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Gendering Trauma and Healing in a Post
Conflict Environment: Las Dignas, Mental Health, and the Empowerment of Salvadoran
Women
A dissertation presented in fulfilment of the requirements for the degree of
Doctor of Philosophy
at Massey University, Turitea Campus, Palmerston N01th, New Zealand
Helen Margaret Leslie 1999
11
Abstract
There i s no doubt that the experience of war, be i t war between nation states or civil war, varies considerably for both male and females. The twelve year civil war i n El Salvador was no exception. Salvadoran women who worked in various sectors as combatants, urban collaborators, home-makers, nurses, cooks or radi o operators for the guerrilla forces, experienced the war and now experience so-cal led peace, i n ways that relate directly to the construction of the female sex in Salvadoran society. As a result of these gendered experiences many Salvadoran women are suffering trauma despi te the cessation of the war in 1 992. This trauma acts to d isempower these women and to prevent them from actively participating in the i mportant processes of post-con fl ict reconstruction currently taking place in Salvadoran society
This thesi s aims to analyse the approach taken by one Salvadoran organisation for feminist pol i t ical action, Las D ignas, i n heal i ng the trauma o f Salvadoran women.
Reviewing relevant l iterature on gender and development theory and gender and confl ict theory, and drawing on feminist methods in the fieldwork context, it will s how how the healing process employed by Las D ignas i s empowering Salvadoran women at both personal and soci o-political levels.
The concl usions derived from this research process are as fol lows. Firstly, by i ncorporating mental health i nto their gender and development programme, Las Dignas has recognised the importance of a gendered approach to hea l i ng in the post-confl ict context. This form of approach has the potential to empower women to reconstruct their gendered i dentities so that they are able to actively participate i n efforts to eradicate the machismo, i nequali ty and poverty that conti nues to plague Salvadoran society.
Secondly, because it is evident that a gendered approach to heali ng has been successful i n empowering women i n post-conflict El Salvador, there i s a need to i ntegrate the concept of empowerment i nto mental health i nterventions for women i n the n umerous post-conflict environments that also exist in today's world.
111
Preface
Coming from a country that has no rel at i ons with El Salvador beyond the trade of dairy products, I am often asked why I chose El Salvador as a topic for my thesis. To answer this I am compel led to relate the course of events that led me to become interested in a country so far away and so removed pol i tically from the country o f my origin, New Zealand.
The cycle of events began. when, after returni ng from a period of overseas travel from 1 989- 1 993, I experienced a form of pol itical awakening and deci ded to undertake post
graduate study in development studi es. In some ways this reflected a desire to understand the i ssues of development and underdevel opment I had observed during my travels, b ut in others, i t was a search to do something about the appall ing state i n which the maj o ri ty of the peoples of our world l i ve.
I n fi nding that studying development ful fil led only a percentage of this desire, I sought also to become i nvolved with development practice. In this vein. I began worki ng as a vol unteer for a progressive New Zealand j ustice and development organi sation by the name of CORSO. Through CORSO I had the privi lege of meeting a number of development practi tioners from around the world, i ncluding Ofelia Lopez.
Ofelia came to New Zealand from El Salvador in 1 995 as a representative of Las O ignas Mujeres por La Dignidad y La Vida ( Women for Dign ity and L i fe). As CORSO had been i nvolved with funding some of Las Dignas' programmes from the early 1 990s, we, along with several other New Zealand i nternational development Non Governmental Organi sations (NGOs), hosted O felia's visit. This i nvolved organising public meeti ngs and media coverage to rai se awareness of the development i ssues faci ng El Salvador fol l owing the signing of the peace accords which ended the c i v i l war in 1 992.
When Ofelia came to stay with me i n Pal merston North l was s imultaneously shocked and i nspired by our meeti ng. Here was a woman with a recent h istory of i ncredible
IV
suffering. H av i ng been i nvolved with the opposition movement both before and during the civil war, O felia and her family were subjected to continuous repression at the hands of the Salvadoran m i litary. Ofelia' s husband, father and four brothers were assassinated by the m i l itary and Ofelia hersel f was incarcerated for 26 months. While in prison, Ofelia gave b irth to one of her daughters and endured constant physical and psychological torture.
