Khan Nichola
Research Institute of Geography and the Lived Environment, University of Edinburgh, Edinburgh, United Kingdom.
Front Psychiatry. 2025 Jul 7;16:1596290. doi: 10.3389/fpsyt.2025.1596290. eCollection 2025.
This perspective reflects on the relationship between migrant psychiatry and asylum seeking in Europe, drawing on anthropological fieldwork in a public migrant psychiatry clinic and mobile psychiatry teams serving asylum seekers, refused asylum seekers, and homeless migrants in France. Restrictive EU migration policies have produced protracted forms of "wandering" that may last for years; a sedentarist emphasis in national migrant services has generally not kept pace. Calls by international agencies to protect the mental health of refugees and displaced people are conflicting with a hostile policy backlash by national governments, delimiting a contradictory situation. This perspective discusses ways movements of migrants across countries and discontinuous and uneven healthcare and asylum infrastructures are shaping clinical expressions of illness and intervention and the asylum clinic as a critical site of inquiry. It develops on anthropology as an interdisciplinary intervention that can more roundly align ways in which migrant patients, clinical services, and professionals move across sectoral boundaries, account for contested political fields and multiple registers of interpretation, and answer some questions arising at their juncture.
这一观点反思了欧洲移民精神病学与寻求庇护之间的关系，其依据是在一家公共移民精神病学诊所以及为法国的寻求庇护者、被拒寻求庇护者和无家可归移民提供服务的流动精神病学团队所开展的人类学实地调查。欧盟严格的移民政策导致了可能持续数年的长期“流浪”形式；而国家移民服务中对定居的强调总体上未能跟上步伐。国际机构呼吁保护难民和流离失所者的心理健康，这与各国政府的敌对政策反弹相冲突，形成了一种矛盾的局面。这一观点探讨了跨国移民流动以及不连续和不均衡的医疗保健与庇护基础设施如何塑造疾病的临床表现、干预措施，以及作为关键调查场所的庇护诊所。它将人类学发展为一种跨学科干预，这种干预能够更全面地协调移民患者、临床服务和专业人员跨越部门界限的方式，解释有争议的政治领域和多种解释层面，并回答在它们的交叉点出现的一些问题。
