In my work dealing with the impact of political violence, a constant challenge is reminding people that when addressing survivors’ needs during times of conflict, it is the social context that is often the primary stressor. For example, as much as therapy for victims of conflict is useful, its value is limited if the conflict’s legacy persists and the social environment is destroyed.
You also cannot think about conflict without understanding that it has differential impacts. In Northern Ireland, for example, the neighbourhoods with the highest conflict death rate are those with the highest levels of poverty. When it comes to addressing the mental health impact of Covid-19, it seems we have a similar situation. We are acting as if the pandemic is only a medical problem, a behavioural issue (wear your mask, wash your hands, socially distance) and finally, a psychological question of coping mentally.
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