Institute of Social Psychology, London School of Economics & Political Science, London, UK.
Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, London, UK.
Confl Health. 2011 Sep 24;5(1):20. doi: 10.1186/1752-1505-5-20.
Mental health and psychosocial wellbeing are key concerns in displaced populations. Despite urban refugees constituting more than half of the world's refugees, minimal attention has been paid to their psychosocial wellbeing. The purpose of this study was to assess coping behaviour and aspects of resilience amongst refugees in Kathmandu, Nepal.
This study examined the experiences of 16 Pakistani and 8 Somali urban refugees in Kathmandu, Nepal through in-depth individual interviews, focus groups, and Photovoice methodology. Such qualitative approaches enabled us to broadly discuss themes such as personal experiences of being a refugee in Kathmandu, perceived causes of psychosocial distress, and strategies and resources for coping. Thematic network analysis was used in this study to systematically interpret and code the data.
Our findings highlight that urban refugees' active coping efforts, notwithstanding significant adversity and resulting distress, are most frequently through primary relationships. Informed by Axel Honneth's theory on the struggle for recognition, findings suggest that coping is a function beyond the individual and involves the ability to negotiate recognition. This negotiation involves not only primary relationships, but also the legal order and other social networks such as family and friends. Honneth's work was used because of its emphasis on the importance of legal recognition and larger structural factors in facilitating daily coping.
Understanding how urban refugees cope by negotiating access to various forms of recognition in the absence of legal-recognition will enable organisations working with them to leverage such strengths and develop relevant programmes. In particular, building on these existing resources will lead to culturally compelling and sustainable care for these populations.
心理健康和心理社会幸福感是流离失所人群的主要关注点。尽管城市难民占世界难民的一半以上，但对他们的心理社会幸福感关注甚少。本研究的目的是评估尼泊尔加德满都难民的应对行为和适应能力。
本研究通过深入的个人访谈、焦点小组和摄影心声方法，考察了 16 名巴基斯坦和 8 名索马里城市难民在尼泊尔加德满都的经历。这种定性方法使我们能够广泛讨论在加德满都作为难民的个人经历、心理困扰的感知原因以及应对策略和资源等主题。本研究采用主题网络分析对数据进行系统解释和编码。
我们的研究结果表明，尽管面临重大逆境和由此产生的痛苦，城市难民的积极应对努力主要是通过主要关系来实现的。受阿克塞尔·霍内特（Axel Honneth）关于承认斗争的理论的启发，研究结果表明，应对不仅仅是个人的功能，还涉及到协商承认的能力。这种协商不仅涉及主要关系，还涉及法律秩序和其他社会网络，如家庭和朋友。之所以选择霍内特的作品，是因为它强调了法律承认和更大的结构因素在促进日常应对方面的重要性。
了解城市难民如何通过协商获得各种形式的承认来应对缺乏法律承认的情况，将使与他们合作的组织能够利用这些优势并制定相关计划。特别是，利用这些现有资源将为这些人群提供具有文化吸引力和可持续的护理。
