Browsing by Subject "epävarmuus"

This thesis looks at the post-war reintegration of and war trauma in the former Lord’s Resistance Army (LRA) rebel force abductees in the Acholi subregion of northern Uganda. The work’s focus is on how the former LRA abductees make meaning of their subjective experience of trauma according to the Acholi world view and how these experiences guide their search for healing. These questions are examined in the context of three healing practices from which the formerly abducted research participants have sought help for their war-related psychological symptoms: public healthcare and non-governmental psychosocial trauma counselling, local ajwaka spirit mediums, and Pentecostal and Charismatic Christian churches. The research for this thesis is based on three-month-long ethnographic fieldwork consisting of participant observation, semi-structured interviews, group discussions, and other informal interactions in the Acholi districts of Gulu and Nwoya between October and December 2017. The core research participants are 20 formerly abducted LRA combatants (ten males and ten females aged between 24–55 years) who have returned back to civilian life before the northern Uganda conflict ended in 2006. Furthermore, medical professionals, trauma counsellors, ajwaka spirit mediums, Charismatic Christian pastor, and relatives of the core research participants were interviewed for this study. This thesis is built around medical anthropological theories of trauma and anthropological theories of subjectivity, where the former LRA abductees’ symptoms are approached through a three-dimensional theoretical framework of inner subjectivity, structural subjugation, and intersubjective relations. This thesis proposes that the war-related symptoms find their meaning through inner and bodily experiences, personal convictions, and subjective world views of their sufferers, which steer the former LRA abductees towards their preferred healing practices. However, these experiences are shaped by external constraints related to economic and sociopolitical subjugation under state rule, hierarchical social structure as well as intimate intersubjective power relations and cultural norms that can either enable or challenge the former abductees’ access to healing. The findings of this thesis suggest that even though the three healing practices approach war-related symptoms from ontologically different angles, they all offer meaningful tools to repair broken social relationships and retether the former abductees back to their social worlds in ways that can reduce trauma symptoms and foster healing. However, for various reasons the administered treatments sometimes fail, which forces symptom-sufferers to move beyond their preferred healing practices to find relief from their war-related symptoms. This thesis argues that the search for healing is full of uncertainty about the cosmological origin of symptoms, social tensions, and opaque motives of helpers. Thus, the healing process is dependent on intersubjective entanglements with kin, treatment providers, illness agents, and healing powers alike, which suggests that different forms of relationality lie at the centre of healing from war trauma. In conclusion, this thesis proposes that the gap between the former LRA abductees and the wider Acholi community has narrowed over the years since the conflict ended, but for some research participants the ongoing experiencing of war-related psychological symptoms still prevent them from fully participating in the Acholi society, which continues to hinder their reintegration. Until recently, the study of trauma in northern Uganda has revolved around the study of local spirits and Acholi rituals. The present study contributes to the broadening of the scope of the study of trauma among the Acholi towards other healing practices and provides a critical and multifaceted review of how the formerly abducted Lord’s Resistance Army combatants conceptualise their experience of war-related psychological symptoms from their socio-cultural perspective in post-war northern Uganda.