The conversation around reproductive and sexual rights and the bodily autonomy of women generally consists of access to abortion, birth control, and intimate partner and sexual violence. FGM is a patriarchal cultural practice rooted in the cutting away of the female body with the suppression of emotion, which at its core, is a denial of personhood. For more than 200 million girls and women, the violation of their body occurred when they could not advocate for themselves. For these girls/women, it is as if all the entities in her world are conspiring against her current and future life. Although Grace details the practice of female genital mutilation (FGM) in Kenya in this blog, the violation has increased in the US since 1990. The global conversation on FGM has been spurred by young women and girls willing to risk social exclusion in the pursuit of eradicating gender-based violence. – AR (**Trigger warning)
by Grace Ndanu
Maasai Girl. Source: Donald Macauley, Creative Commons
The development of women has been low for a very long time in my country of Kenya because of some retrogressive cultures that include FGM, early marriages, and wife inheritance. For this blog, I will major on FGM within the community I am most familiar with: the Masai.
The practice of FGM is rooted in gender inequality. Women will never have a say on the issues surrounding their daughters; this means that the men are the ones to control women’s sexuality, and ideas about purity, modesty, and purity. Although women do not have a say on their daughter issues, they are the ones to perform the act; this is seen as an honour. The act of cutting one’s daughter is both an honour and a fear. The fear lies in the inevitable social exclusion if the cutting does not occur. The procedure is done in three ways: partial or total removal of the clitoris, the complete or partial removal of the inner labia with or without removal of the clitoral organ and outer labia, or the removal of the external genitalia and fusion of the wound. The inner and/or outer labia are cut away with or without removal of the clitoral organ.
The cutters use non-sterile devices which may lead to contracting diseases such as HIV. The devices include knives, razors, scissors, glass, fingernails, or sharpened rocks. There are adverse health effects depending on the type of procedure. The effects include infections, difficulty in urinating and passing menstrual flow, chronic pain, development of cysts, complications during childbirth and fatal bleeding.
Female circumcision lowers girls self-esteem and confidence. When they undergo the practice, they must stay at home for them to heal which means, particularly for in a school, they miss a lot of their lessons. For those who have never been to school are at risk of being married at an early age, maybe 12, to an older man.
There have been efforts in fighting FGM because there are no known health benefits instead the effects known are negative. A number of NGOs, including the Cara Girls Rescue Center under the Cara Project, are helping to mitigate the practice. The Cara Center takes in girls who are at risk of going through the painful process and also the ones who are already circumcised. They ensure the girls’ safety and security. If the girl has not yet gone through the process, she is welcomed in the center and immediately start the counseling process. Additionally, she will begin schooling – some of them may not have gone to school at all. For those already violated, they are immediately taken to the Gender Violence Recovery Center under the Nairobi Women’s Hospital for medication where they are admitted and receive counseling. At the same time, both the parents and the cutters are arrested. They must present to court when they are summoned and given a warning that if it has ever happened again, they will be jailed.
The rescued girls and warned parents receive an education about the human and reproductive rights of girls and women. It is with this new knowledge that they understand their personal/familial and communal rights better. Learning has created awareness and advocacy throughout the Masai community [and in other African countries and throughout the world]. There has been the development of a zero-tolerance attitude on FGM matters that extends to many of them becoming rescuers of girls before they are circumcised.
** The mental health relationship between public health and human rights is often misunderstood. Humanity can begin to see the underlying and overarching interconnections among poverty, its relation to lack of health insurance and untreated mental health issues, and individual and public safety. This blog seeks to provide insight and resources that help bridge the gap and offer solutions that remove stigma and shame. – AR
by Marie Miguel
Help. Source: Leo Hildago, Creative Commons
It’s difficult to ask for help when you’re suffering from the symptoms of mental illness, whether that be depression, PTSD, Schizophrenia, Bipolar Disorder, or Anxiety. Sometimes, mental illness can leave you feeling hopeless and at the mercy of your symptoms. Some people have a great ability to see outside of their symptoms and ask their support system for help, but there are challenges when getting help for mental illness. We will explore what it takes to acknowledge that you have an issue and get the help that you need in this article.
