The history of Traumatic Stress

Although trauma has been with us throughout history, (war, disaster, violence) the concept of trauma or traumatic stress has only been acknowledged or named as such in the last 150 years or so. According to Friedman, clinical attention only began to focus on the psychological impact of war among veterans in the 19^th century. Here the focus was on cardiovascular (soldiers heart) or psychiatric symptoms (nostalgia, shell shock, combat fatigue, war neurosis) (Matthew Friedman, 2006, p. 3)

Judith Herman writes that “Trauma has a curious history- one of episodic amnesia.” Periods in our history, where there is “active investigation alternating with periods of oblivion” (Herman, 1992,p.7) The field of trauma has a “rich tradition... But has been periodically forgotten and must be periodically reclaimed.” It is interesting to read of the story of Sigmund Freud and Jean-Martin Charcot and their study of “hysteria” amongst the women of Vienna, this study captured the imagination of the public: “a venture into the unknown” (Herman, 1992) the women being studied had been victims of rape, violence and exploitation and who found refuge in the Salpetriere (an asylum transformed by Charcot into a modern hospital dedicated to studying neurology and psychiatry)

It was here that in following up Charcot’s foray into hysteria, that Freud released his Theses “The aetiology of Hysteria” a study of 18 case studies, concluding with a thesis that “ at the bottom of every case of hysteria, there are one or more occurrences of premature sexual experience” (Herman, 1992, p. 13) A startling conclusion for the people of Vienna, for the inference was that there were “ perverted acts against children” not only among the people of Paris, but also the bourgeois families of Vienna. Suffice to say, Freud within a year “privately repudiated the psychological origins of hysteria” and so, the study of trauma relapsed into another period of amnesia until the First World War, when the study of the impact of war on veterans began as mentioned above. This study of war neurosis and shell shock reached new heights after the Vietnam War with the development by anti-war veterans of “rap groups”, meetings where veterans relived and retold their experience of the Vietnam War. (Herman, 1992, p. 27) Within these groups, a sense of legitimacy was lent to the experience of the Vietnam veteran. They were allowed “the dignity of their distress”. A marine veteran, Michael Norman wrote:

Family and friends wondered why we were so angry. What are you crying about? They would ask. Why are you so ill-tempered and disaffected. Our fathers and grandfathers had gone off to war, done their duty come home and got on with it. What made our generation so different? As it turns out, nothing. No difference at all. (Herman, 1992)

Through their political consciousness, awareness about the psychological effect of war was raised.

A third wave of consciousness in the history of traumatic stress that began to rise up was during the 1970’s with the beginning of an acknowledgement that “violence is a routine part of women’s sexual and domestic lives” as the women’s liberation movements grew in strength.

It is interesting to note that this acknowledgement took place in groups that provided a sense of intimacy, confidentiality and truth telling. This sense of safety allowed for women to overcome the “barriers of denial, secrecy and shame that prevented them from naming their injuries” (Herman, 1992)

As we move from the international context and history of traumatic stress, and turn our attention to South Africa and its history fraught with violence and brutality, at times legitimized by a uniform, policy, and regime, we need to be asking ourselves the question:

“There is a wave of consciousness that needs to rise, in South Africa that questions our violent history and asks whether we have healed, are healing or still need to heal.

Perhaps, the answer or solution lies with those who are trauma practitioners who must continue raising awareness about the effect of trauma and the healing value of “the truth must out.”

Philip Stoneman

VICTIM’S CHARTER

   compiled by Michelle Bellion

  source Department of Justice Handbook for Victims of crime

To provide for the consolidation of the present legal framework in South Africa relating to the rights of and services provided to victims of crime and to:

ü Eliminate secondary victimisation in the criminal justice process;

ü Ensure that victims remain central to the criminal justice process;

ü Clarify the service standards that can be expected by and are to be according to victims whenever they come into contact with the criminal justice system; and Make provision for victims’ recourse when standards are not met.

YOUR RIGHTS AS A VICTIM OF CRIME

If you have been a victim of crime the following rights, as contained in the Constitution and relevant legislation, will be upheld in your contract with the criminal justice system:

1. The right to be treated with fairness and with respect for dignity and privacy:

o You have the right to be attended to promptly and courteously, treated with respect for your dignity and privacy by all members of any department, institution, agency or organisation dealing with or providing a service to you (hereinafter referred to as a service provider).

o The police, during investigations, the prosecutors and court officials during preparation for and during the trial proceedings; as well as all other service providers, will take measures to minimise any inconvenience to you by, among others, conducting interviews with you in your language of choice and in private, if necessary.

o These measures will prevent you from being subjected to secondary victimisation.

