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Asian American Journal of Psychology © 2010 American Psychological Association

2010, Vol. 1, No. 3, 163–174 1948-1985/10/$12.00 DOI: 10.1037/a0020922

After Every Darkness Is Light:


Resilient Afghan Women Coping With Violence and Immigration
Elena A. Welsh and Anne E. Brodsky
University of Maryland, Baltimore County

This qualitative research study examines the experiences and strategies that eight Afghan
women engaged in to support the mental health of themselves and others, while facing
significant war-related trauma in Afghanistan and the process of immigration and resettle-
ment in the United States. The coping processes identified represent diverse and often
culturally grounded methods of facing hardship. The participants endorsed relatively low
levels of current mental health difficulties, suggesting that the coping mechanisms the
women engaged in may be effective. The study also illustrates the culturally grounded
nature and equifinality of resilience, as no two women engaged in all the same coping
processes.

Keywords: Afghanistan, coping, resilience, immigration, war exposure

Afghanistan has been wrought with war and rights. Women are at higher risk of psycholog-
civil unrest for many decades. The last peaceful ical distress in this context. Widows who have
era in the country ended with the fall of Zahir lost their husband to the conflicts are particu-
Shah in 1973. The periods of the Soviet occupa- larly vulnerable, because of traditional and con-
tion (1979 –1989), civil war (1992–1996), and era flict related restrictions of women’s access to
of control by the Taliban (1996 –2001), a radical resources such as education, employment, and
fundamentalist Islamic movement, have all health care. Thus women and families without
been marked by civilian causalities, horrific hu- the sanction and protection of a close male
man rights violations, and a mass exodus of relative have a heightened risk of physical and
Afghan refugees (Brodsky, 2003; Ewans, mental illness (Miller et al., 2006).
2002). Today, the central government has little The first nationally representative mental
control over insurgent activity, powerful war- health survey conducted in Afghanistan re-
lords rule by their own law in many regions of vealed that 62% of 699 Afghan respondents had
the country, and the Taliban and other insurgent experienced multiple (i.e., 4⫹) war-related trau-
groups continue to threaten the populace (CIA, mas in the past 10 years (Lopes Cardozo et al.,
2009). Widespread poverty and violence in Af- 2004, 2005). This research suggests that the
ghanistan continues to be a pressing local and majority of Afghan women who have immi-
international concern (CIA, 2009). Afghan cul- grated to the United States in the past few
ture and traditions differ somewhat by region, decades would have been exposed to war-
but generally promote collective-wellbeing, a related violence in Afghanistan.
sense of honor, and dedication to religious prac- The association between exposure to war-
tices and beliefs. Unfortunately, some cultural related violence and both acute and chronic
ideals, often related to familial honor, become posttraumatic stress disorder (PTSD) has been
discriminatory against women in practice, such consistently documented (Basoglu et al., 2005;
as forced and child marriages, violence in the deJong, 2002; Miller et al., 2002; Slone &
home, and a failure to protect legal and human Shechner, 2009). Subsequent war-related refu-
gee displacement is also associated with a host
of negative mental health outcomes (Miller et
al., 2002).
Elena A. Welsh and Anne E. Brodsky, Department of In order to examine the salience and preva-
Psychology, University of Maryland, Baltimore County. lence of daily stressors and their relation to
Correspondence concerning this article should be ad-
dressed to Elena A. Welsh, UMBC, Department of Psychol-
mental health in Afghanistan, Miller, Omidian,
ogy, 1000 Hilltop Circle, Baltimore, MD 21250. E-mail: Rasmussen, Yaqubi, and Daudzai (2008) con-
elenaw1@umbc.edu ducted another study in Kabul with 160 female
163
164 WELSH AND BRODSKY

