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Introduction
An outcome of globalization is the increased movement of people either by legal or
illegal means. There has been increased media attention to human trafficking that
has exposed the clandestine nature of this type of illegal migration. Human
trafficking is not a new phenomenon; however, it has become more visible due to
globalization. Every region in the world is affected by some form of human
trafficking. Given the heightened visibility of human trafficking, the purpose of this
article is fourfold: (i) to present child trafficking within the context of human rights;
(ii) to discuss child trafficking for sex exploitation from a cultural perspective, using
Asian culture as an example; (iii) to present child trafficking as it relates to the
multiple levels of the abuses of power; and (iv) to discuss the role of psychologists in
the elimination of human rights violations and the abuses of power by presenting the
Multi-level Model of Psychotherapy, Social Justice and Human Rights (MLM) as a
suggestion on how psychologists can work in a cultural responsive proactive manner
in addressing human rights and social justice issues.
To provide a foundation for the discussion on child trafficking, culture and the
abuse of power, this paper begins with a brief summary of human trafficking for
sexual exploitation, followed by a discussion on the impact of culture on child
trafficking for commercial sex work, the abuses of power as it relates to child
trafficking, and finally a discussion on the role of psychologists. Given that
*Email: rchung@gmu.edu
child trafficking involves ‘‘real’’ people and to ensure that the ‘‘human face’’ of child
trafficking is not lost in this article, stories from trafficking survivors and returnees
are included. The personal stories are from my interaction in towns and villages in
Myanmar where large numbers of children and adults have migrated to another
country.
A resulting trap
The combination of these cultural family values with the cultural response and
stigma of rape and prostitution are manipulated and used as a tool in the abuse of
power. Being raped or being a prostitute brings shame and loss of face to the girls
and their families. This creates an extremely difficult situation for Asian girls who
are removed from prostitution and forced to return to their home country or
communities. They may be disowned by family and possibly alienated and
ostracized by both family and community. This creates a situation where for some
girls there may be no option to return home and reconnect with family and
community. A Vietnamese saying described the shame and disgrace of being
raped or being a prostitute. The saying is: ‘‘Someone ate out of my bowl and left
it dirty’’.
In Myanmar (Burma), the boys in the village told me that they would never
marry any girl who has left the village to work in Thailand, knowing that there is a
high probability that these girls would have been raped, sexually abused, or worked
as prostitutes. Furthermore, tearful women in the village told me that when their
daughters leave to work in Thailand it is not a matter of ‘‘if’’ they will be raped
but ‘‘when’’. Traffickers abuse power by exploiting those living in poverty,
simultaneously manipulating and taking advantage of the filial piety family cultural
values and the cultural response to rape and prostitution.
88 R.C.-Y. Chung
However these issues are not viewed as a major concern and are oftentimes
minimized. In fact, it is the actual abuse of power that minimizes the discussion on
the psychology and the psychosocial issues. Yet it is through social justice and
human rights that psychology and psychosocial issues are placed in the forefront as a
major factor in the discussion of the abuse of power. Therefore psychologists must
and should play a critical role in the elimination of the abuse of power and human
rights violations.
The abuses of power have consequences with short- and long-term psychological
effects on individuals, their families, and communities. Psychologists can no longer
ignore the psychological impact of the abuses of power and therefore a primary focus
of their work must be towards the elimination of abuses of power through human
rights and social justice. This can be achieved on multiple levels that incorporate
individual-community, systemic, and global levels. This section will present the
Multi-level Model of Psychotherapy, Social Justice and Human Rights (MLM)
(Bemak & Chung, 2008; Bemak, Chung & Pedersen, 2003) as an example on how
psychologists can be culturally responsive and proactive in addressing human rights
issues, such as child trafficking for sexual exploitation.
geographic and psychological changes in their lives. The focus of this level is to assist
clients in gaining a mastery of new skills that lead to empowerment.
Level IV, Indigenous Healing Methods, is where the psychologist works in
collaboration with traditional indigenous healers. This is essential in incorporating
psychological healing from a culturally appropriate framework that combines rather
than competes or ignores traditional healing methodologies.
Level V, Social Justice and Human Rights, involves psychologists to be proactive
in taking a leadership role in helping clients become active to address social justice
and human rights abuses. This action is consistent with the Cultural Empowerment
described in Level III and promotes consideration and addressing human rights
violations rather than discounting them as an inconsequential aspect of mental
health. In addition to being advocates and change agents for their clients, families
and communities in relationship to promoting and supporting self advocacy,
psychologists at this level engage in advocating for social justice and human rights
violations on behalf of their clients both on an individual and systemic basis.
