Bosnia & Herzegovina

Posttraumatic Stress Disorder and Psychiatric Co-Morbidity: Symptoms in a Random Sample of Female Bosnian Refugees

Citation:

Sundquist, Kristina, Leena-Maria Johansson, Valeri DeMarinis, Sven-Erik Johansson, Jan Sundquist. 2005. "Posttraumatic Stress Disorder and Psychiatric Co-Morbidity: Symptoms in a Random Sample of Female Bosnian Refugees." European Psychiatry 20 (2): 158-164.

Authors: Kristina Sundquist, Leena-Maria Johansson, Valeri DeMarinis, Sven-Erik Johansson, Jan Sundquist

Abstract:

Objectives: This study investigated psychological symptoms in Bosnian women 3–4 years after their arrival in Sweden.

Subjects and methods: A simple random sample of 163 Bosnian women aged 19–59 was drawn from the Swedish populations register in 1996. The control group consisted of 392 Swedish-born women. Data were collected in face-to-face interviews. The Hopkins Symptom Checklist 25 (HSCL-25) and the Posttraumatic Symptom Scale (PTSS-10) were used to measure psychological symptoms of depression, anxiety, psychological distress, and posttraumatic stress disorder (PTSD). Unconditional logistic regression was used to estimate odds ratios (OR) for psychological symptoms after adjustment for age, country of birth, education, marital status, economic difficulties, social network, and feeling secure.

Results: The prevalence of symptoms of PTSD was 28.3% among the Bosnian women. Bosnian women had significantly higher risks of symptoms of depression, anxiety, and psychological distress than Swedish-born women. For depression the odds ratio was 9.50 among Bosnian women.

Conclusion: Psychiatric community interventions need to target Bosnian refugee women. Awareness among health-care workers who encounter these women in a clinical setting should be improved.

Keywords: posttraumatic stress disorder, mental health, female refugees, depression, anxiety

Topics: Displacement & Migration, Refugees, Gender, Women, Health, Mental Health, PTSD, Trauma Regions: Europe, Balkans, Eastern Europe, Nordic states, Northern Europe Countries: Bosnia & Herzegovina, Sweden

Year: 2005

Adjustment to Trauma Exposure in Refugee, Displaced, and Non-Displaced Bosnian Women

Citation:

Schmidt, Martina, Nera Kravic, and Ulrike Ehlert. 2008. "Adjustment to Trauma Exposure in Refugee, Displaced, and Non-Displaced Bosnian Women." Archives of Women's Mental Health 11 (4): 269-76.

Authors: Martina Schmidt, Nera Kravic, Ulrike Ehlert

Abstract:

The war in Bosnia resulted in the displacement of millions of civilians, most of them women. Ten years after the civil war, many of them are still living as refugees in their country of origin or abroad. Research on different refugee groups has continuously reported persistent levels of posttraumatic stress disorder (PTSD) and other mental-health problems in this population. The present study compared PTSD and self-concept in Bosnian refugee women ( n = 29) with women who were internally displaced (IDP; n = 26) and non-displaced women ( n = 32). Data were collected using the Bosnian Trauma Questionnaire and four scales assessing self-esteem, perceived incompetence, externality of control attribution, and persistence. IDPs scored significantly higher on PTSD symptoms, externality of control attribution and perceived incompetence, and lower on self-esteem than both refugee and non-displaced women. The level of education most strongly predicted PTSD symptom severity, followed by the type of displacement, and exposure to violence during the war. Associations of self-concept with displacement and psychopathology were inconsistent, with type of displacement predicting control attributions but not other aspects of self-concept and PTSD symptoms being partly related to perceived incompetence and self-esteem. These results support previous findings stating that, in the long run, refugees show better mental health than IDPs, and that witnessing violence is a traumatic experience strongly linked to the development of PTSD symptoms. Results further indicate that education plays an important role in the development of PTSD symptoms. Associations of control attributions and type of displacement were found; these results have not been previously documented in literature.

Keywords: trauma, female refugees, internally displaced people, mental health, posttraumatic stress disorder, female civilians

Topics: Displacement & Migration, IDPs, Refugees, Gender, Women, Health, PTSD Regions: Europe, Balkans Countries: Bosnia & Herzegovina

Year: 2008

Rape, Torture, and Traumatization of Bosnian and Croatian Women

Citation:

Kozaric-Kovacic, Dragica, Vera Folnegovic-Smalc, Jarmila Skrinjaric, Nathan M. Szajnberg, and Ana Marusic. 1995. "Rape, Torture, and Traumatization of Bosnian and Croatian Women." American Journal of Orthopsychiatry 65 (3): 428-433.

