The Center for Mind-Body Medicine

Celebrating Hope and Healing in Haiti–Day 2

Day 2 in Haiti, Feb. 12, 2010
Dear Friends,

In Haiti three days of “memorializing the dead,” of prayer and fasting have begun.

thousands gather to memorialize the dead

thousands gather to memorialize the dead

We drive downtown, past blocks where some houses are still erect and others down, victims we are told of neglected building codes, and others where everything is flattened like discarded, half-eaten sandwiches; fragments of concrete and stone and dust are everywhere.  S.O.S. signs are chalked on walls. We pass open air congregations, gathered like human lakes in front and on the sides of tent encampments, several hundred people here a few thousand there, listening to sermons in Creole, raising their voices in song. On the radio one preacher exhorts his listeners to ask God’s forgiveness for drinking, smoking and going to voodoo priests.  Requiems for the dead are broadcast, and  reminders of God’s power to see and do all, to help us go, and live beyond death.
Haitians gather for sermons

Haitians gather for sermons

We park at the Champs du Mars. A hundred thousand people are here, or more, it is hard to tell. They fill an amphitheater where the speakers stand, flood across fields and roads, flow among the thousands of tents that have been set up, sit in the trees overhead. The Haitian people, we are told, are like those who were with Joshua at Jericho: They have no weapons but God will save them. The messages from the Haitian President as well as the preachers, are similar – have strength, have faith; we will work together for the future. Men, women and children, most in tee shirts and loose blouses, some in surprisingly neat even stylish clothes, sing and raise their arms ( a few extending bibles upward) to praise God and shout “Hallelujah”. The mood is somber and suffused with determination, but also celebratory. “We are,” one lean fortyish man with dreadlocks tells me, holding my hand and looking at me with urgent fellow feeling, “here to give thanks to God, to rejoice for our brothers and sisters who have perished, to love one another.” Drums begin to play and a breeze, as if summoned by them, blows through the noon heat. We are all clapping and dancing now. None of the Haitians,needing to remain strong, seems to be crying,  though sorrow rises like steam from their bodies; tears come to Star’s eyes and mine.
the cathedral in ruins

the cathedral in ruins

Afterwards we stop at the Cathedral. A nearby music school has disappeared, its students dying with it. The Cathedral, once one of the city’s glories, is a skeleton, its only note of celebration bright bougainvillea in what was once a garden. You can see through the great building now, from one side of the transept to the other, from the porch at the back through the nave to the chancel at the front. Across the street people too injured or tired or dispirited to attend services that require standing are camped in rubble against a wall, a few possessions piled around them, burlap for bedding. At the head of one’s pallet is an astonishing sign of faith and hope, taped to the wall: a picture of the risen Christ, emerging from a blue sky, returning victorious to earth.
great faith and hope for the future

great faith and hope for the future

Jim

Haiti Day 1, Pt. 2 of2–Visit to the Tent city

Shortly after we arrived yesterday afternoon, Star and I crossed the street and walked down the ragged line of incongruously bright new tents that front the road. An open space gives us entry, and we wander through the maze of living and cooking spaces, a large, older white man, a small, younger black woman whose “bonsoirs” are often returned with smiles.

We reach one boundary of the encampment formed by a four-story concrete building which has been crushed like a paper hat. A young woman with an infant greets us. The baby is a little thin, a little dour, a little jumpy. Her name is Miranda, and she is two months old. Miranda’s mother shows me a place on her head where the nearby building had quite literally fallen on her.  It hurts still, a month after the earthquake, and so do her neck and back.  I go into her tent to take a look. There is great tension and tenderness at the site of her injuries. I do some gentle manipulation, and she smiles with relief.  I reassure her that in time the symptoms will subside and remind myself to bring acupuncture needles next time.

Others have not been as fortunate as Miranda and her mother. One woman’s two children have been seriously injured and are still at the hospital. Another’s aunt has died. A third is missing her husband. A fourth has lost the sight in one eye. The pain from injuries received in the earthquake persist. Memories of loss and unspeakable terror seem to have attached to and continually restimulate the pain—the ever-present physical replaying of the catastrophe, the physical manifestation of psychological trauma and ongoing distress. Some “cannot remember the simplest thing,” or “make any decision.” The blind woman fears that she will not receive medicine without money to pay for it. No one sleeps well. All are fearful of further loss or injury, or—they are not quite sure what.

And, indeed, the situation is enormously stressful. The tents, which look so good, just arrived yesterday, brought by the French Red Cross. . For a month, these people have been sleeping in the open. “We have a committee,” says Wilson, Miranda’s father, “to organize ourselves.” And they are indeed cooking communally. “But we do not have toilets, or other necessary sanitation.” There are no doctors readily available to them, or medicine, or replacements for needed glasses lost, or hope for more adequate or permanent housing, or indeed, much communication with the world beyond the tent city. As we are leaving, Wilson invites us to share the rice that half a dozen families are beginning to eat.

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More in days to come.

Jim

Bringing Psychological Healing and Hope to Haiti; Day 1, Part 1 of 2–Arrival

Day 1, part 1 of 2–Arrival

There is a weight to the air; we begin to feel it at the border where we enter from the Dominical Republic. We can smell it, too, in the swirl of dust that forces some to wear masks, in the acrid edge of burned and burning building materials. It grows heavier as we bump around flanks of rubble on the outskirts of Port-au-Prince. In the city, it roughens our voices and presses tears from our eyes.

Happily, surprisingly, we have a place to stay—in the Coconut Villa, a hotel near the airport that is an undisturbed island amidst collapsed houses. Across the street, several thousand Haitians live in tents.

Rosemary Murrain, Star Myrtil, and I are here to see if our approach can help bring psychological relief to the people of Haiti—and to see if we can work with and find support from the large international agencies that are funded to bring food, housing, schools, and emergency medical care to the people. Our approach, which combines such mind-body techniques as meditation, guided imagery, biofeedback, and yoga, self-expression in words, drawings, and movement, and small group support, has made sense to and worked remarkably well with war- and disaster-traumatized populations in Kosovo, Macedonia, Israel and Gaza, in post-Katrina New Orleans, and with US military returning from Iraq and Afghanistan. It’s practical, easy to learn, and feels right to people who are trying to gain control over the thoughts, feelings, and memories that overwhelm them in the wake of catastrophe. We’ve published the only randomized controlled trial (RCT) of any invention of any intervention for war-traumatized kids. It showed an 80% decrease in symptoms of posttraumatic stress disorder in Kosovo high school students, an improvement that was maintained at three months’ follow-up. More recent studies on 1,000 children and adults in Gaza show similar sustained gains in spite of the ongoing constraints and tragedy of life there. Altogether, the several thousand clinicians, teachers, and community leaders’ we’ve trained have made our CMBM model available to hundreds of thousands of children and adults around the world.

Rosemary is CMBM’s new Director of Finance and Administration. Immensely capable, unflappable, fluent in French, she’s an MBA student who has helped to create and lead educational programs throughout Africa. She’s in charge of the logistics that brought us on our journey here, and she will help create necessary partnerships. She’s also, I say with pride, my goddaughter. Star is her friend, a Haitian living in Florida, leading women’s programs there and fluent in Creole as well as French; a human bridge for us to Haiti and to its people.

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I’ll post more this afternoon, about our visit to the tent city outside our hotel and the people we met there.

Jim

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