PSYCHOLOGY SERVING THE NATION OF BURUNDI: NEEDS AND CHALLENGES By Julien Munganga Imani mjulien@yahoo.fr Vice CEO Hope and Health Vision/ Executive Secretary of "l'Association des Etudiants Psychologues de l'UEA" www.hopeandhealthvision.org mjulienj@yahoo.fr/ mjulienimani@gmail.com http://mjulienj.wordpress.com Tel. + 257 78 886 751 PO Box 296 or 1602 Bujumbura-Burundi Introduction Since its break with philosophy, psychology continues its rapid expansion, which can be explained by the fact that it has relevance to virtually all areas of life (including its political, social, and religious dimensions). Far more than simple theory, the psychology of modernity has an applied, practical side that can improve the quality of human life. As was evident from the presentations at the recent International Congress of Psychology in Cape Town, South Africa (ICP, 2012), psychology is at the service of humanity. More specifically it may be utilized to serve the Burundian nation. This nation, for more than two decades, has been marred by large-scale massacres. Based on these realities, what can we say about psychology in Burundi? How does the Burundian conceptualize the notion of psychology? Does Burundi really need psychology? Does psychology really not exist in Burundi? If it were to be established, on what area or areas should it focus most? To address these issues, it is essential to understand Burundi as a country and as a full-fledged nation. Background of Burundi Burundi is a country located in part of Central Africa, with 27 830 km2 of area. It is bordered to the South-East by Tanzania, on the West by the Democratic Republic of Congo, and by Rwanda to the North. Population= 8 575.172 inhabitants Natural growth rate= 3.70% Life expectancy= 50.81 years Official languages= Kirundi and French. We can add English and Swahili due to the integration of Burundi into the East African Community. Apart from the East African Community, Burundi is also among the countries of the African Great Lakes, owing to the presence of the Tanganyika Lake, the world's second deepest lake (1470m) after Baikal (1 637m). Religion= About 60% of the population are Roman Catholic, 5% are Protestant, and about 10% are Muslim. The remaining people practice indigenous religions or have no religious affiliation. The BAGAZA government regarded the Catholic Church as pro-Hutu and restricted Masses, prohibited religious gatherings without prior approval, nationalized Catholic schools, banned the Catholic youth movement, and shut down the Catholic radio station and newspaper. The Jehovah's Witnesses and Seventh-Day Adventists were banned in 1986. Following BAGAZA'S ouster in September 1987, however, Maj. Pierre BUYOYA, the new president (a Catholic), ended all restrictions on the Catholic Church. Currently, the religious holidays which are officially observed are primarily Catholic. In 2002, the Jehovah's Witnesses and Seventh Day Adventists were once again reported as accepted missionary groups. Freedom of religion has been constitutional established. Diplomatic status is granted to the heads of major religious groups (Encyclopedia of the Nations, 2012). Burundi is a tri-ethnic country. It is predominantly Hutu (85%) followed by Tutsi (14%) and Twa (1%). According to the International Human Indicator, this year, Burundi's Human Development Index (HDI) is 0.316, which gives the country a rank of 185 out of 187 countries. During the last two decades, Burundi has been immersed in an ethnic-political crisis. In 1993, the first free multiparty elections in Burundi were organized since independence in 1962. The victory of Melchior NDADAYE, a Hutu candidate of the FRODEBU party (Front for Democracy in Burundi), highlights the conflict between the two major ethnic groups, the Hutu and the Tutsi. The intergroup tensions have been an issue especially since the massacre of 200,000 Hutus by the Tutsi-controlled army in 1972. On 21 October 1993, there was a coup led by the army (which consists mostly of Tutsis). NDADAYE and several members of FRODEBU were killed. This coup represents the beginning of the civil war in Burundi. As in neighboring Rwanda, ethnic divisions in this small country were encouraged by the Belgian colonial authorities, giving Tutsis privileged positions. An agreement in January 1994, under the aegis of the UN established power-sharing between Hutus and Tutsis. CYPRIEN NTARYAMIRA, a Hutu, became president. The death of CYPRIEN NTARYAMIRA in an attack of 6 April 1994 in Rwanda complicated the peace process. In September, the Hutu SYLVESTRE NTIBANTUNGANYA was appointed to the presidency. The ethnic massacres continued, however, pushing into exile Hutus living in the capital Bujumbura. Soon after, the Tutsis returned to power in two coups: in February 1995 and on 25 July 1996. PIERRE BUYOYA became the president. Over 550,000 citizens, or 9 percent of the population, have been displaced to neighboring Rwanda, Tanzania, and the Democratic Republic of the Congo (DRC), some for as long as 6 years. Serious health, water, and malnutrition problems exist in many camps. Persons in the hills without a camp were considered to be rebels and were killed or wounded by government soldiers. Hutu