Individual agency and social support in healing from conflict-related sexual violence: A case history from eastern DRC.

IF 2.3 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Global Public Health Pub Date : 2024-01-01 Epub Date: 2024-02-05 DOI:10.1080/17441692.2024.2308717
Ali Bitenga Alexandre
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引用次数: 0

Abstract

Examining the experience of a male survivor of rape through the salutogenic model and ecological theory, this case study explores how he imoved towards the direction of health after an atrocious experience of sexual violence perpetrated by members of an armed group. The study illustrates how he was able to deploy agency by undertaking a number of health-promoting actions to recover from the physical, mental, and social effects of conflict-related sexual violence. Initiatives in the process of improving one's health include self-care practice, searching for specialised care when self-care seems inefficient, relocation to new a setting post-rape, starting a business, testing one's reproductive capacities, marrying, taking care of the way he dressed, learning a new language, developing public speaking skills, owning a piece of land, having regular medical check-ups and ascending to power and decision-making bodies. His narrative shows how these initiatives are mirrored by both opportunities and setbacks. While more traditional survey-based studies focus on identifying which practices might be helpful in a healing context, this study sheds light on how an individual healing process might be complex and nuanced and is an important starting point towards our efforts to theorise resilience for male survivors.

与冲突有关的性暴力愈合过程中的个人作用和社会支持:刚果民主共和国东部的一个案例。
本案例研究通过致敬模式和生态理论研究了一名男性强奸幸存者的经历,探讨了他在遭受武装团体成员实施的性暴力的残暴经历后,如何朝着健康的方向发展。研究说明了他是如何通过采取一系列促进健康的行动,从与冲突有关的性暴力所造成的身体、精神和社会影响中恢复过来的。在改善健康的过程中采取的举措包括:自我护理、在自我护理似乎无效时寻求专门护理、在强奸后搬迁到新的环境、创业、测试自己的生殖能力、结婚、注意自己的穿着打扮、学习一门新的语言、发展公共演讲技能、拥有一块土地、定期体检以及进入权力和决策机构。他的叙述显示了这些举措是如何与机遇和挫折相映成趣的。传统的调查研究侧重于确定哪些做法可能有助于康复,而这项研究则揭示了个人康复过程的复杂性和细微差别,是我们努力从理论上探讨男性幸存者复原力的一个重要起点。
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来源期刊
Global Public Health
Global Public Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
6.50
自引率
3.00%
发文量
120
期刊介绍: Global Public Health is an essential peer-reviewed journal that energetically engages with key public health issues that have come to the fore in the global environment — mounting inequalities between rich and poor; the globalization of trade; new patterns of travel and migration; epidemics of newly-emerging and re-emerging infectious diseases; the HIV/AIDS pandemic; the increase in chronic illnesses; escalating pressure on public health infrastructures around the world; and the growing range and scale of conflict situations, terrorist threats, environmental pressures, natural and human-made disasters.
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