‘No-One Can Tell a Story Better than the One Who Lived It’: Reworking Constructions of Childhood and Trauma Through the Arts in Rwanda

The intergenerational legacies of conflict and violence for children and young people are typically approached within research and interventions through the lens of trauma. Understandings of childhood and trauma are based on bio-psychological frameworks emanating from the Global North, often at odds with the historical, political, economic, social and cultural contexts in which interventions are enacted, and neglect the diversity of knowledge, experiences and practices. Within this paper we explore these concerns in the context of Rwanda and the aftermath of the 1994 Genocide Against the Tutsi. We reflect on two qualitative case studies: Connective Memories and Mobile Arts for Peace which both used arts-based approaches drawing on the richness of Rwandan cultural forms, such as proverbs and storytelling practices, to explore knowledge and processes of meaning-making about trauma, memory, and everyday forms of conflict from the perspectives of children and young people. We draw on these findings to argue that there is a need to refine and elaborate understandings of intergenerational transmission of trauma in Rwanda informed by: the historical and cultural context; intersections of structural and ‘everyday’ forms of conflict and social trauma embedded in intergenerational relations; and a reworking of notions of trauma ‘transmission’ to encompass the multiple connectivities between generations, temporalities and expressions of trauma.

Lonely in the dark: trauma memory and sex-specific dysregulation of amygdala reactivity to fear signals

Loneliness exacerbates psychological distress and increases the risk of psychopathology after trauma exposure. The prevalence of trauma-associated disorders varies substantially between sexes, and accumulating evidence indicates sex-specific effects of loneliness. However, it is still unclear whether a lack of social connectedness affects trauma-induced intrusions and the neural processing of fear signals. Moreover, it is uncertain, whether loneliness plays a different role in women and men. We used a prestratification strategy and recruited n=47 (n=20 women) healthy individuals with high loneliness and n=35 controls (n=18 women). Participants were exposed to an experimental trauma and evoked intrusive thoughts in daily life were monitored for three consecutive days. Functional magnetic resonance imaging was used to assess neural habituation to fearful faces and fear learning (conditioning and extinction) prior to trauma exposure. The total number of intrusions and amygdala reactivity in neural fear processing served as the primary study outcomes. Our results revealed a significant interaction between loneliness and sex such that loneliness was associated with more intrusions in men, but not in women. A similar pattern emerged at the neural level, with both reduced amygdala habituation to repeated fearful faces and amygdala hyperreactivity during the conditioning of fear signals in lonely men, but not in women. Our findings indicate that loneliness may confer vulnerability to intrusive memories after trauma exposure in healthy men and that this phenotype relates to altered limbic processing of fear signals. Collectively, interventions targeting social connectedness may mitigate the sequelae of traumatic experiences.

Cultural Memory as a Means of Understanding Transculturality

Memory studies have been particularly active since the second half of the 20th century and include a mix of fields of culturology, social psychology, media archeology, political philosophy, and comparative literature. Memory studies have formed the basis of both collective and individual identity studies, as well as the study of psycho-social factors in understanding traumatic memory and attempts to overcome trauma. Memory studies have activated an in-depth analysis of the construction of national and cultural identities and brought them into the context of transnational and transcultural studies.Based on the above, the purpose of this report is to provide a transcultural understanding of national culture based on the study of cultural memory, which is primarily based on the study of national identity and the analysis of the compositional nature of common / shared myths.

Post Trauma: Memory as a Catalyst

<p><b>In literary fictional readings, underlying allegorical ideas arise for todays architectural landscapes, both literally and figuratively. This design-led research thesis emerges from Andreas Huyssen’s allegorical theories of ruins as factual indicators that records ruins as palimpsests of historical events as an ongoing process (Huyssen, 2010, p. 17). The layering of graphic information is such that the past happenings merge with the present explorations to create a distinct narrative in itself. This represents a provocative and enigmatic allegorical response to the loss of forgotten landscapes in architecture today: Post Trauma. This investigation thus seeks to interrogate architectural ruins scattered at Perano Whaling Station as repositories for collective memory through enacting allegorical interpretations — challenging the conventions of historical fragments through [re]presentational techniques, weaving them into an experiential narrative. This narrative builds upon these forgotten scars as palimpsests — interpreting and [re]interpreting their [re]purpose — rather than removal from existence all together. Huyssen’s theories of enigmatic experiential ruins acts as an allegorical provocateur, the initial point of immersion — an evocative starting point to engage in the [re]presentation of Perano’s context. The PeranoStation, much like all ruins, possesses a liminal characteristic on its remaining spaces. An eerie threshold to a brutal past, aggressively carved into the landscape and its inhabitation.</b></p> <p>These scars act as a literal portal to evocative experiences — an act of trying to understand a traumatised landscape. The need for distinctive architectural elements that can translatethe essence and experiences of this liminal and transitional space, between both sides of a threshold; past and present, presence and absence, living and dissolving.</p> <p>Tim Edensor intrinsically positions ruins as a ‘fragile and ephemeral place’ (DeSilvey and Edensor, 2012, p. 472). Alice Mah also shows in her study ‘Industrial Ruination, Community, and Place’, ruin[ation] may be ‘a lived process’ in which memory is rooted in the experience of decline. “The present has not moved far from the past, and the future is at best uncertain” (DeSilvey and Edensor, 2012, p. 410). This can be understood as a response to the views of architectural ruins as monuments left behind by collapsed destruction and unfulfilled dreams; existing outside therealms of productive structure. The problem this thesis aims to address is not the visual problem of sight, but the visceral problem of drawing — using different mediums to read traces of past happenings. It is through this act of drawing that engagement with Virgil Abloh’s ‘Purist’ and ‘Tourist’ mentalities that this thesis began “Playing with mediums and materials to make an expression” as Abloh notes (HighMuseum, 2020).</p> <p>Including drawing as a medium of speculative inquiry to [re]interpret Perano Whaling Station’s contextual scarring; layering and juxtaposing information built upon the architectural narrative and proposition. This questions drawings role in architectural interrogation and how it can erase preconceived notions. This is motivated by a personal journey of engagement with such erasure, it took moments of critical reflection upon these scars, to try imagine them as mnemonic devices. Triggering a conversation within ourselves — reflecting on these transformations — toggling between the ‘Purist’ and ‘Tourist’ mindsets that Virgil Abloh poses for excavating and expressing modern design to an audience.</p>

