues.

The following may be possible broader healing themes:

Reconciling, Rehabilitating and Healing of Torture and Trauma Survivors.

Specific issues and needs for healing local people

Issues for Enablers, Healers, Supporters, and Carers

Healing Processes

Issues for healing micro-experience sharers

A Framework for Intercultural Healing:

HEALING MICRO-EXPERIENCES

For: