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Published Online: 1 June 2015

The Stone That Mourns Its Victims: Haiti Still Recovering From Its Injuries and Traumas 5 Years After the 2010 Earthquake

Memorial for the Haiti earthquake of Jan. 12, 2010 (photograph by Darwin Clorméus; used by permission)
On Jan. 12, 2010, at 4:53 p.m. local time, Haiti was struck by the largest earthquake in its modern history. The quake killed over 222,000 people, about 2.5% of the national population, and left more than 300,000 injured, between 4,000 and 7,000 amputees, and roughly 1.5 million homeless.
Following the earthquake, studies were carried out to evaluate its impact on mental health. Depending on the age group and the time of assessment, prevalences ranged from 24.6% to 47.7% for posttraumatic stress disorder (PTSD) and from 26.0% to 46.2% for major depressive disorder (14). Studies also revealed difficulties in mourning the deaths of those who went missing (5).
The inhumation of corpses in mass graves without identification and without respect for any cultural ritual has greatly prevented survivors from mourning their relatives who perished in this disaster, as is described by participants in various studies carried out since July 2010 (2) and reported in other studies (6). In fact, as Klüger (7) suggested, when there is no grave, mourning becomes endless. Indeed, according to figures from the Haitian government and international institutions, at least 180,000 corpses were put in mass graves without being formally identified (8). Moreover, to date, no list of victims has been established.
In the absence of this list, for which no official initiative has been taken yet, the memorial of the earthquake has become an important place of pilgrimage. Consisting of the stone shown here and its plate, on which is written in Creole “12 January 2010/We will never forget,” the memorial represents, symbolically, the solid remains of the disaster. Erected on the largest mass grave at the north entrance of Port-au-Prince, where between 70,000 and 90,000 corpses are buried, according to the authorities, it is a place of contemplation for relatives who pay tribute to victims at special occasions: birthdays, November 1 (All Saints' Day), January 12, etc. In the absence of tangible signs that can facilitate the grieving process, these Haitians strive to believe that the corpses of their relatives rest there. In this manner, they create a symbolic place that might initiate the individual memory process. However, to strengthen that individual dimension and facilitate the grieving process at the collective level, a plaque at the memorial listing the names of each victim is needed to help cope with traumas and injuries. This initiative could be beneficial, as it was the case with Jewish victims of the Holocaust (9), to give a symbolic grave to the dead. Inscription of the victims’ names at the memorial might not only enable the grieving process, in terms of Haitian cultural rites, but also facilitate the transmission of traumatic memory and its recovery.

References

1.
Cerdá M, Paczkowski M, Galea S, et al: Psychopathology in the aftermath of the Haiti earthquake: a population-based study of posttraumatic stress disorder and major depression. Depress Anxiety 2013; 30:413–424
2.
Cénat JM, Derivois D: Assessment of prevalence and determinants of posttraumatic stress disorder and depression symptoms in adults survivors of earthquake in Haiti after 30 months. J Affect Disord 2014; 159:111–117
3.
Cénat JM, Derivois D: Long-term outcomes among child and adolescent survivors of the 2010 Haitian earthquake. Depress Anxiety 2015; 32:57–63
4.
Derivois D, Mérisier GG, Cénat JM, et al: Symptoms of posttraumatic stress disorder and social support among children and adolescents after the 2010 Haitian earthquake. J Loss Trauma 2014; 19:202–212
5.
Derivois D, Brolles L, Clormeus LA, et al: Le conflit de croyances dans les psychés familiale et individuelle haïtiennes après le séisme du 12 janvier 2010 (The conflict of beliefs in family and individual Haitian psyches after the earthquake of Jan 12, 2010). Le Divan Familial, January 2014, pp 123–137
6.
Gupta K, Sadiq A-A: Responses to Mass-Fatalities in the Aftermath of 2010 Haiti Earthquake. University of Colorado at Boulder, Natural Hazards Center, 2010 (http://www.colorado.edu/hazards/research/qr/submitted/gupta_2010.pdf)
7.
Klüger R: Refus de témoigner: une jeunesse [Refusal to Testify: A Youthfulness]. Paris, Viviane Hamy, 2013
8.
World Bank: Haiti Earthquake PDNA (Post-Disaster Needs Assessment): Assessment of Damage, Losses, General and Sectoral Needs. Washington, DC, World Bank, 2010 (http://documents.worldbank.org/curated/en/2010/03/16394500/haiti-earthquake-pdna-post-disaster-needs-assessment-assessment-damage-losses-general-sectoral-needs)
9.
Mouchenik Y: Ce n'est qu'un nom sur une liste, mais c'est mon cimetière: traumas, deuils et transmission chez les enfants juifs cachés en France pendant l'Occupation [It's Just a Name on a List, But This Is My Cemetery: Trauma, Mourning and Transmission Among Jewish Children Hidden in France During the Occupation]. Grenoble, France, La Pensée Sauvage, 2006

Information & Authors

Information

Published In

Go to American Journal of Psychiatry
Go to American Journal of Psychiatry
American Journal of Psychiatry
Pages: 517 - 518
PubMed: 26029804

History

Published online: 1 June 2015
Published in print: June 01, 2015

Authors

Affiliations

Jude Mary Cénat, Ph.D.
From the Department of Sexology and the Department of Psychology, University of Quebec at Montreal; the Psychology Institute, University of Lyon, Lyon, France; and the Department of Anthropology-Sociology, State University of Haiti, Port-au-Prince.
Patricia Eid, M.Ps.
From the Department of Sexology and the Department of Psychology, University of Quebec at Montreal; the Psychology Institute, University of Lyon, Lyon, France; and the Department of Anthropology-Sociology, State University of Haiti, Port-au-Prince.
Daniel Derivois, Ph.D.
From the Department of Sexology and the Department of Psychology, University of Quebec at Montreal; the Psychology Institute, University of Lyon, Lyon, France; and the Department of Anthropology-Sociology, State University of Haiti, Port-au-Prince.
Martine Hébert, Ph.D.
From the Department of Sexology and the Department of Psychology, University of Quebec at Montreal; the Psychology Institute, University of Lyon, Lyon, France; and the Department of Anthropology-Sociology, State University of Haiti, Port-au-Prince.
Lewis Ampidu Clorméus, Ph.D.
From the Department of Sexology and the Department of Psychology, University of Quebec at Montreal; the Psychology Institute, University of Lyon, Lyon, France; and the Department of Anthropology-Sociology, State University of Haiti, Port-au-Prince.

Notes

Address correspondence to Dr. Cénat ([email protected]).

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