McKenzie Katherine C, Thomas Arielle
Yale Center for Asylum Medicine, Yale School of Medicine, United States.
Yale Center for Asylum Medicine, Yale School of Medicine, United States; UNC Chapel Hill School of Medicine, MS4, Yale School of Public Health, MPH, 919-946-5654, United States.
J Forensic Leg Med. 2017 Jul;49:37-41. doi: 10.1016/j.jflm.2017.04.007. Epub 2017 Apr 25.
According to the United Nations High Commissioner on Refugees, over 65 million people were displaced from their homes due to conflict and persecution in 2015. Many physicians express an interest in human rights and a desire to assist this group of refugees and asylum seekers. Physicians are able to use their unique skills by performing medical forensic evaluations of individuals seeking asylum. Some asylum seekers have psychological or physical scars or functional abnormalities relating to injuries or ill-treatment they experience due to persecution. Documenting these findings can significantly improve the likelihood that they will be granted asylum. This manuscript outlines the historical and legal background of asylum. Each of the individuals presented in this paper experienced persecution in different forms. One person was tortured due to his political opinion and one was assaulted because he was gay. One woman sought asylum due to domestic violence, another woman because she had been subjected to female genital mutilation/cutting (FGM/C) and the last suffered severe psychological trauma related to a forced marriage. Five typical clinical cases of medical forensic evaluations are outlined, each with different forms of persecution and physical or psychological findings. Physicians have an interest in using their expertise to help this underserved population. They report that working with asylum seekers is rewarding, intellectually stimulating and a novel way to use their training and skills.
根据联合国难民事务高级专员公署的数据,2015年有超过6500万人因冲突和迫害而背井离乡。许多医生表达了对人权的关注以及帮助这群难民和寻求庇护者的愿望。医生能够通过对寻求庇护者进行法医医学评估来运用他们独特的技能。一些寻求庇护者因遭受迫害而有心理或身体创伤,或与伤病治疗相关的功能异常。记录这些发现能够显著提高他们获得庇护的可能性。本手稿概述了庇护的历史和法律背景。本文介绍的每个人都经历了不同形式的迫害。一个人因政治观点而遭受酷刑,另一个人因同性恋身份而遭到袭击。一名妇女因家庭暴力寻求庇护,另一名妇女因遭受女性生殖器切割/切除(FGM/C)而寻求庇护,最后一人因强迫婚姻而遭受严重心理创伤。本文概述了法医医学评估的五个典型临床案例,每个案例都有不同形式的迫害以及身体或心理方面的发现。医生们有兴趣利用他们的专业知识来帮助这一服务不足的人群。他们报告称,与寻求庇护者合作很有意义,能激发智力,是运用他们的培训和技能的一种新方式。