Re-thinking recovery in post-conflict settings: Supporting the mental well-being of communities in Colombia
Re-thinking recovery in post-conflict settings: Supporting the mental well-being of communities in Colombia
复制标题
DOI：
10.1080/17441692.2019.1663547
复制
发表时间：
2019-09-14
影响因子：
3.3
通讯作者：
Fonseca, Laura
中科院分区：
文献类型：
--
作者：
Burgess, Rochelle Ann;Fonseca, Laura
解决心理健康需求是哥伦比亚政府在60多年冲突后的社会政治重建框架的核心重点。根据世卫组织的标准，各国的努力利用生物心理社会模式，优先考虑个人的心理和精神状况。然而，越来越多的审查部署西方的心理健康和恢复方法在全球南部表明，有必要探索改善心理健康结果的最佳途径。我们的研究有助于这些辩论，通过定性研究当地的理解心理健康恢复相关的概念在哥伦比亚境内流离失所者。对40名境内流离失所男女的焦点小组进行的分析确定了情绪困扰和恢复的定义，认为这是与社会世界和家庭生活的破裂和重建相关的平行过程。定义在很大程度上取决于日常生存的文化、政治、经济和法律的背景，往往与结构性和象征性暴力形式的经历有关。我们的结论是，当地知情的心理健康恢复模式，超越个人的精神疾病的经验，以促进集体的社会变革的想法将是最适合解决心理健康需求的国内流离失所群体在哥伦比亚。实践的影响进行了讨论。
Addressing mental health needs is a central focus of the Colombian Government's framework for socio-political reconstruction following over 60 years of conflict. Informed by WHO standards, country efforts utilise biopsychosocial models that prioritise individual psychological and psychiatric conditions. However, increasing scrutiny of the deployment of Western approaches to mental health and recovery in the global south suggests a need to explore the best route to improving mental health outcomes. Our research contributes to these debates through a qualitative study of local understandings of mental health recovery related concepts among internally displaced persons in Colombia. Analysis of focus groups with 40 internally displaced men and women established definitions for emotional distress and recovery as parallel processes linked to the fracture and rebuilding of social worlds and family life. Definitions were shaped heavily by cultural, political, economic and legal contexts of everyday survival, often linked to experiences of structural and symbolic forms of violence. We conclude that a locally informed mental health recovery model that stretches beyond individual experiences of mental ill-health to promote ideas of collective social change would be best suited to addressing mental health needs of internally displaced groups in Colombia. Implications for practice are discussed.