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Gender, Asylum Seekers and Mental Distress: Challenges for Mental Health Social Work

机译:性别,寻求庇护者和精神困扰:心理健康社会工作的挑战

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摘要

This paper engages with the critique that mental health social work with asylum seekers requires urgent attention, as current practice is inadequate. Four key issues are discussed in the paper. First, I briefly interrogate key aspects of the UK's current asylum policy: poverty, dispersal and detention. I elaborate on the mental health implications of each of these and argue that these policies replicate known risk factors in mental ill health. Second, much of the psychiatric literature relating to asylum seekers and refugees draws on post-traumatic stress disorder (PTSD) as the key diagnostic category. The paper argues that PTSD has to be problematised and highlights the importance of maintaining a social model of understanding mental distress and developing it further to include insecure immigration status in our models of understanding mental distress. Third, I consider the specific issues facing women asylum seekers and illustrate how an analysis at the intersection of gender, mental distress and asylum is essential. Lastly, I argue that, to respond more effectively in this complex area of work, interventions at a practitioner, organisational and societal level are required if the espoused values of social work are to be more than mere rhetoric.
机译:本文提出了这样的批评,即寻求庇护者的心理健康社会工作需要紧急关注,因为目前的做法还不够。本文讨论了四个关键问题。首先,我简要地询问了英国当前庇护政策的关键方面:贫困,分散和拘留。我详细介绍了这些因素对精神健康的影响,并认为这些政策复制了精神疾病中已知的危险因素。其次,许多与寻求庇护者和难民有关的精神病学文献都将创伤后应激障碍(PTSD)作为主要的诊断类别。该论文认为,创伤后应激障碍必须存在问题,并强调了维持理解精神困扰的社会模型并将其进一步发展为将不安全移民身份纳入我们理解精神困扰的模型中的重要性。第三,我考虑了寻求庇护者所面临的具体问题,并说明了如何在性别,精神困扰和庇护的交汇处进行分析。最后,我认为,要想在这一复杂的工作领域做出更有效的反应,就必须在实践者,组织和社会层面进行干预,以使社会工作的价值不仅仅是言辞。

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  • 来源
    《British Journal of Social Work, The》 |2012年第2期|p.318-334|共17页
  • 作者

    Khatidja Chantler;

  • 作者单位

    Correspondence to Dr Khatidja Chantler, University of Manchester, Lecturer in Social Work, School of Nursing, Midwifery and Social Work, Room 4.309, Jean McFarlane Building, University Place, Oxford Road, Manchester, M13 9PL, UK. E-mail:;

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