Probing problems: Dilemmas of conducting an ethnographic study in a disaster-affected area

Natural disasters may have perplexing effects on the lives of those who live through them, in physical, mental and emotional ways. For years researchers have explored the long-term health impact of disasters, which can include anxiety, depression, PTSD and more. These conditions may manifest and be observed for many years after traumatic events. Awareness of these conditions is vital for researchers who immerse themselves in observational research involving disaster-affected participants. These researchers should be prepared to deal with potential problems related to the specific conditions in the field, and also within themselves as researchers. This article draws on autoethnography and reflexive practices to explore the process of employing ethnographic methods while researching medical education during fieldwork in Aceh, Indonesia. I highlight three persistent dilemmas: engaging with safety protocols, building rapport with vulnerable participants, and preventing myself from secondary traumatic stress. Reflecting on my experiences, I came to realize the importance of probing not only the gaps and problems in the core domain of research, but to also probe participants' problems, as well as their own predicaments.