rebels sometimes kill Hutus who remain outside the camps (Farmer & Talbot, 2001). In June 1998, BUYOYA promulgated a transitional constitution and announced a partnership between the government and the opposition-led national assembly. After facilitator Julius NYERERE's death in October 1999, the regional leaders appointed NELSON MANDELA as facilitator of the Arusha peace process. Under MANDELA, the faltering peace process was revived and led to the signing of the Arusha Accords in August 2000 by representatives of the principal Hutu (G-7) and Tutsi (G-10) political parties, the government, and the national assembly. However, the FDD (Forces for the Defense of Democracy) and the NLF (National Liberation Front) refused to accept the Arusha Accords and the armed rebellion continued. In November 2001, a 3-year transitional government was established under the leadership of BUYOYA (representing the G-10) as transitional president and DOMITIEN NDAYIZEYE (representing the G-7) as transitional vice-president for an initial period of 18 months. At the end of this period, NDAYIZEYE or another G-7 designee was to assume the presidency for 18 months and a G-10 representative the vice presidency. In December of 2001, the NLF (National Liberation Front) stepped up attacks on Bujumbura. The government responded by killing 500 rebels in an attack against the NLF stronghold. However, in July of 2002 the fighting between Hutu rebels and the Burundi government escalated. Then in December of the same year, a cease-fire agreement was signed and talks took place in Tanzania. An agreement emerged from the talks that incorporated the Hutu rebels into the new national army. In April of 2003 DOMITIEN NDAYIZEYE became the new president, succeeding PIERRE BUYOYA. By mid-July 2003 16 of Burundi's 17 provinces were subjected to sporadic fighting, looting, and armed banditry. Preliminary reports from the UN Office in Burundi showed that 170 people had been killed and between 6,000 and 7,000 civilians displaced since rebels began attacking the capital, Bujumbura, from 7 July (globalsecurity.org/military/world/war/burundi.htm ) On November 16th 2003, DOMITIEN NDAYIZEYE and PETER NKURUNZIZA, the leader of the main Hutu rebel movement, signed a peace accord in Dar-Es-Salaam. Under the peace agreement, the Forces for the Defense of Democracy (FDD) faction became a political party and was expected to have representation in the country's government by the end of November 2003. The rebel Hutu fighters were to be integrated into Burundi's armed forces. There were also provisions to grant temporary immunity to both sides from prosecution. While Burundi's government is led by a Hutu president, the army is dominated by Tutsis. More than 80-percent of Burundi's population is Hutus. In 2004, in his New Year's Day speech, President DOMITIEN NDAYIZEYE announced that by January 7th, 40 percent of the army's leadership would be made up of former FDD rebels. The FDD welcomed the move as a crucial step for the beginnings of a new army. On 21 April 2004, at the end of a four-day meeting in the Tanzanian town of Kigoma, the Burundian rebel NLF (National Liberation Front) faction led by AGATHON RWASA announced that it had decided to suspend hostilities against the transitional government of Burundi. In 2005, an era of peace and development was characterized by the successful conduct of the referendum on a post-transition constitution, the promulgation of the electoral code and communal law and announcement of a new electoral calendar, progress towards disarmament, demobilization and reintegration and security sector reform, and positive signs that the NLF armed group might finally join the peace process. Despite two postponements, the referendum on the post-transition Constitution was successfully conducted without major incident on 28 February 2005. Of the 3.3 million registered voters, 92.4 per cent, or 2,894,372 Burundians, exercised their right to vote for the first time since 1994, and about 90.1 per cent of voters endorsed the Constitution. The people of Burundi conducted a peaceful, orderly and dignified exercise of their democratic right to vote in the 04 July 2005 legislative elections. The Government of Burundi and the Independent National Electoral Commission conducted technically-sound elections carried out in an atmosphere of peace and security. The leader of the FDD, Peter NKURUNZIZA won the elections. Does psychology exist in Burundi? How do Burundians conceptualize it? If we view psychology as a science that seeks to understand the psyche and its phenomena, we can say that it has always existed in Burundi, even though it did not exist under the same name or under the modern form. While in Europe, Freud in 1899 published his famous concepts of dream interpretation, in Burundi, the KIRANGA (an intermediary between Burundians and RYANGOMBE, the Burundian god in ancient times) knew how to give explanations approaching reality to those who had terrifying dreams, seemingly insignificant dreams, or even dreams of prosperity. The interpretation of dreams according to the KIRANGA, who had no formal knowledge of the fundamentals of Freudian psychoanalysis, had its foundations in the