Acknowledging that you need help
It’s difficult to admit that you need help when you have a mental illness. Here’s an example of where someone with mental illness Let’s say that you’re living with Bipolar Disorder, and you’re in an episode of mania. You’re spending lots of money, engaging in risky behavior, and you find that your life is out of control. Your friends are put off by your excessive spending habits and your wild behavior that’s out of control. You know that you have a problem and you don’t know how to ask for the help that you need because you’re in the midst of a manic episode. What do you do? Well, you reach out to a loved one first, and say: “I need help.” they might not know how to help you, but at least you’re admitting that there is a problem, and trying to get the help that you need starts with talking about the issue. They might not have a solution, but it’s time to admit that there’s something that you have to address. Next, maybe you and your loved one go to your doctor and discuss the issues. That’s assuming that you have health; this is all the optimal scenario. Then, your doctor refers you to a psychiatrist, who can treat your symptoms, and you find a therapist that works together with your psychiatrist. So, this is an ideal scenario in which you have insurance, you have a support system, and you find the mental health providers that you need. Not everybody is so lucky, and we need to see how those who don’t have access to good healthcare fare in our system.
When you don’t have resources
Let’s examine the same scenario when you don’t have appropriate resources. So, let’s say that you have Bipolar disorder, you’re going through a manic episode, and you’ve alienated your friends and family. There’s nobody to reach out to for help, and you don’t have insurance. How might you feel? Isolated. You don’t know what to do or who to turn to for help. These are the things that we have to think about in terms of getting people with mental illness help because sometimes, the symptoms of mental illness are destructive and you end up alienating those who can help you. So if you notice that a friend or family member is doing something self-destructive, it’s one thing to be angry with them and another thing to have compassion. If you can, even if they’re acting in a way that’s not kind, try to get them the help that they need because, in a way, the person may be crying out for it even if they’re cruel in the process. Now, don’t put yourself at risk or in harm’s way – there are times to draw boundaries with people if somebody is acting in a that is unsafe and they intend to harm themselves or others. If somebody is suicidal, for example, it’s time to get them to a hospital because you won’t be able to provide them with the help that they need. Many times, it’s about finding the right resources. Some people don’t know where to find the right resources for their problems. The problem is that sometimes there aren’t enough resources available.
The resources need to be there
If you have insurance, use it. One of the things that we have to remember is that even if you have a mental illness, it doesn’t make you powerless. You can, if you have insurance, look for a provider to help you with your mental illness, whether that’s PTSD, Bipolar Disorder, Schizophrenia, or Anxiety. Find a psychiatrist who’s able to talk with you about your symptoms and get you help. So, that’s one thing that you can do, and speak with your psychiatrist and find a treatment plan that works for you. Have your psychiatrist and therapist work together and understand that a treatment plan takes time to develop. You’ll be able to figure out what your treatment plan is over time and get better.
Creating resources when there are none
There are instances where people cannot get help because there’s overcrowding in hospitals or they can’t find a provider that takes their insurance that doesn’t have a five-month-long waitlist. It can happen to people that have “good” insurance. So what do we need to do as a society to create more resources so that people can get the help that they need? Well, one thing is, we need to train more therapists. So, we need to understand that and value the jobs of mental health professionals. One resource we can use is online therapy. It is affordable, and it is accessible to many people. Some people don’t have the luxury of choosing from a plethora of therapists.
Online therapy
One alternative to traditional face-to-face therapy is online therapy. Online therapy is an excellent space for people that have a mental illness to get the support that they need affordably from the privacy of their own home. Companies like BetterHelp are an excellent place for people to find a therapist that they can talk to and feel comfortable sharing their problems with so that they can get better. Our world is changing, and technology can be used for good. Let’s try to make space for people who have a mental illness to get the support that they need. Everyone deserves access to quality healthcare, which includes their mental health.
Marie Miguel has been a writing and research expert for nearly a decade, covering a variety of health-related topics. Currently, she is contributing to the expansion and growth of a free online mental health resource with BetterHelp.com. With an interest and dedication to addressing stigmas associated with mental health, she continues to specifically target subjects related to anxiety and depression.
Mary Frances Whitfield: Why? is a collaborative exhibition between the Abroms-Engel Institute for the Visual Arts (AEIVA) at the University of Alabama at Birmingham and the Birmingham Civil Rights Institute. The exhibition is co-curated by AEIVA Curator John Fields and Dr. Brandon Wolfe, Assistant VP of Campus and Community Engagement in the Office of the Vice President for Diversity, Equity, and Inclusion at UAB. It is on display at AEIVA until November 23, 2019. The images included below are in the exhibition.
