Kizilhan Jan Ilhan, Neumann Johanna
Institute for Psychotherapy and Psychotraumtology, University of Duhok, Duhok, Iraq.
Institute of Transcultural Health Science, Baden-Wuerttemberg Cooperative State University, Villingen-Schwenningen, Germany.
Front Psychiatry. 2020 Jun 19;11:540. doi: 10.3389/fpsyt.2020.00540. eCollection 2020.
In the aftermath of crimes against humanity, human rights violations, and genocide, the question arises whether and how justice can be restored. A lack of social justice and continuing injustice in post-conflict areas prevent survivors from processing their traumatic experiences. As a consequence, the individuals and often their families, their community, and the whole society are changed in a lasting way. The trauma can even be passed on over generations. Yet, if war has a negative impact on health, then, programs that focus on achieving justice, peace, and stability should be able to offset or reduce this negative impact. For this reason, the importance of psychosocial well-being and mental health for the reconstruction of societies is acknowledged. Various political, legal, and social programs, like transitional justice, are being implemented in post-war regions to develop justice. Developing or restoring justice also requires good psychosocial care, like a treatment that supports individuals when coping with injustice and gaining a new sense of justice. Such a psychological treatment can make an important contribution when it comes to building new trust and improving mental health. Ethical standards in coping with trauma and developing or restoring justice in post-conflict regions are indispensable to enable long-term peace. The course for new social justice can be set, through a just health system. Thereby, only programs and legal processes, which try to do justice to the survivors and take their needs into account, are ethically justifiable. Human rights and health cannot be separated in psychotherapy with survivors of war and terror. Based on ethical principles, new approaches must be generated for psychotherapy in war regions and with survivors of war and terror. The aim will be to make an important contribution to the mental and social reconstruction of countries after mass violence.
在危害人类罪、侵犯人权行为和种族灭绝事件发生后,出现了能否以及如何恢复正义的问题。冲突后地区缺乏社会正义且不公正现象持续存在,这使得幸存者无法处理他们的创伤经历。结果,个人以及他们的家庭、社区乃至整个社会都发生了持久的变化。这种创伤甚至可能代代相传。然而,如果战争对健康有负面影响,那么,专注于实现正义、和平与稳定的项目应该能够抵消或减少这种负面影响。出于这个原因,心理社会福祉和心理健康对社会重建的重要性得到了认可。战后地区正在实施各种政治、法律和社会项目,如过渡司法,以促进正义。发展或恢复正义还需要良好的心理社会关怀,比如一种在个人应对不公正并获得新的正义感时给予支持的治疗。这种心理治疗在建立新的信任和改善心理健康方面可以做出重要贡献。在冲突后地区应对创伤以及发展或恢复正义时,道德标准对于实现长期和平不可或缺。新的社会正义进程可以通过一个公正的卫生系统来设定。因此,只有那些努力为幸存者主持公道并考虑到他们需求的项目和法律程序才在道德上是合理的。在对战乱和恐怖袭击幸存者进行心理治疗时,人权与健康不能分离。基于道德原则,必须为战区以及战乱和恐怖袭击幸存者的心理治疗创造新的方法。目标将是为大规模暴力事件后国家的心理和社会重建做出重要贡献。