phenomenology of mind, trial and error, and answers from gods (Lange, 2007). There is now in Burundi a type of family therapist who guides couples to resolve marital conflict or to restore the parent-child relationship. In Burundi, there is a MUSHINGANTAHE in every family, who intervenes during conflicts between married couples or between children and their parents. From this point of understanding, a psychologist would be utilized by Burundians as an advisor who provides direction and guidance in a work of introspection which will aim to overcome difficulties permanently or sustainably. However, most Burundians have a misconception of the role of a psychologist. The term psychologist means for them a doctor for the mad or crazy, or someone who divines the thoughts of others. In this view, one must be wary of psychologists. Does Burundi really need modern psychology? Following the Burundi crisis, post-traumatic effects of the war have been seen in human behavior. Such effects may be present in some of the victims, who lost their friends and loved ones, or in perpetrators of the violence, who themselves directly or indirectly were involved in the killings. The KAMENGE Neuropsychiatric Center is one center that deals with the mentally ill in Burundi and hosts numerous victims of the 1993 crisis, such as those who have lost touch with reality. This center offers to them supportive psychotherapy and/or psychiatric interventions. These people may suffer from delusional states, psychomotor agitation, neurotic states, and/or hyper-aggressive behavior. Hereditary factors, biochemical issues (such as abuse of drugs like marijuana, Indian cannabis, or use of the local beer), and accidents are also causes of mental illness or depression (NDAYISABA, 2009). According to figures from the World Health Organization, through the assessment instrument mental health system in Burundi (WHO-AIMS), the number of registered mentally ill in this country has tripled since the beginning of the war, from 480 in 1993 to 1440 today. According to a study commissioned by the KAMENGE Neuropsychiatric Centre (CNPK) on a sample of 2770 children of less than 18 years in the provinces most affected by the war, 93.4% had witnessed violence. Some have seen their parents being killed, or their houses burned, while others were pursued, beaten, injured, or raped. We think it is necessary or advisable to have psychologists in multidisciplinary teams in all medical centers and community hospitals in Burundi. Indeed, psychologists and psychiatrists are resource persons who help to prevent trauma and other problems related to mental health. For damage caused by domestic violence, exclusions related to disability or illness (such as HIV/AIDS), exclusion of children accused of witchcraft, and cases of women and children in other vulnerable situations, the assistance and support of psychologists are valuable to appease trauma and heal the wounds of the past. Indeed, if psychology has helped to better understand societies and their functioning, it will also inform and educate people about the impact of their behavior in society, or with their families. There are many associations and humanitarian organizations, intervening in cases of vulnerable people (e.g., battered women, AIDS victims and/or orphans, street children, child soldiers), but almost all work without the support of competent psychologists. Burundi needs psychologists who are well trained, not only in the physical health/medical perspective, but also in the social/group dynamic perspective. Such psychologists can assist in re-establishing healthy relationships between parents and children or between spouses in a marital relationship. In rural milieux, women’s rights often are not respected. A woman frequently is considered as a machine, giving pleasure to man and having children. Most are raped by their husbands. If they complain, the famous answer that comes back is "urihangana n’uko zubakwa," which is literally translated as "persevere, home is built like that" (Adolph H., 2011). The contribution of a psychologist with a specialty in criminology is of paramount importance to understand the dynamics of murder and antisocial behavior in cases such as the one of Francine NIJIMBERE from Makamba province, who had both arms amputated in 2004 by her husband. (http://www.dailymotion.com/video/x7rib3_violence-faite-aux-femmes-au-burund_news) To prevent school failure, more and more schoolchildren take remedial courses after regular classes. According to educator Dr. Joseph NDAYISABA, children who are too overloaded have problems. Dr Joseph calls this the syndrome of remedial courses (IWACU Journal, June 2011). Psychologists in Burundi are needed as resource persons who should intervene to prevent school difficulties in a variety of ways. They could organize networks of specialized aid to pupils and offer psychological follow-up. They could help to develop educational projects for school and monitor their implementation. Psychologists could examine evaluation measures (tests) of individuals or offer collective support for the benefit of pupils and for the integration of disabled children. Psychologists are also needed to participate