and 160 male participants. The results indicated risk and adversity, is at the core of the various
that for women, daily stressors were a better definitions of resilience (e.g., Masten, 1994).
predictor of overall mental health (with the ex- Spontaneous prevention, as seen in pathways to
ception of posttraumatic symptoms) than war- resilience, which occur without intervention
related experiences were. For men, daily stres- (Brodsky, 1999), have critical implications for
sors were more predictive of depression and the development of prevention, intervention, as-
functional impairment than war-related experi- sessment and treatment methods, which incor-
ences were. Further, in conditions of low daily porate indigenous mechanisms, yet these are
stressors, the daily hassles moderated the rela- consistently underdocumented in the empirical
tionship between war-related experiences and literature on effects of trauma.
PTSD (Miller et al., 2008). Much of the contemporary research on stress
The effects of conflict related trauma has been and coping is based upon the transactional
examined in a variety of samples. For example, model of stress and coping (Lazarus & Folk-
Basoglu et al. (2005) conducted a cross-sectional man, 1984). According to this model, coping
survey with 1358 survivors of the war in former represents the best responses to an individual’s
Yugoslavia and found that 22% (292) and 33% appraisal of a stressful situation. While using
(451) of the sample met criteria for current and more coping mechanisms does not imply
lifetime PTSD and 10% (129) met criteria for greater well-being, coping mechanisms have
current major depression. In their study, fear, been found to be a necessary (although not
safety threats, and loss of control appeared to be sufficient) component of resilient adaptation to
the most important mediating factors in the devel- trauma and loss (Bonanno, 2004). In studies of
opment of PTSD and depression. war-related trauma and displacement, multiple
In addition to documenting the deleterious avenues to resilience, many nested within cul-
mental health effects of premigration exposure to tural grounding, have been found. For example,
violence, a growing body of literature documents research with a nationally representative Israeli
the detrimental effects of displacement related sample (n ⫽ 512) following terrorist attacks
stressors on the mental health of refugees and found that the most prevalent coping mecha-
internally displaced persons (Englund, 1998; nisms were searching for information about
Miller et al., 2002; Omidian, 1996; Porter, & loved ones and giving and receiving social sup-
Haslam, 2005). A meta-analysis of research on port (Bleich, Gelkopf, & Solomon, 2003). In
refugee mental health (n ⫽ 56 studies) found another study with 338 Oromo and Somali ref-
that postdisplacement factors moderated mental ugee youth, the most frequently endorsed cop-
health outcomes (Porter, & Haslam, 2005). Spe- ing mechanisms were praying, sleeping, read-
cifically restricted economic opportunity, inter- ing, and talking to friends (Halcon et al., 2004).
nal displacement, and unresolved conflict in Clearly, the nature of social support that is
country of origin were associated with worse sought is strongly influenced by cultural con-
outcomes. It is important, however, to question text. For example, Kim, Sherman, and Taylor
the relevance of DSM diagnoses in this popu- (2008) found that unlike European Americans,
lation. There are clearly significant limitations Asians, and Asian Americans are more likely to
to this approach, such as inattention to indige- utilize and benefit from social support that does
nous idioms of distress, and failing to consider not involve explicit discussion of stressful events.
the numerous strengths in this group (Miller & Although there is a growing literature on the
Rasco, 2004). However, western conceptualiza- factors and pathways leading to resilient mental
tions of diagnoses can at least provide a proxy health functioning despite exposure to war-
for reflecting the fact that refugees are clearly related traumatic life events, additional research
affected by their experiences and the ongoing is needed to fully capture the range of psycho-
hardship in their country of origin. logical and situational factors that influence the
Not all refugees show evidence of acute or response to traumatic stress.
chronic mental health difficulties such as de-
pression or PTSD, and even among those who Research Questions
do, many are able to function exceptionally well
despite internal distress (Miller & Rasco, 2004). Based on the available theory and empirical
The process of successful adaptation, despite evidence, as well as the limitations and gaps in
COPING EXPERIENCES OF AFGHAN WOMEN 165

the existing literature, the present study ex- Table 1


plores the following questions: Descriptive Statistics of Demographic Variables
1) What experiences of war and displacement Variable M SD Range
and what types of traumas have been endured
Age 43 15.5 20–73
by Afghan women who have immigrated to the Age at initial immigration/
United States? displacement 21.63 14.1 8–53
2) What psychological mediators, such as Age at arrival in U.S 27.63 16.9 8–66
coping skills, and situational mediators, such as Year of arrival in U.S. 1981–2001
community resources and cultural traditions, af- Participants
fect transient stress reactions and support adap- Variable (n ⫽ 8)
tive mental health outcomes for Afghan women
Education
in this context? None 1
High School 1
Method College and beyond 6
Marital status
Participants Single 2
Married 6
Number of children
Qualitative, individual, semistructured inter- 0 2
views were conducted with eight participants, 1–2 4
who were selected through purposeful and 3⫹ 2
snowball sampling with the aid of key infor-
mants. In purposeful sampling (also referred to
as purposive or judgment sampling) the partic- of living in neighboring Pakistan, in refugee
ipants are chosen because of their relevance to camps or otherwise.
the research question (Bernard, 2000). In snow-
ball sampling (also referred to as chain sam- Procedure
pling) the researcher identifies a few initial sub-
jects or key informants and each respondent is Before beginning each interview, written in-
then asked to identify potential additional par- formed consent for interviewing and taping was
ticipants (Bernard, 2000). Snowball sampling is obtained from each participant. The semistruc-
often used with “difficult-to-find populations” tured interviews were conducted by the first
and is repeated until sufficient data is collected author, and utilized an interview guide that sug-
(Bernard, 2000). Two key informants, individ- gested the domains and areas of interest to be
uals with knowledge and membership in the covered (Weiss, 1994). Participants were asked
Afghan community, were interviewed and sug- about experiences prior to, during and after im-
gested the initial participants. One key infor- migration, and thus covered stressful content,
mant was an Afghan woman, located through a however, the majority of the interview was pur-
local nonprofit organization that sends aid to posely focused on coping responses both within
Afghanistan, and the other was an Afghan Afghanistan and throughout immigration. For
woman community member, active in the local example:
Afghan American community. As will be dis-
cussed further, due to issues of cultural mistrust a. How did you find hope and courage during
toward the research process, and the hesitancy these difficult times (elicit participants’
of Afghan women, in particular, to speak about perception of their global coping style)?
difficult and personal issues with a stranger, the b. Can you tell me the story of one of these
total number of participants remained quite particular experiences?
small (n ⫽ 8). Participant demographic infor-
mation is provided in Table 1. There is a notable 1. What did you tell yourself to make
difference between the average age at initial sense of what was going on (meaning
immigration/displacement and age at arrival in making coping)?
the United States. This reflects the significant
length of the immigration process for many of 2. How did you manage to cope with this
the participants, which often included a period (eliciting coping activities)?
166 WELSH AND BRODSKY

