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  • Publication
    Accès libre
    “My mind is not like before”: Psychosocial rehabilitation of victims of torture in Athens
    (2018-7-30) ; ;
    Van den Bergh, Rafael
    ;
    Venables, Emilie
    ;
    Severy, Nathalie
    ;
    Gkionakis, Nikos
    ;
    Popontopoulou, Christina
    ;
    Kokkiniotis, Manolis
    ;
    Zamatto, Federica
    Abstract Introduction: The dual trauma of being a victim of torture as well as a refugee is related to a myriad of losses, human rights violations and other dimensions of suffering linked to torture experienced pre-migration, as well as different forms of violence experienced during and after migration. Method: To present three case studies to explore culturally-informed perspectives on trauma among victims of torture and track trajectories of psychosocial rehabilitation in relation to environmental factors. The case studies are part of a larger qualitative study of asylum seekers and refugees in a center for victims of torture in Athens, managed by Médecins Sans Frontières and Babel in collaboration with Greek Council for Refugees, which follows beneficiaries, their care providers and community representatives and leaders. Results: Key themes emerging include the substantial psychological impact of current material realities of migrant victims of torture as they adapt to their new environment and engage in rehabilitation. Delayed asylum trials, poor living conditions and unemployment have a substantial impact on posttraumatic symptoms that in turn influence psychosocial rehabilitation. Personal, social, and cultural resources emerged as having a mediating effect. Discussion: The results highlight the significant impact of the political, legal, and sociocultural environment on psychosocial rehabilitation. Practical implications for interventions are to ensure holistic, interdisciplinary, and culturally sensitive care which includes a focus on environmental factors affecting resilience; and with a dynamic focus on the totality of the individual over isolated pathologies.
  • Publication
    Accès libre
    Using Cultural-Historical Theory to Explore Trauma among Refugee Populations in Europe
    The psychological impact of atrocities endured by refugee populations is clear, with the literature reporting significantly high prevalence rates of post-traumatic stress disorder (PTSD). Given the numerous criticisms surrounding the use of PTSD, we argue that cultural-historical psychology allows for a unique perspective in which to examine trauma among this population. Notably, we aim to bring a critical regard towards ‘psychiatrisation,’ arguing instead for a non-reductionist ontological vision of human nature and development as being rooted in cultural-historical context as well as material social practices. The results of a yearlong intervention in a center for refugee victims of torture in Athens is presented, which included 3 months of participant observation and 125 interviews with health professionals, refugee community leaders and individual victims of torture. A qualitative case study is presented to emphasise the social, cultural, and historical location of trauma. The paper highlights the need to focus on the current material ecologies of refugees entering Europe – their developmental activities in interaction with their environment.
  • Publication
    Accès libre
    Mental Health Problems Associated with Asylum Procedures of Refugees in European Countries
    (2017) ; ;
    Goguikian Ratcliff, Betty
    Events that took place before migration have an influence on the mental health of asylum seekers and refugees. But research findings show that the majority of stress factors are directly related to post-migration living conditions and restrictions. Prolonged legal insecurity, the obligation to move from one center to another, and isolation among other factors contribute to the deterioration of refugees’ mental health. Implications reach far beyond the individual: it is a question of social and economic significance for Switzerland as well.