New York State Psychiatric Institute, Columbia University , New York, New York, USA.
Department of Psychology and Philosophy, Texas Woman's University , Denton, Texas, USA.
Women Health. 2020 Oct;60(9):975-986. doi: 10.1080/03630242.2020.1784366. Epub 2020 Jul 9.
The context of place matters for mental health. Employing a feminist framework, this study used key informant interviews and focus group discussions in May 2012 with 77 conflict-affected adults, children, and adolescents in Northeastern Uganda to understand the relation of place and the symbolic space of family to IPV survivors' mental wellbeing to shape intervention possibilities. Using Grounded Theory methods, narratives identified numerous negative mental health experiences, such as having a disturbed mind, associated with inhabiting a violent domestic space. Place-associated qualities interacted with the symbolic space of the family to impede women's ability to enhance the safety of their domestic space, discourage separation, and encourage reunification in the case of separation, all of which related to negative mental health experiences. Interventions should not assume that IPV survivors' exposure to violence has terminated and look beyond mental health as an individual outcome.
地点背景对心理健康很重要。本研究采用女性主义框架,于 2012 年 5 月在乌干达东北部对 77 名受冲突影响的成年人、儿童和青少年进行了重点知情人访谈和焦点小组讨论,以了解地点和家庭的象征性空间与暴力侵害妇女行为幸存者心理健康之间的关系,从而为干预提供可能性。通过扎根理论方法,研究结果识别出许多与居住在暴力家庭环境相关的负面心理健康体验,例如思维紊乱。与家庭的象征性空间相关的地点属性相互作用,阻碍了妇女增强家庭空间安全性的能力,也不利于鼓励分居,或在分居的情况下促进团聚,这些都与负面心理健康体验有关。干预措施不应假设暴力侵害妇女行为幸存者的暴力暴露已经结束,而应超越心理健康作为个人结果的范围。