Monday, March 10, 2014

Under the Surface: Part 2

In part 1 I talked about how the treatment of children in this country is a huge problem, and really goes against the national principle of Botho on which Tswana society and Botswana is based on. I don’t think theres something inherently wrong with Batswana,  I think this is due to a severe lack of mental health awareness and services. To clarify, when I say mental health, I mean things like stress reduction and coping techniques, support systems, and counseling, as well as psychiatric services and medication.

I feel like people in this country are traumatized. Not everyone, but many, especially in rural areas. They are traumatized by lack of family support systems, systematic and cyclical physical and sexual abuse, and profound loss. There is no mental health system or even awareness of mental/emotional  health needs. Children are taught to bottle up their emotions from a young age, so people don’t deal with their feelings. I feel like what Peace Corps should be sending here above all else are mental health professionals and counselors. My working assumption is that at least half the people I interact with probably have some level of post-traumatic stress disorder from losing loved ones and/or abuse, and then having no way to work through such trauma.

I don’t think it was always like this. I’ve read and heard stories about Botswana from 50-60 years ago, and it seemed like there was more of a village culture and intact families and support systems, even though there was much more overall poverty and less development. But development changed some of that, as well as the AIDS epidemic. Half a generation was wiped out. Family structures got messed up badly. Grandparents and young teenagers were raising kids. Since ARVs have become available, the death rate from HIV has plummeted. But in some ways, the damage has been done. There is a generation traumatized from so much loss, and they are now raising children. But they haven’t really dealt with their own trauma, so it’s hard to be a good parent, let alone raise emotionally healthy kids. Lots of kids suffer from neglect, especially in the rural areas. Marriage rates are very low due to the high cost of getting married, so almost every woman I know has one or more children before getting married, if she gets married. The kids often have different fathers. This considerably messes with the traditional family structure and support system. Kids no longer have aunts and uncles helping initiate them into adulthood and explaining sexuality to them, so in most cases no one has these conversations with them. This contributes to high HIV infection and teen pregnancy rates, and the cycle continues.

I don’t want people to think I’m bashing Tswana culture, because I’m not trying to. I understand that it’s different than American culture. And I’m certainly not trying to compare it to American culture and suggest that America has everything right- I could write (and there are written) books about the societal problems in America.  In Tswana culture, men often had multiple wives, something the government is trying to discourage now. Extended family plays a big part in raising kids, and that’s been disrupted by both HIV and development with people moving around. Traditionally it seems people weren’t supposed to be overly emotional in public, but there were places they could show emotion, such as at church and funerals. They had a support network of their village and their extended family. The point is… the way this culture was, seemed to work pretty well for them. But things have changed and it’s not working well anymore.

One symptom of this I see in children and adults is emotional numbness. When you are taught to bottle up your emotions and not feel, or when so much trauma happens you don’ know how to deal with it, you start acting impassively when emotional things happen. It makes it hard to have an emotional connection in relationships. But it’s a coping mechanism to deal with further trauma. I see this when teachers at my school mention someone died, with no emotion in their voice at all. And then move onto a new topic 30 seconds later.

There aren’t easy solutions to any of this, and to suggest there are is to minimize the pain that these people have been through and are still going through.  But I really believe that the first step is talking about it. Talking about how children are treated in this country, and mental health in general. The countries that have made the most progress in their fight against HIV are the ones that acknowledged the problem existed and prepared to address it, not the ones that pretended it didn’t exist.  I think the same thing applies here.

As this relates to me, this ugly stuff under the surface is part of why it’s such an emotional roller coaster to live here. People (and Peace Corps) tell us we are so lucky to be in Botswana, they are so good at development and look at all the progress they’ve made! And that is true, and also not the whole truth. In one day I’ll teach 2 classes where kids stare and me and won’t talk, see starving dogs roam the village, watch a student get caned for some infraction, see kids having a ball playing soccer, talk with a friend about America, listen as people talk with no emotion in their voices about boys beating girls for sex, and marvel that my rural village has 2 schools, a clinic, running water, and electricity. It’s up and down, good and bad, all the time.

I want to do my part in raising awareness about the treatment of children and mental/emotional health, which is why I decided to post this. It may seem weird to combine the two, but I firmly believe that unmet mental health needs are contributing to the maltreatment of children here. These are not bad people. These are a peaceful, respectful people. These are my friends.  Hurt people hurt people.

I hope I haven’t insulted anyone by writing this, especially if they are a Motswana. But the part of the ambassador’s letter that got to me the most was the end, where she wrote “As for me, Botswana and its young people are now in my heart for good. For the rest of my life, I will be cheering you on.”
Me, too.


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