Resistance and religion: health care in Uganda, 1971-1979.

This article situates women's roles in community health care during violence in Uganda in the 1970s. It examines the lived reality of Catholic missionary sister nurses, midwives, and physicians on the ground where sisters administered health care to local communities. The goal is to examine how religious women worked with local individuals and families in community health during periods of violence and war. Catholic sisters claimed to be apolitical, yet their mission work widened to include political issues. As they saw local Ugandans threatened, sisters engaged in political activities by their identification with and protection of "their people."

Short-term missions: not what I expected.

This article relays the experiences of a nurse practitioner serving in Haiti, before and after the 2010 Earthquake. She concludes, "I realized that God had indeed called me to serve--not as I had envisioned, but as he needed."

Special people? An exploratory study into re-entering missionaries' identity and resilience.

Home country re-entry from cross-cultural missionary work abroad may be associated with psychological distress. Re-entrants experience multiple losses including loss of identity which may be associated with personal/relational identity gaps and depersonalization/dehumanization. However, research suggests that some re-entrants are resilient with good mental health, while others are fragile with poor mental health. The aims of this paper are to explore the nature and frequency of re-entering missionaries' identity gaps and their depersonalization/dehumanization in resilient and fragile re-entrants. Fifteen re-entering adult Australian cross-cultural missionary workers from four interdenominational Australian mission organizations completed semi-structured interviews. Results were analysed using modified Consensual Qualitative Research methods. Links were established between personal/relational identity gaps, depersonalization/dehumanization and resilience on re-entry. Implications for re-entrants' care are discussed with suggestions for further research.

Remedial agents: missionary physicians and the depopulation of Hawai'i.

This article examines the activities and perspectives of nineteenth-century American missionary physicians in the Hawaiian Islands. The physicians' attitudes toward Hawaiian morbidity and depopulation are viewed in relation to the greater missionary community's role in the political transformation of the island nation. The article argues that missionary physicians monitored and reported on Native Hawaiian depopulation (a result of introduced western diseases) while simultaneously advertising the islands' benefits to American consumptives, imperialists, and others. Mission doctors also failed to respond effectively to the greatest epidemiological crisis Hawai'i had ever faced: a venereal scourge with a resulting blight of Native Hawaiian infertility. As a result of these and other factors, American hegemony in Hawai'i by midcentury was a foregone conclusion.

A time for renewal: a lessons-learned review on the role of CISM in caring for missionaries after the Rwandan genocide.

In 1994 more than 800,000 people were killed in the Rwandan genocide. Seventh Day Adventist missionaries were forced to evacuate the country under conditions of extraordinary stress and personal threat. Their Church was faced with the necessity of rapidly developing a spectrum of support services to assist the distressed missionaries and their family members in the immediate aftermath of the catastrophe. Individual missionaries, and sometimes their entire family units, had witnessed horrific atrocities perpetrated against members of their congregations and the general public. In some situations of their own church members actively participated in the murders. Church leaders combined their efforts with the resources of the International Critical Incident Stress Foundation to provide immediate, multifaceted support services to the missionaries and their families. This article briefly describes the breadth and depth of the specific Critical Incident Stress Management (CISM) program that was developed and provided to Rwandan Seventh Day Adventist missionaries in April of 1994. The results of a brief post-support evaluation survey are presented.

Searching for success: boys, family aspirations, and opportunities in Gabon, ca. 1900-1940.

Boys growing up in rural Gabon between 1900 and 1940 negotiated with many challenges: the rise of migrant labor, famines and hardships brought on by World War I, the growth of Christianity and African-based spiritual traditions, and the undermining of clans, which had been the main form of social and political organization in the nineteenth century. Parents, extended family members, missionaries, and European businesses recruited boys to serve their varied interests. Boys in turn developed new self-understandings by leaving their homes as students, workers, and clients of older men. This article examines the life histories of four boys to trace the successes and challenges that individual boys encountered in this turbulent era. Interestingly, older biological relatives of boys generally succeeded in maintaining their authority over children living far from home, although the education and wages that boys received forced older men to offer boys more benefits.

Child slaves and freemen at the Spiritan Mission in Soyo, 1880-1885.

Catholic missionaries in late nineteenth- and early twentieth-century Africa more commonly than Protestants purchased slaves to build their mission stations. This article provides a micro-historical analysis of the redemption of child slaves by the Holy Ghost Fathers in Soyo, West Central Africa, in the years immediately preceding the colonial partition of Africa. It argues that the Spiritan missionaries liberated slaves for instrumental rather than humanitarian reasons. As local freemen were difficult to control, the mission depended for its growth on the import of slave children. Furthermore, since the missionaries operated on the same markets and paid the same prices for slaves as regular buyers, their purchasing practices showed a strong resemblance with ordinary slave trading.

