{"id":42973,"date":"2018-09-07T11:44:53","date_gmt":"2018-09-07T10:44:53","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmj\/?p=42973"},"modified":"2018-09-12T09:34:20","modified_gmt":"2018-09-12T08:34:20","slug":"jungle-stories-suffering-hope","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmj\/2018\/09\/07\/jungle-stories-suffering-hope\/","title":{"rendered":"The Jungle: Stories of suffering and hope"},"content":{"rendered":"

The experiences of people seeking asylum can be hard to hear, but we must listen <\/p>\n

Summer news is often sparse. But this summer was marked by a number of high profile stories. Children were separated from their parents on the US\/Mexican border, migrants arriving by sea to Italy were denied access to Europe, the Windrush scandal broke, and immigration was a key issue in the ongoing stalemate around Brexit. <\/span><\/p>\n

As more countries talk about adopting zero tolerance immigration policies, narratives shift, racist rhetoric is normalised, and a culture of prejudice can grow. Even the short lived use of billboards in the UK warning illegal immigrants to \u201cgo home or face arrest\u201d<\/a> gave rise to legal migrants experiencing increased racial prejudice.<\/span> \u00a0<\/span><\/p>\n

Against this backdrop, Joe Murphy and Joe Robertson\u2019s play <\/span>The Jungle<\/span><\/i> couldn\u2019t be more necessary. \u201cThe Joes\u201d established the Good Chance Theatre in the Calais refugee camp back in 2015, as governments wrangled over the large number of migrants making the journey to Europe, and thousands were caught in limbo in the camp in France that became known as \u201cthe Jungle.\u201d The stories told in the camp\u2019s theatre have been woven together to form a play and the camp has been recreated in the Playhouse Theatre, London. The stalls become the Jungle\u2019s Afghan caf\u00e9 and the balcony seats are renamed \u201cthe White Cliffs of Dover.\u201d Milky chai is handed out before the play and there is mud underfoot. \u00a0<\/span><\/p>\n

\"The
Scenes from The Jungle<\/em>. Credit: Marc Brenner<\/figcaption><\/figure>\n

The Jungle residents were our close neighbours, just an hour from London, \u201c<\/span>in<\/span><\/i> not <\/span>under<\/span><\/i> the Eurostar.\u201d Up to 10 000 refugees, asylum seekers, and migrants, including many unaccompanied children, came to the Jungle and hoped for the \u201cgood chance\u201d of getting to England\u2014many risking their lives attempting to hide in\/on\/under lorries, boats, or trains. <\/span><\/p>\n

The Calais camp was a place of suffering and often fear\u2014especially for the unaccompanied minors for whom the camp environment has been described by mental health and legal professionals (as well as some of the young people themselves that we have worked with) as re-traumatising and damaging to their emotional development<\/a>.\u00a0<\/span>But it was also a place of hope: in the words of Safi, <\/span>The Jungle\u2019s <\/span><\/i>Syrian narrator, \u201cmore hope than you\u2019ve seen in all your lifetimes.\u201d <\/span><\/p>\n

At the heart of the play is 17 year old Okot\u2019s account of why he left home and the traumas of his journey, each experienced as another death. The fragmented narrative of his journey and the distance he creates for himself from it\u2014\u201cWe didn\u2019t survive. We are different now\u201d\u2014is similar to others we have heard from young migrants. Often their stories and memories are too difficult or painful to tell in their entirety, and there are high levels of psychiatric morbidity, especially depression, anxiety, and post-traumatic stress disorder (PTSD), in this population.<\/span><\/p>\n

\"The
Credit: Marc Brenner<\/figcaption><\/figure>\n

However, it is largely these narratives, told in the interviews which may take place just days after getting the \u201cgood chance\u201d to come into the UK, that authorities rely on to judge the legitimacy of asylum claims. Avoiding or being unable to remember details of a traumatic event is part of the diagnostic criteria of PTSD, so these narratives can often seem incomplete or inconsistent\u2014a cruel paradox that risks trapping those in need of asylum. <\/span><\/p>\n

The play touches on the fact that people\u2019s difficulties do not stop after arriving in the UK. Although research<\/a> in this area is growing<\/a>, <\/span> our understanding of the experiences, hopes, and fears of young migrants after they arrive in the UK remains limited and there is evidence of a low uptake of mental health services<\/a>, despite high levels of psychological distress.<\/span><\/p>\n

\"The
Credit: Marc Brenner<\/figcaption><\/figure>\n

Clearly, we could do better at supporting young migrants to adjust and heal in their new country. One lesson may come from what was an unusually uplifting tale this summer: that of the Thai boys trapped in a cave. The Thai authorities understood the need to handle the transition of the children from one scary place to what could have been another\u2014a news hungry outside world. They allowed the boys a period of contemplation in a monastery away from media attention to help them come to terms with their extraordinary story. We may have something to learn from them about managing difficult transitions. <\/span><\/p>\n

The Jungle<\/span><\/i> challenges the discourse of \u201czero tolerance\u201d by allowing us to hear the often unheard or misrepresented narratives of people who have made what Safi calls \u201cjourneys of hope.\u201d These stories are often hard to hear and even harder to tell. <\/span><\/p>\n

Psychological therapy for PTSD usually involves gradually narrating the trauma, but this is not recommended until someone is living in a supportive, stable environment. Unfortunately, by the time this occurs, if it occurs at all, most people have had to tell their story many times: in interviews, clinics, and even sometimes courts. The Good Chance Theatre was created as \u201ca space where people can tell their stories safely, warmly, and openly.\u201d\u00a0<\/span>We should aim to recreate this in all the places where these stories are heard, and in the spaces they are not.\u00a0<\/span><\/p>\n

\"The
Credit: Marc Brenner<\/figcaption><\/figure>\n

The Jungle<\/em> runs at the Playhouse Theatre until 3 November.<\/span><\/p>\n

\"\"Helen Roberts<\/strong> is a professor of child health research at UCL Great Ormond Street Institute of Child Health. She works on inequalities in child health and what can be done about them.<\/span><\/em><\/p>\n

Competing interests:<\/strong>\u00a0I have read and understood BMJ policy on declaration of interests and declare the\u00a0following interests: None.<\/p>\n

\"\"Susie Walker<\/strong> is a consultant child and adolescent psychiatrist and an NIHR doctoral fellow at UCL Division of Psychiatry and GOSH Institute of Child Health. She is currently looking into the use of the Mental Health Act among children and adolescents<\/span>. You can follow her on\u00a0<\/span>Twitter\u00a0<\/span>@SusieElizabethW<\/span><\/a><\/em><\/p>\n

Competing interests:<\/strong>\u00a0I have read and understood BMJ policy on declaration of interests and declare the\u00a0following interests:\u00a0I do occasional expert psychiatric reports for young asylum seekers and refugees. Nothing further to declare.<\/p>\n","protected":false},"excerpt":{"rendered":"

The experiences of people seeking asylum can be hard to hear, but we must listen […]<\/p>\n

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