The interviews also incorporated the admin- sultation with key informants, the second au-
istration of the Afghan War Experiences Scale thor, and peer researchers.
(AWES; Miller et al., 2006), and the Afghan During the interview the participants’ discus-
Symptom Checklist (ASCL; Miller et al., 2006). sion of difficulties in Afghanistan and in Afghan
The AWES asks participants to indicate refugee camp and their perceptions of the im-
whether they have experienced [never (1), once pact of these experiences on their mental health
(2), and more than once (3)] 17 war-related and wellbeing illuminated the results of the
experiences. Scores can range from 17–51, with measures presented above. The measurement
higher total scores reflecting greater exposure to results are presented first and are followed by
war-related experiences. The ASCL is a 23-item the participants’ discussion of their coping strat-
measure of both western and indigenous mental egies, which comprised the bulk of the inter-
health symptoms, which assesses the extent to view. The more active and problem focused
which each symptom was experienced in the strategies are presented first, such as problem-
past 2 weeks on a 5-point scale that ranges from focused coping, helping others, and seeking so-
never to everyday. The total score ranges from cial support, and this is followed by the more
23–115, again with higher total scores reflecting cognitive processes, such as maintaining hope,
greater symptom endorsement. The interview gratitude, finding solace in religion, and engag-
concluded with debriefing, and participants ing in meaning making coping. Because the
were offered information regarding culturally interviews were analyzed in order to identify
appropriate mental health resources. superordinate themes (inclusive integration;
The audiotaped interviews were transcribed Weiss, 1994), the data presented below repre-
by the first author and undergraduate research sents the themes discussed by the majority of
assistants and checked for accuracy. Audio the participants. However, instances where par-
tapes were then destroyed to protect participant ticipants’ experiences were strikingly disparate
are also highlighted in order to represent the full
confidentiality. Printed transcripts were hand-
range of the data.
coded by the first author using a template anal-
ysis style, in which a template/code manual is
used to organize the text content and identify Findings
themes and categories for further analysis
(Crabtree & Miller, 1992; Bernard, 2000). Cop- Measure Results
ing mechanisms and context domains that arose War experiences: AWES. The mean
from the data were added to the coding catego- AWES score was 41.13 (SD ⫽ 4.74) and ranged
ries in an iterative fashion. Following the cod- from 34 – 49. This compares to a mean of 32.31
ing process, with assistance from NVivo soft- (SD ⫽ 4.35) found by Miller and colleagues
ware, sections coded by the same category were (2008) in a study of Afghan women (n ⫽ 160)
sorted in a new data file. This process is known still living in Kabul. The participants reported
as local integration (Weiss, 1994). Throughout experiencing between 12 and 19 different war-
analysis, working hypotheses were tested, not related traumatic experiences (including both
only by confirming positive cases, but also items on the AWES and additional war-related
through searching for “breakdown” (in which experiences). These included having their
negative cases demonstrate that the hypothesis homes destroyed, experiencing the disappear-
does not or only partially accounts for the full ance and death of family members, being jailed,
range of data) and “coherence” (in which cases being beaten, and not having access to medical
add elaboration to the hypothesis in order to care in times of need.
account for the full range of data; Agar, 1986). Mental health: ASCL. The participants
In final stages of analysis, the process of inclu- had relatively low scores on the ASCL
sive integration brought isolated units of anal- (M ⫽ 41.87; SD ⫽ 14.57; ranging between 23
ysis and meaning into a coherent framework and 68) compared to a sample of Afghan
(Weiss, 1994). A member check, which in- women still living in Kabul (n ⫽ 162; M ⫽ 86,
volved discussing working hypotheses with a ranging between 22 and 110; Miller et al.,
particularly interested participant, was con- 2006). This suggests that the coping mecha-
ducted, in addition to analytic reviews and con- nisms which were utilized may have been ef-
COPING EXPERIENCES OF AFGHAN WOMEN 167