Ofelia's commitment to her people and in particular, the rights of women in El Salvador, did not end, however, with her eventual release from prison and her four year exile in Austral ia. After acting as a representative of the Committee of Mothers and Relat ives of Political Prisoners, Disappeared and Assassinated of El Salvador ( C OMADRES) in Austral ia, she returned to El Salvador fol lowing the signing of peace accords to begin assisting Salvadoran women, ·to change things for themselves and then for others' (Ofelia Lopez, c ited in The Age, 1 9 August : 1 992). This commitment saw her become i nvolved with the newly formed Las Dignas and Ofelia spent the next few years training traditional midwives and promoting women ' s participation in the local democratic process.
Of all the activities of Las Dignas Ofelia spoke of during her time with us in New Zealand, it was perhaps their mental health programme to assist women with heal ing the trauma of the war, that 1 found most inspiring. It seemed to me that here was a programme that not only recognised women's gendered experiences of war, but also, assisted women in reconstructing their gendered identities i nto ones that would see them as strong and capable citizens of Salvadoran society. As it has been well established that women's active participation is essential to the sustainable development of a nation, I fel t that the potential of such a programme was enormous.
While I had v iewed the study of development as a departure from my background i n nursing, i t was, perhaps, my n ursing background that lead m e t o focus on Las Dignas' mental health programme. I had worked previously as a mental health nurse and I felt that my years of sitting next to patients' beds listening to the stories of their l i ves, would place me i n good stead for u ndertaking a research proj ect that required empathy, adaptation and the abil i ty to rel ate to women from a different culture to my own.
V
Thus, after keeping i n contact with O felia and gaining permi ssion from Las Dignas to conduct research in El Salvador, I enrolled in a PhD programme in development studies.
My j ourney of d iscovery had begun .
Acknowledgments
The completion of this thesis has been made possible through the support and assistance of many people.
VI
In particular I would like to thank my supervisors, John Overton, Regina Scheyvens and Robert Gregory for their constant enthusiasm and careful guidance;
the Ryoichi Sasakawa Scholarships Commillee for providing me with the generous .fimding needed to conduct my research;
Ananda Millard, O.felia Lopez, Christina lhiu?ez and a!! the staff of Las Dignasfor 1relcoming and caringfOJ· me during my time in El Salvador;
A lex Quintanilla, Natalia Ramirez and Alicia Garciafor their patience, friendship and assistance with Spanish language, transcription and translation;
the members of the Wednesday and Berlin groupsfor teaching me about their lives;
my colleagues in CORSO forfacilitating my interest in the work of Las Dignas;
Marie Leslie . .loan Morre/1 and Anne Kellyfor their help )llith proofreading;
and my friends, near andfar, whose interest and supportfOI· my research has been unfailing.
I would also like to thanks my parents, Marie and Arnold, and my brothers, Paul, Dcn·ron, A ndreH' and Michael 1rhose beliefin me has enabled me to become the most
qualified Leslie!.
Lastly I would like to thank my partner, John Morrell for being prepared to fend off cockroaches for me in El Salvador and.for your constant love and support throughout
the thesis writing process.
