mental health disorders are on the increase in the Gaza Strip, brought on by
loss of jobs and dignity, and lack of freedom under Israel's blockade
Wednesday 11 July 2012 09.26 EDT
as long as Farah can remember, her father has never worked. Nor, in recent
years, has she particularly wanted to spend time with him. She and her three
younger siblings love Abu Shawareb, insists their mother, Naima, but they have
grown wary of him, particularly of his mood swings and violent
"It was like a part of me had gone for ever," says Shawareb,
recalling the day five years ago when he suddenly lost his job. "I kept
thinking, how am I going to feed my family? How will we live?"
Israeli blockade of Gaza in June 2007, Shawareb has been unable to find another
job. "We've been left to die slowly here," he says. "I am just 40 but I feel as
if my working life is over."
He has been diagnosed with chronic
depression and is on medication. The treatment is helping, but Shawareb still
has days when he can barely pick himself up off the floor.
"Today is a
good day," he says, trying to smile. "I managed to go outside." The family's
housing situation compounds his anxieties, says Naima when her husband goes to
make tea. Recently their small, windowless house in Shati refugee camp – home to
87,000 refugees who fled from Lydd, Jaffa, Be'er Sheva and other areas of
Palestine – was infested with mice.
Stress-related and mental health
disorders are on the increase in the Gaza Strip, according to a recent report by
the UN Relief and Works Agency for Palestine refugees in the near east (UNRWA).
A combination of internal and external influences – including forced
displacement, dispossession and occupation – have exacerbated the already high
rate of mental health problems.
Hasan Zeyada is a psychologist and
manager of the Gaza Community Mental Health Programme. According to a study by
the GCMHP, depression has increased by nearly 18% among Gazans since the
blockade. Of those surveyed, 95% said they felt imprisoned. In 2010, another
study by Médecins sans Frontičres said more than 50% of children under 12 in
Gaza needed mental health intervention.
"Feelings of powerlessness and
helplessness are the main causes for depression among Gazans," says Zeyada.
"Men, who in eastern culture are the powerful figures in the family, are
particularly affected. After having been able to care for their families,
overnight they become nothing. I come across many people looking for ways to
finish their lives."
Naima Shawareb says her husband is a shadow of the
man she married 10 years ago. "The children are scared of their father. If they
are playing around him when he happens to be really depressed, he can't control
himself and lashes out," she says. "When he cries, they sit in silence and cry
As if on cue, her husband begins to weep uncontrollably.
Farah, his eldest daughter, runs to the corner of the room to find him a tissue.
She says nothing as she pats his arm to comfort him, but then notices that her
mother has tears streaming down her face, too. The nine-year-old girl looks
stricken and creeps out of the room.
"Naima's family is one of thousands
who became poor overnight as a result of the blockade," says Karl Schembri,
Oxfam spokesman in Gaza. "It makes it next to impossible for such families to
recover their economic losses. Depression is rife. Oxfam offers temporary jobs
for people like Naima in sewing workshops, but the crisis of dignity gripping
her husband and so many other men we meet is hard to
Schembri believes the mental health crisis in Gaza will
remain acute until the blockade is lifted and internal divisions between
Palestinians are resolved.
"After the 2009 military operation against
Gaza, the number of children who were clearly traumatised was so visible," he
says. "Children are less attentive in school. Two-thirds fear more war and a
high percentage want revenge. How can you talk about post-traumatic stress
interventions in Gaza when people are still in a constant state of trauma?"