As international health organizations have increasingly acknowledged the global burden of psychological trauma, global health experts have sought to appraise and organize the treatment of trauma through objective, neutral forms of classification and calculation. Rather than see trauma as a singular thing whose biological, social and psychological formation is bracketed by expert perspectives, this paper focuses on how psychological trauma is enacted—that is, brought into being and sustained—in particular contexts and practices. If trauma can be made and unmade in practices, rather than assumed to be a stable thing, then these practices become a matter of concern rather than fact for geographers. We take as our empirical focus the province of North Kivu in the eastern Democratic Republic of Congo, where trauma has become a matter of growing local, national and international concern. Working with and beyond the conceptual work of Annemarie Mol, we demonstrate how different ‘versions’ of trauma uneasily co-exist in the region. Interrogating these versions, we explore the tensions that arise from attempting to explain and summate the incidence of trauma that is not singular or stable but is, instead, emergent and enacted in a variety of practices.

中文翻译：

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揭开刚果民主共和国北基伍省创伤的多样性

随着国际卫生组织越来越多地认识到心理创伤的全球负担，全球卫生专家试图通过客观、中立的分类和计算形式来评估和组织创伤治疗。与其将创伤视为一种单一的事物，其生物学、社会和心理的形成受到专家观点的限制，本文侧重于心理创伤是如何在特定的背景和实践中产生的——也就是说，产生和持续的。如果创伤可以在实践中产生和消除，而不是假设是一种稳定的东西，那么这些实践就成为地理学家关注的问题而不是事实。我们将刚果民主共和国东部的北基伍省作为实证重点，那里的创伤已成为当地日益严重的问题，国家和国际关注。在 Annemarie Mol 的概念性工作之外，我们展示了不同“版本”的创伤如何在该地区不安地共存。审问这些版本，我们探讨了试图解释和总结创伤的发生而产生的紧张局势，创伤的发生不是单一的或稳定的，而是在各种实践中出现和制定的。