Depictions of lynchings are usually loud – they bring into focus the agony of the victims, their bodies beaten and burned, hanging from a tree, or the intense anger, absolute hatred, and pure evil of the perpetrators and spectators as they relish in their acts of terror, dehumanization and brutality. Mary Frances Whitfield invites us to consider another experience, one that often goes unacknowledged or unconsidered artistically and historically. What happens when the spectacle is over, when the crowd disperses, when the terrorists have gone home, having achieved their fill of racial violence for the day? Who comes to claim the victims, to hold their lifeless bodies one last time, to cut them down and lay them to rest?
Whitfield’s paintings are not loud. They depict a silent despair. She transforms the space of public spectacle, of loud chaos, into a private and still experience that focuses on the quiet mourning of the bereaved. For Whitfield, this mourning conditions the lives of black people in her ancestral history and now. Her depictions are dark and heavy, they are full of grief and despair, and this emotional weight is largely held in the bodies of the mourners who literally hold this anguish – and their faces – in their hands. The victims and the mourners are often dressed in bright pastel colors, an image that foregrounds their vibrancy against the backdrop of a thick and consuming darkness. It reminds us of the life they could have lived, a life that was cut short by hate. Wives wrap their arms around the lifeless bodies of their husbands, young boys reach for the dangling feet of their fathers, women touch their protruding bellies, desperately hoping, we might assume, that their unborn children will not meet the same fate as the victim. Bodies of men, women, children, and babies hang from trees, sometimes engulfed in flames, sometimes appearing to sway slowly in the breeze. The stillness of the victims and the stoicism of the mourners in Whitfield’s paintings reflect the normalcy and the familiarly of an ordinary experience, part of daily existence for African Americans in the 18th and early 19th century, a reality wrought with unbearable pain, constant mourning, and overwhelming fear.
The title of the exhibit invites us to ask “Why?”, and the question looms on several levels. Why lynching? Why Albert? Why Sari-Mae? Why Mama and Papa? Why me? Why us? Why then? And maybe most importantly: Why now?
When the slavebody became the blackbody, white people could not let go of the compulsion to maintain dominance over black bodies and black lives. The vilification and demonization of black people took hold in the discourse, and a consensus grew around the need to protect white people and white dominance, a need so desperate it justified brutal violence and severe oppression against the newly “freed” citizens. Whitfield’s paintings are borne out of stories her grandmother told her about life during this time, a time when more than 4,000 black human beings were lynched publicly and without consequence. The work is timeless, though, and as we leave the exhibit and go out into the world, we are forced to wonder why this is still happening. Lynchings today take a different form, but they continue to terrorize and demoralize black communities all over the United States and emphasize the devaluation of black bodies and black lives in our society.
Toni Morrison says that the purpose and the power of art is in its ability to create conversation, one that is “critical to the understanding of what it means to care deeply and to be human completely.” If we can ask ourselves “Why?”, if we can have this conversation, if we can engage in this discourse honestly and authentically, if we can accept the truth about the continuing legacy of the slave trade and mass enslavement and lynchings in all of its forms – past and present – and then reconcile ourselves to that truth, then maybe through that conversation, we will see a path forward, one that leads us toward healing, one that will someday allow us to live in the peace and freedom and beauty of Dr. King’s dream. It’s a hard question to answer, not in its complexity but in its power to change our understanding of ourselves, but it’s one that we must ask.
“My holy place has been defiled…. My words are not intended as political fodder, I address all equally. Stop the words of hate,” said Rabbi Hazzan Jeffrey Myers. While it may sound as if Rabbi Myers spoke these words in Germany in the 1930s, he actually said them in the United States in 2018. That year, a gunman stormed into a Pittsburgh synagogue and killed eleven people who were worshipping there. Rabbi Myers leads one of the congregations who gathered at the synagogue. Just months later, in April 2019, another gunman entered a synagogue in Poway, California and killed one person and wounded three others on the final day of Passover. Authorities issued 109 hate crime charges against the shooter, including allegations that he also set fire to a nearby mosque. Other mosques are under attack even before they’re built. There have been protests surrounding plans to build mosques in various parts of the United States. In 2018, a Muslim group sued the city of Troy, Michigan, saying that the city has thwarted numerous attempts to open a mosque in the area.
