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the tree of life project using narrative ideas in work with vulnerable children in southern africa by ncazelo ncube ncazelo ncube works for repssi a regional capacity building organization working ...

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             The Tree of Life Project 
                     Using narrative ideas in work with 
                          vulnerable children in Southern Africa
                                   By Ncazelo Ncube 
                                   Ncazelo Ncube works for REPSSI, a regional capacity-
                                   building organization working in thirteen countries in
                                   East and Southern Africa to enhance the provision of
                                   psychosocial care and support to children affected by
                                   HIV/AIDS poverty and conflict. The countries comprise
                                   Mozambique, Angola, Botswana, Namibia, Malawi,
                                   Zimbabwe, Zambia, South Africa, Lesotho, Swaziland,
                                   Uganda, Kenya and Tanzania. Ncazelo. Ncazelo can 
                                   be contacted c/o REPSSI, Box 1669, Randburg 2125,
                                   Johannesburg, RSA, Tel: +27 11 998 5820, 
                                   Email: ncazelo@repssi.org
                                   Website: http://www.repssi.org/
                       This paper describes the use of narrative ideas in work with
                       vulnerable children in Southern Africa. How can the lives of children
                       who have experienced significant losses be responded to in ways
                       that are not re-traumatising and that bring to light children’s own
                       skills and knowledge? What sorts of exercises can be used in camps
                       for vulnerable children? How can children be provided with significant
                       experiences that do not separate them from their families, values 
                       and cultural norms? This paper describes a creative adaptation of 
                       the ‘Tree of Life’ exercise informed by narrative therapy principles 
                       and practices.
                       Keywords: children, southern Africa, HIV/AIDS, camps, grief, loss, trauma
                        The International Journal of Narrative Therapy and Community Work
                               2006  No.1   www.dulwichcentre.com.au  3
          INTRODUCTION                                             trapped in the territories of life that made them to
                                                                   seek counselling in the first place. 
             I have been working with orphans and                     Looking at the work that we have been doing
          vulnerable children for at least six years now.          with bereaved children and communities, I now
          Anyone working in this field in Southern Africa will     realise that part of our problem was basing our
          have many heart-breaking stories to tell about the       practices on the western notions of catharsis. Some
          hopelessness and desperate situations of illness,        of our work has been informed by ideas that
          parental death, and the subsequent suffering of          bereaved children and communities are not given
          millions of children who are faced with the reality of   platforms to express their grief and therefore have
          living their lives without their parents. HIV/AIDS has   feelings and emotions trapped deep inside them
          robbed numerous families of their joy and zeal to        which need to be vented out. This kind of thinking
          live fulfilled lives. I have worked as a child and       has been very dominant in our work. We have for 
          community counsellor as well as a trainer for a          a long time seen ourselves as playing a role in
          number of organisations within Southern and East         providing the space for trapped feelings and
          Africa whose purpose is to support the most              emotions to come to surface. The reality of such
          vulnerable children, families and communities falling    expressions, however, has been clearly overwhelming
          through the traditional safety nets. In this work,       for both the individuals that seek our help and the
          I have found myself not only having to grapple with      counsellors providing support services.
          helping vulnerable children and communities but             This paper documents a way of working with
          also being overwhelmed by expressions of burn-out,       children using the ‘Tree of Life’ tool which we have
          defeat, struggles, and feelings of incompetence often    adapted through our engagement with narrative
          expressed by practitioners working in this field. This   ideas. Before I describe this, however, it may be
          sense of incompetence has been further complicated       helpful for me to provide some background
          by our struggles to identify suitable tools, means,      information about the work of Masiye Camp which 
          and methods that enable us to effectively counsel        is where we will be using this new way of working. 
          and provide support to children and their families in
          ways that are fulfilling to them and ourselves as the    MASIYE CAMP
          helpers. I have always been confronted with                 Masiye Camp is a Christian based organisation in
          questions about how practitioners in the field should    Zimbabwe that focuses on life skills development for
          respond to the crying and wailing that they often        orphans and vulnerable children. Children who attend
          experience when having conversations with children       the life skills camps are identified from various
          and communities about their losses. I have found         communities and referred to Masiye Camp 
          myself struggling to come up with satisfactory           by different community based initiatives all around
          answers and ideas to such questions. My colleagues       Zimbabwe and even beyond the borders. What has
          and I have often spoken about our experiences of         made Masiye Camp a unique initiative has been the
          defeat and incompetence particularly when faced          involvement and participation of young people in
          with such challenges and dilemmas.                       providing counselling services to their peers. Masiye
             It is not easy to deal with a sense of failing        Camp’s dream was, from its conception, to enhance
          individuals who you know have faced significant          the coping capacity of children affected by HIV/AIDS
          struggles in their lives and who have come to seek       and other emergency situations. Furthermore,
          support from you. I have, however, come to realise       Masiye’s vision has been to provide opportunities 
          that a lot of the struggles and limitations that we      for disadvantaged children to develop life skills and
          experience in our work are linked to structured          experience equal opportunities in the social world.
