Human migration is a global phenomenon and is on the increase. It occurs as a result of 'push' factors (asylum, natural disaster), or as a result of 'pull' factors (seeking economic or educational improvement). Whatever the cause of the relocation, the outcome requires individuals to adjust to their new surroundings and cope with the stresses involved, and as a result, there is considerable potential for disruption to mental health. This volume explores all aspects of migration, on all scales, and its effect on mental health. It covers migration in the widest sense and does not limit itself to refugee studies. It covers issues specific to the elderly and the young, as well as providing practical tips for clinicians on how to improve their own cultural competence in the work setting. The book will be of interest to all mental health professionals and those involved in establishing health and social policy.
This open access book provides an empirical account of the psychological and social experiences of 3500 African migrants to 6 European countries: Germany, Spain, Italy, The Netherlands, France, and the UK. It discusses the psychosocial motivations for migration from Africa, who migrates where, and stressful pre- and post-migration factors affecting the social and psychological wellbeing of migrants. The book also includes a detailed exploration of posttraumatic stress disorder (PTSD) and posttraumatic stress symptoms (PTSS) among African migrants. Addressing and offering solutions to pre- and post-migration problems in Africa and Europe as well as the problems associated with the perilous journeys involved, this unique study is a must-read for anyone interested in cross-cultural psychology and social science, and particularly in migration and mental health.
Forced Migration and Social Trauma addresses the topic of social trauma and migration by bringing together a broad range of interdisciplinary and international contributors, comprising refugee care practitioners, trauma researchers, sociologists and specialists in public policy from all along the Balkan refugee route into Europe. It gives the essence of a moderated dialogue between psychologists and psychoanalysts, sociologists, public policy and refugee care experts. Migration is connected to social trauma and cannot be handled without being aware of this context. The way refugees are treated in the transit or target countries is often determined by the socio-traumatic history of these countries. Social trauma can be collectively committed and perpetuated, leaving transgenerational traces in posttraumatic and attachment disorders, uprootedness and loss of social and political confidence. Media and cultural artefacts like press, TV and the internet influence collective coping as well as traumatic perpetuation. This book shows how xenophobia in the refugee receiving or transit countries can be caused by projection rather than by experience, and that the way refugees are received and regarded in a country may be connected to the country’s cultural‐traumatic history. Refugees, who are often individually and collectively traumatised, experience multiple re-enactments; however, such retraumatisations between refugees and receiving populations or institutions often remain unaddressed. The split between welcoming and hostile attitudes sometimes leads to unconscious institutional defences, such as lack of cooperation between medical, psychotherapeutic, humanitarian and legal institutions. An interdisciplinary and international exchange on migration and social trauma is necessary on all levels – this book gives convincing examples of this dialogue. Forced Migration and Social Trauma will be of great interest to all who are involved in the modern issues of refuge and migration.
Return migration is a topic of growing interest among academics and policy makers. Nonetheless, issues of psychosocial wellbeing are rarely discussed in its context. Return Migration and Psychosocial Wellbeing problematises the widely-held assumption that return to the country of origin, especially in the context of voluntary migrations, is a psychologically safe process. By exploding the forced-voluntary dichotomy, it analyses the continuum of experiences of return and the effect of time, the factors that affect the return process and associated mobilities, and their multiple links with returned migrants' wellbeing or psychosocial issues. Drawing research encompassing four different continents – Europe, North America, Africa and Asia – to offer a blend of studies, this timely volume contrasts with previous research which is heavily informed by clinical approaches and concepts, as the contributions in this book come from various disciplinary approaches such as sociology, geography, psychology, politics and anthropology. Indeed, this title will appeal to academics, NGOs and policy-makers working on migration and psychosocial wellbeing; and undergraduate and postgraduate students who are interested in the fields of migration, social policy, ethnicity studies, health studies, human geography, sociology and anthropology.
Immigrant children and youth are the fastest-growing segment of the U.S. population, and so their prospects bear heavily on the well-being of the country. Children of Immigrants represents some of the very best and most extensive research efforts to date on the circumstances, health, and development of children in immigrant families and the delivery of health and social services to these children and their families. This book presents new, detailed analyses of more than a dozen existing datasets that constitute a large share of the national system for monitoring the health and well-being of the U.S. population. Prior to these new analyses, few of these datasets had been used to assess the circumstances of children in immigrant families. The analyses enormously expand the available knowledge about the physical and mental health status and risk behaviors, educational experiences and outcomes, and socioeconomic and demographic circumstances of first- and second-generation immigrant children, compared with children with U.S.-born parents.