Post Trauma: Memory as a Catalyst

<p><b>In literary fictional readings, underlying allegorical ideas arise for todays architectural landscapes, both literally and figuratively. This design-led research thesis emerges from Andreas Huyssen’s allegorical theories of ruins as factual indicators that records ruins as palimpsests of historical events as an ongoing process (Huyssen, 2010, p. 17). The layering of graphic information is such that the past happenings merge with the present explorations to create a distinct narrative in itself. This represents a provocative and enigmatic allegorical response to the loss of forgotten landscapes in architecture today: Post Trauma. This investigation thus seeks to interrogate architectural ruins scattered at Perano Whaling Station as repositories for collective memory through enacting allegorical interpretations — challenging the conventions of historical fragments through [re]presentational techniques, weaving them into an experiential narrative. This narrative builds upon these forgotten scars as palimpsests — interpreting and [re]interpreting their [re]purpose — rather than removal from existence all together. Huyssen’s theories of enigmatic experiential ruins acts as an allegorical provocateur, the initial point of immersion — an evocative starting point to engage in the [re]presentation of Perano’s context. The PeranoStation, much like all ruins, possesses a liminal characteristic on its remaining spaces. An eerie threshold to a brutal past, aggressively carved into the landscape and its inhabitation.</b></p> <p>These scars act as a literal portal to evocative experiences — an act of trying to understand a traumatised landscape. The need for distinctive architectural elements that can translatethe essence and experiences of this liminal and transitional space, between both sides of a threshold; past and present, presence and absence, living and dissolving.</p> <p>Tim Edensor intrinsically positions ruins as a ‘fragile and ephemeral place’ (DeSilvey and Edensor, 2012, p. 472). Alice Mah also shows in her study ‘Industrial Ruination, Community, and Place’, ruin[ation] may be ‘a lived process’ in which memory is rooted in the experience of decline. “The present has not moved far from the past, and the future is at best uncertain” (DeSilvey and Edensor, 2012, p. 410). This can be understood as a response to the views of architectural ruins as monuments left behind by collapsed destruction and unfulfilled dreams; existing outside therealms of productive structure. The problem this thesis aims to address is not the visual problem of sight, but the visceral problem of drawing — using different mediums to read traces of past happenings. It is through this act of drawing that engagement with Virgil Abloh’s ‘Purist’ and ‘Tourist’ mentalities that this thesis began “Playing with mediums and materials to make an expression” as Abloh notes (HighMuseum, 2020).</p> <p>Including drawing as a medium of speculative inquiry to [re]interpret Perano Whaling Station’s contextual scarring; layering and juxtaposing information built upon the architectural narrative and proposition. This questions drawings role in architectural interrogation and how it can erase preconceived notions. This is motivated by a personal journey of engagement with such erasure, it took moments of critical reflection upon these scars, to try imagine them as mnemonic devices. Triggering a conversation within ourselves — reflecting on these transformations — toggling between the ‘Purist’ and ‘Tourist’ mindsets that Virgil Abloh poses for excavating and expressing modern design to an audience.</p>

Impaired learning, memory, and extinction in posttraumatic stress disorder: translational meta-analysis of clinical and preclinical studies