Cross-cultural re-entry for missionaries: a new application for the Dual Process Model.

Nearly half a million foreign aid workers currently work worldwide, including over 140,000 missionaries. During re-entry these workers may experience significant psychological distress. This article positions previous research about psychological distress during re-entry, emphasizing loss and grief. At present there is no identifiable theoretical framework to provide a basis for assessment, management, and prevention of re-entry distress in the clinical setting. The development of theoretical concepts and frameworks surrounding loss and grief including the Dual Process Model (DPM) are discussed. All the parameters of the DPM have been shown to be appropriate for the proposed re-entry model, the Dual Process Model applied to Re-entry (DPMR). It is proposed that the DPMR is an appropriate framework to address the processes and strategies of managing re-entry loss and grief. Possible future clinical applications and limitations of the proposed model are discussed. The DPMR is offered for further validation and use in clinical practice.

Moral transgression, disease and holistic health in the Livingstonia Mission in late nineteenth and early twentieth-century Malawi.

This article examines ideas of morality and health, and connections between moral transgression and disease in both Scottish missionary and Central African thought in the context of the Livingstonia Mission of the Presbyterian Free Church of Scotland in Malawi during the late nineteenth and early twentieth centuries. By concentrating on debates, conflicts and co-operation between missionaries and Africans over the key issues of beer drinking and sexual morality, this article explores the emergence of a new "moral hygiene" among African Christian communities in Northern Malawi.

Back home: a qualitative study exploring re-entering cross-cultural missionary aid workers' loss and grief.

Over 200 Australian, American, and British Non-Government Organizations send aid workers overseas including missionaries. On re-entry, they may suffer psychological distress; however, there is little research about their psychosocial issues and management in the family practice setting. Research suggests loss and grief as a suitable paradigm for family practitioners dealing with psychosocial issues. The aim of this study was to explore loss and grief issues for adult Australian missionary cross-cultural aid workers during their re-entry adjustment. Mixed methods were used and this study reports the qualitative method: semi-structured interviews conducted with 15 participants. Results were analyzed using framework analysis. Themes of re-entry loss and grief were identified with sub-themes of multiple varied losses, mechanisms of loss, loss of control, common grief phenomena, disenfranchised grief, and reactivation of past grief. Theoretical and clinical implications are discussed. Findings of this study suggest that loss and grief is an appropriate paradigm for the management of these workers in the family practice setting. Further research is needed to enable appropriate care.

[Classification of mental disorders of soldiers participating in peace missions and warfare actions]. / Klasyfikacja zaburzen, psychicznych u zolnierzy w czasie misji pokojowych i dzialaniach wojennych.

Numerous media reports (press, radio, television) and several scientific publications on psychiatric disorders among Polish soldiers participating in peace missions in Iraq indicate that there is a serious threat caused by the disorders defined in the DSM-IV classification as: acute stress disorder (ASD) and post-traumatic stress disorder (PTSD). The authors analyzed psychiatric documentation and conducted their own researches, which revealed that adjustment disorders, especially with anxiety, are the main psychiatric problem among Polish soldiers in Iraq, while incidence of ASD and PTSD is very low. The aim of this publication is to present and compare mental disorders which occur during peace missions and welfare actions according to the international ICD-10 and American DSM-IV classifications. The authors paid attention to the role and significance of hitherto diagnosed impulsive disorders, which occur among the soldiers in Iraq as the intermittent explosive disorder, according to DSM-IV. The general and essential conclusions of the presented publication is that the guidelines of diagnosing mental disorders that occur during peace missions and welfare actions should be developed and introduced quickly.

Traumatic events and posttraumatic stress in cross-cultural mission assignments.

In addition to cross-cultural and environmental stressors, aid workers and missionaries are frequently exposed to trauma. We explored the frequency of traumatic events, their mental health impact, and factors associated with posttraumatic stress in two groups of missionaries, one representing a predominantly stable setting (Europe) and the other an unstable setting (West Africa). The 256 participants completed self-report measures assessing lifetime traumatic events, current posttraumatic stress, depressive and anxiety symptoms, resilience, and functioning. The rate of traumatic events was significantly higher in the unstable setting. More-frequent traumatic events were associated with higher posttraumatic stress. Factors associated with the severity of posttraumatic stress were depression, functional impairment, subjective severity and number of traumatic events, and the level of resilience.