Crimes and protests against religion aren’t confined to the United States, of course. In March 2019, yet another person shot and killed fifty-one people in two mosques in Christchurch, New Zealand. The gunman posted an Islamophobic and white supremacist manifesto online before streaming the attacks on social media. The next month, on Easter Sunday, a series of bombings at churches and hotels in different cities in Sri Lanka killed more than 290 people and wounded more than 500 other people. Referring to the bombings in Sri Lanka, U.S. Vice President Mike Pence tweeted, “This atrocity is an attack on Christianity & religious freedom everywhere. No one should ever be in fear in a house of worship.” This attack occurred on Easter Sunday and the Poway shooting occurred during Passover, two holy times for their respective religions. Sri Lanka canceled all Catholic masses the following week except for one: a mass by Cardinal Malcolm Ranjith, the archbishop of Colombo, Sri Lanka’s capital. Sri Lanka’s president, Maithripala Sirisena, and its prime minister, Ranil Wickremesinghe, attended the mass, which was also broadcast on television.
In the United States, the attacks on the synagogues violated the First Amendment of the country’s Constitution, which grants people the right to peaceably assemble and practice their religions. While the events in Sri Lanka, Pittsburgh, Poway, and Christchurch are indeed attacks on religion and religious freedom, they’re also attacks on so much more. Since they were attacks on religion, they were attacks on what people believed. They were attacks on what people thought.
What are some other types of attacks?
Sadly, these attacks on religion and thoughts seem to occur every day in various ways. While sometimes the attacks take the form of shootings and bombings, they also occur in quieter but still harmful ways. Protests about mosques in several areas of the United States are evidence of such attacks. The Muslim groups who have sued the city of Troy, Michigan, state that the city interfered with plans to open mosques in the city. Their lawsuit alleges that the city violated the U.S. federal Religious Land Use and Institutionalized Persons Act. According to the FindLaw website, this act “protects the ability of religious institutions to exercise their purpose without restriction and to let their members apply their religious beliefs through the construction and use of property for religious purposes.”
Anti-mosque protests aren’t confined to Michigan, although the state has experienced a number of them. The American Civil Liberties Union (ACLU) features a map of the United States on its website that illustrates anti-mosque incidents reported in the country. Only a handful of states – Alaska, Delaware, North Dakota, South Dakota, and Utah – did not experience any recorded incidents against mosques. The ACLU says, “While mosque opponents frequently claim their objections are based on practical considerations such as traffic, parking, and noise levels, those asserted concerns are often pretexts masking anti-Muslim sentiment.”
Id Kah Mosque. Source: Lukas Bergstrom, Creative Commons
Denying people the physical space to practice their religion creates physical and ideological barriers to practicing religion. It marginalizes people by saying that they aren’t worthy to use the land to worship they way they want to worship, even though they are legal, tax-paying members of society, people who work, attend school, parent children, and buy groceries alongside other members of society. They are people who should have Constitutional protection to practice their religions but whose religious rights are sometimes considered less valid. Marginalizing people makes them feel less welcome as if they’re lesser people. It may even impact their health, as the stress of discrimination and feelings of being outsiders may make them anxious or depressed.
How do we stop such attacks?
We don’t have to believe what other people believe. We don’t have to agree with them. However, we do have to empathize with them. Education may help us develop this empathy. Schools already have classes in subjects such as geography, history, sociology, and world cultures. Some schools, especially parochial schools, have courses about religion. How about using such classes to teach students about different religions and how they impact cultures? Introducing religion to young people may make religions and the people who practice them more familiar to people while they’re still forming opinions on the world around them.
Outside of school, maybe we can try asking our family members, friends, coworkers, and classmates about their religions. Maybe we could use these conversations to learn how people practice their religion on a daily basis. Or, we could try going to the local library to check out some books or DVDs about different religions and cultures. More and more movie theaters are also showing films from other countries, which give us glimpses into the products of other cultures as well as the cultures themselves.
Of course, the web also provides a wealth of information about religion and so much else. Do you want to find general information about religion? Updates about how people treat members of different religions around the world? Suggestions on how to dress when you visit religious houses of worship? You can find all of that and more on the web. You may even join online discussion groups to talk about religion, ask people questions, and receive real, firsthand accounts about religious topics from real people.
