Ramos Amaya Alexandra
Independent Scholar, Arlington, VA, United States.
Front Glob Womens Health. 2023 Feb 23;3:893957. doi: 10.3389/fgwh.2022.893957. eCollection 2022.
In light of the 2021 United States military withdrawal from Afghanistan, as well as the humanitarian crises of mass displacement and subsequent health system strain that have ensued, practitioners worldwide will need to develop a more nuanced understanding of the adverse life experiences that women from Afghanistan frequently endorse. As they bear a disproportionate impact of constraints within Afghan society, and as patriarchal systems affect most of their life domains, women from Afghanistan may present with high levels of baseline trauma upon resettlement, and health systems may seek to attenuate this distress; However, the nature of these traumatogenic events may shape women's receptivity to psychosocial interventions, particularly those which are at least partially rooted in Western modalities. In the absence of sufficient literature on evidence-based interventions for this population, a diversity of ethnographic and clinical literature is synthesized, including literature on interventions alleged to be compatible with Afghan norms. As it will be essential to support Afghan women's mental health following social reorganization on a massive scale, considerations arising from the interdisciplinary literature are offered so that they may inform the development of structured, trauma-focused interventions and so that the health systems with which they interface may be better prepared to serve them.
鉴于2021年美国从阿富汗撤军,以及随之而来的大规模流离失所的人道主义危机和随后的卫生系统压力,世界各地的从业者将需要对阿富汗妇女经常认可的不良生活经历形成更细致入微的理解。由于阿富汗妇女在阿富汗社会所受限制的影响尤为严重,且父权制体系影响着她们生活的大部分领域,阿富汗妇女在重新安置时可能会有较高程度的基线创伤,卫生系统可能会试图减轻这种痛苦;然而,这些创伤性事件的性质可能会影响妇女对心理社会干预的接受程度,特别是那些至少部分植根于西方模式的干预措施。由于缺乏针对这一人群的循证干预措施的充分文献,本文综合了多种人种志和临床文献,包括有关据称与阿富汗规范相符的干预措施的文献。鉴于在大规模社会重组后支持阿富汗妇女的心理健康至关重要,本文提供了跨学科文献中产生的一些考量因素,以便为制定结构化的、以创伤为重点的干预措施提供参考,并使与之对接的卫生系统能更好地为她们服务。