1. Is Gaza a SIEGE!?

2. SIEGE? Lack of supportive physical and social environments Breakdown in social norms and values Panic Risk and Danger Trauma Photo: Mads Gilbert, NORWAC

3. 1. Lack of supportive physical and social environments Family separation Family stress Closed schools and kindergartens Lack of safe play space

4. 2. Breakdown in social norms and values Lack of privacy Lack of regular routines and activities Post-war dependence

5. 3. Panic Reactions: Emotions fade away or disappear The perception of time is changed Pattern of behaviour: Your body is in charge Fight Flight Freeze

6. 4. Risk and Danger In the aftermath levels of resilience changes

7. 5. Trauma A single event as an accident, sudden death, violent crime, rape, natural disasters, WAR or….. A complex trauma as an ongoing war abuse, violence within the family, bulling, hostage situation, ongoing war and torture Photo: Mads Gilbert, NORWAC

8. Gaza doesn’t have 5.400 injured. Gaza have 1,5 million injured, everyone is suffering Photo: Mads Gilbert, NORWAC

9. Needs during the phase of denial A safe and secure place Structure Fulfilment of basic needs Not to be left alone

10. SIEGE?

11. Photo: Mads Gilbert, NORWAC General reactions in crisis, disaster and distress Sadness, weeping, grief and missing persons, animals or material things Anxiety, vulnerability Anger, acting out, demand (insist on) attention Social isolation, feeling of guilt Emptiness – separated from reality. Hyper alertness.

12. Blaming themselves, disgrace, dishonour Sleeping disorders Tensions Headache, stomach ache, extra vulnerable for infections, less or more appetite Lack of power of concentration – problems at school Regression and repetitive play Children's Reactions in crisis, disaster and distress

13. Typical reactions of parents Less sensitive for the needs of their children Difficulties in expressing their emotions Less time/strength for care of their children Difficulties in keeping up rules in the family Difficulties in keeping up the daily structure/routines for the family More irritated and more protective

14. Palestinian children, Jabalya refugee camp, Gaza 1989 (First Intifada) Photo: Mads Gilbert

15. Trauma, stress and resilience: Children have a large coping capacity Photo: Mads Gilbert, NORWAC

16. Gaza: Children and parents traumatic experiences Thabet AA ea, Eur Child Adolesc Psychiatry, 2008

17. Listen – when the child/youth wants to talk Be sensitive not pushy Avoid to say ” I know how you feel” or ”poor you” What can we do? Photo: Mads Gilbert, NORWAC

18. Children are the most vulnerable in the aftermath of emergencies and…

19. http://empire.blogsome.com/ …Gaza is a Siege?