Authors: Dragica Kozaric-Kovacic, Vera Folnegovic-Smalc, Jarmila Skrinjaric, Nathan. M. Szajnberg, Ana Marusic

Abstract:

The first 25 Bosnian women admitted to the Zagreb Obstetrics and Gynaecological Clinic or its associated regional psychiatric centers were assessed using both clinical and post-traumatic stress disorder interviews. Most of the women had been multiply traumatized; all had been repeatedly raped. Psychological status was assessed for those women who were not impregnated, for those impregnated who received abortions, and for those impregnated who carried the fetus to term.

Keywords: war rape, Torture, trauma, mental health, posttraumatic stress disorder

Topics: Gender, Women, Gender-Based Violence, Health, Mental Health, PTSD, Reproductive Health, Trauma, Sexual Violence, Rape, SV against Women, Torture Regions: Europe, Balkans, Eastern Europe Countries: Bosnia & Herzegovina, Croatia

Year: 1995

Psychological Consequences of War Trauma and Postwar Social Stressors in Women in Bosnia and Herzegovina

Citation:

Klarić, Miro, Branka Klarić, Aleksandra Stevanović, Jasna Grković, and Suzana Jonovska. 2007. "Psychological Consequences of War Trauma and Postwar Social Stressors in Women in Bosnia and Herzegovina." Croatian Medical Journal 48: 167-176.

Authors: Miro Klarić, Branka Klarić, Aleksandra Stevanović, Jasna Grković, Suzana Jonovska

Abstract:

Aim: To assess the consequences of psychotrauma in civilian women in Herzegovina who were exposed to prolonged and repetitive traumatic war events and postwar social stressors.

Methods: The study included a cluster sample of 367 adult women, divided into two groups. One group (n = 187) comprised women from West Mostar who were exposed to serious traumatic war and post-war events. The other group (n = 180) comprised women from urban areas in Western Herzegovina who were not directly exposed to war destruction and material losses, but experienced war indirectly, through military drafting of their family members and friends. Demographic data on the women were collected by a questionnaire created for the purpose of this study. Data on trauma exposure and posttraumatic stress disorder (PTSD) symptoms were collected by Harvard Trauma Questionnaire (HTQ) – Bosnia-Herzegovina version. General psychological symptoms were determined with Symptom Check List-90-revised (SCL-90-R). Data on postwar stressors were collected by a separate questionnaire.

Results: In comparison with the control group, women from Western Mostar experienced significantly more traumatic events (mean Å} standard deviation [SD], 3.3 Å} 3.2 vs 10.1 Å} 4.9, respectively, t = 15.91; P<0.001) and had more posttraumatic symptoms (12.3 Å} 10.3 vs 21.2 Å} 10.9, respectively, t = 8.42; P<0.001). They also had significantly higher prevalence of PTSD (4.4% vs 28.3%, respectively; χ2 = 52.56; P<0.001). The number of traumatic events experienced during the war was positively associated with postwar stressful events both in the West Mostar group (r = 0.223; P = 0.002) and control group (r = 0.276; P<0.001). Postwar stressful events contributed both to the number and intensity of PTSD symptoms and all general psychological symptoms measured with SCL-90 questionnaire, independently from the number of experienced traumatic war events.

Conclusion: Long-term exposure to war and postwar stressors caused serious psychological consequences in civilian women, with PTSD being only one of the disorders in the wide spectrum of posttraumatic reactions. Postwar stressors did not influence the prevalence of PTSD but they did contribute to the intensity and number of posttraumatic symptoms.

Keywords: trauma, mental health, posttraumatic stress disorder

Topics: Gender, Women, Health, Mental Health, PTSD, Trauma, Post-Conflict Regions: Europe, Balkans, Eastern Europe Countries: Bosnia & Herzegovina

Year: 2007

Children and Mothers in War: An Outcome Study of a Psychosocial Intervention Program

Citation:

Dybdahl, Ragnhild. 2001. "Children and Mothers in War: An Outcome Study of a Psychosocial Intervention Program." Child Development 72 (4): 1214-30.

Author: Ragnhild Dybdahl

Abstract:

The present study was designed to evaluate the effects on children (age: M=5.5 years) in war-torn Bosnia and Herzegovina of a psychosocial intervention program consisting of weekly group meetings for mothers for 5 months. An additional aim was to investigate the children's psychosocial functioning and the mental health of their mothers. Internally displaced mother-child dyads were randomly assigned to an intervention group receiving psychosocial support and basic medical care (n=42) or to a control group receiving medical care only (n=45). Participants took part in interviews and tests to provide information about war exposure, mental health, psychosocial functioning, intellectual abilities, and physical health. Results showed that although all participants were exposed to severe trauma, their manifestations of distress varied considerably. The intervention program had a positive effect on mothers' mental health, children's weight gain, and several measures of children's psychosocial functioning and mental health, whereas there was no difference between the two groups on other measures. The findings have implications for policy.

