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“这些地方很容易进去,但却很难出来”:印度女性进入精神病院的途径和重返社区的障碍。

"These Places are easy to get into but Impossible to get out of": Women's Pathways to Psychiatric Institutions and Barriers to Community Reentry in India.

机构信息

School of Social Work and Criminal Justice, University of Washington Tacoma, Tacoma, USA.

School of Social Work, University of Maryland, Baltimore, USA.

出版信息

Community Ment Health J. 2024 Feb;60(2):317-329. doi: 10.1007/s10597-023-01173-3. Epub 2023 Aug 10.

Abstract

In India, where institutional-based mental health care is common, gender and other intersecting marginalized identities along with absent familial support contribute to women's admission and prolonged confinement to psychiatric institutions. However, an intersectional analysis of factors that prevent women with limited familial support from returning to their communities is lacking. This article is based on narratives of eleven women residing at a halfway home in an urban city in India, awaiting return to their communities. We include descriptions and an intersectional analysis of women's pathways to psychiatric institutions, their experiences receiving institutional-based mental health care, and the challenges they face as they contemplate returning to their communities. This study adds to the minimal research examining women's gendered pathways to psychiatric institutions in India. Women's narratives highlight that gender and illness-related disadvantages coupled with economic adversity that led to the initial admission also serve as deterrents to reentering the community.

摘要

在印度,基于机构的精神卫生保健较为常见,性别和其他交叉边缘化身份以及缺乏家庭支持导致妇女入院和长期被禁闭在精神病院。然而,对于缺乏家庭支持的妇女无法返回社区的因素的交叉分析尚缺乏。本文基于在印度一个城市的中途之家居住的 11 名妇女的叙述,这些妇女正在等待返回社区。我们包括了妇女进入精神病院的途径、接受机构为基础的精神卫生保健的经历以及她们在考虑返回社区时所面临的挑战的描述和交叉分析。这项研究增加了对印度妇女进入精神病院的性别途径的研究。妇女的叙述强调,导致最初入院的性别和与疾病相关的劣势以及经济困境也成为重新进入社区的障碍。

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