VII
Table of Contents
Title Page
Abstract 11
Preface Ill
Acknowledgmen ts VI
List of Figures and Tables XIII
List of Photogra phs XIII
List of Acronyms XV
Table of Contents VII
Cha pter One- I n troduction 1
Background to the Thesis 1
E l Salvador: The Country and its Pre-War Hi story
Cont ribution to Knowledge 7
Gender and Confl ict 7
Gender and Development 1 3
O utline of Thesis 15
Chapter Two- Theoretical A pproaches to Women a nd Development in
the Third World 18
I n troduction 18
The 'Women's Question' enters the Development A rena 19
Before Women i n Development
Women as Economic Actors: Ester Boserup and WID
Alternative Thought on the 'Women Question' i n Development From WAD to GAD
Postmodem Challenges to Gender Issues i n Development Empowerment and Gender Issues in Development Defining Empowem1ent
Disempowerment S u m m a ry
Chapter Three - Women Organ ising for Cha n ge in L atin A merica : v i i i
1 9 2 2
24
2 6 3 0
32
3 3 44
47
E m powerment/Disem powermen t in Practice 49
I ntrod uction 49
Women's O rganisations and New Social Movement D iscourse 50
Forms of Women's Organisations in Latin America 57
Defining Women ' s Organi sations 5 7
Mother's Movements: Working Class U rban and H uman Rights M ovements 5 8
Indigenous Women' s Organisations/Peasant Movements 62
The Femi ni st Stream 67
Revolutionary women 70
Women's Mobilisation's for Change in Latin America as
E mpowerment/Disempowerment? 72
Can Women' s Empowerment Outl i ve Revolution/Democracy? 73
Gen der-related Violence as Disempowerment 78
Rape in Lat i n America 79
Torture i n Latin America 8 0
L o s Desapareci dos/ The Disappeared 8 3
Violence against Women Refugees/C ivil i ans 84
Summary 86
IX
Chapter Four- P sychological I mpacts of G ender Related Violence:
Trauma, a n d G ender-Specific Approaches to Hea ling in P ost-Conflict
Latin A m erica 87
I ntroduction 87
Psychological effects of Gender-Related V iolence 88
Generalising Psychologi cal Effects 8 8
Post Traumatic Stress Di sorder 92
Gender and D evelopment in Post-Conflict Environments 98
Heal i ng the Wounds of Gender-Related Violence 99
An Approach to Healing 1 03
Summary 108
Cha pter Five- M ethod in the M adness 1 10
I ntroduction 110
Feminist Research 111
What is Feminist Research? 1 1 1
Historical Roots of Feminist Research and Ways of Knowing 1 1 4
Femi nist C ross Cultural Research 1 1 8
Research Techniques: 'Tools of the Trade' 1 22
Empowering Research Methods 1 27
Research i n Practice 134
Entering the F ield 1 34
Doing Feminist Research i n E l Salvador 1 40
Empowering Research or Damage Control? 1 49
Summary 152
Epilogue 153
Thesis Participants 154
X
Chapter Six - E l Salvador' s Civil War a n d Contemporary Con text 159
I ntroduction 159
The Pre-Wa r Setting 160
Popular M ovement and the I mpact of L iberation Theology 1 60
A Society at War: 1980-1992 164
The Final O ffensive 1 64
Li ving Rural I nsurgency 1 65
The United States Occupies Centre Stage 1 70
The FMLN Re-Groups 1 75
The Peace Process 1 77
Contempora ry Salvadora n Society: Will Peace E n d u re? 180
Violence and Mental Health 1 80
Elections and the Pol ice Force: The Nev,; Players 1 85
Economic I nequal ity and the Battle for Poverty Al lev iation 1 86 The Feminisation of Poverty i n Contemporary E l Salvador 1 89
Summary 192
Chapter Seven - Women ' s Experiences of Conflict in E l Salvador 194
Introduction 194
Women's participation i n the Civil War 195
Fonns of Participation 1 95
Participation as E m powerment/Discmpowerment 203
Flight and Movement 208
Motherhood 2 1 3
Sexual ity 2 1 7
Peacetime 22 1
The I mpact of the C ivil War on Women's M ental H ealth 225
Generalising Illness Experiences 225
M ental Health of Participants Su mmary
XI
228
230
Chapter Eight - The Work of Las Dignas 232
I ntroduction 232
Women Organising for Change in El Salvador 233
H istorical Review 233
Organi sing in 1 997 236
Women fo r Dignity and Life ( Las D ignas) 241
H erstory of Las Oignas 24 1
Las Dignas - Structure and Programmes 245
The M ental Health Progra m me 254
The P i lot Programme 255
The Work of the Mental H ealth Team 258
Self-help in San Salvador and Berl in 260
Summ a ry 267
Chapter Nine - M ental Health As E m powerment?: A n a lysing the
E m powermen t Poten tial of Las D i gnas' Self-help Groups 268
