Kronick Rachel, Jarvis G Eric, Kirmayer Laurence J
McGill University.
Transcult Psychiatry. 2021 Apr;58(2):147-156. doi: 10.1177/13634615211002690.
This article introduces a thematic issue of that presents recent work that deepens our understanding of the refugee experience-from the forces of displacement, through the trajectory of migration, to the challenges of resettlement. Mental health research on refugees and asylum seekers has burgeoned over the past two decades with epidemiological studies, accounts of the lived experience, new conceptual frameworks, and advances in understanding of effective treatment and intervention. However, there are substantial gaps in available research, and important ethical and methodological challenges. These include: the need to adopt decolonizing, participatory methods that amplify refugee voices; the further development of frameworks for studying the broad impacts of forced migration that go beyond posttraumatic stress disorder; and more translational research informed by longitudinal studies of the course of refugee adaptation. Keeping a human rights advocacy perspective front and center will allow researchers to work in collaborative ways with both refugee communities and receiving societies to develop innovative mental health policy and practice to meet the urgent need for a global response to the challenge of forced migration, which is likely to grow dramatically in the coming years as a result of the impacts of climate change.
本文介绍了一个专题，该专题展示了近期的研究成果，这些成果深化了我们对难民经历的理解——从流离失所的力量，到移民轨迹，再到重新安置的挑战。在过去二十年里，关于难民和寻求庇护者的心理健康研究蓬勃发展，涵盖了流行病学研究、生活经历记述、新的概念框架以及对有效治疗和干预理解的进展。然而，现有研究存在重大差距，以及重要的伦理和方法挑战。这些挑战包括：需要采用去殖民化的、参与性的方法来放大难民的声音；进一步发展研究被迫迁移广泛影响的框架，这些影响超出创伤后应激障碍；以及更多基于难民适应过程纵向研究的转化研究。将人权倡导视角置于首要和核心位置，将使研究人员能够与难民社区和接纳社会以合作方式开展工作，制定创新的心理健康政策和实践，以满足全球应对被迫迁移挑战的迫切需求，由于气候变化的影响，这一挑战在未来几年可能会急剧增加。