2. The right to offer information

o You have the right to offer information during the criminal investigation and trial.

o The police, prosecutor and correctional services official will take measures to ensure that any contribution that you wish to make to the investigation, prosecution and parole hearing is heard and considered when deciding on whether to proceed with the investigation, or in the course of the prosecution of Parole Board hearing.

o It means that you will have the opportunity to make a further statement to the police if you realise that your first statement is incomplete, you may also, where appropriate, make a statement to the court or give evidence during the sentencing proceeding to bring the impact of the crime to the court’s attention.

o Furthermore, you may make a written statement application to the Chairperson of the Parole Board to attend to the parole hearing and submit written input.

3. The right to receive information

o You have the right to be informed of your rights and of how to exercise them.

o You can, as part of this right, ask for explanations in your own language of anything you do not understand.

o You have the right to receive information and to be informed of all relevant services available to you by the service providers.

o You will be informed of your role in the case and of the approximate duration of the case. You can request information regarding court dates, witness fees and the witness protection programme.

o You can request to be informed of the status of the case, whether or not the offender has been arrested, charged, granted bail, indicted, convicted, or sentenced.

o You may request reasons for a decision that has been taken in your case on whether to prosecute of not.

o You are entitled to receive documents that the law entitles you to have access to.

o You can request to receive notification of proceedings which you may attend.

o You can request the prosecutor to notify you employer of any proceedings which necessitate your absence from work.

4. The right to protection:

o You have the right to be free from intimidation, harassment, fear, tampering, bribery, corruption and abuse. If you are a witness, you must report any such threats to the police or senior state prosecutor.

o The police will, if you comply with certain requirements, apply for you to be placed in a witness protection programme.

o If such an application is successful, you will be placed in a witness protection programme where you will be protected, as far as possible, from all forms of undue influence, harassment or intimidation.

o This will ensure your safety as a witness and the availability of your testimony, and prevent you from withdrawing from giving evidence as a result of undue influence.

o This right includes that in certain circumstances the court may prohibit the publication of any information (including your identity), or it may order that the trial be held behind closed doors (in camera).

o You can request Correctional Services to inform you if the offender has escaped or has been transferred.

5. The right to assistance:

o You have the right to request assistance and, where relevant have access to available social, health and counselling service, as well as legal assistance which is responsive to your needs.

o The police will assist you by explaining police procedures, informing you of your rights and making the appropriate referral to other relevant services providers.

o The office manager or head of department at the court will provide for the services of an interpreter.

o The prosecutor will ensure that special measures are employed in relation to sexual offences, domestic violence and child support or maintenance matters and that, where available, such cases are heard in specialised courts.

o If you have special needs, all service providers will, within the scope of their functions, take all reasonable steps to accommodate you and ensure you are treated in a sensitive manner.

6. The right to compensation (receiving finances):

o You have the right to compensation for loss of or damage to property suffered as a result of a crime being committed against you.

o You can request to be present at court on the date of sentencing of the accused and request the prosecutor to apply to court for a compensation order in terms of section 297 and 300 of the Criminal Procedure Act, Act 51 of 1977.

o “Compensation” refers to an amount of money that a criminal court awards the victim who has suffered loss or damage to property, including money, as a result of a criminal act or omission by the person convicted committing the crime.

o The prosecutor will inform you if a compensation order has been granted, explain its contents and how to enforce it. You can institute a civil action against the accused where the criminal court did not grant a compensation order. This will usually happen where the damages are not easily quantifiable in financial terms, for example, in the case of psychological damages or pain and suffering.

7. The right to restitution (to replace or restore):

o You have the right to restitution in cases where you have been unlawfully disposed of goods and property, or where your goods or property have been damaged unlawfully.

o “Restitution” refers to cases where the court, after conviction, orders the accused to give back to you the property or goods that have been taken from you unlawfully, or to repair the property or goods that have been unlawfully damaged, in order to restore the position you were in prior to the commission of the offence.

o The prosecutor will inform you what restitution involves and the clerk of the court will assist you in enforcing this right.

COMPLAINTS

Keeping in mind that you have the right to complain, you can contact the particular government department or service provider if you have any complaints with regard to the service you are receiving, or if your rights are not being observed. If you are not satisfied with the way in which your complaint is handled, you can also contact organisations such as:

a. The Office of the Public Protector

b. The South African Human Rights Commission

c. The Commission on Gender Equality

d. The Independent Complaints Directorate

e. Metropolitan Police Offices

f. The Health Professions Council of South Africa

g. A lawyer of your own choice and at your own expense

For more information on any issue contained in this Charter you can contact the Department of Justice and Constitutional Development’s Gender Directorate at the following numbers:

Tel: 012 315 1670

Tel: 012 315 1296

Fax: 012 315 1960

As well as Court Services Support Directorate at the following numbers:

Tel: 012 315 1830 Email: victimcharter@justice.gov.za

Tel: 012 315 1378 Website: http//:www.doj.gov.za

Fax: 012 315 1851

Victim Support: A National Need

A call to action

In 2007, following media exposure on 702, people responded to the story of "iThemba" (a pseudonym) a four year old girl who had been violently raped by a 26 year old and then re-victimized when she was taken to a provincial hospital in Springs.

