Almedom Astier M
Tufts University, Boston, USA.
J Biosoc Sci. 2004 Jul;36(4):445-61. doi: 10.1017/s0021932004006637.
The effects of war-induced anxiety and mental distress on individuals and groups can either be mitigated or exacerbated by 'humanitarian action'. This paper focuses on two key factors that protect the mental well-being of war-affected populations: organized displacement or assisted relocation; and coordinated humanitarian aid operations that are responsive to local needs. Qualitative data from two internally displaced person (IDP) camps in Eritrea are presented. Analysis of these data serves to substantiate and refine a working hypothesis: that social support of the right type, provided at the right time and level, can mitigate the worst effects of war and displacement on victims/survivors. An integrated model of psychosocial transition is suggested. The implications of this approach for humanitarian policy and practice are discussed in the wider context of current debates and lamentations of the 'humanitarian idea'.
战争引发的焦虑和精神痛苦对个人及群体产生的影响,可能会因“人道主义行动”而得到缓解或加剧。本文着重探讨保护受战争影响民众心理健康的两个关键因素:有组织的流离失所或协助重新安置;以及根据当地需求开展的协调一致的人道主义援助行动。文中呈现了来自厄立特里亚两个境内流离失所者营地的定性数据。对这些数据的分析旨在证实并完善一个工作假设:即在恰当的时间和程度提供恰当类型的社会支持,能够减轻战争和流离失所对受害者/幸存者造成的最严重影响。本文提出了一个心理社会过渡的综合模型。在当前关于“人道主义理念”的辩论和哀叹的更广泛背景下,讨论了这种方法对人道主义政策和实践的影响。