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Understanding and Addressing the Impact of Invisibility on Conflict-Related Male Sex Violence in Syria

Lead Research Organisation: University of Galway
Department Name: School of Law

Abstract

The notion that the international community has a duty or "responsibility to protect" is not new. It has been raised not only in the context of armed conflict but also when addressing economic, social and cultural rights. In both contexts, the concept includes: the duty to respect; the duty to protect and; the duty to fulfil, that is, to work actively to establish political, economic, and social systems as well as infrastructure that provide access to the guaranteed right to all members of the population. While the responsibility to fulfil these obligations fall primarily to states within their own borders where a state fails or lacks capacity, that responsibility increasingly falls to the international community. Member states have, in turn, attempted to respond to the needs of individuals living in Fragile and Conflict-Affected States (FCAS) by developing protection interventions. Yet what is clear from existing academic research and UN reports, determining the most effective and appropriate protection interventions that affirm rights and mitigate physical or psychological harm poses a number of significant challenges for the international community.

In focusing on conflict-related sexual violence (CRSV), this proposal will address one such challenge and fill what we argue to be significant gaps in current research on male CRSV survivors. Drawing on the work of Jill Stauffer (2015) and Philipp Schultz (2018), we will apply Stauffer's concept of 'ethical loneliness,' defined as the "isolation one feels when one, as a violated person or as one member of a persecuted group, has been abandoned by humanity, or by those who have power" (1) to male CRSV survivors. We argue that in focusing on this subject group and adopting this conceptual framework, our research will engage four of the designated thematic areas of this call-Impact of Violations, Impact of Absent or Ineffective Protection Programming, Impact of Recognition Protection, Impact of Targeting on groups excluded from targeted protection/response. In his Ugandan study of sexual violence, Schultz argues that providing a better understanding of the "effects of externally imposed and gender-specific silencing" has a "wider utility beyond male sexual violence" allowing us to better understand and address the multiple needs of "survivors of political and wartime gendered violence more broadly." In focusing on male CRSV, the research and methods proposed will address each prong of the 'egg model' and:

1. Provide a comprehensive base for understanding the factors that lead to male CRSV, and its patterns of abuse;
2. Examine the impact of the initial violation and subsequent harm from the invisibility of male CRSV including: lack of access to appropriate, culturally and gender sensitive treatment and support for survivors and their family; impact on
societal cohesion of their community and; any further violence that may manifest.
3. Develop key strategies to address the layers of invisibility of male CRSV, and facilitate access to critical support and recovery services, including sexual and reproductive health (SRH), other medical care, Mental Health and Psycho-Social
Support (MHPSS), protection, and access to justice/reparations.

In each of these tasks, the research questions are designed to interrogate the drivers of invisibility (stigma, taboos, risks, gendered norms, absence or exclusion from policies and programming) which can leave male SV survivors behind. This, in turn, effects cohesion, stability and recovery within the wider community (including families - specifically women and girls, and community recovery post-conflict), and longer term, perhaps inter-generational transmission which has been seen for other atrocity crimes. The research design will also consider risk factors/victimology and typology, seeking to recognise risks and vulnerabilities of men and boys for CRSV in the first place (alert, prevention, protection).

Planned Impact

There are a number of end-users to benefit from this proposed research. The first target group are male survivors of conflict-related sexual violence (CRSV), their families and communities. Second, service providers for male survivors (including frontline humanitarian staff; health and psycho-social care workers, protection actors, justice actors, etc.). The third group are policy makers and donors, and finally, the academic community.

Survivors, their families and communities: By identifying risk factors, an alert system could quickly trigger appropriate protection interventions. Understanding drivers of invisibility illuminates paths for survivors to reach support services (and vice versa), improving prospects of recovery. The project is also designed to understand the radiating impact of unaddressed MSV. So far, there is little data on the ongoing sequelae of this violence. Through understanding this impact, communities will benefit from the development of more effective and attuned protection responses and services, reaching across primary, secondary and extending impacts of MSV. This benefits the families of survivors, and with the increasing visibility and tackling of stigma, better community attitudes, rehabilitation and cohesion should follow.

Service providers: These impacts allow these sectors to reach past invisibility (screening tools) and give them vital data on how to serve this community (impact data, invisibility drivers). This research is a multi-disciplinary collaboration which brings together practitioners and academics each of whom has extensive regional and/or in-country experience. Our ODA partner has extensive local knowledge and training in CRSV. Our UK partners are experts in the field of CRSV. Through context appropriate data collection, this work will help in developing protection and response mechanisms that reflect this particular context (religious, cultural and communal). Given the extent of MSV in Syria, survivor recovery will be a vital part of peace-building, stabilisation and community resilience.

