title: Trauma and humanitarian translation in Liberia: the tale of open mole.
abstract: The focus of this paper is the intercultural process through which Open Mole and trauma-related mental illnesses are brought together in the postconflict mental health encounter. In this paper, I explore the historical dimension of this process by reviewing the history of Open Mole, and the ways in which it has been interpreted, acted on, and objectified by external observers over the last half-century. Moving into Liberia's recent war and postconflict period, I examine the process by which Open Mole is transformed from a culture-bound disorder into a local idiom of trauma, and how it has become a gateway diagnosis of PTSD-related mental illnesses, and consider how it is produced as an objectified experience of psychiatric disorder in clinical humanitarian contexts. By studying how Open Mole is transformed in the humanitarian encounter, I address the structure and teleology of the humanitarian encounter and challenge some of the foundational assumptions about cultural sensitivity and community-based mental health care in postconflict settings that are prevalent in scholarship and practice today.
authors.affiliation: Department of Anthropology, Harvard University, William James Hall No. 302, 33 Kirkland Street, Cambridge, MA 02138, USA. saabramowitz@gmail.com
authors.forename: Sharon Alane
authors.initials: SA
authors.lastname: Abramowitz
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D000368:Aged; D000533:Altruism; D000850:Anomie; D002960:Civil Disorders; D055762:Cranial Fontanelles; D003469:Culture; D003702:Delusions / Q000208:ethnology / Q000523:psychology; D003906:Developing Countries; D005260:Female; D006801:Humans; D007391:International Cooperation; D007988:Liberia; D008016:Life Change Events; D008519:Medicine, Traditional; D001523:Mental Disorders / Q000175:diagnosis / Q000208:ethnology* / Q000523:psychology / Q000628:therapy; D008875:Middle Aged; D010348:Patient Care Team; D012017:Referral and Consultation; D012660:Semantics; D013001:Somatoform Disorders / Q000175:diagnosis / Q000208:ethnology* / Q000523:psychology / Q000628:therapy; D013313:Stress Disorders, Post-Traumatic / Q000175:diagnosis / Q000208:ethnology* / Q000523:psychology / Q000628:therapy; D040921:Stress Disorders, Traumatic / Q000175:diagnosis / Q000208:ethnology* / Q000523:psychology / Q000628:therapy; D013561:Symbolism; D014754:Violence / Q000208:ethnology* / Q000523:psychology; D018599:Witchcraft
references.citation: Lancet. 2003 Jun 21;361(9375):2128-30
references.pmid: 12826440
references.citation: Am J Trop Med Hyg. 1953 Jan;2(1):30-8
references.pmid: 13007919
references.citation: Yale J Biol Med. 1975 Nov;48(5):439-49
references.pmid: 1210348
references.citation: Lancet. 2002 May 25;359(9320):1793-4
references.pmid: 12044372
references.citation: Psychosom Med. 1998 Jul-Aug;60(4):420-30
references.pmid: 9710287
references.citation: Health Transit Rev. 1994 Apr;4(1):63-80
references.pmid: 10147164
references.citation: J Natl Med Assoc. 1953 Sep;45(5):345-9
references.pmid: 13097170
references.citation: J Ment Sci. 1960 Apr;106:559-70
references.pmid: 14434928
references.citation: Acta Psychiatr Scand. 1987 Mar;75(3):231-6
references.pmid: 3591404
references.citation: Lancet. 2004 Dec 4-10;364(9450):2058-67
references.pmid: 15582064
references.citation: Lancet. 2002 Oct 5;360(9339):1083-8
references.pmid: 12384003
references.citation: Perspect Psychiatr Care. 1996 Apr-Jun;32(2):23-9
references.pmid: 8868856
references.citation: BMJ. 2000 Jul 8;321(7253):101-5
references.pmid: 10884265
references.citation: Am J Psychiatry. 1968 Jul;125(1):89-95
references.pmid: 5657378
references.citation: Soc Sci Med. 1995 May;40(9):1291-8
references.pmid: 7610434
references.citation: Lancet. 2004 Nov 13-19;364(9447):1801-13
references.pmid: 15541455
references.citation: Lancet. 2000 Apr 29;355(9214):1548-9
references.pmid: 10801189
references.citation: Soc Sci Med. 1995 Apr;40(8):1073-82
references.pmid: 7597460
references.citation: Soc Sci Med. 2002 Jul;55(2):175-90
references.pmid: 12144134
references.citation: J Nerv Ment Dis. 2003 Sep;191(9):611-5
references.pmid: 14504571
references.citation: Bull World Health Organ. 2005 Jan;83(1):71-5; discussion 75-6
references.pmid: 15682252