While she was playing in her grandparent’s yard in Daveyton, she was lured to a veld with the promise of money for sweets, R2.40 to be precise. It was here that Sanele Mahlangu raped her. Her screams alerted a young woman in a house across the road from the maize field. With the help of the community, this young woman stopped the rapist and picked up the screaming child, the community then restrained Sanele. When the child calmed down, she held out her hand to her rescuer, opened up her clenched hand and said ”please give this money to my mamma, she needs it”

The little girl, together with her grandma was rushed to a provincial hospital in Springs. There they waited. When her grandma requested help, the nurses told her “we don’t do rape”

The injuries she sustained shocked detectives from the North Rand child protection units. Her non treatment at the provincial hospital led to a a media and community outcry. It was only 24 hours later that she received treatment and was also examined by a district surgeon who performed a forensic examination. Little iThemba was then taken to a private hospital for rehabilitative treatment.

The investigating officer advised me that the High Court in Delmas had handed down a LIFE SENTENCE to Sanele Mahlangu. JUSTICE SERVED!

We may not stop violence or crime, but it is our response of kindness and determination to ensure that justice takes place that makes the difference.

Another story of hope began unfolding on the 5th November, 2009 when a little girl of approximately 5-6 years of age was bought into our centre for examination. A neighbour in Etwatwa, heard small mewing noises coming from a shack in her neighbourhood.

The police were called in to investigate and upon opening the shack door were horrified to find the little girl, tied by her ankle to a table drinking out of a bowl and gnawing on a bone. Here they found little "L" Little "L" had no sense of balance, could not walk and was not potty trained. She had even been eating her own faeces at her shack.

Her moods swung from uncontrollable laughter to violence; her knees, elbows and ankles were covered in hard callouses.

Our counsellor placed a doll in her hands which she threw away, she did not respond to any form of maternal affection... "L" displayed inappropriate promiscuous behaviour during the forensic examination, which also proved to be positive. The mother "Little L" was supposed to have trusted and depend on for a normal childhood was the very same person who ripped her innocence away from her. The mother has since been imprisoned and is awaiting trial.

A week later, Little “L” came into our centre with the lady providing her care: there is such a turnaround. When I met her, she was unable to talk but grunts and tries to talk in limited syllables. I gave her a teddy bear and put my arms out. She was helped toward me as she cannot walk on her own, and hugged me. She held me tight... Afterwards I was quite emotional and had to walk away to hold back the tears. Then she played with one of our counsellors’. Laughing!

This story of Horror has slowly developed into a story of joy and healing.

Little ‘L’ has visited us for the fourth time. Considering her staggeringly awful start to life there is such positive improvement that one can only rejoice at her stamina and tenacity. We cannot believe the difference in her overall appearance and her amazing capabilities. Not only has she managed to take her very first steps on her own but she is attempting to communicate through hand gestures and simple words. Her first real word was ‘Ma’, which was directed to her caregiver.  She now identifies the children that she shares her life with by their names and is able to participate in a few of their games. Her skin tone has changed from a grey scaly texture to a silky sheen; her eyes are brighter and she is more aware of her surroundings. There is strong evidence that Little ‘L’ is being taught social skills and is accepting of the healthy boundaries set for her. A visible bond of trust, love and respect has developed between Mrs. ‘M’ and Little ‘L’ and we can only hope that the courts see fit to keep Little ‘L’ with her Foster Mother.

It is too early to tell whether little ‘L’ was born disabled or whether her ordeal is the reason for her setbacks. It will only really be evident after extensive long-term therapy. There are times when she hides in her cerebral world, especially when distressed. We must not forget that her world was a small, dark shack with almost no human interaction for the first six years of her life – the big, wide world must be terrifying for her. We are witnessing the power of love first hand. Without the warmth and compassion of her Foster Mother and her family it is doubtful that she would have really had a chance in life. We are hoping that the Media attention surrounding little ‘L’ will bring about an awareness of child rape.

IThemba has been in a fortunate position to provide assistance to victims of such heinous sexual violence. Unfortunately, these are only two cases out of a few thousand that iThemba has been involved in, and demand for assistance usually outstrips capacity and resources available.

And so, IThemba Rape and Trauma Support Centre is faced with the unenviable task of asking major companies and corporations to donate money to them in return for little more than a good feeling or as a way in which to obtain BEE points for those vital government projects. Many corporations view corporate social responsibility as a way in which society can be gradually changed through societal change.