fective. At the same time, at least half of the practices that were already oppressive for Af-
participants still experienced one or more symp- ghan women, such as restriction to basic re-
toms at least 4 –5 days a week, suggesting that sources and infastructures, most notably, em-
their experiences and even the current turmoil in ployment, education, and health care. The tra-
Afghanistan was still affecting their mental ditional notions that women should not work
health and wellbeing. The most commonly re- outside the home and the lack of security, made
ported symptoms were “feeling sad” and it even more difficult for Afghan woman and
“thinking too much about what had happened,” their families to survive after a spouse died or
which was consistent with the participants’ nar- disappeared. For instance, Sema discussed the
ratives. For example, when asked how much she threats she received while working and trying to
still thought about the war-related experiences support her family:
she had been through, Basima1 replied, “To be
. . . we [were] living in Quetta, Pakistan, the Taliban
honest, almost every, every day, every day. It’s supporter is getting bad over there. If the woman
still very fresh in my memory, still.” Tarana working, they hate the woman, . . . They warned me
talked about an intense emotional experience two times, I was waiting at the bus station . . . to go to
she recently had when she was reminded of work, and they warned me, if you go again to work.
loved ones who had lost their lives in the con- They think if a woman working- they are bad, they are
prostitutes.
flict. “I was looking in the album and I found so
many of my relatives there . . . who got killed The perceived effect of the current conflict
. . . [I] just found myself screaming. After so in Afghanistan on mental health. In addi-
many years . . .” tion to discussing how their war-related experi-
ences affect their current mental health, the par-
Interview Data ticipants also expressed distress in response to
the current political conflict in Afghanistan. For
Difficulties in Afghanistan and in Afghan example, Basima began to cry as she said the
refugee camps. One of the primary hardships following, “. . . watching the news, seeing peo-
that participants spoke about were the losses ple back home, it is stressful. Sometimes it’s
experienced throughout the political unrest and really hard to describe [how] I felt when I see
violence experienced in Afghanistan. These in- Afghan people over the TV, it’s hard. Probably
cluded the death or disappearance of family, you see tear on my cheek, but it’s hard. It’s
friends, and community members, the need to hard, and I wish I could go . . .” Despite the
flee, as well as the loss of roles, economic overall resilience of the participants, they were
opportunities, and normal life. Shagufa, for ex- still profoundly affected by the difficulties and
ample, talked about all of these losses: unrest in their country of origin.
. . . the hardest was the fighting and when the Taliban
came they wouldn’t let the people, the woman to work Coping Strategies
[or] to study, so it was getting harder and from my
family seven people were killed. My two niece and my Problem-focused/active coping. As pre-
brother-in-law, my two brothers, they were also killed. viously described, problem-focused coping pro-
cesses are aimed at directly altering a source of
The political violence in Afghanistan not
stress. Within Afghanistan, the participants en-
only resulted in immense loss, but also in a
gaged in a variety of problem-focused/active
context of constant danger and fear. Even in the
coping behaviors in response to the context of
absence of direct threat or injury, the partici-
threat and insecurity they were facing. Many of
pants recalled the sense that danger and death
these coping processes were related to security
could come at any moment. Talking about life
issues. For example, when asked what she did to
in Taliban Afghanistan, Shagufa said, “. . . we
protect her safety, Faria replied, “Stay home,
managed, but it was really hardship. All the
night we are just sitting like that and thinking, lock the doors. Not share your opinion with
‘they’re coming now, they’re coming now, anyone.”
they’re coming now’ . . .”
Further, the war, political unrest, and result- 1
All names are pseudonyms in order to protect partici-
ing poverty, often served to exacerbate cultural pant confidentiality.
168 WELSH AND BRODSKY

