Do no harm

Toward contextually appropriate psychosocial support in international emergencies

Bibliographic Data

ID8709253
AuthorsMichael Wessells (0000-0002-3999-9320, corresponding author), Michael G Wessells
Year2009
Volume64
Issue8
Pages842-854
Publication date2009-11-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAmerican Psychologist (JOURNAL)
Journal identifiersISSN: 0003-066X • E-ISSN: 1935-990X
PublisherAmerican Psychological Association (PUBLISHER • US)
DOI10.1037/0003-066x.64.8.842
PMID19899908
OpenAlexW2073278053
LanguageEN
Citations received43
References cited3

In the aftermath of international emergencies caused by natural disasters or armed conflicts, strong needs exist for psychosocial support on a large scale. Psychologists have developed and applied frameworks and tools that have helped to alleviate suffering and promote well-being in emergency settings. Unfortunately, psychological tools and approaches are sometimes used in ways that cause unintended harm. In a spirit of prevention and wanting to support critical self-reflection, the author outlines key issues and widespread violations of the do no harm imperative in emergency contexts. Prominent issues include contextual insensitivity to issues such as security, humanitarian coordination, and the inappropriate use of various methods; the use of an individualistic orientation that does not fit the context and culture; an excessive focus on deficits and victimhood that can undermine empowerment and resilience; the use of unsustainable, short-term approaches that breed dependency, create poorly trained psychosocial workers, and lack appropriate emphasis on prevention; and the imposition of outsider approaches. These and related problems can be avoided by the use of critical self-reflection, greater specificity in ethical guidance, a stronger evidence base for intervention, and improved methods of preparing international humanitarian psychologists

Context (archaeology · Empowerment · Engineering ethics · Harm · Political science · Psychological resilience · Psychosocial · Psychotherapist · Public relations · Migration, Health and Trauma · Posttraumatic Stress Disorder Research · Psychology · Resilience and Mental Health · Law · Social Psychology

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