As the managing director of the Tshwane Leadership Foundation, Dr Stephan de Beer puts it: “More often than not, the investments by companies bear real fruit and make a tangible difference in people’s lives. In return we make sure that we realize the best value possible from every donation by helping to build healthy communities.

I don’t believe in charity, but I do believe that investing in humanity will bring about change in our society, and will change South Africa for the better.

Through these two amazing little girls we have recognized the need for a Victim’s Support Fund to enable survivors the opportunity to find some semblance of normality and empowerment after rape.

Partnered with this fund is the development of a National Trauma Support Helpline 0861 HOPE 4 U (0861 467 348) to enable victims of crime to access services and be advised of their rights.

Your support will ensure that these services will make a difference in the lives of many voiceless victims of crime.

CHILD SEXUAL ABUSE :- AND THE ROLE OF VICTIM “ GROOMING”

By Pat Kingsley: B.Psyche intern

The sexual abuse of children wreaks lasting damage in the lives of victims.

If survivors are not given the necessary physical, emotional and psychological support and treatment after such an event, a person can experience ongoing re-victimisation and debilitating symptoms for years. These symptoms may also include depression, guilt, anxiety, shame , humiliation, post-traumatic stress disorder, personality disorders, negative self-image, alcoholism , drug abuse and eating disorders to name but a few.

Paedophilia can best be described as a strong sexual attraction to children and/or early adolescents.

“Grooming” is a term used to describe the emotional and/or sexual engagement process that occurs between a paedophile and his/her victim. The main purpose of “grooming” is to break down any form of resistance that a victim may offer; to soften up a victim and convince them that sexual engagement is normal and desirable.

Paedophiles tend to use a combination of enticement and entrapment.

- These methods could include the use of deceit, rewards, merit systems , secrecy, private letters and messages between the child and the paedophile , exposing the child to pornographic material and / or including the child in such, blackmail, threats of exposure to parents and friends.

This process tends to escalate in intensity, until full sexual engagement has occurred.

There must be opportunity (privacy) if the abuser is to be successful. Be aware of the whereabouts of your child. Only allow your child to be in a trusted adult’s company. Be especially aware of who they are talking to over the internet. The internet has proven to be a very useful tool in the “grooming” process.

Grooming

While there are many ways in which paedophiles track and start relationships with children, the following information may be useful for parents and teachers alike.

§ Children can be groomed over many weeks, months and years.

§ For paedophiles, age, physical attributes, personality and degree of vulnerability are important when choosing their victims.

§ Grooming often involves targeting the intended child’s family which is also befriended and groomed to trust the paedophile completely with the child.

§ Paedophiles find families by looking for single parents on dating sites and in the personal section of newspapers.

§ They also trawl adverts of people looking for babysitters.

§ Because paedophiles pay attention to children’s interests (current bands and TV shows, as well as fashion trends and language), they are able to engage with children and gain their trust.

§ When looking after the child, they allow the child to eat things they’re not supposed to, let them stay up late and watch TV programmes there are not normally allowed to.

§ This gets the child to start keeping all kinds of secrets and show the child that they can trust the paedophile with their secrets.

§ The paedophile becomes the child’s ‘special friend’ and they do ‘special things’ together.

§ The paedophile will show the child lots of affection, starting with hugs and cuddles, and slowly becoming more sexualised like kissing and touching.

§ The paedophile may introduce the child to pornography to show the child that it is normal and something ‘everyone’ does.

§ Throughout this process, the paedophile will assess the child’s ability to keep all these things secret.

§ The child starts to need this ‘friendship’ and will be willing to do things to keep up the relationship.

§ Even though the child is being sexually abused, they will return to the paedophile because they don’t want to lose the friendship and are afraid that if they don’t obey the paedophile, there will be negative consequences.

§ The paedophile will play on the child’s emotions and thoughts, because in some cases the child may even become sexually aroused. This will make the child feel guilty because if they are aroused, it means that they must have wanted it.

§ Eventually the child will go beyond the preferred age and the paedophile will then reject the child, or get the child to ‘recruit’ other children.

WARNING SIGNS

There are a few signs parents, guardians and teachers should pay attention to which may reveal that the child is being sexually abused:

§ Scratches, bruises and complaints of pain in the genital area.

§ Sexual knowledge that is inappropriate for their age, such as words they use to describe their private parts.

§ Drawings of a sexual nature, such as people without clothes or showing private parts in detail.

§ Inappropriate sexual behaviour such as rubbing up against people and excessive masturbation.

