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“To Do No Harm” Spiritual Care and Ethnomedical Competence   167

            In one case, we were under a tree and news traveled fast that a “psy-
            chological”  session  was  happening.  In  these  sessions,  I  allowed  sur-
            vivors  to  ventilate,  and  I  normalized  traumatic  reactions  (survivor’s
            guilt, insomnia, and emotional numbness being among the reactions
            that people shared openly.)
              Finally,  traditional,  time-honored  healing  practices  involving  touch,
            laying on of hands, and energy psychology appeared to be in demand by
            primary victims. During this project, my EC was not robust, and I did
            not make an assessment of how traditional healers were being utilized in
            Nagapattinam. Ranjan, a traditional healer, mentor, and friend with whom
            I had been traveling—after finding no opportunities through me and my
            PFA training work—took his own initiative and began providing healing
            sessions in the same room with volunteer psychiatrists. His services were
            touted by consumers who found a form of healing that resulted in restful-
            ness and comfort. A line of consumers formed for Ranjan’s 10- to 25-min-
            ute healing sessions, and this line continued to grow during the days of
            his stay in Nagapattinam. As mentioned in another piece (Shah, 2007a), by
            not partnering with Ranjan from the beginning in more integrative work,
            I believe I missed an important EC opportunity. Yet, like flowing water’s
            ability to find lower ground and eventually meet up with other bodies of
            water, the healing work of Ranjan found its way to the tsunami-affected
            without much institutional backing.



            Tsunami in Sri Lanka (Subacute Phase)

            I  interviewed  Harshada  David  Wagner  (personal  interview,  March  5,
            2008),  a  New  York  City–based  meditation  teacher  who  innovated  and
            implemented psychospiritual aid beginning 2 weeks post–tsunami. While
            his Sri Lankan pediatrician wife provided medical aid, Wagner worked
            via Banyan Education (his consulting firm). The following are excerpts from
            the interview prefaced with headings describing important psychosocial and
            spiritual resiliency principles that worked for the disaster setting:

               1. Partnering with local workers to channel, amplify, and adapt interven-
                 tions. Locals “take the temperature” of the larger community and cul-
                 turally adapt the work in concentric circles:
                  Arriving  January  12,  we  developed  a  6-week  project  involving
                  youth and parents in a number of little coastal villages around
                  the town of Akarapattu, in Ampara District on the Eastern coast.
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