França Gustavo, Corvacho Mafalda, Cunha Catarina, Almeida Barbara
Porto Community Mental Health Service, Centro Hospitalar Universitário de Santo António, Porto, PRT.
North Delegation, Doctors of the World, Porto, PRT.
Cureus. 2023 Feb 27;15(2):e35556. doi: 10.7759/cureus.35556. eCollection 2023 Feb.
The admission of undocumented migrants and refugees to detention centres (DC) has been systematically associated with several poor mental health outcomes. Much less is known about people with mental health disorders, non-migrants, who might be wrongfully committed to these facilities. This article draws on Dave's case, where a German citizen was detained in a migrant DC in Porto. The patient was later treated and diagnosed with schizophrenia. In light of another case report, we conceptualize the "Cornelia's phenomenon" by which a person with full citizenship rights but with a severe mental disorder is wrongly committed to a DC. We hypothesize that this worrisome phenomenon is underestimated, and we will discuss how pre-existent psychopathology might predispose vulnerable people to this situation. We will discuss the negative impact that detention might have on these patients, proposing solutions that might amend this worrisome phenomenon.
将无证移民和难民收容到拘留中心一直与一些不良心理健康结果存在系统性关联。对于可能被错误收容到这些设施中的患有精神健康障碍的非移民者,我们了解得要少得多。本文借鉴了戴夫的案例,一名德国公民被关押在波尔图的一个移民拘留中心。该患者后来接受治疗并被诊断患有精神分裂症。根据另一例病例报告,我们将“科妮莉亚现象”概念化,即拥有完全公民权利但患有严重精神障碍的人被错误收容到拘留中心的情况。我们推测这种令人担忧的现象被低估了,并且我们将讨论先前存在的精神病理学如何可能使易受伤害的人易陷入这种情况。我们将讨论拘留可能对这些患者产生的负面影响,并提出可能改善这种令人担忧现象的解决方案。