If you need assistance

Please contact us on our Trauma Support Helpline

0861 467 348

0861 HOPE 4 U

 

 

Sexual violence rife at South African borders

If people are not aware of what is happening, how can we stop what is happening ? Please read this article- Philip Stoneman

Written by Becky Palmstrom | 05 August 10

Republished with the permission of Genderlinks opinion service : http://www.genderlinks.org.za

Musina, 5 August. Unlike schools and offices in South Africa, the criminal gangs along the border between the World Cup hosts and Zimbabwe did not take a break because of a sports tournament.

As thousands of foreign fans flocked to the football stadiums and hundreds of journalists arrived to cover the first African World Cup, along the border another influx of foreigners received a different sort of welcome. They were not met with bright green and yellow flags and vuvuzelas, instead, these foreigners faced armed attacks and a pattern of sexual violence employed systematically to traumatise already vulnerable people.

"All I was thinking about was the work that I will do in South Africa," says 16-year old Grace Moyo*, as she sits rocking the two-year-old child she cares for. "I was just saying God help me so that I will find work."

It was the day before the World Cup opening ceremony when Moyo began a journey she had taken once before, crossing, without papers, the parched bush-land, three barbed wire fences and the Limpopo River.

Just as her small group reached South African territory she saw four armed men waiting. They forced the women to remove their clothes before raping each one of them in turn.

"When they were trying to rape me - I fought against them and so they put a gun to the baby's head and so I let them rape me," continues Moyo. "I think that if I didn't have a child they would have killed me."

Known as the magumaguma, from a word meaning "to grab", the men took all of Moyo's clothing when they left, a final indignity to punish her resistance. Tied up on the side of the road, the women were left in the midday sun. None of them filed a case with the police.

The civil society organisations working along the border say her story is typical: If there are men crossing, they are forced to have sex with the others in the group. If there are no Zimbabwean men, as in Moyo's case, the magumaguma, both men and women, do the raping. Condoms are never used.

"It is a crisis," says Mikael Lepaih, head of mission for Medicins San Frontieres (MSF). "We are seeing a pattern," he says. "It leads to questions as to if the gangs are using HIV as a weapon." Since January of this year 143 rape survivors have sought medical treatment at MSF clinics in Musina, some as young as 14 years old.

"These numbers are only those that register with us," says Tambu Matambo, the MSF Musina deputy field coordinator. "We think the numbers are much higher."

Matambo had recently worked with Moyo and put me in touch with her for this story.

Forced rape of family members is now so common that Zimbabweans deny being related: "If the gangs realize you are related they force you to have sex with each other," says Matambo.

While special courts set up for the World Cup offered rapid justice for fans visiting the country, the police seldom register sexual violations along the border, and nobody has been prosecuted for the attacks. The South African government spent 53.5 billion rand, or six percent of the country's budget, on stadiums and transport infrastructure. Along the border Zimbabweans were met only with humiliation.

Despite ending deportations last year, South Africa's treatment of Zimbabweans is partly to blame for their vulnerability, says MSF. In a country where domestic workers earn on average R75 a month, most Zimbabweans cannot afford the R1100 needed to buy a passport, leaving people with little choice but to cross the border without documents, and dependent on the very criminals who rob and rape them. Once they cross many apply for asylum status.

"Most of the people say political problems as such are not the issue, it is economic problems." says Thabe Mogoboya from Lawyers for Human Rights, a legal organisation that works in Musina. Coming to South Africa, "is a recipe for a better life. But if this is the case, your claim for asylum is unfounded according to the refugee act," he says.

The asylum process allows people to stay for 30 days while their case is decided, but 99% of cases are turned down. Even with the option to appeal it is a system that fails to recognise the reality of migration between the two countries, says Lepaih from MSF.

Worse still, the systematic nature of the sexual violence, regardless of gender, may suggest the collaboration, or at least tacit consent, of border officials and police officers, says Thabe Mogoboya, particularly on the Zimbabwean side. "It needs both governments to say let's do something about this problem," he says. "More so when there are allegations that the Zimbabwean soldiers are involved."

For a country anxious about foreigners, turning a blind eye to systematic abuse along its border is a way of dissuading further migration.

About 300 Zimbabweans, like Moyo, file for asylum at the Department of Home Affairs in Musina every day. Hundreds more cross without papers and are never registered.

South Africa is being congratulated on its success, but now that the world's largest sporting tournament is over, it is time to apply the same urgency and efficiency used to host the World Cup to its problems along the border.

*Grace Moyo is a pseudonym.

Becky Palmstrom is a Rotary World Peace Fellow at UC Berkeley. This article is part of the Gender Links Opinion and Commentary Service.

