Life after armed group involvement in Nepal: A clinical ethnography of psychological well-being of former "child soldiers" over time

Transcult Psychiatry. 2020 Feb;57(1):183-196. doi: 10.1177/1363461519850338. Epub 2019 Jun 13.

Abstract

Little is known about the longitudinal effects of early age involvement of young people in armed groups and their well-being as they return to strongly affected, politicised communities. Current research and policy are often driven by the assumption of a causal relationship between participation in this war experience and psychological damage. This article explores the role of young people's armed group experience during the Nepal People's War, compared with post-conflict stressors, in shaping intra-psychic impact and distress, and which processes enable well-being and resilient functioning. Findings are reported from an 18-month clinical ethnography of a cohort of 17 Nepalese young subjects, where participant-observation methods were used to explore their daily lives after exiting the armed group and follow-up research conducted six years later. The findings highlighted limited evidence for on-going intra-psychic impact and distress related directly to their armed group experience; when such distress occurred, it appeared to be generated more by the structural violence of their environments. The key constituents determining their well-being included: a sense of closeness through emotional connectedness with their family, ideological proximity with the values of the armed group, closeness in their bond with the community, and the social-emotional-economic capital available to them to navigate the harsh structural constraints of post-conflict life. These data further challenge the prevailing assumption that this war experience inevitably leads to psychological damage, and the article argues that structural violence often plays a predominant role in cases where psychological distress does arise.

Keywords: Nepal; armed conflict; child soldiers; clinical ethnography; resilience.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adaptation, Psychological*
  • Adolescent
  • Anthropology, Cultural
  • Cohort Studies
  • Family / psychology
  • Female
  • Humans
  • Interpersonal Relations
  • Interviews as Topic
  • Life Change Events
  • Male
  • Military Personnel / psychology*
  • Nepal
  • Psychological Distress*
  • Psychology, Adolescent*
  • Violence / psychology*
  • Young Adult