ArticlePhilosophy, ethics, and humanities in medicine : PEHM2025
Post-traumatic stress disorder (PTSD) in Zoulfa Katouh's As Long as the Lemon Trees Grow.
Article in Philosophy, ethics, and humanities in medicine : PEHM, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
This paper aims to analyze the representation of Post-traumatic Stress Disorder (PTSD) in Zoulfa Katouh's novel, As Long as the Lemon Trees Grow (2022). Katouh, a Canadian-Syrian author who specializes in drug sciences, sets her debut novel against the backdrop of the war in Syria in the aftermath of the Arab Spring. The protagonist, Salama, a teenage girl pursuing an undergraduate degree in pharmacy, faces the harrowing realities of war and volunteers as a surgical assistant amidst the chaos of bombings and sniper attacks. As a result of the war, Salama tragically loses almost all her family members, and in response to her fear and anxiety, creates a hallucinatory male figure named Khawf. Khawf, which is the Arabic word for fear, serves as a manifestation of Salama's PTSD and a symbolic representation of her traumatic experience, blurring the lines between reality and imagination and highlighting the psychological toll of living in a war-torn zone. Hence, this paper explores the nature of PTSD, as depicted in the novel, and examines how Salama's sense of responsibility toward injured civilians and her feelings of guilt toward those she could not save influence her psyche, leading her to avoid and repress memories, unleashing her hallucinations and defense mechanisms. The theoretical framework of this study is primarily shaped by Anke Ehlers's research on mental defeat and alienation in victims of political trauma, Horowitz's stress response theory, and Stanley Lyndon and Philip Corlett's exploration of hallucinations as perceptual disturbances in cases of PTSD. Finally, this paper aims to present a deeper understanding of the psychological trauma inflicted by war and the complexities of human defense mechanisms in the face of adversity by analyzing Katouh's portrayal of PTSD symptoms that Salama, the protagonist, suffers immensely.
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