          approaches to counselling that often trap                The majority of young people who serve as camp
          practitioners and people seeking counselling services    counsellors have experienced significant losses
          into problem-saturated accounts of life. Such            themselves. They are keen to provide support to
          accounts often leave both the people seeking help        their peers through sharing their own personal
          and the counsellors feeling drained. For individuals     experiences and journeys as orphans. The peer-to-
          seeking counselling support they find themselves         peer support takes place largely through group
           4                         The International Journal of Narrative Therapy and Community Work
                                                2006  No.1   www.dulwichcentre.com.au
             therapy. An average camp has the capacity to take at            • Children who come to the camp are linked to
             least fifty children in a given time and runs for about            support services such as legal services,
             ten days. Children attend the camp in different age                medical treatment, food security initiatives, etc.
             groups; 6-11, 12-16, and 17+ including child-headed
             households. Masiye’s work has been shared and                DILEMMAS AND CHALLENGES 
             emulated by several organisations working with
             vulnerable children in East and Southern Africa.                 The children who attend the camps are often
                                                                          struggling with the effects of loss and bereavement,
             A SUMMARY OF SOME OF THE                                     abuse and neglect, family breakdown, and extreme
             ACHIEVEMENTS OF MASIYE CAMP                                  poverty. Involving young people in offering peer-to-
                                                                          peer support has made many things possible, but 
                 • Masiye Camp provides a place and                       it has also raised a number of challenges 
                   opportunities for children to talk about their         and dilemmas: 
                   personal realities and experiences in the                 • The young people involved in offering
                   context of HIV/AIDS. This is not usually                     counselling services to their peers have
                   possible in their families and communities due               experienced significant losses themselves. 
                   to cultural beliefs and practices that inhibit               If camp counsellors have to continuously
                   communicating with children on difficult issues              revisit loss and listen to painful stories, their
                   such as death and HIV/AIDS. Such topics are                  involvement in camps can be re-traumatising
                                              .
                   usually viewed to be taboo                                   for them. 
                 • Children are provided with opportunities to               • We have noted with concern how young
                   share problems with their peers and learn                    people who have been through the camp, and
                   coping skills from each other. The camp is a                 who are then viewed as role models, are often
                   place where new relationships and good                       unable to sustain preferred ways of living. 
                   memories are formed.                                         We have observed young camp counsellors
                 • Masiye Camp provides children with a rare                    struggling with alcoholism, prostitution, poor
                   opportunity for fun and play that is not always              planning, and having difficulty in taking steps
                   possible in communities where most children                  to shape their lives and their future. 
                   have to deal with taking care of ill parents and          • Many of the children who come to camp are 
                   have numerous household responsibilities.                    in conflict with their families and struggle to 
                 • The camp program is designed in such a way                   fit in when they go back home after the camp
                   that children have opportunities to receive                  experiences. Are our programs that work with
                   career guidance, practical lessons on day-to-                children outside the context of their families
                   day living such as the art of budgeting, first               and communities having the effect of
                   aid, development of skills in arts, etc.                     alienating children from their families and
                 • Masiye is committed to breaking the silence                  communities? If this is a possibility, the
                   around HIV/AIDS and focusing on loss and                     question to ask is: How can children be
                   bereavement especially in the lives of children;             effectively supported without separating them
                   this makes it a unique initiative as these                   from their families, values and cultural norms?
                   issues are usually seen as not important for              • How can such a camp experience go beyond
                   children’s lives.                                            just having a good time but also meaningfully
                 • Young people in the Masiye program are seen                  assist children to take steps in shaping their
                   as active agents of change in their lives and                lives and future?  
                   their communities.                                        • How can the camp program ensure that the
                 • Children experience life skills development                  diverse experiences and personal desires of
                   through play, outdoor experiential learning                  children in a group context are catered for? 
                   activities. Support is also provided to children          • How can community ownership of programs be
                   who are heading households.                                  achieved? Currently the larger responsibility for
                                          The International Journal of Narrative Therapy and Community Work                 5
                                                      2006  No.1   www.dulwichcentre.com.au
                                                                     B
                                                                      ranches
                orphans and vulnerable children’s programs           Branches: The branches of the tree were a prompt to
                seems to rest upon organisations and is              elicit the child’s thoughts, ideas and wishes about
                not linked back to local communities as              the direction which he/she would like go in life. 
                it could be. 