A few participants described actively taking every time I heard of somebody got killed, it made me
on a new role in order to cope with loss, or with feel guilty about me being safe.
the overall political situation in Afghanistan. Helping others. Helping others can be
For example, Sema talked about the roles she conceptualized as a form of active or problem-
began to fulfill for her family, after losing male focused coping. However, because the partici-
members: pants in the present study frequently discussed
. . . over there, . . . the father should take care, or the
helping others as a distinct coping strategy, it is
brother, or the husband. So for me I was saying I am presented as such here. Some participants fo-
the husband, I am the brother, I am the father, it’s me. cused on helping close family members. For
My mother, my sister in-law, they are always like example, Amida talked about how she helped
housewife, house woman. So it was me that got to get after her sister lost her husband:
a education and I had to access work, to know the
social, so it was me. That courage that I am the man, I I helped my immediate family, my sister . . . . [S]he
am the person, so I have to do something, so it always still doesn’t call herself a widow, because she never
give me courage to struggle. saw her husband being killed . . . [But] she was left
with three children. I just became father figure for
In the context of the participants’ lives, them. I helped my sister with income, we rented a
leaving Afghanistan was a form of active or place, and I worked and I went to school and provided
problem-focused coping, because the decision income for them . . .
to leave was always made in direct response
Others worked to help Afghan women and
to a real or perceived threat or other stressor.
girls more generally. Three of the participants
For example, Faria decided she needed to
ran underground literacy classes at some point.
leave when the Taliban directly threatened
Faria expressed that one of the ways that run-
her, “I had an underground school for kids
ning class helped her state of mind was by
and that’s when the Taliban . . . . when they
giving her something to do, “That helped me a
found out they came . . . they threatened me
lot because for years . . . we were just home,
saying that they would burn me inside the
doing nothing. . . .” Whatever books we had
school with the kids, so I left . . .”
we just read them over and over and that’s all
In response to the violence and insecurity in
we could . . . . that helped me a lot.” Hafeeza
Afghanistan, leaving the country became a
said, “I feel meaning, a purpose once I’m
problem-focused coping mechanism for the par-
helping people.”
ticipants, but not one taken entirely voluntarily
Even after they were settled in the United
nor without additional threat and stress. Most
States, each of the participants either continued
described how they were forced to leave the
to help family in Afghanistan or other Afghans
country suddenly and in a clandestine fashion.
remaining in the country, or expressed the de-
Therefore, leaving their home and country is
sire to help. Participants expressed that helping
simultaneously a coping mechanism, as well as
family and other Afghans who remained in the
a source of novel stressors that participants now
country, somewhat relieved their feelings of
had to cope with. Basima talked about not being
guilt and distress about leaving their homeland
able to say goodbye to many of her family
and people in chaos. Naseera spoke about how
members, due to her clandestine flight, “The
her father encouraged her and her siblings to
way we did escape, nobody supposed to know
continue with their educations in order to have
. . . we didn’t say goodbye to anybody. We left
more skills with which to return to Afghanistan
everything there . . . everything, we just shut the
and improve the situation there. Shagufa talked
door and left.”
about trying to help family members who still
Participants often discussed feeling guilty
live in Afghanistan:
about escaping to safety, while other Afghans
remained in danger. Tarana, who was and re- . . . my sister is in Afghanistan, she is a widow, she had
mains involved in political activism in Afghan- lost her husband, her two sons and she’s worse [off]
istan, describes these feelings: than I, so I tried to be helpful for her . . . I am trying to
gather even $5 or $10. I want to send it for my [sister’s]
. . . it was hurting me that I left. For awhile, I thought children. So I still try to help and send money.
that I left the country in the chaos and I just got myself
out of there and went to a safer place . . . that bothered Tarana told of returning to Afghanistan many
me very much. Every time I heard somebody was dead, years after she initially left and being so devas-
COPING EXPERIENCES OF AFGHAN WOMEN 169