Individual-Community level
Working on the individual-community level means that psychologists work with
individuals, their families, and the communities to eliminate the abuse of power. In
this level, psychologists must work from a holistic framework that includes
acknowledging, recognizing, and understanding cultural values, beliefs and
attitudes, historical, psychopolitical, socioeconomic and environmental perspectives
and how these factors all contribute to the abuse of power. To successfully
minimize and eliminate the continued abuse of power related to vulnerable
children, such as those children who are separated, trafficked, or child soldiers, it is
critical to incorporate an approach that works directly with individuals, families,
and communities. Work needs to be done from a community-based framework to
reintegrate individual children back into their families and communities. This can
be achieved through working in collaboration with community leaders, elders, and
spiritual leaders to ensure that children are protected from exploitation and the
abuse of power.
Psychological healing must be done from a community-based approach. If
children who have been trafficked are unable to reunite with their natal families, it is
necessary to establish and reconstruct communities that include surrogate families.
The reconstruction of communities must involve local community members as key
players in order to fully understand the community and its challenges. These families
and communities are independent on state and governmental institutions and can
provide easily available information about these factors in relationship to surrogate
families. In addition, surrogate families are important stabilizing forces in that they
Counselling Psychology Quarterly 91
provide a constant and caring relationship between children and caregivers, which
acts as a protective factor against psychological problems and vulnerability to abuse
of power. One example of this became evident when I spoke to a group of four
Burmese female survivors of trafficking. One of the girls did not want to go back
home because her parents did not know that she had been working as a sex worker.
Clearly if they found this out, she would be disowned and banned from the house
and community. There was no place for her to go, so she returned to the brothel.
This was heartbreaking for the other three girls and they all decided that they should
live together as a family rather than face the pain and disgrace of their respective
families. The situation of these girls presents an example of how surrogate families
and communities can be established to help minimize the shame, embarrassment,
and psychological problems that may plague children who want to leave commercial
sex work and go home. Forming surrogate families and communities, if developed
and supported, has the potential to provide places where these girls can be welcomed,
and where effective psychological healing can take place and social injustices and
human rights violations can be effectively addressed.
Interdisciplinary collaboration
To successfully address psychological issues as a result of child trafficking, it is
important to work across disciplines. Given the complexity and multidimensionality
of the abuse of power and child trafficking, it is impossible for psychologists to
resolve the psychological problems related to trafficking within the narrow
framework of psychology without considering other perspectives. Although the
field of psychology has an excellent grasp on the understanding of individuals,
families, and communities, in order to effectively tackle the intricacy of human rights
issues it is necessary for psychologists to work in collaboration with other disciplines.
These other disciplines include economists, international lawyers, historians,
geographers, educators, anthropologists, sociologists, and public health profes-
sionals. Given the extent and magnitude of human trafficking and other social justice
and human rights violations psychologists need to let go of an egocentric approach
and acknowledge that psychology cannot do it alone.
who migrated to New Zealand, it was quickly evident that many of the Vietnamese
and Cambodian girls and women had experienced multiple rapes and sexual abuse
(Chung, 2001; Chung & Okazaki, 1991). To more effectively address the
psychological pain associated with the rapes and abuse, I simultaneously worked
with a Buddhist monk to develop a cleansing ritual for the girls. The rape and sexual
abuse were extremely difficult topics to discuss given the associated cultural stigma
and shame. Some of the girls talked about not being accepted into their communities
as a result of being raped. Others talked about being ashamed and embarrassed
because their family and community members were forced to witness them being
raped. It also became clear that everyone knew about the rape and sexual abuse, but
it was a taboo subject and therefore no one discussed it. Similar to the trafficking
returnees in Myanmar, rape and sexual abuse became a community secret. While
talking about rape, the girls and women always spoke about their Buddhist beliefs.
Given their strong spiritual beliefs, I made contact with a Buddhist monk and
inquired about creating a Buddhist cleansing ritual for the rape survivors. The
cleansing ritual performed by the monks proved to be a powerful healing mechanism
not only for individuals, but also for their families and communities. Individuals,
families and community members were able to undergo atonement in a collectivistic
manner (Chung & Bemak, 2007) which was very powerful for the girls, their families,
and their communities.
Concurrently it is important to build in a concept of future and hope when
working with trafficked survivors and returnees as a protective factor in the
elimination of the abuse of power. These girls feel hopeless and helpless and do not
see themselves with a future. As we know in psychology, hope is a powerful curative
factor (Lambert, 1992).