If we know something, it’s harder to hate it. Talking with real people about their real religious beliefs puts a human face on religion. Yes, religion is a collection of beliefs about ethereal, intangible concepts. But religions are also collections of actual people who gather together for common purposes. They are collections of people who deserve rights and respect. We can grant and protect them by meeting and learning about people. If we don’t learn, are we just promoting ignorance and hate?
Pamela Zuber is a writer and an editor who has written about human rights, health and wellness, gender, and business.
Some people believe that PTSD is only a mental health condition that affects those who have come back from war, but this isn’t the case. People who have Post Traumatic Stress Disorder aren’t just veterans. Individuals with PTSD have experienced severe trauma. It’s not only people that come back from combat, but that’s how many of us associate the disorder. PTSD can happen to anybody who experiences trauma such as a sexual assault, a natural disaster, or many things that would prompt someone to have a traumatic reaction, so let’s stop talking about PTSD as though it’s something that only war veterans experience. Anyone who has been through a traumatic experience can develop PTSD. According to the National Alliance on Mental Illness (NAMI), PTSD affects 3.5% of the U.S. adult population. That works out to eight million American people living with the condition. Approximately 37% of people diagnosed with PTSD display serious symptoms. Women have higher rates than men. Later in this article, we’ll discuss the gender divide.
What is Post Traumatic Stress Syndrome?
Post Traumatic Stress Syndrome happens after a person experiences trauma, and it’s something that sticks with a person. Symptoms can include flashbacks, night sweats, insomnia, panic attacks, and isolating from friends and family. We need to understand that people with PTSD aren’t dramatic; they’re traumatized. When you experience trauma first-hand it changes your brain. According to the U.S. National Library of Medicine – National Institutes of Health, Several areas of the brain are involved when a person experiences PTSD. A stress response includes the amygdala, hippocampus, as well as the prefrontal cortex. PTSD and trauma can cause lasting changes in those areas of the brain.
What causes PTSD?
The cause of PTSD is that a person experiences trauma and never adequately deals with the issues because it sticks with them. People think that PTSD is caused by being in combat because combat can be a traumatic experience, especially if you see someone die in front of you. The cause of PTSD is when an individual has difficulty adjusting after a traumatic event; their brain changes and the memory of the traumatic event gets stuck in their brain. These intrusive memories make it difficult for an individual to function. The root cause of PTSD is a traumatic event, but the symptoms are what overwhelm people to the point where it’s diagnosable. People with PTSD often have recurring distressing and upsetting memories of the trauma, and when you continually have upsetting memories and can’t stop them, it makes you want to shut down, which is a problem that many people face when living with PTSD, and it can seriously impact your relationships.
Causes of PTSD
A stressful experience
Trauma
Mental Illness
Predisposition to mental illness or family history of mental illness
Risk factors for PTSD:
Long lasting trauma
Childhood sexual abuse
Other childhood trauma
A job where you’re exposed to trauma such as a military position
If you don’t have a sound support system
Seeing someone get hurt
A history of substance abuse
Types of trauma
When we think of PTSD, we might think of combat, but it’s not just that. Anyone who has experienced trauma is at risk of developing PTSD. Whether you witnessed a violent act or you were physically attacked yourself, you’re at risk for PTSD. In addition to combat, types of trauma that can induce PTSD include but aren’t limited to:
Childhood sexual abuse
Other childhood trauma
Sexual assault or violence
Physical assault
Natural disaster
Being attacked with a weapon
Symptoms of PTSD
Symptoms of PTSD can range from mood symptoms to physical symptoms. These symptoms can include but aren’t limited to nightmares, irritability, being easily startled or frightened, trouble sleeping or concentrating, or even feeling completely emotionally numb. These symptoms occur after a traumatic event and are only some of the possible signs that an individual could experience. Everyone reacts to trauma differently. And it’s understandable that someone may shut down, lash out, or break down crying. These are all responses that could happen.
How intense are your symptoms?
Depending on the person, the intensity and type of PTSD symptoms will differ. If you have suicidal thoughts or ideation, it’s incredibly crucial to reach out to a friend, loved one, or to contact the national suicide prevention hotline (1-800-273-8255 or 1-800-273-TALK in the United States.) It’s essential that you talk to your doctor if you’re experiencing difficulty functioning.
