Joshi Aparna
School of Human Ecology, Tata Institute of Social Sciences, 506, Academic Building 1, Naoroji Campus, Deonar Farm Road, Deona, Mumbai 400088 India.
J Soc Econ Dev. 2021;23(Suppl 2):414-437. doi: 10.1007/s40847-020-00136-8. Epub 2021 Jan 6.
COVID-19 pandemic is an unprecedented crisis that simultaneously affected different countries and communities across the globe. The large-scale psychosocial impact of the pandemic and the subsequent lockdown, is an experiential reality for many, in India. Despite this impact, a closer look at India's response to the pandemic shows that the two strands of health and relief measures, continue to occupy centre-stage. The psycho-social aspects of the pandemic unfortunately largely remain undocumented and unaddressed. Using experiences of iCALL, National national level psycho-social counseling counselling service and a field action project of the Tata Institute of Social Sciences, the paper throws light on the much-neglected experiential psycho-social dimensions of COVID-19 pandemic and the subsequent lockdown in India. It describes the stressors experienced by users who approached iCALL and the consequent impact; especially among those who belonged to the vulnerable sections of the society. The nature of stressors as well as the impact reported by iCALL users, clearly points out to a complex interplay among several factors at individual, interpersonal, community and structural levels. The paper then, critically looks at the merits and limitations of the mental health framework that predominated the mental health response during the pandemic with its bio-medical and individualistic undertones; and suggests an alternative framing using a 'psycho-social' paradigm that views distress as an interaction between the psychological and social worlds. The paper asserts reciprocal linkages between development and psycho-social distress; highlighting the need to consciously integrate mental health issues into the development response. In the end, it makes an appeal for an inter sectoral dialogue, integrated response and advocacy for investing in mental health and psycho-social infrastructure to effectively respond to the pandemic.
新冠疫情是一场前所未有的危机,同时影响了全球不同国家和社区。在印度,疫情及其后的封锁措施所产生的大规模心理社会影响,对许多人来说是切实的经历。尽管有这种影响,但仔细审视印度对疫情的应对措施会发现,卫生和救济措施这两条主线仍占据核心地位。不幸的是,疫情的心理社会方面在很大程度上仍未被记录和解决。本文利用印度国家心理健康咨询服务机构iCALL的经验以及塔塔社会科学研究所的一个实地行动项目,揭示了新冠疫情及其后印度封锁期间被严重忽视的心理社会层面的实际情况。它描述了向iCALL求助的用户所经历的压力源及其产生的影响;尤其是在那些属于社会弱势群体的人群中。iCALL用户报告的压力源性质和影响,清楚地表明了个人、人际、社区和结构层面的几个因素之间存在复杂的相互作用。然后,本文批判性地审视了在疫情期间主导心理健康应对措施的心理健康框架的优点和局限性,该框架带有生物医学和个人主义色彩;并建议采用一种“心理社会”范式进行替代框架构建,该范式将痛苦视为心理世界和社会世界之间的相互作用。本文主张发展与心理社会痛苦之间的相互联系;强调需要有意识地将心理健康问题纳入发展应对措施中。最后,它呼吁进行跨部门对话、采取综合应对措施并倡导投资于心理健康和心理社会基础设施,以有效应对疫情。