{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T05:30:02Z","timestamp":1786426202947,"version":"build-2736575974"},"reference-count":26,"publisher":"SAGE Publications","issue":"10","license":[{"start":{"date-parts":[[2026,1,26]],"date-time":"2026-01-26T00:00:00Z","timestamp":1769385600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Health Psychol"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:p>\n                    Amputation has become a defining injury of the genocide in Gaza, leaving thousands of civilians with permanent disabilities and shattered lives. This study explores the physical, social, and psychological impacts of conflict-related limb loss in Gaza. Thirty male amputees in Rafah\u2019s displaced camps were interviewed between January and March 2025. Thematic analysis revealed six key themes:\n                    <jats:italic toggle=\"yes\">Initial shock and pain; medical neglect; hunger and malnutrition; displacement and mobility barriers; loss of economic and social roles; and psychological trauma<\/jats:italic>\n                    . Participants described how limited access to medical care, prosthetics, and proper nutrition, worsened by repeated displacement, exacerbated physical complications, and disrupted personal identity. Despite adversity, accounts of peer support and community solidarity highlighted resilience. The study calls for integrated rehabilitation programs that address not only physical recovery but also psychosocial support, economic reintegration, and the restoration of dignity and belonging among amputees in Gaza.\n                  <\/jats:p>","DOI":"10.1177\/13591053251410903","type":"journal-article","created":{"date-parts":[[2026,1,27]],"date-time":"2026-01-27T07:04:03Z","timestamp":1769497443000},"page":"4241-4252","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Shattered wholeness: Trauma, amputation, and the struggle for dignity in Gaza"],"prefix":"10.1177","volume":"31","author":[{"given":"Bilal","family":"Hamamra","sequence":"first","affiliation":[{"name":"An-Najah National University, Nablus, Palestine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8050-4783","authenticated-orcid":false,"given":"Fayez","family":"Mahamid","sequence":"additional","affiliation":[{"name":"An-Najah National University, Nablus, Palestine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Asala","family":"Mayaleh","sequence":"additional","affiliation":[{"name":"An-Najah National University, Nablus, Palestine"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,1,26]]},"reference":[{"key":"e_1_3_2_2_1","doi-asserted-by":"crossref","unstructured":"Abed Alah M. (2024). Echoes of conflict: the enduring mental health struggle of Gaza\u2019s healthcare workers. Conflict and Health 18: Article 21. https:\/\/doi.org\/10.1186\/s13031-024-00577-6","DOI":"10.1186\/s13031-024-00577-6"},{"key":"e_1_3_2_3_1","unstructured":"Amnesty International (2009) Israel-opt fuelling conflict: Foreign arms supplies to Israel\/Gaza. Available at: https:\/\/www.amnesty.org\/en\/wp-content\/uploads\/2021\/07\/mde150122009en.pdf"},{"key":"e_1_3_2_4_1","unstructured":"Baba E (2024) Amputations soar but prostheses and painkillers lacking in besieged Gaza. Al-Monitor. Available at: https:\/\/www.al-monitor.com\/originals\/2024\/06\/amputations-soar-prostheses-and-painkillers-lacking-besieged-gaza"},{"key":"e_1_3_2_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13031-024-00596-3"},{"key":"e_1_3_2_6_1","unstructured":"Ferguson S Su T (2025) UNICEF delivers wheelchairs for Gaza\u2019s children. UNICEF USA. Available at: https:\/\/www.unicefusa.org\/stories\/unicef-delivers-wheelchairs-gazas-children (accessed 15 August 2025)."},{"issue":"1","key":"e_1_3_2_7_1","first-page":"94","article-title":"Symbolic aspects of lower limb amputation from the perspective of Jungian psychology","volume":"10","author":"Gomes DRG","year":"2021","unstructured":"Gomes DRG, de Souza AS (2021) Symbolic aspects of lower limb amputation from the perspective of Jungian psychology. Revista Psicologia, Diversidade e Sa\u00fade 10(1): 94\u2013105.","journal-title":"Revista Psicologia, Diversidade e Sa\u00fade"},{"key":"e_1_3_2_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/27551938251378096"},{"key":"e_1_3_2_9_1","doi-asserted-by":"publisher","DOI":"10.1080\/14797585.2024.2434835"},{"key":"e_1_3_2_10_1","doi-asserted-by":"publisher","DOI":"10.1017\/gmh.2025.23"},{"key":"e_1_3_2_11_1","unstructured":"Health Cluster WHO (2024) Rehabilitation Task Force Technical Note: Amputations and Prosthetics in Gaza. ReliefWeb. Available at: https:\/\/reliefweb.int\/report\/occupied-palestinian-territory\/rehabilitation-task-force-technical-note-amputations-and-prosthetics-gaza (accessed 22 April 2025)."},{"key":"e_1_3_2_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2542-5196(18)30265-1"},{"key":"e_1_3_2_13_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12914-018-0173-3"},{"key":"e_1_3_2_14_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2019-029892"},{"key":"e_1_3_2_15_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2019-034648"},{"key":"e_1_3_2_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2702.2010.03256.x"},{"key":"e_1_3_2_17_1","unstructured":"McGreal C (2024) Israeli weapons packed with shrapnel causing devastating injuries to children in Gaza doctors say. The Guardian. Available at: https:\/\/www.theguardian.com\/world\/article\/2024\/jul\/11\/israeli-weapons-shrapnel-children-gaza-injured (accessed 10 August 2025)."},{"key":"e_1_3_2_18_1","doi-asserted-by":"publisher","DOI":"10.1080\/09638288.2023.2182915"},{"key":"e_1_3_2_19_1","unstructured":"Palestinian Central Bureau of Statistics (2023) Press release on the occasion of the International Day of Persons with Disabilities 03\/12\/2023. PCBS. Available at: https:\/\/www.pcbs.gov.ps\/post.aspx?lang=en&ItemID=4648#_edn1 (accessed 7 August 2025)."},{"key":"e_1_3_2_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/0022-3999(72)90087-6"},{"key":"e_1_3_2_21_1","unstructured":"PCRF (2019) The amputee crisis in Gaza. Available at: https:\/\/www.pcrf.net\/information-you-should-know\/the-amputee-crisis-in-gaza.html (accessed 5 February 2025)."},{"key":"e_1_3_2_22_1","unstructured":"Puar J (2025) On amputation. Institute for Palestine Studies. 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