Background. Current evidence-based treatments for post-traumatic stress disorder (PTSD) are efficacious in only part of PTSD patients. Therefore, novel neurobiologically-informed approaches are urgently needed. Clinical and translational neuroscience point to altered learning and memory processes as key in (models of) PTSD psychopathology. We extended this notion by clarifying at a meta-level i) the role of information valence, i.e. neutral versus emotional/fearful, and ii) comparability between clinical and preclinical phenotypes. We hypothesized that, cross-species, neutral versus emotional/fearful information processing is, respectively, impaired and enhanced in PTSD. Methods. This preregistered meta-analysis involved a literature search on PTSD+Learning/Memory+Behavior, performed in PubMed. First, the effect of information valence was estimated with a random-effects meta-regression. Then sources of variation were explored with a random forest-based analysis. Results. The analyses included 92 clinical (N=6732 humans) and 182 preclinical (N=6834 animals) studies. A general impairment of learning, memory and extinction processes was observed in PTSD patients, regardless of information valence. Impaired neutral learning/memory and fear extinction were also present in animal models of PTSD. Yet, PTSD enhanced fear/trauma memory in preclinical studies and impaired emotional memory in patients. Clinical data on fear/trauma memory was limited. Mnemonic phase and valence explained most variation in rodents but not humans. Conclusions. Impaired neutral learning/memory and fear extinction show very stable cross-species PTSD phenotypes. These could be targeted for novel PTSD treatments, building on neurobiological animal studies. We argue that seemingly cross-species discrepancies in emotional/fearful memory deserve further study; until then animal models targeting this phenotype should be applied with care.

Pre-trauma memory contextualization as predictor for PTSD-like behavior in male rats

While many people experience potentially threatening events during their life, only a minority develops posttraumatic stress disorder (PTSD). The identification of individuals at risk among those exposed to trauma is crucial for PTSD prevention in the future. Since re-experiencing trauma elements outside of the original trauma-context is a core feature of PTSD, we investigate if the ability to bind memories to their original encoding context (i.e. memory contextualisation) predicts PTSD vulnerability. We hypothesize that pre-trauma neutral memory contextualization (under stress) negatively relates to PTSD-like behavior, in a prospective design using the cut-off behavioral criteria rat model for PTSD. 72 male Sprague Dawley rats were divided in two experimental groups to assess the predictive value of 1) memory contextualization without acute stress (NS-group) and 2) memory contextualization during the recovery phase of the acute stress-response (S-group) for susceptibility to PTSD-like behavior. A powerful extension to regression analysis -path analysis- was used to test this specific hypothesis, together with secondary research questions. Following traumatic predator scent stress, 19.4% of the rats displayed PTSD-like behavior. Results showed a negative relation between pre-trauma memory contextualization and PTSD-like behavior, but only in the NS-group. Pre-trauma memory contextualization was positively related to fear association in the trauma environment, again only in the NS group. If the predictive value of pre-trauma contextualization of neutral information under non-stressful conditions for PTSD susceptibility is replicated in prospective studies in humans, this factor would supplement already known vulnerability factors for PTSD and improve the identification of individuals at risk among the trauma exposed, especially those at high trauma risk such as soldiers deployed on a mission.

Modulating amygdala activation to traumatic memories with a single ketamine infusion

NMDA receptor antagonists have a vital role in extinction, learning, and reconsolidation processes. During the reconsolidation window, memories are activated into a labile state and can be stored in an altered form. This concept might have significant clinical implications in treating PTSD. Using amygdala activity as a major biomarker of fear response, we tested the potential of a single subanesthetic intravenous infusion of ketamine (NMDA receptor antagonist) to enhance post-retrieval extinction of PTSD trauma memories. Post-extinction, ketamine recipients (vs midazolam) showed a lower amygdala and hippocampus reactivation to trauma memories. Post-retrieval ketamine administration was also associated with decreased connectivity between the amygdala and hippocampus, with no change in amygdala-vmPFC connectivity, which suggests that ketamine may enhance post-retrieval extinction of PTSD trauma memory in humans. These findings demonstrate the capacity to rewrite human traumatic memories and to modulate the fear response for at least 30 days post-extinction.

A Systematic Review of Autobiographical Memory and Mental Health Research on Refugees and Asylum Seekers

Research examining trauma, memory, and mental health among refugee and asylum-seeking people has increased in recent years. We systematically reviewed empirical work focusing on the link between autobiographical memory and mental health among these populations. The review protocol was registered with PROSPERO (CRD42018095888). Six major databases were searched in August-2020 with no time limit for publication. Following PRISMA Statement guidelines, 22 articles reporting ten quantitative, nine qualitative, and three mixed-method studies were selected from 254 articles identified in the initial search. A basic convergent and qualitative meta-integration technique was employed for data extraction. Four recurrent themes were extracted: (1) memory activation method, (2) memory features, (3) memory content, and (4) refugee mental health. Theme 1 illustrates that narrative interviews, important event recall, and cue word methods were used in most studies. Theme 2 highlights that memories of refugee people were often less specific, inconsistent, and negative-focused. Retrieval failure was also common among these people. Theme 3 reveals that refugee and asylum-seeking people frequently discussed their abandoned identities, lost resources, injustices, ongoing sufferings, and pointless futures. Finally, theme 4 identifies the prevalence of various mental health conditions like Post-traumatic Stress Disorder, depression, helplessness, and anger among these people. The results are discussed in the context of the current autobiographical memory and mental health theories, considering refugee-specific experiences in the asylum process and refugee status.