Department of Clinical Psychology, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda.
Mental Health & Behaviour Research Group, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda.
PLoS One. 2024 Apr 30;19(4):e0302330. doi: 10.1371/journal.pone.0302330. eCollection 2024.
There is little known about the family and community maltreatment of the offspring born of the genocidal rape and the offspring's self-perceptions and how they influence their recovery from mental health problems. This study aimed to examine how the mental health prognosis of these offspring could be influenced by the family or community perceptions and attitudes toward them and their self-perception and coping strategies.
Thirty-two semi-structured qualitative interviews were conducted on 16 dyads of mothers and their offspring who were selected from countrywide. The interviews were audio-recorded and transcribed verbatims that were analysed inductively using thematic analysis within the NVivo 12 software.
Participants reported long-term psychological and psychosomatic consequences stemming from being born of genocidal rape. Notably, family and community maltreatment of the offspring and their self-perception exacerbated psychological distress and affected their capacity to recover. The majority of the offspring were using coping strategies such as sole collaboration with peers with the same history, efforts to hide their birth history, social Isolation (silence, untrusting, involvement in media etc), hardworking, reversed roles in the parental relationship, extreme involvement in praying, and harmful alcohol use.
Given the documented detrimental effects of individual, family and community attitudes and perceptions on psychological, and psychosomatic symptoms as well as the offspring coping strategies, culturally relevant mental health interventions are required to support the well-being and social reintegration of individuals born of genocidal rape while minimizing stigma and their maladaptive coping strategies.
对于种族灭绝强奸所生子女及其自我认知,以及这些自我认知如何影响他们从心理健康问题中恢复的情况,人们知之甚少。本研究旨在探讨家庭和社区对这些子女的看法和态度以及他们的自我认知和应对策略如何影响他们的心理健康预后。
从全国范围内选择了 16 对母子进行了 32 次半结构化的定性访谈。访谈进行了录音,并逐字记录下来,然后在 NVivo 12 软件中使用主题分析进行了归纳式分析。
参与者报告了因种族灭绝强奸而出生所带来的长期心理和身心后果。值得注意的是,家庭和社区对子女的虐待以及他们的自我认知加剧了他们的心理困扰,并影响了他们的康复能力。大多数子女正在使用应对策略,例如与具有相同历史的同龄人单方面合作、努力隐瞒自己的出生历史、社会孤立(沉默、不信任、参与媒体等)、努力工作、在亲子关系中颠倒角色、极度专注于祈祷以及有害的酒精使用。
鉴于个人、家庭和社区态度和看法以及子女应对策略对心理和身心症状的已有记录的不利影响,需要进行文化相关的心理健康干预,以支持种族灭绝强奸所生子女的福祉和社会重新融入,同时尽量减少耻辱感和他们的适应不良应对策略。