tated by what she saw that it motivated her to refugee camps and with Afghans in general.
dedicate her life to helping the people, and For example, Shaugufa expressed receiving
particularly the women of Afghanistan. As she comfort from the knowledge that she was not
explains, below, she returns to the country many alone in her struggles, “I realize that many
times each year to do this work: people go through, I am not the [only] one.
Many people through all this condition, this
When I went to Afghanistan for the first time after 23
years, I was just so sad, crying, and anger, and every- hardship. I am one of those people. It helps
thing else. Finally I said to myself, you came here to me to find peace that I am not alone.”
change, to help people . . . . And that’s when I devoted Maintaining hope. Maintaining hope was
my life to this. I was doing this work all my life, but a form of perception-focused coping that the
when I saw the rubble, the destruction, the tragedy, and
the misery, that’s when I said, this is what I do . . .
participants frequently engaged in, despite the
[Now] I go to Afghanistan 2, 3 times a year and I work devastating loss and trauma they all faced.
on women’s rights. I build schools and help women Many of the participants’ described their hope
with their education and empowerment of women. as a constant, regardless of their changing cir-
Social support. Because family is a cen- cumstances. Faria expressed that God provided
tral social network in Afghan culture, it was not hope for her, and that hope remains even in the
surprising that most participants described re- worst situations:
ceiving emotional social support primarily from Well . . . you know you always have hopes. Even if
family members. For example, Amida talked you’re in the worst situation you’re hoping for bet-
about the reciprocal coping that occurred within ter . . . . religious- you talk to God in your heart - that
gives you hope. You always have hope . . .
her family, “. . . being a very tight family . . . if
one person is not in good shape, the other per- Hafeeza explained that her dream of return-
son starts to become strong. I think that’s one ing to Afghanistan helped her maintain a sense
thing that gave us the ability to cope and go on.” of hope, but also led to disappointment as the
Naseera spoke at length about the importance of situation in her country continued to worsen,
the support she received from her family: “. . . it was giving me hope. But the more I was
stuck with that kind of forward dream, the more
You really need the ones that love you and care for
you and who wants the best for you and that’s your disappointed I get with how the situation was
family . . . No matter how much of conflict we went getting worse and there was more fighting in
through, how much of hardship we went through, it Afghanistan, but that hope lived with me.”
is family that brings us together, we are like you Focus on future. Another form of coping
know what, thank goodness we’re alive, we’re here
right now.
that participants discussed was shifting their focus
away from the present difficulties and toward the
Some difficult aspects of social support were future. Naseera explains this process:
also raised. For example Sema discussed that . . . we were talking a lot about what’s gonna happen to
talking about negative, war-related experiences our relatives? What’s gonna happen to Afghanistan? Is
often resulted in sadness, “. . . sometimes we this forever? So we were talking about it and then we
talked to each other. It helped, it relieved some were like you know what, let’s put that aside and lets
stress, but it always made us cry. It was always think about the future.
a sad thing to talk about.” Basima explained that When asked how she made herself feel better
the context of the fighting and devastation in during difficult times, Basima replied, “Think
Afghanistan may hinder seeking social support about the future, think about good things . . .”
outside the immediate family because everyone Faria described how focusing on future oppor-
is consumed with their own struggles: tunities helped her to cope with leaving her
. . . because everybody had the same problems, so if country:
you talk to that person, it does not make you feel better It was hard to leave . . . . to leave people behind, leave
because, that person has the same problem. So once your country that you love, everything you know. But,
you start your problems, he will start his problem, so but for me, I wanted me to be free, to have the life that
two problems will make it worse . . . I wanted. So there was the hope that help me deal with
that situation, because I wanted to have a better life, I
At times, participants reported finding a wanted to be something, I wanted to be Faria I didn’t
resource in perceiving a sense of community want to be somebody’s daughter only or somebody’s
(McMillan & Chavis, 1986) within Afghan sister only.
170 WELSH AND BRODSKY

