Details

Autor(en) / Beteiligte

• Grayman, Jesse Hession

Titel

Rapid response: Email, immediacy, and medical humanitarianism in Aceh, Indonesia

Ist Teil von

• Social science & medicine (1982), 2014-11, Vol.120, p.334-343

Ort / Verlag

England: Elsevier Ltd

Erscheinungsjahr

2014

Link zum Volltext

Quelle

MEDLINE

Beschreibungen/Notizen

• After more than 20 years of sporadic separatist insurgency, the Free Aceh Movement and the Indonesian government signed an internationally brokered peace agreement in August 2005, just eight months after the Indian Ocean tsunami devastated Aceh's coastal communities. This article presents a medical humanitarian case study based on ethnographic data I collected while working for a large aid agency in post-conflict Aceh from 2005 to 2007. In December 2005, the agency faced the first test of its medical and negotiation capacities to provide psychiatric care to a recently amnestied political prisoner whose erratic behavior upon returning home led to his re-arrest and detention at a district police station. I juxtapose two methodological approaches—an ethnographic content analysis of the agency's email archive and field-based participant-observation—to recount contrasting narrative versions of the event. I use this contrast to illustrate and critique the immediacy of the humanitarian imperative that characterizes the industry. Immediacy is explored as both an urgent moral impulse to assist in a crisis and a form of mediation that seemingly projects neutral and transparent transmission of content. I argue that the sense of immediacy afforded by email enacts and amplifies the humanitarian imperative at the cost of abstracting elite humanitarian actors out of local and moral context. As a result, the management and mediation of this psychiatric case by email produced a bureaucratic model of care that failed to account for complex conditions of chronic political and medical instability on the ground. •Content analysis of email reveals everyday practices of humanitarian agencies.•Email's immediacy can enact and amplify the urgency of the humanitarian imperative.•Email may abstract humanitarian practitioners out of local and moral context.•Email communications closely mirror and reproduce organizational hierarchy.•Immediacy favors a humanitarian focus on acute crisis but effaces chronic crisis.