Keywords: mental health

Topics: Age, Youth, Gender, Women, Girls, Boys, Health, Mental Health Regions: Europe, Balkans Countries: Bosnia & Herzegovina

Year: 2001

Traumatic Events and Predictive Factors for Posttraumatic Symptoms in Displaced Bosnian Women in a War Zone

Citation:

Dahl, Solveig, Atifa Mutapcic, and Berit Schei. 1998. "Traumatic Events and Predictive Factors for Posttraumatic Symptoms in Displaced Bosnian Women in a War Zone." Journal of Traumatic Stress 11 (1): 137-45.

Authors: Solveig Dahl,, Atifa Mutapcic, Berit Schei

Abstract:

A study was conducted among 209 displaced women attending a Women's Center in a war zone in Bosnia-Herzegovina in 1994. Information on war-related traumatic events, sociodemographic factors and posttraumatic symptomatology was collected by means of a questionnaire. Post-traumatic symptoms were registered by using a 10-item Posttraumatic Symptom Scale (PTSS-10). Women with six or more symptoms were classified as a “posttraumatic symptom case” (PTS-case). Among women who had survived the most severe traumas (concentration camps or other kinds of detention) the proportion of PTS-cases was highest: 71% compared to 47% of the women without this kind of traumatic background. High numbers of traumas, having children, being over 25 years of age, and the reporting of an absent husband, were characteristics associated with being a PTS-case. In the multivariate analysis, severe trauma and reporting of an absent husband remained significantly associated with PTS-cases. Clinical implications were discussed.

Topics: Armed Conflict, Displacement & Migration, Gender, Women, Health, Mental Health, Trauma Regions: Europe, Balkans Countries: Bosnia & Herzegovina

Year: 1998

Women and the Genocidal Rape of Women: The Gender Dynamics of Gendered War Crimes

Citation:

Sjoberg, Laura. 2011. "Women and the Genocidal Rape of Women: The Gender Dynamics of Gendered War Crimes." In Confronting Global Gender Justice: Women's Lives, Human Rights, edited by Debra Bergoffen, Paula Ruth Gilbert, Tamara Harvey, and Connie L. McNeely, 21-34. New York: Routledge.

Author: Laura Sjoberg

Abstract:

Expanding on work from my 2007 book, Mothers, Monsters, Whores: Women’s Violence in Global Politics (with Caron Gentry), this chapter looks at the dynamics of women’s participation in the war crime of genocidal rape against other women. It asks both about why women participated and about how their participation was portrayed in media and scholarly accounts. The chapter looks at these questions by exploring five cases of women’s (alleged) commission of the war crime of genocidal rape. It concludes with a reformulated approach to the laws and norms against genocidal rape in the international community, taking account of women’s roles in the crime not only as (often) victims but also as (sometimes) perpetrators.

Annotation:

Quotes:

“This work, more often than not, defines genocidal rape as a crime where men are the perpetrators and women are the victims." (Sjoberg, 21)

“In previous work, Caron Gentry and I (2007) have identified these as the mother, monster, and whore narratives. The mother narratives feature women’s motherhood as a key motivator for their participation in violence. The mother narrative has two general strands – one that portrays women perpetrators of genocide as nurturing mothers, whose role in the conflict is to take care of and provide for their men – the fact that those men happen to be participating in genocide (and therefore nurturing them is too) does not change the women’s role in society or perception of their familial duty. The other strand of the mother narrative portrays women who commit genocide as vengeful mothers – avenging the deaths of their husbands, brothers, or fathers at the hand of those on the other side of the conflict.” (Sjoberg, 22-23)

“The second narrative we’ve identified is the monster narrative. This story of women’s motivation for involvement in genocide frames women perpetrators as severely psychologically disturbed. These stories tell women perpetrators as crazier and more monstrous than the men that they act with or alongside. Women’s monstrosity, in these stories, comes from the sort of irrational anger only women could have, or feelings of personal inadequacy coming from the inability to marry or have children.” (Sjoberg, 23) 