The Afghan proverb in the manuscript title, ligious coping arose spontaneously, as the in-
“after every darkness is light” also reflects this terview template did not explicitly address reli-
process of focusing on future light during dif- gious involvement or coping. Given the mean-
ficult times. ing of religion in Afghanistan and the
Expressing gratitude. Amid immense abundance of religious fundamentalism, ques-
hardship and loss, the participants still ex- tions regarding religious beliefs were excluded
pressed a striking amount of gratitude. Many in efforts to not insult participants, or otherwise
participants talked about feeling a sense of grat- bias the results. The majority of the participants
itude for their own lives, as well as for the lives were Muslim (n ⫽ 7) at the time of the inter-
of their family members. As Basima explained, view, however one participant did not adhere to
“To be with your family after all those attack, Islam, and another described herself as ques-
the bombing, and everything, and you will see, tioning her religious affiliation. For Shagufa,
everybody’s alive, that’s the best thing, that is religion seemed to provide a perceived connec-
the best thing . . .” tion with and support from God, as well as
Gratitude was often cultivated when the par-
social support from the religious community,
ticipants engaged in downward social compar-
“. . . another key thing [that helped], [was] to go
ison (Wills, 1981) which is the process wherein
to mosque. There was a lot of people and also
one compares oneself to someone who is worse
off, thus determining that things could be worse. we can release, we cry over there, relieve our
Downward social comparison has also been stress . . . when you go the church, you are in
found in other studies of resilient urban women God’s house so he can help us.” Many partici-
and refugees (Brodsky, 1999; Schweitzer, pants talked about praying during difficult
Greenslade, & Kagee, 2007). Many participants times, and gaining a sense of controllability and
discussed maintaining gratitude through engag- hope. For example, Naseera talked about her
ing in this process. Amida described how she Mother’s prayers giving her the sense that ev-
reminds herself of the many Afghan families erything would be all right:
who remain in the conflict, in order to recognize
. . . we did a morning prayer before we left [Afghani-
how grateful she is, “. . . if things came down stan], it was early in the morning and I remember my
too bad, I would say, okay we are in that situ- mom, she was just making hard prayers, she was just
ation, we went through immigration, we lost asking God . . . she was crying, she was like please
family members, but we are so much better off God let us get through this, and you know, I knew that
then these Afghan families.” everything would be fine.
Determination. The participants often Meaning-making coping. Meaning-focused
portrayed an attitude of determination when dis- coping strategies represent another common cop-
cussing the many challenges they had faced in
ing method (Folkman & Moskowitz, 2004). Spe-
Afghanistan and throughout their immigration
cifically, meaning-making coping is thought to
process. Tarana expressed that after so much
involve making causal attributions and search-
hardship, she feels even more determined than
ever to change the situation in Afghanistan, “I ing for meaning in adversity (Folkman & Mos-
am probably more determined than ever . . . It kowitz, 2004). Brinton Lykes (1996) has writ-
does not hurt me as much as it used to . . . after ten about meaning making within contexts of
a while you just want to do something about it.” ongoing war, and suggested that the destruction
Sema talked about her determination to con- of individual lives and cultural symbols chal-
tinue to struggle and overcome bitterness, “The lenges all meaning making, and thus meaning-
hope that if I try, I can find a way, if I struggle. making essentially becomes a search for mean-
Many people, many women like me so why I ing from meaninglessness. This was reflected in
should just cry and accept the situation. [I was] many of the participants’ discussions of their
just trying to struggle against the bitterness and search for meaning. Many of the women ex-
I did it.” pressed that when they reflected on the meaning
Religion. Involvement in religious activi- within the situation in Afghanistan, they were
ties and a faith in God were also factors that often unable to reach any satisfactory conclu-
appeared to help many of the participants cope sions. For example, Amida expressed uncer-
with their difficult experiences. Instances of re- tainty about the meaning of so many lives lost.
COPING EXPERIENCES OF AFGHAN WOMEN 171

I see all these people, they are so naı̈ve, they are scribe. Relational concerns (e.g., worry that dis-
freedom fighters, they fight for freedom, for equality cussion of a stressor would cause distress for
. . . Maybe all I have to do as an individual is do the
right thing? these good, good lives that they got lost in others), which is the most significant factor in
Afghanistan, what came out of it? In Afghanistan, the cultural differences in seeking support (Kim
nothing good really happened. et al., 2008), was also described by the partici-
pants in the presents study. For example,
Some participants expressed that they were Hafeeza explained that she often kept her frus-
able to learn valuable lessons from the conflict, trations to herself for the benefit of others:
despite their predominately negative interpreta-
tions of the situation. Basima explained that all . . . sometimes I felt very frustrated, I felt very vulner-
the greed she has witnessed, led her to strive to able . . . I don’t have opportunity, I don’t have the
power, because of culture, because of displacement,
always consider others: because of being refugee, being a woman, I feel dis-
Q: What have you learned from these experiences? appointed but I never showed that because, I believe, if
I show my disappointment how will that be for others.
A: Always think about other people, never be greedy So I struggle inside myself . . .
Basically, right now as we are speaking, greed is
ruining our country. Because people are thinking about The participants’ ability to maintain positive
themselves, nobody else. emotions (e.g., hope and gratitude), despite fac-
ing threats and stressors, was likely a factor in
Discussion their resilient adaptation. There is a robust re-
lationship between positive emotions and psy-
Despite the many struggles the participants chological resilience (Tugade, Fredrickson, &
faced in Afghanistan and throughout the pro- Feldman Barrett, 2004). The broaden-and-build
cess of immigration, each discussed a variety of theory of positive emotions (Fredrickson, 2001)
coping mechanisms they engaged in, in order to provides a helpful framework for understanding
deal with their situations. The coping processes the relationship between positive emotions and
identified represent diverse and often culturally resilience. The theory posits that positive emo-
grounded methods of facing hardship. The rel- tions broaden one’s attention, thinking, and be-
atively low levels of current mental health dif- havioral repertoire, whereas negative emotions
ficulties endorsed by the participants suggest tend to narrow attention and support a limited
that they are resilient and that coping mecha- behavioral repertoire.
nisms may have had some role in this positive It became clear that the participants’ current
outcome. It also likely reflects the fact that the mental health and stressors were affected not
participants are no longer living in a war zone. only by the war-related trauma they had expe-
This research also provides qualitative docu- rienced firsthand, but also by the ongoing con-
mentation of the extensive violence and war- flict in Afghanistan. This is consistent with a
related trauma that Afghan civilians and refu- recent meta-analytic study of refugee research
gees have experienced. in which ongoing conflict in the individual’s
The importance of social support as a coping country of origin was a significant predictor of
process and resource, as described by the par- negative mental health outcomes (Porter, &
ticipants in the present study, is largely consis- Haslam, 2005). The participants expressed feel-
tent with findings from coping research with ing a lot of responsibility for and distress about
other refugee and war-exposed populations the situation in Afghanistan and the Afghans
(e.g., Halcon et al., 2004; Miller et al., 2002). who remain in the chaos and conflict there.
Implicit social support, which is defined as the Their distress illustrates how individual level
emotional comfort one can receive from close wellbeing can be significantly impacted by dis-
others without disclosing or discussing specific ruptions and changes in even distal ecological
stressors, has been found to be more frequent levels and systems, which is consistent with the
and helpful for individuals from collectivistic logic of other social ecological models (e.g.,
cultures (Kim et al., 2008). This aspect of social Bronfenbrenner, 1979). Their distress also high-
support was discussed by the participants, and lights the far-reaching impact of national and
may be even more common than suggested in international defense and humanitarian policies
their narratives since explicit instances of re- regarding Afghanistan, and the importance of
ceiving social support are often easier to de- second order change (Dalton, Elias, & Wan-
172 WELSH AND BRODSKY