                                                                     Fruits: 
             • In most of our communities there is a strong          Fruits: The fruits stood for the achievements that the
                belief that young children are passive               child had accomplished in his or her life; the things
                recipients of life and are not affected by           that he/she was proud of.
                issues of death. Our experience has differed.
                                                                     Bugs: 
                How can narrative practices enhance the work         Bugs: The bugs of the tree, which would sometimes
                we do with children?                                 eat parts of the fruit and destroy the leaves, were
             • Because the program works with a lot of               designed to represent the problems and challenges
                children at any given time, we feel that group       that children were facing in their day-to-day lives.
                approaches are critical. We would like to                Children were introduced to each of these
                explore how we can use narrative ideas in            metaphors as they drew their own ‘Tree of Life’.
                working with children in groups.                     Once children had completed their drawings they
          THE ‘TREE OF LIFE’ AT MASIYE CAMP                          then presented it in front of the other children.
                                                                     Sometimes the camp counsellors would ask
              One of the key tools we have been using in our         questions to draw out each of these themes. 
          work with children at Masiye Camp has been the
          ‘Tree of Life’. I introduced this tool to Masiye Camp          I was quite drawn to this ‘Tree of Life’ exercise
          in 2003 during a training program that was run at          for various reasons:
          the camp for practitioners who are involved in the            • The children who were initially introduced 
          care and support of children affected by HIV/AIDS in            to the exercise became quite engaged in
          East and Southern Africa. I had been introduced to              thinking through and reflecting about 
          the ‘Tree of Life’ by a colleague and friend, Jonathan          their lives. 
          Brakarsh, and we had used it to learn from children           • The Tree of Life seemed to engage all children
          about the kinds of concerns they had about their                and, because it does not rely on the spoken
          lives during times of change, such as HIV/AIDS.                 word, all children (even those who were shy)
              In this exercise we would invite children to draw           were able to come up with stories and rich
          their ‘Tree of Life’ with particular attention paid to          descriptions about their lives. 
          the following themes: 
                                                                        • It made story-telling possible and the children
          Roots:                                                          seemed to be proud about various aspects of
          Roots: Children were invited to think about and
          write on their Tree of Life significant figures from            their stories e.g. roots (origins, ancestry, etc)
          their ancestry, origins and family history.                     and their achievements as expressed through
                                                                          the fruits of their trees.
          Trunk:                                                        • The Tree of Life brought out the creative
          Trunk: The trunk of the tree was a prompt for
          children to draw representations of significant events          abilities of children. It was a fun experience
          that had shaped their lives: these were either                  and the children enjoyed drawing.
          positive events or events that could be regarded as           • I felt educated about children’s lives and their
          difficult or that evoked a painful memory.                      experiences without putting in too much effort.
                                                                        • The children were also able to talk about 
          Leaves:
          Leaves: The leaves of the tree represented                      the difficulties that they had experienced 
          important people or significant relationships in an             in their lives.
          individual’s life. At Masiye Camp we introduced the
          metaphor of fallen leaves to represent important               For these reasons I encouraged Masiye Camp
          people that had been lost to the child (e.g. parents       and other organisations to use the ‘Tree of Life’ in
          who had died).                                             their work with children. Masiye Camp has been
            6                         The International Journal of Narrative Therapy and Community Work
                                                 2006  No.1   www.dulwichcentre.com.au
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...The tree of life project using narrative ideas in work with vulnerable children southern africa by ncazelo ncube works for repssi a regional capacity building organization working thirteen countries east and to enhance provision psychosocial care support affected hiv aids poverty conflict comprise mozambique angola botswana namibia malawi zimbabwe zambia south lesotho swaziland uganda kenya tanzania can be contacted c o box randburg johannesburg rsa tel email org website http www this paper describes use how lives who have experienced significant losses responded ways that are not re traumatising bring light s own skills knowledge what sorts exercises used camps provided experiences do separate them from their families values cultural norms creative adaptation exercise informed therapy principles practices keywords grief loss trauma international journal community no dulwichcentre com au introduction trapped territories made seek counselling first place i been orphans looking at we doi...

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