After nearly two years of genocide, many people outside Gaza continue to ask the same question: How are Palestinians still standing?
How can a mother who has buried her children continue caring for those around her? How can a man who has lost his home, livelihood and family still speak about hope? How can a child who has survived air strikes, displacement and starvation still dream of becoming a doctor, a teacher or a journalist?
The answer lies in something Western psychology has never fully understood: faith.
Experts tell the world that Gaza is suffering from a mental health crisis. They measure trauma levels, calculate rates of depression and anxiety, and warn of the long-term psychological consequences of genocide. They produce graphs, surveys and diagnoses in an attempt to explain how Palestinians continue to live amid horrors that would shatter most human beings.
The dominant schools of psychology were largely developed in secular Western societies where religion has been pushed to the margins of public life. As a result, many psychologists view faith as merely one variable among many that can help individuals manage stress.
When Western psychologists look at Gaza, they often see a population drowning in trauma. They search for symptoms and disorders. They speak the language of pathology.
But many Palestinians do not understand their suffering through the language of pathology. They understand it through the language of meaning.
A mother whose child has been killed does not necessarily ask, “How do I recover from this trauma?” She may ask, instead, “How do I remain patient? Ya Allah, please provide me with strength.”
A father who has lost his home may not ask, “How do I manage my anxiety?” He may ask, instead, “O Allah, grant me patience. How could everything I spent years building disappear in an instant?”
A child who has survived an air strike may not speak about post-traumatic stress disorder. He may speak about injustice. These are not semantic differences. They reveal entirely different understandings of human suffering.
Restoring ‘Normality’
Western psychology is built around the individual. Palestinian existence, by contrast, is deeply collective. Western psychology often assumes that healing means restoring an individual to a previous state of normality. But what is normality in Gaza? What previous state are people supposed to return to? There is no “before” for many Palestinians. Violence is not an interruption of ordinary life. For generations, it has been woven into ordinary life itself.
The frameworks designed to treat trauma after a car accident or a natural disaster struggle to make sense of a society living under permanent siege.
The diagnosis itself begins to fail. The concept of post-traumatic stress disorder assumes that trauma happened in the past. The word “post” matters. In Gaza, there is no post.
The bombing has not ended. The displacement has not ended. The stress has not ended.
Every new atrocity reopens every previous wound. Yet despite this reality, Palestinians continue to endure.
This endurance is frequently described by outsiders as resilience. But even resilience can be a misleading word. It suggests an individual psychological characteristic, something possessed by exceptional people.
What sustains Gaza is not merely resilience. It is conviction. The conviction that suffering is not meaningless. The conviction that injustice does not erase truth. The conviction that human dignity survives even when homes, schools and hospitals do not.
Faith gives suffering a moral context. It does not make suffering easier. It does not remove grief. It does not eliminate fear. But it gives people the strength to endure it.
Faith as Meaning
For Palestinians, faith is not the opposite of grief. It is what allows grief to coexist with purpose.
Perhaps this is what many outside Gaza struggle to understand. The Quran anticipated the human experience of fear, hunger, loss of wealth, loss of loved ones, and the destruction of all that people cultivate: “We will surely test you with something of fear and hunger and loss of wealth, lives, and fruits. But give glad tidings to the patient.”
For many Palestinians, this verse is not simply read—it is lived. It gives language to experiences that no clinical diagnosis can fully contain. When homes become rubble, when families disappear, when hunger becomes routine, many do not see themselves as abandoned by God. They see themselves enduring a trial that God Himself described, one that calls not for despair but for sabr—steadfast patience rooted in faith. Their tears are real, their grief is overwhelming, but so is their conviction that every loss is witnessed by the One who promised that suffering is never without meaning.
This is why, amid unimaginable devastation, Gazans so often respond with Alhamdulillah, Hasbunallahu wa ni’mal wakeel, or Inna lillahi wa inna ilayhi raji’un. These are not expressions of indifference to pain. They are declarations that suffering has not severed their relationship with God, nor their conviction that justice ultimately belongs to Him.
Anyone who has lived through Gaza knows that faith does not stop people from crying, despairing or breaking down. But it prevents suffering from becoming meaningless.
The Missing Dimension
This is what many international observers miss. They encounter people who have lost entire families and are astonished to hear them speak of gratitude to God. They hear survivors quoting the Quran amid devastation and interpret it as denial. They see people praying beside the rubble of their homes and assume religion is merely helping them cope.
What they fail to understand is that faith is not a psychological escape from reality. For many Palestinians, it is reality. It shapes how Palestinians understand life, death, justice and responsibility.
Faith offers something that no therapeutic framework can provide: a moral explanation for endurance. It tells people that their suffering is seen, even when the world refuses to see it. It tells them that justice exists, even when earthly justice appears impossible. It tells them that death is a relief in Gaza when life seems like hell.
For a people witnessing entire bloodlines disappear, these beliefs are not abstract theological concepts. They are sources of psychological survival.
This is not something that can be measured through surveys or quantified through mental health indicators. Yet it may be one of the most important factors explaining why Gaza has not broken.
The tragedy is that much of the international discussion about Palestinian mental health treats faith as a footnote. Experts analyse symptoms while ignoring meaning. They study despair while overlooking belief. They count trauma while failing to understand what enables people to live with it.
As a result, Palestinians are often portrayed as damaged people in need of treatment rather than human beings drawing strength from traditions, communities and beliefs that have sustained them through generations of dispossession.
The world looks at Gaza and asks how much suffering a human being can endure. Palestinians ask a different question: what is required of us despite that suffering?
The answer is often found not in psychology textbooks but in prayer, community, memory and faith. Until Western psychology learns to take those things seriously, it will continue to misunderstand Gaza. It will continue to catalogue our wounds while remaining blind to the source of our strength.
Fully agree. As a therapist, while treating “non-western” patients coming from collective life traditions,I learnt what a super power faith represents. Thank you for this very important article
I find this fascinating. I've been astonished and moved at the honourable resilience and depth of faith Palestinians show in the face of their suffering - as a European (and one familiar with trauma) it was awesome and mysterious to me; I had never come across anything quite like it. It has affected me deeply, and as a newcomer to learning about Islam, which is fascinating to me, I have been intrigued by the concept of sabr which every Palestinian I have been contact with has shown. I feel perhaps it is something one needs to understand with the heart, rather than a concept; and as you say Western society , individualistic and often isolating, often struggles with this felt and lived sense of faith , community and history. Thank you so much for this great article.