Psychologists must also utilize advocacy skills as a tool in the elimination of the
abuse of power. Psychologists and other care-providers must find a mechanism to
provide feedback to policymakers as a means to advocate change. The work must
involve challenging and changing governmental and international policies that
impact vulnerable children. In tandem, we need to pressure multinational
organizations to develop programs to support alternative work options for gainful
employment for girls through vocational skills training and education. This is key to
reducing vulnerability and susceptibility to being trafficked.
The use of multi-media outlets is also an effective tool that psychologists can use
towards the elimination of the abuses of power, by providing a public forum to
educate the global community about the various forms of the abuse of power.
Specific to trafficking of girls into commercial sex, multimedia is a powerful tool in
changing attitudes towards girls, and dispelling and breaking Western stereotypes of
Asian girls. Multimedia can also be used as an effective tool to give voice to
trafficking survivors and returnees. Further, giving them a forum to tell their story
becomes a powerful healing mechanism.
Systemic level
Education is a key to eliminating the abuse of power. For example, in Myanmar
some of the villagers I spoke with did not know about or understand
human trafficking. Furthermore, trafficked returnees also did not realize that they
had been trafficked. Human trafficking is a difficult concept for the Burmese since
Counselling Psychology Quarterly 93
the translation means ‘‘selling of people’’. The only way things are sold in Myanmar
is to weigh items on a scale. The villagers told me that they have never witnessed a
person being weighed and the trafficked returnees said that they were not put on a
scale to be weighed. Therefore they did not think that they were sold and were not
victims of human trafficking. In fact, the villagers laughed at the idea of people being
sold. Educating community members about what is human trafficking is a critical
key in the prevention and intervention of human trafficking.
In addition to educating communities about human trafficking, education must
also be made available to multiple stakeholders including policy makers, social
services, health and mental services, legal and law enforcement, and immigration
personnel. For example, for some legal and immigration agencies, lack of
understanding of the definition of trafficking makes systematic enforcement and
implementation of the policies difficult. Laws and policies on human trafficking need
to be more clearly defined and not treated as a problem of illegal migration or
prostitution.
Psychologists also need to be involved in establishing culturally responsive
support and services for trafficking survivors both in the country they are residing in
and in their home countries. Survivors may remain silent due to the fear of being
punished or abused by the traffickers. Survivors may also fear being punished for
having left the country illegally or fear being labeled as a prostitute on their return.
Transported with or without false documentation make trafficked survivors stateless
people who may be subjected to arrest and deportation on charges of overstaying.
They also may become a pawn in a struggle between the authorities and the
traffickers. For example, Burmese girls who were rescued from prostitution due to a
police raid on a brothel in Thailand spoke about being detained for over six months
due to the Thai authorities requiring the girls to testify against the traffickers.
The Thai authorities were concerned that if they let the girls go home to Myanmar
it would be difficult to find the girls if and when they needed the girls for the
upcoming court cases. Therefore, psychologists can collaborate with law enforce-
ment in providing culturally sensitive education about how to handle trafficking
survivors.
As mentioned above, the penalties for human trafficking are lenient compared to
the trafficking of drugs or guns. Psychologists must therefore advocate for tougher
penalties for traffickers. Psychologists can assist with advocating for trafficking
penalties that are addressed within the framework of collaborative policies and law
enforcement across national and international borders.
Global level
Although raising awareness of child trafficking issues in psychologists’ home
countries is important, human trafficking affects all regions, states and countries
worldwide. Therefore, it is important to go beyond one’s own country and
community and attempt to impact a broader spectrum that includes both sending
and recipient countries. Thus, raising global awareness about child trafficking
through education can prevent and intervene in child trafficking. The elimination of
the abuse of power as it relates to child trafficking calls for psychologists to
proactively speak out about the role and responsibility that both sending and
receiving countries play in trafficking. Human trafficking issues have focused mainly
94 R.C.-Y. Chung
Conclusion
Although the focus of this paper has been on Asian culture and child trafficking for
commercial sex, the abuse of power can be generalized to any culture and to any
human rights violation. Given the psychological impact of the abuses of power and
human rights violations, it is critical that psychologists play a key role in the
elimination of abuse of power. Psychologists can be successful in the elimination of
the abuse of power and of human rights violations through being culturally
responsive and proactive in addressing these issues through a social justice and
human rights community-based framework and using culturally responsive human
Counselling Psychology Quarterly 95
Acknowledgements
This article is based on a presentation on United Nations Psychology Day in New York on
19 November 2008. The presentation was part of a panel that was titled: Psychological
Perspectives on the Abuse of Power.
Declaration of interest: The author reports no conflicts of interest. The author alone is
responsible for the content and writing of the paper.
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