“The final narrative we’ve identified is the whore narrative. In the whore narrative, women’s participation in genocide is either defined by erotomania or erotic dysfunction. The erotomania story tells of women sexually obsessed with and therefore controlled by men – of women’s sexuality gone wrong and out of control. These women are portrayed as having committed genocide because their sex drive had gone out of control, and female sexuality at its worst is violent and brutal. The story of erotic dysfunction tells as story of a woman who has turned to violence because she is either unwilling to or unable to please men. These women are portrayed as having turned to violence because they were unable to function/serve as real women, which requires getting married and having children.” (Sjoberg, 23)  

“All of these stories about why women commit genocide share several things. First, they assume that the problem of why women commit genocide is a problem separate from the question of why men commit genocide (or even the question of why people generally commit genocide). Second, they preserve a distinction between women who are capable of violence and real or normal women who remain, as we have always assumed, more peaceful than men. Third, though real or normal women are seen as more peaceful than men, these stories depict women’s violence as the result of the excesses of femininity. Finally, these narratives imply that women cannot both be victims of genocide (as a class) and perpetrators of genocide (as individuals or as a group) – it has to be one or the other. Often, both in the public eye and in the academic literature, the identification of women as perpetrators has traded off with the recognition of women as victims.” (Sjoberg, 23)  

“Several accounts have also read women’s perpetration of genocide, genocidal rape, and other sexual crimes as a reversal of gender subordination – where women have become the perpetrators, and are therefore no longer the victims." (Sjoberg, 24)

“As such, the question of why women commit violence generally and genocide specifically is treated as a different question than the question of why men commit such violence. Women’s violence is often almost exclusively explained by gender-specific theories or gender-specified versions of traditional theories of individual violence. Women’s violence is explained as women’s violence rather than as women committing violence.”  (Sjoberg, 27)

“Their stories contradict the dominant narrative about what a woman is generally and about women’s capacity for violence specifically. Because their stories do not resonate with these inherited images of femininity, violent women are marginalized in political discourse. Their choices are rarely seen as choices, and, when they are, they are characterized as apolitical.” (Sjoberg, 27) 

“Those with a political interest in the gender order cannot hear or tell those stories of women’s participation in genocidal rape; instead, stories are produced and reproduced where women’s agency in their violence is denied and violent women are characterized as singular and abnormal aberrations.” (Sjoberg, 27) 

“If violent women are seen as different from what women as women should be, then their existence can be explained away without interrogating the fundamental problems with the stereotypical understanding of what women are – peaceful, virtuous, non-violent, etc.” (Sjoberg, 27)  

“In other words, in these accounts, women’s violence is worse (and to be feared more) than men’s violence, because women are naturally emotional and unpredictable as opposed to men’s presumed rationality and consistency, even in the commission of crimes.” (Sjoberg, 28) 

“Therefore, though they are a blight on the purity of femininity, women who commit genocidal rape or other sex-based crimes in genocide are described as being motivated by things that could only come from their status as women – what is abnormal to women is not their femininity, it is its uncontrolled status and extreme expression.” (Sjoberg, 28) 

“Finally, these stories of women’s participation in genocidal rape share that they either argue or imply that women’s perpetration of genocidal rape against women disrupts narratives of female victimhood….In other words, there are those who argue that women’s participation in violence signals the end of women’s victimization in war and genocide. Still, many of the women that were discussed in the five snapshots above sexually victimized women on the basis of gender. In other words, they perpetrated gender subordination.” (Sjoberg, 28)  

“Along with the implied naturalness of women’s subordination and the assumption of women’s incapability, we can see in the stereotyped reactions to women’s commission of sexual violence not only that women are expected not to violate other women – but also that there’s some normalness to men’s sexual violation of women.” (Sjoberg, 30) 

“The third step, then, is to reformulate international legal approaches to genocidal rape to accommodate the possibility of women perpetrators while still preserving the understanding that women are, as a class, victimized by genocidal rape based on gender.” (Sjoberg, 31)

Topics: Gender, Women, Gender-Based Violence, Genocide, Justice, War Crimes, Peace Processes, Sexual Violence, Female Perpetrators, Rape, SV against Women Regions: Africa, Central Africa, Europe, Balkans, Central Europe Countries: Bosnia & Herzegovina, Germany, Rwanda

Year: 2011

Rape, Love and War - Personal or Political?

Citation:

Ericsson, Kjersti. 2011. "Rape, Love and WarPersonal or Political?" Theoretical Criminology 15 (1): 67-82.

Author: Kjersti Ericsson

Abstract:

This article discusses how war rapes and consensual sexual relationships with enemy soldiers are framed and understood, with special emphasis on the consequences for the women involved. It [examines] war rapes in Bosnia-Herzegovina during the Balkan war and Danish and Norwegian women's sexual relationships with German occupant soldiers during the Second World War. I argue that the conception of women's sexuality as national property is central to understanding the attitudes towards both categories of women. To preserve their dignity, war rape victims may profit from a collective, political discourse. Women having had consensual relationships [with] enemy soldiers, however, have to extricate themselves from the collective and political discourse and interpret what happened to them as strictly personal.