specifically in the evolution of the school, working towards school integration and the achievement of all young people. We argue that the field of sports also needs a person who can help advise and motivate athletes, teams, and coaches. Such a person is no one else apart from the psychologist. He will help athletes to learn more about themselves through interviews and tests, to prepare themselves psychologically for competition (managing emotions, working on self-esteem, planning, awareness of internal dialogues, motivation, and concentration), to overcome the fear of winning, to understand the challenges of performance, and to manage a failure. He will help teams to maintain or restore cohesion, resolve conflicts, understand and fulfill the requirements of the collective team performance, and help manage motivation. Finally, he will help coaches in decision making (team selection at the beginning of the year, for example). Another area for which psychologists may be helpful in Burundi is business and industry. There are numerous industries in Burundi, such as the textile industry and the sugar industry. Industrial and organizational psychologists may work to improve the investment climate or the cohesion of an organization, or to facilitate performance and production at work, or to improve health and well-being at work. Challenges of Psychology in Burundi • The population is under-informed or mis-informed about psychologists’ role in society. Sometimes people think of psychologists as persons who take care only of the mentally ill. • Modern Psychology is an almost new notion in Burundi, even though the department itself existed for some time at the Official University of Bujumbura. Today, among the 13 universities in Burundi, only 6 universities have a psychology department. • There are only two psychiatric centers • There are few psychiatrists • Even if there are some firms of psychologists, few people come in for counseling. The reasons for the hesitancy to seek counseling include the following: - The culture encourages introversion and inhibition. Burundians express little or none of their emotions (from the pleasant to the most unpleasant). - The problem of hunger: psychological counseling costs a certain amount (estimated rate = 10 USD per consultation). Given that the GDP per capita is among the lowest in sub-Saharan Africa with 83 USD (2006) and that 68% of the population is living below the poverty line, it is evident that poor finances are a barrier to service. It is not difficult to understand that a hungry person will typically prefer to seek food than pay to consult a psychologist; it is like putting the beef behind the plow. One must first solve the problem of hunger and then invite people in for psychotherapeutic sessions. - If people have problems, they may believe they will obtain more or better relief from a church leader than from a psychologist, because they view the church leader may have the solution to all problems, as the church leader speaks with God. In addition, some people believe a church leader will not betray one’s confidences. - Some people prefer to consult traditional healers (the BAPFUMUS) rather than psychologists, because they think that often their problems stem from bad luck or spells, and they believe that only BAPFUMUS can heal spells. Conclusion and Recommendations Much remains to be done in the field of psychology in Burundi. The field is in its beginning stages and is wide open for new experiences and initiatives. We believe that psychologists will be able to raise the standard of living of the population in Burundi, as the main problems in society often reside in the mind, in the way of thinking that determines how to act. It is the duty of all institutions and universities of psychology in Burundi to enhance the department of Psychology and strengthen the teaching methodology of psychology so that students might understand the relevant issues and assume responsibility in changing attitudes. It is also the duty of institutions of psychology in Burundi to expand the scope of psychology, and to not focus only on the medical field. To help increase awareness in the Burundian public of the importance of psychology, it is imperative that: They know first what psychology is They accept that not everything can be explained by magic (for instance, that when a person has psychological problems, it is not due to a spell or an evil spirit) The counseling sessions be less expensive The psychologists be close to the people Thus, it is the duty of Burundian psychologists and the psychology students of Burundi to organize campaigns and hold open days to sensitize the public to an understanding of the need for psychologists in all areas of life. Finally, it is recommended that international psychologists, in partnership and collaboration with local psychologists, institutions, and psychology departments, and other humanitarian organizations, along with doctors and religious leaders, work together by mutual agreement to offer conferences, training seminars, and days of volunteering, so that the people of Burundi can better understand how the psychologist is of great value in social dynamics and human development.