Policy makers/donors: A body of research around CRSV service delivery suggests that restraints imposed by donors (often driven by policy agendas) impact agencies and NGO's abilities to include MSV programming in their strategic plans. This, in turn, manifests in less policy creativity with NGOs working to "donors' policy priorities" with "little room to develop their own priorities" (Bieber 2002, 28). For MSV, this has impacted in distinct ways. The first is that "policy discourses and practices in international organizations continue to operationalize sexual violence as male-on-female ... and portray male rape as aberrational," (Zalewski, Drumond, Prugl & Stern 2018: 2), a key driver of invisibility of MSV. The second is that service providers believe that any resources for MSV would divert from and reduce already limited funds for responding to violence against women and girls.
The project specifically aims to break this cycle by developing innovative and transformative approaches to alerts, identification, MSV stigma and gendered causes, and attuned services for male survivors. Specifically, partnering with a local Co-I, with access to and an understanding of the local context, creates conditions that are conducive to collecting data that is informed and substantive, and adheres to 'Do No Harm' principles. To date, much of the data collected on Syria (and MENA contexts) is qualitative, derived mainly small sample studies and outside of the conflict area (predominately in refugee camps). As we are proposing mixed methods, follow-up tracing of impact, in-country interviews covering risk factors, stigma, attitudes and practice, and radiating impact in communities, we believe that our approach will make an original contribution to the wider research and academic community that will extend well beyond our case study.
 
Description 1. To identify demographic characteristics of and risk factors, earlier in the protection cycle, to aid alert and survivor screening systems for men targeted for sexual violence (SV) in the Syrian context.
Demographic and risk factor data collected and a profile of the participant group compiled (106 men above the age of 18 who were the research participants in our study). We have captured data in relation to ethnicity; age; education level; age at time of arrest; marital status; residential status; place of birth; place of residence; year and place of first arrest; duration of detention; detaining entity; judicial oversight of detention; mechanism of release; risk factors.
In terms of significant findings apart from the demographic characteristics, the identified risk factors included strong opposition to regime in their town (81.1%); fighting age (62.2%); young (67%); participation in demonstrations (56.6%); relatives considered a threat (defected officer e.g.) (26.4%); assistance with relief work (17%); involved in other forms of political opposition (14.2%); family member already detained (12.3%); under siege (8.5%); fighting in local area (11.3%); opposition leader (6.6%); member of opposition armed group (7.5%); and defection from government function (3.8%).
2. To identify types of sexual violence found in males during medico-legal documentation of human rights violations.
Typology data has been collected and verified against data as whole. To summarise, the data captured here reveals the following: Rape was identified by 9.4% of our participants, including forced penetration of the anus with an object or finger, forced penetration of a vagina with the victim's penis, forced insertion of wire into penis/urethra; 30.2% reported collective humiliation with sexualised elements; 43% reported violence to genitals, including beating (22.6%), electrocution (13·2%), burning (7.55%).45% reported forced witnessing including SV against men (38.7%), against women (9.4%). Threats of SV were reported by 78.3%, 58·5% threats toward female loved ones, 70·7% threats against themselves, 34·9% threatened with rape, 38·7% with sterilization or castration.
Forced nudity was almost universally reported (97.2%): 92·5% during arrival searches, 69·8% during interrogations or torture, and 54·7% while in their cells.
Verbal Sexualised Abuse: 94.3% (all accompanied with other forms of SV) - multiple forms and multiple incidences.
There is a wealth of other data captured here, including with regard to perpetrator motivation and extensive findings on gendered narratives around masculinity, reducing the participants as men, threats of castration/sterilisation - attacking reproductive capacity.
3. To identify impact and its evolution over time, including deeper impact in key areas.
The data has been collected and analysed but further multivariate analysis may be useful.
Quantitative analysis complete. Inductive qualitative analysis complete. Findings here include information on impacts at 4 events (1. time of violence/detention; 2. on release; 3. at Medical Evaluation; 4. at research interview). For study participants, the mean time elapsed from the first to the fourth event was 8.8 years. In summary, the data provides information on the most prevalent impacts at each event and their evolution; the symptoms with the highest persistence over time; sexual and reproductive health (SRH) including multivariate analysis of SRH and types of violence; social and economic impacts; displacement; continuing legal impacts; psychological impacts, particularly as relates to feelings of abandonment (ethical loneliness).
4. To examine radiating impacts in families, communities, workplaces, etc.
Qualitative data here has been collected and analysed. On this there are data limitations as what we gathered is evidently survivor perceptions of these impacts. Future work could involve a follow-up to do direct interviews with those impacted. However, the data reveals clear patterns of radiating impacts on parents, wives, siblings and children, including physical health, security and safety, psychological well-being, displacement, social, economic and legal impacts (with interesting social and gendered nuances). There are also profound impacts on relations and inter-relational reactions and harm, changes in role v. social expectations, and the effect on familial bonds and the family as a source of support. Within these impacts, the contagion and spread of fear, associational stigma and violence.
5. Identify barriers to disclosure, accessing support and recovery
Quantitative and qualitative data collected and analysed. Data reveals main barriers to disclosure as: we don't talk about these things publicly (58%); lack of disclosure points for men (54%); embarrassment (52%); hard to talk about (48%); lack of trust (35%); cultural incompatibility of being a man and being a victim (20%); as well as barriers to accessing support and important data on how treated at humanitarian service points (considering dignity based on masculinities.
6. To identify positive factors in resilience, recovery, and mitigating impacts.
Quantitative and qualitative data collected and analysed. Data here on sources of strength and support reveals: faith (73%); family (70%) including children (56%), spouse (50%); having been able to tell story safely to someone (34%); moving to a new place (29%); working to help others/altruism (22%); community support (21%) (but N.B. difference between non-regime and regime areas); (21%) survivor group or interaction; justice (17%); activism (14%); support services (3%).
7. To identify drivers and layers of invisibility for male sexual violence survivors
Qualitative data collected and analysed. Data here reveals the multiple layers of invisibility survivors feel at individual, community, and most significantly, international level, with almost all reporting a sense of having been abandoned by the international community.
8. To provide a quantitative analysis of community and structural stigma of male sexual abuse within service provision and protection cluster actors.
Data collected and analysed from 53 survey participants.
Exploitation Route We very much anticipate that our work will have an impact. LDHR and Synergy have established track records in using their research to feed into the policymaking of key stakeholders. Part of the 'added value' of this project is already clear and is articulated in the journal article recently published in the eClinicalMedicine journal, the first study to our knowledge in which men described physical and mental health symptoms over four time periods. Memories of detention and the post-release periods were described during the forensic medical evaluation and semi-structured interview. The reported evolution of symptoms provides insight into conditions which persist or grow over time. Given the typically prolonged time to access forensic evaluations and services after detention, health care professionals' understanding of these evolving symptoms is essential.
Implications of all available evidence:
Men subjected to CRSV while detained are at risk for medical and psychological symptoms lasting years. To achieve improved access to effective treatment, recognition of the constellation of symptoms unique to men (anger, loss of confidence, self-esteem, avoidance, self-isolation and lack of trust) must be at the heart of access and care design. It is vital for informed policy to demand attuned services for men to ensure livelihoods, family and community cohesion and reduce conflict on many levels.
Sectors Communities and Social Services/Policy