The importance of effective victim support

The Risk of Secondary Victimisation

Recently I was told a story about a victim support worker at a police station who had been called in to assist a survivor of rape. As she guided the rape victim into one of the rooms for victim support she looked at the victim and said “ Undress and show me where he raped you” What is more shocking is that there are many more horror stories of people in positions of authority and power, such as victim support workers, EMS personnel, police and security officers treating victim of crime in such a way that may not be as degrading as this story, but is insensitive to the extreme. A form of secondary victimisation…

Secondary victimisation has been defined as being “exposure to further distress from the people or institutions from which one is supposed to be receiving assistance” (SAITS 2004) This could be described as insensitive treatment by service providers, doubt of the event, mistrust, judgement or in the words of a senior police inspector for Scotland Yard “ simply raising an eyebrow in disbelief” which could be construed as non validation of the experience or a form of victimisation.

It has become evident that the challenges facing communities regarding the effective management of survivors of trauma incidents and sexual violence are great. One of these challenges is the effective forensic examination of rape survivors and subsequent trauma management, a problem even at national level.

On a national level, the high levels of violent crime, especially social crimes such as rape, domestic violence and child abuse combined with low economic growth, high levels of poverty and widespread unemployment can lead to serious psychosocial consequences: (SAITS 2008)

Brian Mckendrick states in People and violence in South Africa, 1990 that “Simply by being a part of the (South African) society, the lives of all are touched- and tarnished- by violence: Perpetrating it, legally or illegally; being a victim of it, directly or indirectly and being a witness to it, first-hand or via the media.”

Violence effects change in our society, and our community and in the way we live life. Violence has a far reaching effect on the members of our society, whether one is the perpetrator, the victim or even if one reads or hears about violence. Violence changes our understanding of life. The trust we place in society and humankind is broken down, and we become numbed to the violence to the violence we see daily and come to accept violence as normal.

And so an unmistakable reality in South Africa is that crime and violence impacts in such a way that violence becomes for some the only method used to solve problems, for others an accepted way of life and for many a constant intrusion that disallows normal living, commonly known as traumatic stress.

Unfortunately, many South Africans are unable to access the psychosocial trauma support services for a number of reasons: Poverty, language and cultural barriers, Inadequate resources or services in the area, insufficient financial resources available to survivors, transport problems, and even if these barriers are overcome there are additional barriers faced at police stations where secondary victimization is more the norm rather than the exception.

According to the White paper on safety and security, there is a substantial need to “Improve the quality of service delivery to victims of crime” and that “victimization constitutes a violation of human rights. Empowerment of victims of crime therefore restores human rights and is an important element of police service delivery.” “International experience has shown that effective management of both direct and indirect victims and witnesses of crime is a vital part of successful police investigations. This is, in itself, integral to community policing which seeks to build relationships between the police and local communities.

It is here that victims and witnesses play an important role in assisting the police in the collection of evidence and through participating in the process of prosecution.

This means that improved victim support and empowerment can assist investigations and serve as a means of altering public perceptions of police effectiveness. Thus, the link between victim support and successful investigations is critical to improving service delivery and therefore to enhancing public confidence in the police.” (Department of Safety and Security, 1998)

So, quite simply put: “Improved victim support will improve our fight against crime!”

Our plan of action then should be to ensure that we mobilise members of the community, train them effectively in the field of victim support, empowerment and trauma support and then manage these important resources in such a way that we provide victims of crime an opportunity to come forward and receive care.

I was told this morning of VEP facilitators who had been going door to door in their villages (Phokeng, North West) and telling people about their trauma centre. What services they offer, how they can assist and what trauma is. The response to one such VEP volunteer was a young 18 year old male who had been struggling with anger issues, to recognise how his abusive father  had affected him as a child. This young man, is now willing to seek help, counselling and even return to school: a possible criminal will now become a productive member of society.

Victim support is vitally important, let us ensure then that we invest heavily in this field.

Philip Stoneman

South Africa : Suffering from cumulative trauma…an interesting concept?

Visitors from around the world have started to converge on the most southern tip of Africa.The land of rugby, braaivleis and boerewors,( please excuse my cliché's) the Springbok,the Protea and Bafana Bafana…the Boys!

In the time period leading up to the FIFA Soccer World Cup, much has been said, debated and discussed about our high levels of crime. Government departments would defend our capability to manage crime, and so they should, yet some citizens would cry out that all is not well in the rainbow nation, that “crime does exist in South Africa, that the levels of crime are high and the intensity of violence real.”The visitors that are setting foot on our land have not been exposed to such a violence. Will they be the catalyst that allows us to see through their eyes, what truly is taking place?

The response of those in power is to acknowledge that crime is taking place but that the incidents of crime are becoming more manageable. However, we seem to be missing the point; is it not possible, that South Africans have reached their “allopathic load” in terms of exposure to trauma as a nation?

