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Mental Health Services Absent for Traumatized South Sudanese
At Juba’s military hospital, the walking wounded often have scars that cannot be seen.
Psychologist Amasi Ibrahim Adam says that she sees many fighters with post-traumatic-stress disorder1.
“Most of the cases are suicide. Soldiers shoot themselves with a gun and it’s a problem, because they are ignorant of mental illness and there are no services to console them,” Adam said.
Surgeon and director of the military hospital, Peter Ajak Bullen,says that some patients like William, who was bombed on the front lines in April, are brought in by family members. But he says other traumatized soldiers can often go on the rampage to maim2 and kill others.
“A soldier getting, shooting his colleagues is common, just common. Shooting in the air, shooting civilians3, is common. Being violent to civilians also is common, especially for the soldiers, who have just come out of war. It’s a common scene. In the frontline, when we go and visit, you see that there are so many cases of a colleague shooting a colleague. Just because of depression,” Bullen said.
But although the hospital has bigger and better facilities than the public hospital, it has to deliver patients who do not respond to counseling and sedation there.
But at a 12-bed ward4 in the corner of Juba Teaching Hospital, psychologist George Wani, says he has no choice but to keep patients sedated5 for want of psychiatric drugs.
He has to use what little tranquilizers are available to calm patients down and that, if that doesn’t work, he has to send patients to Juba’s prison.
“The sanitarium of Juba is inside the prison. We are not intending to admit the mentally sick in the prison, but we are obliged and we have no alternative. As in an open space, the patient would be very destructive and harmful to others, very violent, aggressive and people outside cannot even right [correct] the situation,” Wani said.
South Sudan Deputy Minister of Health Yatta Lori Lugor says that the country has so many competing needs that the means to help the traumatized are just not there.
“Many of our people don’t know about these mental disorders6, except when things come bizarre, like for example they see someone walking naked and then they conclude that this person is mentally sick. But otherwise they cannot diagnose early cases of mental disorder,” Lugor said.
But until the hospital gets proper psychiatric drugs, staff and facilities, South Sudan’s mentally ill will remain sedated or shackled7.
1 disorder | |
n.紊乱,混乱;骚动,骚乱;疾病,失调 | |
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2 maim | |
v.使残废,使不能工作,使伤残 | |
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3 civilians | |
平民,百姓( civilian的名词复数 ); 老百姓 | |
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4 ward | |
n.守卫,监护,病房,行政区,由监护人或法院保护的人(尤指儿童);vt.守护,躲开 | |
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5 sedated | |
v.使昏昏入睡,使镇静( sedate的过去式和过去分词 ) | |
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6 disorders | |
n.混乱( disorder的名词复数 );凌乱;骚乱;(身心、机能)失调 | |
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7 shackled | |
给(某人)带上手铐或脚镣( shackle的过去式和过去分词 ) | |
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