dersman, 2006) which aims to make structural ars have written generally about the inadequacy
and system-wide changes. Finally, the findings of language in describing traumatic experi-
suggest that the humanitarian efforts of Afghans ences, and moreover, describing such experi-
outside of Afghanistan may be a crucial aspect ences and emotions in a second language may
of their emotional recovery, and therefore further complicate full expression (Dalanberg,
should be supported materially and otherwise. 2000).
There are several limitations to the present Broadly, the present study contributes to the
study. First, it relies exclusively on self-report body of literature that supports the development
data, and the sample size is quite small. Al- of effective and culturally relevant prevention,
though, qualitative methods intend to provide intervention, assessment and treatment proto-
rich description of a purposefully chosen sam- cols for refugees and other individuals who
ple, and these eight unique and meaningful per- have experienced war-related trauma. It is also
spectives provide vital data in a field where little important to understand the unique experiences
is known of Afghan women immigrant’s lives. of Afghan refugees and individuals who have
Results, however, need follow up. Additionally, fled to safety, and yet remain impacted by the
the use of snowball sampling compromised ongoing global crisis. However, instances of
confidentiality in some instances. When a par- spontaneous prevention, individual differences
ticipant suggested another interviewee, they in coping strategies and the multiple pathways
clearly had knowledge of the individuals’ par- to resilience illustrated by the participant narra-
ticipation in the study. Further, the key infor- tives in the present study, suggests that pro-
mants were influential in the participants who grams and preventive efforts will need to be
were ultimately interviewed, and thus using tailored to individual need and cultural context.
other key informants may have resulted in dif- In general, research about trauma, coping,
ferent interviews and conclusions. The research and resilience in marginalized populations is
is also focused largely on past experiences, scarce and needs further development. Ideally,
which tend to be less accurately described com- future research with participants who have ex-
pared to present states. Finally, the information perienced trauma will continue to explore
gathered was likely influenced by the cultural mechanisms of resilience and growth, in addi-
difference between the researchers and partici- tion to negative psychological outcomes. Lon-
pants, aspects of which may be both advanta- gitudinal studies following the adaptation of
geous and disadvantageous. Qualitative re- refugees and other war-exposed populations
search is cognizant of the fact that research is would aid our understanding of these develop-
shaped by both researcher and participants. mental trajectories. Future studies might benefit
Therefore, any researchers are both a strength from utilizing comparison groups, in order to
and limitation in any study. To evaluate these control for relevant variables, such as degree of
findings it is important to note that, in general trauma, immigration status (i.e., refugee vs. asy-
we strive to conduct research that is both par- lum-seeker), various primary coping processes,
ticipatory and applied in nature, with a focus on particular resources and stressors, and precon-
humanitarian concerns and pressing social is- flict levels of education and/or socioeconomic
sues. We also appreciate the aspects of qualita- status. Finally, more work needs to be done in
tive methodology that serves to give voice to the terms of developing culturally acceptable inter-
voiceless. Both authors are American born vention approaches to improve trauma symp-
women, who do not share a cultural or religious toms, coping skills, and quality of life for refu-
background with the participants, but who are gee populations.
familiar with Afghan culture and communities.
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00048670601172780 Accepted July 6, 2010 䡲

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