Security and Diplomacy

Other

 
Description Although the outcomes of the project are in the early stages of publication, already there has been an impact in terms of the work of one of the partner organisations (an NGO). They detail how the project has engendered an evolution in terms of how they approach and conduct their work. Although they have been providing services to male survivors of conflict-related sexual violence for many years, the learnings from this project, both in terms of the capacity-building element and the project proper, will be applied to other and future areas of their work, which they have found hugely beneficial. As outputs crystallise, we anticipate that the findings of the project will make significant contributions to the relevant debates at national and international level. Within an academic context, this will be achieved through publications in peer-reviewed journals and dissemination at conferences but beyond the potential for academic debate to influence policy, more directly the project researchers have participated in and will continue to participate in relevant fora where policy on conflict-related sexual violence is shaped. The project's work has been referenced in the Syria Supplement IP2 - Supplement to the International Protocol on the Documentation and Investigation of Sexual Violence in Conflict. As our outputs appear in the public domain, we anticipate they will feed into the work of key stakeholders.
First Year Of Impact 2021
Sector Other
Impact Types Policy & public services

 
Description Missing Peace Global Symposium on Conflict-Related Sexual Violence: A Tenth Anniversary Convening of Scholars, Policymakers, Practitioners & survivors and Victims
Geographic Reach Multiple continents/international 
Policy Influence Type Participation in a guidance/advisory committee
 
Title Interview 
Description Dataset containing the semi-structured interviews with male survivors of sexual violence 
Type Of Material Database/Collection of data 
Year Produced 2022 
Provided To Others? No  
Impact Currently being analysed 
 
Title KAP survey 
Description KAP survey completed by 53 participants from the humanitarian cluster, working on gender-based violence in Syria 
Type Of Material Database/Collection of data 
Year Produced 2022 
Provided To Others? No  
Impact Currently being analysed 
 
Description Project workshop 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Postgraduate students
Results and Impact We held an in-person project workshop in Galway in December 2022 where all the project team were able to engage with staff and students of the Irish Centre for Human Rights, University of Galway.
Year(s) Of Engagement Activity 2022