This book outlines the various psychosocial impacts of immigration on cultural identity and its impact on mainstream culture. It examines how cultural identity fits into individual mental health and has to be taken into account in treatment.
The increasing number of refugees, asylum seekers, and irregular migrants poses a challenge for mental health services in Europe. This review found that these groups are exposed to risk factors for mental disorders before, during, and after migration. The prevalence of psychotic, mood, and substance-use disorders in these groups varies but overall resembles that in the host populations. Refugees and asylum seekers, however, have higher rates of post-traumatic stress disorder. Poor socioeconomic conditions are associated with increased rates of depression five years after resettlement. Refugees, asylum seekers, and irregular migrants encounter barriers to accessing mental health care. Good practice for mental health care includes promoting social integration, developing outreach services, coordinating health care, providing information on entitlements and available services, and training professionals to work with these groups. These actions require resources and organizational flexibility.
This open access book provides an enriched understanding of historical, collective, cultural, and identity-related trauma, emphasising the social and political location of human subjects. It therefore presents a socio-ecological perspective on trauma, rather than viewing displaced individuals as traumatised “passive victims”. The vastness of the phenomenon of trauma among displaced populations has led it to become a critical and timely area of inquiry, and this book is an important addition to the literature. It gives an overview of theoretical frameworks related to trauma and migration—exploring factors of risk and resilience, prevalence rates of PTSD, and conceptualisations of trauma beyond psychiatric diagnoses; conceptualises experiences of trauma from a sociocultural perspective (including collective trauma, collective aspirations, and collective resilience); and provides applications for professionals working with displaced populations in complex institutional, legal, and humanitarian settings. It includes case studies based on the author’s own 10-year experience working in emergency contexts with displaced populations in 11 countries across the world. This book presents unique data collected by the author herself, including interviews with survivors of ISIS attacks, with an asylum seeker in Switzerland who set himself alight in protest against asylum procedures, and women from the Murle tribe affected by the conflict in South Sudan who experienced an episode of mass fainting spells. This is an important resource for academics and professionals working in the field of trauma studies and with traumatised groups and individuals.
The Social Determinants of Mental Health aims to fill the gap that exists in the psychiatric, scholarly, and policy-related literature on the social determinants of mental health: those factors stemming from where we learn, play, live, work, and age that impact our overall mental health and well-being. The editors and an impressive roster of chapter authors from diverse scholarly backgrounds provide detailed information on topics such as discrimination and social exclusion; adverse early life experiences; poor education; unemployment, underemployment, and job insecurity; income inequality, poverty, and neighborhood deprivation; food insecurity; poor housing quality and housing instability; adverse features of the built environment; and poor access to mental health care. This thought-provoking book offers many beneficial features for clinicians and public health professionals: Clinical vignettes are included, designed to make the content accessible to readers who are primarily clinicians and also to demonstrate the practical, individual-level applicability of the subject matter for those who typically work at the public health, population, and/or policy level. Policy implications are discussed throughout, designed to make the content accessible to readers who work primarily at the public health or population level and also to demonstrate the policy relevance of the subject matter for those who typically work at the clinical level. All chapters include five to six key points that focus on the most important content, helping to both prepare the reader with a brief overview of the chapter's main points and reinforce the "take-away" messages afterward. In addition to the main body of the book, which focuses on selected individual social determinants of mental health, the volume includes an in-depth overview that summarizes the editors' and their colleagues' conceptualization, as well as a final chapter coauthored by Dr. David Satcher, 16th Surgeon General of the United States, that serves as a "Call to Action," offering specific actions that can be taken by both clinicians and policymakers to address the social determinants of mental health. The editors have succeeded in the difficult task of balancing the individual/clinical/patient perspective and the population/public health/community point of view, while underscoring the need for both groups to work in a unified way to address the inequities in twenty-first century America. The Social Determinants of Mental Health gives readers the tools to understand and act to improve mental health and reduce risk for mental illnesses for individuals and communities. Students preparing for the Medical College Admission Test (MCAT) will also benefit from this book, as the MCAT in 2015 will test applicants' knowledge of social determinants of health. The social determinants of mental health are not distinct from the social determinants of physical health, although they deserve special emphasis given the prevalence and burden of poor mental health.