Keywords: war rape, coping strategies, nation, sexuality, victim

Annotation:

Uses empirical research that has been done in Bosnia-Herzegovina, Denmark, Norway (latter countries in the post-WWII era). (Ericsson 67-70)

Quotes:

"Rape used as a weapon of war demonstrates that women in one sense are objects of men's transactions in this context: they are not violated as individual women, but as the nation's women: the attack on their sexuality is an affront to the national collective of men." (71)

"Despite this, not even war rape victims in Bosnia-Herzegovina could escape the suspicion that they might have been implicated in their own violation." (73)

"The stories of the Norwegian war children make one wonder: how will the mothers of children conceived through war rapes deal with questions from their sons and daughters when they want to know who their father is?" (76)

"To put it very shortly: relief for the rape victims lies in framing themselves as part of the collective, while for someone with consensual relations it lies in framing themselves as individuals." (77)

"Skjelsbæk mentions a fatwa issued by the imam of Sarajevo in 1994, a fatwa that both she and several of her interviewees deem very important.  In the fatwa, the imam declared that Bosnian women who had been subjected to sexual violence ought to be looked upon as war heroes.  The message that war rape victims were to be considered war heroes, and not least the source of this message, a religious authority, made this alternative conception a possible resource, both to individual women that had experienced rape, and for therapeutic work with rape victims." (77)

"On the other hand, if rape is understood mainly in a gendered frame of reference, the woman feels her female identity as damaged, and shame, guilt, and silence is the result." (78)

"However, if solidarity with raped women is made contingent upon a strong identification with the ethnic group, the woman as an autonomous individual may be seen as less important.  Even if the rape victim, through the ethnic interpretation, may escape being constructed as a woman of questionable morals, or as 'damaged goods' as Skjelsbæk  points out, other aspects of patriarchal patterns may nevertheless assert themselves….Some of the health workers interviewed by Skjelsbæk  also feel that there has been an increase in violence against women in post-war Bosnia-Herzegovina.  If this holds true, it fits with a conception of woman's body belonging to her ethnic or national group in the patriarchal sense, an ownership that is threatened in war and may have to be reinforced in post-war times.  If there has really been a backlash, this may perhaps be a manifestation of the sinister side of the notion linking a woman's body very strongly to her ethnic group." (79)

 

Topics: Armed Conflict, Combatants, Ethnicity, Gender, Gendered Power Relations, Military Forces & Armed Groups, Security, Sexual Violence, Rape, SV against Women, Sexuality Regions: Europe, Balkans, Eastern Europe, Nordic states, Northern Europe Countries: Bosnia & Herzegovina, Denmark, Norway

Year: 2011

The Whistleblower: Sex Trafficking, Military Contractors, and One Woman's Fight for Justice

Citation:

Bolkovac, Kathryn and Cari Lynn. 2011. The Whistleblower: Sex Trafficking, Military Contractors, and One Woman's Fight for Justice. New York: Palgrave Macmillan.

Authors: Kathryn Bolkovac, Cari Lynn

Abstract:

When Nebraska police officer and divorced mother of three Kathryn Bolkovac saw a recruiting announcement for private military contractor DynCorp International, she applied and was hired. Good money, world travel, and the chance to help rebuild a war-torn country sounded like the perfect job. Bolkovac was shipped out to Bosnia, where DynCorp had been contracted to support the UN peacekeeping mission. She was assigned as a human rights investigator, heading the gender affairs unit. The lack of proper training sounded the first alarm bell, but once she arrived in Sarajevo, she found out that things were a lot worse. At great risk to her personal safety, she began to unravel the ugly truth about officers involved in human trafficking and forced prostitution and their connections to private mercenary contractors, the UN, and the U.S. State Department. After bringing this evidence to light, Bolkovac was demoted, threatened with bodily harm, fired, and ultimately forced to flee the country under cover of darkness--bringing the incriminating documents with her. Thanks to the evidence she collected, she won a lawsuit against DynCorp, finally exposing them for what they were. This is her story and the story of the women left behind. (WorldCat)

Topics: Gender, Women, Military Forces & Armed Groups, Private Military & Security, Peacekeeping, Rights, Human Rights, Women's Rights, Trafficking, Sex Trafficking Regions: Europe, Balkans, Eastern Europe Countries: Bosnia & Herzegovina

Year: 2011

Women, War and Peace: I Came to Testify

Pages

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