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寻找关键因素:对难民儿童披露其生活经历的障碍和促进因素的系统评价

Finding Keys: A Systematic Review of Barriers and Facilitators for Refugee Children's Disclosure of Their Life Stories.

作者信息

van Os E C C Carla, Zijlstra A E Elianne, Knorth E J Erik, Post W J Wendy, Kalverboer M E Margrite

机构信息

Department of Special Needs Education and Youth Care, University of Groningen, Groningen, the Netherlands.

出版信息

Trauma Violence Abuse. 2020 Apr;21(2):242-260. doi: 10.1177/1524838018757748. Epub 2018 Feb 20.

DOI:10.1177/1524838018757748
PMID:29463187
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7016356/
Abstract

The systematic review presented in this article aims to reveal what supports and hampers refugee children in telling their, often traumatic, life stories. This is important to ensure that migration decisions are based on reliable information about the children's needs for protection. A systematic review was conducted in academic journals, collecting all available scientific knowledge about the disclosure of life stories by refugee minors in the context of social work, guardianship, foster care, asylum procedures, mental health assessment, and therapeutic settings. The resulting 39 studies were thoroughly reviewed with reference to what factors aided or hampered the refugee children's disclosure of their life stories. The main barriers to disclosure were feelings of mistrust and self-protection from the side of the child and disrespect from the side of the host community. The facilitators for disclosing life stories were a positive and respectful attitude of the interviewer, taking time to build trust, using nonverbal methods, providing agency to the children, and involving trained interpreters. Social workers, mentors, and guardians should have time to build trust and to help a young refugee in revealing the life story before the minor is heard by the migration authorities. The lack of knowledge on how refugee children can be helped to disclose their experiences is a great concern because the decision in the migration procedure is based on the story the child is able to disclose.

摘要

本文所呈现的系统综述旨在揭示在难民儿童讲述其往往充满创伤的生活故事时,哪些因素起到了支持作用,哪些因素构成了阻碍。这对于确保移民决策基于有关儿童保护需求的可靠信息非常重要。我们在学术期刊中进行了一项系统综述,收集了在社会工作、监护、寄养、庇护程序、心理健康评估和治疗环境等背景下,关于难民未成年人生活故事披露的所有现有科学知识。我们根据哪些因素有助于或阻碍难民儿童披露其生活故事,对最终得到的39项研究进行了全面审查。披露的主要障碍包括儿童方面的不信任感和自我保护意识,以及东道社区方面的不尊重。披露生活故事的促进因素包括访谈者积极且尊重的态度、花时间建立信任、使用非语言方法、给予儿童自主权以及引入训练有素的口译员。社会工作者、导师和监护人应该有时间建立信任,并在移民当局听取未成年人陈述之前,帮助年轻难民披露其生活故事。由于移民程序中的决策基于儿童能够披露的故事,因此对于如何帮助难民儿童披露其经历缺乏了解是一个令人极为担忧的问题。

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本文引用的文献

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Knowledge of the Unknown Child: A Systematic Review of the Elements of the Best Interests of the Child Assessment for Recently Arrived Refugee Children.对未知儿童的了解:对近期抵达的难民儿童进行儿童最大利益评估要素的系统综述
Clin Child Fam Psychol Rev. 2016 Sep;19(3):185-203. doi: 10.1007/s10567-016-0209-y.
2
Is Anybody Listening? The Literature on the Dialogical Process of Child Sexual Abuse Disclosure Reviewed.有人在听吗?对儿童性虐待披露的对话过程的文献综述。
Trauma Violence Abuse. 2016 Jul;17(3):330-40. doi: 10.1177/1524838015584368. Epub 2015 May 7.
3
In or out? Barriers and facilitators to refugee-background young people accessing mental health services.
创伤聚焦认知行为疗法领域口译员培训项目的开发与评估
Front Psychol. 2023 Jul 19;14:1148690. doi: 10.3389/fpsyg.2023.1148690. eCollection 2023.
4
Understanding the impact of the COVID-19 pandemic on refugee communities in San Diego, California: A participatory action research cross-sectional study.了解新冠疫情对加利福尼亚州圣地亚哥难民社区的影响:一项参与式行动研究横断面研究。
SSM Popul Health. 2022 Jun;18:101110. doi: 10.1016/j.ssmph.2022.101110. Epub 2022 Apr 30.
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A Safe Home? A Qualitative Study into the Experiences of Adolescents Growing Up in the Dutch Area Impacted by Earthquakes Induced by Gas Extraction.一个安全的家?对在受天然气开采引起的地震影响的荷兰灾区长大的青少年的经历进行的定性研究。
Int J Environ Res Public Health. 2022 Apr 13;19(8):4716. doi: 10.3390/ijerph19084716.
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Improving the mental health and mental health support available to adolescents with social care-experience via low-intensity life story work: a realist review protocol.通过低强度生活故事工作改善有社会关怀经历的青少年的心理健康和心理健康支持:一个现实主义综述方案。
BMJ Open. 2022 Mar 9;12(3):e058424. doi: 10.1136/bmjopen-2021-058424.
7
Evaluation of the teaching recovery techniques community-based intervention for accompanied refugee children experiencing post-traumatic stress symptoms (Accompanied refugeeS In Sweden Trial; ASsIST): study protocol for a cluster randomised controlled trial.基于社区的创伤后应激症状陪伴难民儿童教学恢复技术干预评估(瑞典陪伴难民试验;ASsIST):一项群组随机对照试验的研究方案。
BMJ Open. 2020 Jul 26;10(7):e035459. doi: 10.1136/bmjopen-2019-035459.
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Transcult Psychiatry. 2015 Dec;52(6):766-90. doi: 10.1177/1363461515571624. Epub 2015 Mar 2.
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'This doctor, I not trust him, I'm not safe': the perceptions of mental health and services by unaccompanied refugee adolescents.“这位医生,我不信任他,我不安全”:无人陪伴的难民青少年对心理健康和服务的看法。
Int J Soc Psychiatry. 2015 Mar;61(2):129-36. doi: 10.1177/0020764014537236. Epub 2014 Jun 3.
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Sociol Health Illn. 2013 Jul;35(6):858-72. doi: 10.1111/j.1467-9566.2012.01541.x. Epub 2013 Jan 10.
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Voices of dialogue and directivity in family therapy with refugees: evolving ideas about dialogical refugee care.家庭治疗中难民的对话和方向声音:关于对话式难民关怀的不断发展的观点。
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