In the Médecins Sans Frontières hospital
in Reconstructing lives
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In Chapter 2, I follow patients and staff through their daily routines in the hospital. I describe the spectrum of emotions experienced by members of hospital staff, ranging from their personal motivation to the emotional impact on them of the daily support they provide to the victims of war. The hospital routine is marked by mutual informal interactions between patients and staff, lending a general sense of informality and friendliness to the institutional relationships. Nevertheless, providing a “healing environment” and remaining steady under the visual impact of deformed limbs carries a certain price. Interviews with staff suggest feelings of sadness, guilt, and generalized emotional distress. These overwhelming emotions are linked to the staff’s perceptions of patients. Patients are predominantly viewed as victims, lacking their own agency, and patronizing attitudes are sometimes imposed to justify the social order in the hospital. An enduring hospital culture of stereotyping is widespread. This became obvious through positive descriptions of Iraqi patients in contrast to derogatory portrayals of Yemeni patients, who are viewed as lacking proper hygiene practices, for example, or not understanding the Jordanian dialect of Arabic. Despite all of this, the hospital appears to be a successful melting pot, where cultures blend and transformation takes place. It becomes a place where a patient’s sense of self is gradually altered.

Reconstructing lives

Victims of war in the Middle East and Médecins Sans Frontières

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