ガザ:人道的緊急事態におけるメンタルヘルス対応の再考と脱植民地化
Audrey Mc Mahon1, Haneefa Merchant2, Salsabeel Alkhatib3
1International Institute of Geopsychiatry, Bern, Switzerland.
まとめ
占領下のパレスチナ領土での長年の紛争は,深い心理的苦痛を引き起こしています. 文化に根付いた強みとともに,この苦しみを体系的な暴力に対する合理的な反応として再構築することは,メンタルヘルスの支援を脱植民地化するための鍵です.
科学分野:
- 心理学 心理学とは
- 公衆衛生は公衆衛生である.
- 社会学 社会学 社会学とは
背景:
- 占領下のパレスチナ地域などの長期間の武力紛争は,深刻で予測可能な心理的な結果をもたらします.
- 標準的なメンタルヘルス介入は,体系的な問題に根ざした苦しみをしばしば個人化し,非政治化します.
- 既存のモデルは,無意識に階層を永続させ,地元の知識を疎外する可能性があります.
研究 の 目的:
- パレスチナ人の心理的苦痛を,組織的な暴力,移住,不確実性に対する合理的な対応として再定義する.
- 人道的精神保健および心理社会的支援 (MHPSS) システムを批判的に検討する.
- 紛争環境におけるMHPSSの脱植民地化のための実用的な戦略を明確にする.
主な方法:
- 繰り返される暴力の心理的影響に関する研究を統合する.
- 文化に根付いた保護的要因 (家族の連帯,コミュニティの連帯,スムード) を分析する.
- 解放心理学,脱植民地時代の精神衛生,人権の原則を適用する.
主要な成果:
- パレスチナ人の苦悩は,占領と組織的な暴力に対する合理的な反応である.
- 文化特有の保護要因は,心理的被害を大幅に軽減します.
- 人道的MHPSSシステムは,地元の知識を疎外し,認識的階層を永続させる危険性があります.
結論:
- MHPSSを脱植民地化するには,地元主導のプログラム,相互のトレーニング,そして文化的に根付いたアプローチが必要です.
- 持続可能な,正義志向の精神保健には,構造的変化と連帯が必要である.
- 治癒には,臨床的介入と並行して,全身的な不正義に対処することが必要である.
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