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Psychologists’ Perspectives on the Psychological Suffering of Refugee Patients in Brazil
Culture, Medicine, and Psychiatry ( IF 1.5 ) Pub Date : 2021-04-22 , DOI: 10.1007/s11013-021-09717-6
Gesa Solveig Duden 1, 2 , Sofie de Smet 3 , Lucienne Martins-Borges 2, 4
Affiliation  

Worldwide there are 79.5 million displaced people, many of which face war, violence, tragic flights and struggles in host countries. Research shows augmented prevalence rates of mental disorders among refugees internationally, but little is known about refugee mental health in Latin American countries. Furthermore, only a few studies have taken into consideration the knowledge of clinical psychologists who treat refugee patients. The present study examines the experiences of 32 psychologists in Brazil regarding their refugee patients’ psychological suffering and mental disorders. Semi-structured interviews were conducted in various locations in Brazil and analysed following a consensual qualitative research approach. Four clusters of refugee patients’ suffering were synthesised: post-migration stressors, traumatic experiences, flight as life rupture, and the current situation in the country of origin. The most frequently described conditions in patients were anxiety and depression. However, the results also show that the use of manuals for the classification of mental disorders is contested among psychologists in Brazil. Most psychologists stressed patients’ socio-political suffering and saw patients’ symptoms as normal reactions to their experiences. There is a need to acknowledge the socio-political suffering of refugees in Brazil and foster their mental health by tackling current post-migration stressors such as discrimination.



中文翻译:

心理学家对巴西难民患者心理痛苦的看法

全世界有 7950 万流离失所者,其中许多人在东道国面临战争、暴力、悲惨的飞行和斗争。研究表明,国际难民中精神障碍的患病率增加,但对拉丁美洲国家的难民心理健康知之甚少。此外,只有少数研究考虑了治疗难民患者的临床心理学家的知识。本研究考察了巴西 32 位心理学家对他们的难民患者的心理痛苦和精神障碍的经历。在巴西的不同地点进行了半结构化访谈,并按照双方同意的定性研究方法进行了分析。综合了四组难民患者的痛苦:迁移后的压力源、创伤经历、飞行作为生命的破裂,与原籍国的现状有关。患者中最常描述的情况是焦虑和抑郁。然而,结果还表明,巴西心理学家对使用手册进行精神障碍分类存在争议。大多数心理学家强调患者的社会政治痛苦,并将患者的症状视为对其经历的正常反应。有必要承认巴西难民的社会政治痛苦,并通过解决当前的移民后压力因素(如歧视)来促进他们的心理健康。结果还表明,巴西的心理学家对使用手册对精神障碍进行分类存在争议。大多数心理学家强调患者的社会政治痛苦,并将患者的症状视为对其经历的正常反应。有必要承认巴西难民的社会政治痛苦,并通过解决当前的移民后压力因素(如歧视)来促进他们的心理健康。结果还表明,巴西的心理学家对使用手册对精神障碍进行分类存在争议。大多数心理学家强调患者的社会政治痛苦,并将患者的症状视为对其经历的正常反应。有必要承认巴西难民的社会政治痛苦,并通过解决当前的移民后压力因素(如歧视)来促进他们的心理健康。

更新日期:2021-04-22
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