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[哥伦比亚国内武装冲突中被迫流离失所受害者的耻辱感与心理健康]

[Stigma and Mental Health in Victims of Colombia's Internal Armed Conflict in Situation of Forced Displacement].

作者信息

Campo-Arias Adalberto, Herazo Edwin

机构信息

Grupo de Investigación del Comportamiento Humano, Director de Investigaciones y Publicaciones del Instituto de Investigación del Comportamiento Humano (Human Behavioral Research Institute), Bogotá, Colombia.

Grupo de Investigación del Comportamiento Humano, Director del Instituto de Investigación del Comportamiento Humano (Human Behavioral Research Institute), Bogotá, Colombia; Candidato a Doctor en Salud Pública, Universidad Nacional de Colombia.

出版信息

Rev Colomb Psiquiatr. 2014 Oct-Dec;43(4):212-7. doi: 10.1016/j.rcp.2014.09.004. Epub 2014 Oct 28.

Abstract

BACKGROUND

The prolonged sociopolitical phenomenon of Colombian violence generated a high number of victims, many of whom suffered a continual process of internal displacement and stigma-discrimination complex.

OBJECTIVE

To postulate possible mechanisms by which victims of Colombia's internal armed conflict in a situation of forced displacement were stigmatized and discriminated.

RESULTS

Stigma affects mental health, not only because it represents a major stressor for discriminated individuals and groups, but also because it accounts for inequalities and inequities in health. Initially, as the victims of the internal armed conflict in situation of forced displacement were not considered as such, but as responsible for the situation. Thus, they had to cope with the social and economic inequalities, explained partially by low categorization or status that they received, possibly due to poor construction of social capital in the country. Also, victims of the internal armed conflict suffer from intersectional stigma and discrimination due to other characteristics such as gender, sexual orientation, ethnic-racial origin, or meeting criteria for a mental disorder.

CONCLUSIONS

An active process of inclusive social development is required for the displaced victims of the armed conflict,in order to reduce multiple stigma and ensure their mental health.

摘要

背景

哥伦比亚暴力这一长期的社会政治现象导致大量受害者产生,其中许多人经历了持续的国内流离失所以及耻辱 - 歧视情结。

目的

推测在被迫流离失所情况下,哥伦比亚国内武装冲突受害者遭受耻辱和歧视的可能机制。

结果

耻辱影响心理健康,不仅因为它是受歧视个人和群体的主要压力源,还因为它导致了健康方面的不平等和不公平。最初,处于被迫流离失所状态的国内武装冲突受害者并未被视为受害者,而是被认为应对这种情况负责。因此,他们不得不应对社会和经济不平等,部分原因是他们得到的分类或地位较低,这可能是由于该国社会资本建设不完善所致。此外,国内武装冲突受害者还因性别、性取向、种族出身或符合精神障碍标准等其他特征而遭受交叉耻辱和歧视。

结论

对于武装冲突的流离失所受害者,需要一个积极的包容性社会发展进程,以减少多重耻辱并确保他们的心理健康。

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