Emanuela Nadia Borghi, Joseph Tay Wee Teck, Laura Roe, Giedre Zlatkute, Alexander Mario Baldacchino
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引用次数: 0
Abstract
Background: Gender-based violence (GBV) has multi-dimensional impacts on women's mental health and everyday life, often leading to experiences of trauma, PTSD and co-morbid mental health conditions. Institutional practices and strategies designed to support survivors of gender-based violence can collide with, overshadow and misapprehend women's own subjective experiences.
Aims: This study aims to highlight the importance of subjective accounts in understanding women's mental health and the complexity of trauma experienced by female survivors of gender-based violence. It aims to put forward survivors' voices that are often excluded from research.
Method: This study draws on 12 months of ethnographic fieldwork (2021-2022) among 38 women seeking psychological support from anti-violence centres in Milan, Italy. The participants, including 12 migrant women, represented a diverse set of demographic backgrounds. The study also incorporated accounts from mental health professionals and NGO coordinators. Using anthropological and phenomenological approaches, this qualitative analysis is based on themes which illustrate survivors' lived experiences of trauma.
Results: This ethnography identified several pathways contributing to poor mental health among GBV survivors. Key findings reveal that survivors engage with trauma and mental health symptoms through subjective, embodied and temporally informed processes, affecting their recovery and societal vulnerability. Structural marginalisation, including insufficient government funding, prolonged legal procedures and invasive medical practices, further impacted survivors' well-being. Themes from the analysis demonstrated that structural marginality and isolation exacerbated mental health issues, hindering empowerment and autonomy; thus trapping survivors in a state of long-term vulnerability.
Conclusion: This study emphasises the importance of incorporating subjective accounts to understand women's mental health in-depth. The findings highlight that current services often fail to address the complexity of trauma, leading to inadequate support and prolonged marginalisation. To improve outcomes, it is crucial to offer tailored mental health support, address socio-economic challenges and implement trauma-informed care that fosters safety, empowerment and resilience.
期刊介绍：
The International Journal of Social Psychiatry, established in 1954, is a leading publication dedicated to the field of social psychiatry. It serves as a platform for the exchange of research findings and discussions on the influence of social, environmental, and cultural factors on mental health and well-being. The journal is particularly relevant to psychiatrists and multidisciplinary professionals globally who are interested in understanding the broader context of psychiatric disorders and their impact on individuals and communities.
Social psychiatry, as a discipline, focuses on the origins and outcomes of mental health issues within a social framework, recognizing the interplay between societal structures and individual mental health. The journal draws connections with related fields such as social anthropology, cultural psychiatry, and sociology, and is influenced by the latest developments in these areas.
The journal also places a special emphasis on fast-track publication for brief communications, ensuring that timely and significant research can be disseminated quickly. Additionally, it strives to reflect its international readership by publishing state-of-the-art reviews from various regions around the world, showcasing the diverse practices and perspectives within the psychiatric disciplines. This approach not only contributes to the scientific understanding of social psychiatry but also supports the global exchange of knowledge and best practices in mental health care.
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