Allopathic load,  is defined as the disturbance between load and physical capacity as affected by cumulative trauma. In other words, continuous and cumulative exposure to trauma over time within our communities and society, is pushing the capacity for self management of “societal traumatic stress” to its breaking point.

In other words, have we not just had enough? and that the signs ( or cracks) that are showing in our rainbow nation indicative of the stress we as a nation are under, are due to our exposure to violence and crime in our media and communities?

It is time that our leaders sit up and take note!

If we as a nation do not undergo therapy, reconciliation and healing, we may implode. Perhaps an over exaggeration,but our levels of domestic violence are increasing, road rage is the norm, our politicians do not find assertive methods of managing conflict and instead turn to violent rhetoric and threats of violence.

Fortunately, the load has been offset by the good willed Madiba Magic permeating levels of society. but is this enough to truly enable a nation to heal itself from a serious case of Post Traumatic Stress Disorder?

It is time that we think about a solution to our violent society, before its too late.

Perhaps you would Change A Life and help find that solution?

Philip Stoneman

Community awareness with Mama Rose

A very important part of the “Life Changing” work we do at iThemba is regular awareness campaigns and educational talks at schools on the east rand. A challenging job, but one that Rosina Maja (also known as Mama Rose) takes in her stride. Here are a few photo’s of Mama Rose in action….

under her spell…. a recent anti rape meeting…

All women love to be pampered…

All the little children….

and finally, important partners in the fight against crime:our police.

Capacity building in Phokeng

Rustenburg / Phokeng : Host city for Soccer World CupFootball frenzy…or should I say “Soccer World Cup” frenzy has taken hold of Rustenburg and Phokeng. Flags are up all over the place, the malls,side streets,cars, taxi ranks and even the local workforce got into the spirit!

However the real reason for being in Phokeng, was not to partake in the “soccer frivolities” but to partner with the South African Institute of Traumatic Stress to provide training to victim empowerment facilitators in the Phokeng region. Such capacity development and training in areas such as these are vital not only for the recipient organization, but also for the facilitators who leave refreshed and encouraged by the passion and commitment of people within their communities to make a difference, or as we @ iThemba like to put it…to “Change a Life”

 

In the next few blogs I will be sharing some of those lessons I learnt with my readers….regards, Phil.

Thank you to Computershare

A BIG Thank You to Computershare for their Enormous contributions and faith in iThemba. In this photo is iThemba's Director, Mr Philip Stoneman, the forensic nurse and some of the iThemba staff and volunteers, together with 200 care packs that the Computershare's CSI Committee compiled and delivered at iThemba for victims of crime.

The iThemba CSI team….One Mean Team

I just love working at iThemba… You will look far for so much dedication and passion.

Beware criminals: we're not a bunch of softies....       we are a mean team!!

Oh yes beware, when our CSI brains start working we don’t settle for less than a few life sentences!!!!!! We have an awesome team, I love how we allow and support each other to grow!!   IThemba is a true inspiration....

                - Some comments from our staff:

You guys are truly special and are what makes iThemba such a success..We are growing because of your dedication,commitment,loyalty and passion!!!

  Some of our staff members……

A View inside iThemba…..209 Elston ave Benoni

 

Inside our Medico-Legal Section…..

One of our examination rooms with JY-26 Colposcope

Our Senior Forensic Nursing Manager ( and Trainer) Sr.Christa Rollin

State of the art forensic equipment: JY-26 Colposcope

News from iThemba

This year started at a frenetic pace for iThemba. With the support of and partnership with a number of partners and sponsors, we have started growing from being a local centre in the city of Benoni to a regional, if not provincial centre in Gauteng.

As detailed in the report below, we have not only increased our capacity for forensic nursing to a total of three forensic nurses but have steadily recruited volunteers and have some passionate and very talented psychology students interning at iThemba whilst being trained by iThemba in trauma support. This in itself contributes to iThemba developing people in the field of traumatic stress and lends itself to a culture of learning within the organization of iThemba.

I have also had the opportunity to work closely with the local police crime prevention unit on a more operational level (meaning I get to wear a bulletproof and race around with blue lights...!) allowing me to gain a more experiential insight into the stressors that our police officers face. Hopefully this experience will enable my training team to develop a programme that will assist the police on a local level to manage their stress more effectively. I must be honest that I myself have experienced an increased level of stress during this period and even needed time off: this leads one to appreciate even more the challenges faced by our police officers who are full time in this line of work. Just last week, iThemba was fortunate to provide training to a number of the SAPS DCT North Rand trainers as well as five other psychology students.

I believe that iThemba is steadily growing into an organization that will contribute to the reconciliation and renewal of our society through our work the field of traumatic stress and the trauma support and hope offered to both individual victims of crime and communities affected by violence. The partnership iThemba has with its sponsors will truly change the lives of such victims and communities.