I ntrod uction 268
Empowerment Revisited 269
I mportant considerati ons 269
Empowerment and the Theoretical M odel 27 1
Empowerment in the Wednesday G roup 273
Conscientisation/Reconstructi ng Gender Roles 273
Personal Empowerment 278
Soci al/Pol itical Empowerment 280
D isempowering O utcomes 283
Empowerment in the Berlin Group 285
Conscientisation/ Reconstructing Gender Roles/Identity Personal Empowerment/Social/Pol itical Empowerment D isempowering O utcomes
Summary
Cha pter Ten - Conclusion
Summary of T hesis Findings
I m plications fo r Future Research
Bibliogra phy
Xll
2 8 5 2 8 7 2 8 8
289
290
290 293 300
302
Xlll
List of Figures and Tables
Figure 1 : Context Map of El Salvador __________________ 5
Figure 2: The Women's Movement During the Return to Competitive Electoral Politics (Peruvian, Chilean and Argentinian Examples). --- 76 Figure 3: An Approach to 1-fea/ing.for Women in Post-Conflict Latin America __ 1 06 Figure -!: Organisational Chart ofLas Dignas ______________ 253
Table 1: lane Stein's FrameH·ork of individual Le1·el Empowerment --- 36 Table 2.· Five Member Orwmisations of the FMLN _ ___ _ _ _____ _ 1 6 1 Table 3 : The Chapultepec A ccord _________________ _ 1 79
'
List of Photographs
Photo 1: El Salvador has a relatively ethnically homogenous population 6 Photo: 2: San Vincente volcano: one of El Salvador 's numerous volcanic peaks 6
XIV
Photo 3: Poor housing in rural El Salvador 138
Photo -1: Typical poor housing in the capital, San Salvador 138 Photo 5: Defending wealth and privilege: security guard in upper-class suburb
San Salvador 139
Photo 6: Signs of War: remnants r4 FMLN bombing campaign in San Salvador 139 Photo 7: They have not died, they are �rith us, ll'ith you, and with all ofhumanity:
inscription on memorial plaque at El Mo:::ote 169
Photo 8: Monument to the dead at El Mozote 169
Photo 9: ''Please lem•e your gun in the entrance": sign outside supermarket,
San Salvador 182
Photo 10: Mara graf]itti on city market 182
Photo 11: Activities on the International Day Against Violence Against Women 2-10 Photo 12: "We have the right to decide in the counfly, in the community, in the
home, in the bed and about our bodies: Las Dignas banner at the International
Day Against Violence Against Women 2-10
Photo 13: "For your health and traquillity buy.from the market ": Las Dignas
local development programme, Suchitoto 251
Photo 1-1: Training in non-traditional occupations: Las Dignas cmpent1y
workshops, San Salvador 251
Photo 15: Central Office of Las Dignas, San Salvador 251
ACISAM AMES AMIS
AMPRONAC
ANESAL ANI S ARENA CEF CEMUJER
CIA COM
COMADRES
CON AM U S CONAVIGUA COPAZ DAWN ERP FAES FOR FMLN FPL FUN DE FUN DO IMU
MAM MSM ON USAL OR DEN ORMUSA PPL RN UNESCO
UNHCR UN ICEF U RP US A I D
XV
List of Acronyms
Association of Training and Research for Mental Health Association of Salvadoran Women
Association of I ndigenous Salvadoran Women Assoc iation o f N icaraguan Women Confronting the Nations Problems
Salvadoran National Security Agency
National Association of Indigenous Salvadorans National i st Republ ican Alliance
Centre for Feminist Studies
orma V irginia Guirola Herrera Centre for Women ' s Studies
Central I ntel l igence Agency
Coordination of Women's Organisations
Committee of Mothers and Relatives of Pol itical
Prisoners, Disappeared and Assassinated of El Sal vador National Coordinating Committee of Salvadoran Women National Coordi nator of Widows o f Guatemala
National Peace Commi ssion
Development Alternati ves With Women for a New Era Revol utionary Army of the People
Salvadoran Armed Forces Democratic Revol uti onary Front
Farabundo Marti National Liberati on Front Popular Forces of L iberation
National Development Foundation
Fund for the Protection of War Wounded and D isabled Institute for Research, Training and Devel opment of Women
Melinda Anaya Montes Women's Movement Salvadoran Women' s Movement
United Nations Observer M i ssion in El Salvador ational Democratic Organi sation
Organi sation of Salvadoran Women Local Popular Power
National Resistance
United Nations Education Science and Culture Organisation
United Nations H igh Commissioner for Refugees United Nations Children's Fund
United to Reconstruct Plan
United States Aid for I nternational Development