Complications of PTSD
PTSD can impair someone’s function to the point where they’re unable to engage in normal life activities. Someone might develop substance abuse issues, an eating disorder, or other comorbid mental health conditions. PTSD can be debilitating. It can lead people into a state where they can’t work. It can make it so that they’re unable to attend social functions, and it can severely impact a person’s life. If you’re diagnosed with PTSD, you need to have the following symptoms:
One avoidance symptom – Avoidance is where you’ll stay away from things that remind you of the trauma. Avoidance symptoms include avoiding places and situations that remind you of the trauma, and avoiding thinking about upsetting thoughts connected to the event
At least two arousal symptoms– Arousal symptoms of PTSD make a person extremely anxious. Arousal symptoms include:
Getting startled easily
Feeling tense
Having problems sleeping
Angry outbursts
At least two cognition/mood symptoms – Cognitive symptoms of PTSD can rob people of things they once enjoyed. Cognitive symptoms include difficulty remembering the trauma, distorted emotions including guilt, and loss of interest things you once enjoyed
One re-experiencing symptom – Re-experiencing a key marker of PTSD, and it sounds exactly like what it is; re-experiencing. Re-experiencing symptoms include flashbacks or reliving the trauma, nightmares, or scary thoughts.
Source: John Smith, Creative Commons
Children vs. Adults With PTSD
Children can have different responses to trauma in comparison to adults. They might wet the bed or have selective mutism, they might start acting out during play time, or they might begin experiencing separation anxiety. According to the National PTSD center, seven or eight out of every 100 people experience PTSD at some point during their life. Not every person who has PTSD has been through a dangerous incident; some people experience it after a loved one has suffered harm.
According to The U.S Department of Veteran Affairs Studies, approximately 15% to 43% of girls and 14% to 43% of boys experience significant trauma. Of the children and teens that experience trauma, 3% to 15% of girls and 1% to 6% of boys go on to develop Post Traumatic Stress Syndrome.
We can see that females seem to develop PTSD more than men do. What is the reason for this? Many women are survivors are sexual assault, try to speak up and aren’t believed. According to the National Sexual Assault Resource Center, one in five women and one in 71 men will be raped at any given point during their lives. Yet, we as a society do not believe survivors as we should. We need to start believing women when they come forward. When we do they can get treated for what happened to them appropriately.
Why do some people get PTSD and others don’t?
You may be wondering why some people develop PTSD while others do not. Part of it has to do with having the risk factors listed above, but there’s nothing wrong with you if you have PTSD and someone else in the same situation did not. There are other disorders that can go along with PTSD. An individual with PTSD can have additional mental health conditions. They may also struggle with suicidal ideation and may attempt to take their life. Here are some mental health conditions that people with PTSD also manage:
Generalized Anxiety Disorder
OCD
Depression
Borderline Personality Disorder
Substance Abuse
How to prevent PTSD
PTSD isn’t necessarily preventable because you can’t control when trauma happens, but you can deal with the trauma after it happens. After experiencing a traumatic event, it’s vital to seek mental health treatment in the form of therapy and, if you need to, a psychiatrist. You can reach out to people in your network and find someone to treat your symptoms. Whether you see someone online or in your local area, PTSD is treatable and even preventable if you address trauma right away. If you develop PTSD, it’s okay, and there’s no need to feel shame. It’s a treatable mental illness, and you’re not alone. Many people live with PTSD, and with support, you will get through this. It starts with getting help from a mental health professional, whether that’s working with someone in your local area or finding the help of an online counselor, like one at BetterHelp, you can find a treatment plan and get the help that you need to health from PTSD. You’re not alone, and remember that millions of Americans live with the condition. By going to therapy, you’re doing something incredibly brave, which is taking charge of your mental health. You will get better, but it’s going to take time. Be patient with yourself. Healing from trauma can be difficult, but it’s worth it.
Marie Miguel has been a writing and research expert for nearly a decade, covering a variety of health-related topics. Currently, she is contributing to the expansion and growth of a free online mental health resource with BetterHelp.com. With an interest and dedication to addressing stigmas associated with mental health, she continues to specifically target subjects related to anxiety and depression.
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