Thank you Friends of IThemba.

Regards

Philip Stoneman

Update on iThemba’s Progress January – April 2010      (Michelle Bellion)

The centre was inundated with cases in January 2010 (see stats), since then a definite increase has been experienced since the same period in 2009. This could be due to an Awareness Campaign run at the various police stations.

VICTIM EMPOWERMENT CENTRES

Life Line and iThemba have been approached by the Gauteng Safety and Security MEC to run the Victim Empowerment Centres on the East Rand. VEC’s have become an integral part of police stations and iThemba will be supervising 13 locally based centres. The aim is to educate and assist the public with regard to trauma and rape, to encourage improved service delivery and community building between the police and the public and to effectively support survivors of serious crime so building a sense of trust between them and the SAPS. IThemba objective is to not only support the survivors of trauma and serious violent crime through awareness and education but also to become involved with advocacy of the medico legal aspects of rape by re- training the members of the SAPS. Part of this is to establish trusting relationships whereby iThemba will offer informal counselling services to those SAPS members most in need. All VEC volunteers are to be thoroughly trained in trauma, counselling skills and HIV awareness.

HELP LINE 0861 HOPE 4 U: 0861 467 348

The Help Line has been installed and through the article in the Caxton’s People Magazine we have received calls as far away as East London, the potential of this Help Line is enormous. A comprehensive resources list is currently being collated and the call protocols and practices are being drawn up. IThemba would like to officially launch the Help Line over the 16 Days of Activism period (November 25 – December 10, 2010.).

SUPPORT GROUPS

iThemba has identified a need to reach survivors of rape & trauma in our local townships. Often after rape the survivor is not able to return to the centre for follow-up counselling due to financial constraints. We will be holding training sessions - end of May - for volunteers from the surrounding townships to assist with the trauma, counselling and HIV of these survivors. Our aim is to make initial contact by way of a house call and then subsequent follow ups to be done at their local VEC in the township where Groups will not only be counselled and be given education but also be supervised by a B.Psych. Intern, thereby we ensure that the survivor receives complete holistic therapeutic support to the point of recovery and re-integration into their community.

TRAUMA WRITTEN ENQUIRY ASSISTANCE

Through our local news paper we have asked the public to send us their questions on trauma. We have our local Psych students standing by to research and personally respond to the incoming mail. The most newsworthy letters will be published with their responses.

What does our future hold?

What can we as a society do to change this cycle of violence?

 

In our society where babies are raped and our grandparents are bludgeoned to death, we live in fear of violent criminals. Even outside of the suburbs, township residents live in fear of these same violent criminals. Yet, if one of these criminals were to be caught by the community, the street justice meted out is as brutal as the methods employed by these criminals. Calls are made for the re-introduction of the death penalty, but is that the most viable option?

If we are to change the culture of violence, is the solution, more brutal methods of justice?

Or do we, as South Africans, need to change our attitudes towards violence and determine another course of history by providing new options? Perhaps we need to look at ourselves and accept a certain amount of responsibility for the current level of violence?

How can we as a community accept responsibility and at the same time define what that responsibility is?

We are responsible if we do nothing. We are responsible if we believe that the simple re-introduction of the death penalty might be sufficient. We are responsible if we can ignore the injustices amongst the poor and impoverished. We are responsible if we believe that by enforcing the law in the suburbs only and not in poorer areas will prevent the violence, in fact we are idiots if we think that having a laager mentality will protect us from violent behaviour.

The attempt to change the culture of resorting to violence needs to be accomplished on various levels and the drive to stop the violence needs to come from all cultures and people groupings.

Attempts by the government to crack down on crime should be coupled with efforts within the impoverished communities to combat poverty, AIDS and homelessness and joblessness. Focus also on underlying problems such as learnt helplessness. Other areas that could be addressed include the lawlessness with the prison community. Rehabilitation of prisoners will not be achieved if the violence within the prison walls continues.

Changing the cycle of violence goes a lot deeper than outward changes. There needs to be an inner transformation in the hearts and minds of the members of my (our) community. Attitudes towards crime and violence need to change. The government needs to recognise the effects of violence on the general population and approach social services and social welfare organizations to assist in the counselling of trauma victims. It has been shown that where victims have received counselling and therapy and have gone on to being a survivor instead of a victim, they have been proactive in working against eradicating violence or assisting other victims of violence. The education and empowerment of all members of society as to the effects of violence on society could go a long way to changing attitudes and may bring down the unacceptably high levels of violence.

There is no short cut to changing the cycle of violence in our community, but by developing a programme adopted by all governmental, NGO’s and social welfare groups that looks at all aspects which contribute to violence and then to work towards healing amongst victims we might have a chance.

     - Philip Stoneman