Healthy Migrants in an Unhealthy City? The Effects of Time on the Health of Migrants Living in Deprived Areas of Glasgow

This paper examines the healthy immigrant effect in Glasgow, a post-industrial city where the migrant population has more than doubled in the last decade. Using data from a community survey in 15 communities across the city, the paper compares four health outcomes for the following three groups: British-born, social and economic migrants and asylum seekers and refugees. Migrants were found to be healthier than the indigenous population on all four measures, particularly in the case of adult households in both migrant groups and for older asylum seeker and refugee households. Health declines for social and economic migrants with time spent in the UK, but there is no clear pattern for asylum seekers and refugees. Health declined for refugees according to time spent awaiting a decision, whilst their health improved after a leave-to-remain decision. Indigenous and social and economic migrant health declines with time spent living in a deprived area; this was true for three health indicators for the former and two indicators for the latter. Asylum seekers and refugees who had lived in a deprived area for more than a year had slightly better self-rated health and well-being than recent arrivals. The study’s findings highlight the role of destination city and neighbourhood in the health immigrant effect, raise concerns about the restrictions placed upon asylum seekers and the uncertainty afforded to refugees and suggest that spatial concentration may have advantages for asylum seekers and refugees.     

The Mutually Constitutive Relationship between Place and Identity: The Role of Place‐Identity in Discourse on Asylum Seekers and Refugees

Recent discursive research has shown that constructions of place may function to regulate social relations and reinforce particular notions of belonging. However, extant discursive research on place‐identity has so far neglected the mutually constitutive relationships between constructions of place and identity in legitimising people's presence. To address this gap, this study, undertaken in Scotland, applies the notion of place‐identity to the discursive analysis of interviews with asylum seekers and refugees, people who work in organisations that support asylum seekers and refugees and locals who live in areas where asylum seekers and refugees tend to be housed. The analysis suggests that constructions of asylum seekers’ and refugees’ countries of origin as dangerous, and the host society as relatively problem‐free, function to constitute their identities as legitimate and to justify their presence in the host society. Moreover, constructions of place may work to portray refugees and asylum seekers as benefiting the local community and as belonging more than certain other locals. In contrast, constructing the host society as ‘full’ functions to oppose their presence through portraying them as not being able to belong. This demonstrates the mutually constitutive roles of place and identity in legitimising or resisting people's movement and belonging. Copyright © 2013 John Wiley & Sons, Ltd.     

Counselling asylum seekers and refugees: a study of Kurds in early and later stages of exile

This study explores the experience of asylum seekers and refugees in early and later phases of exile. Twenty-five Kurds (mainly asylum seekers) were interviewed in Greece in early phases of exile and twenty Kurds (mainly refugees) in later phases of exile in the UK. Refugee camps in Greece and community centres in London were the main locations for these interviews. Representatives from eight support organizations were also interviewed in each country. The multidimensional aspects of being a refugee are discussed, including models of formulating the experience, PTSD and the cross-cultural context. Key findings of the study include the desperate need among the asylum seekers and refugees, in the early phases, to have the story of their traumatic journey to Greece witnessed and validated by an outsider; the differing experiences of men and women; a change in identity over time; and considerable fear, which was evident in early and later phases. Moreover, all the support organizations expressed pronounced frustration but responded to it in different ways. Those organizations with supervision and support groups in place demonstrated more insight into their interactions with asylum seekers and refugees. Counselling approaches are evaluated with reference to the asylum seekers' and refugees' needs, and the desirability of adequate support for those with a counselling role is highlighted.     

Organising Somalian,Congolese and Rwandan Migrants in a Time of Xenophobia in South Africa: Empirical and Methodological Reflections

Xenophobic practices pervade civil society and the state in South Africa. But its victims are not passive. Academic scholarship has not sufficiently recognised the multiple roles of refugees and asylum seekers migrant organisations in a context where refugees are required to “self-settle”. The dominant methodological focus of existing research has been on the migrant as the individual. This paper’s main research objectives are to question this focus and examine evidence of the collective responses to struggles faced by foreign African migrants and refugee groups in Cape Town. Eleven refugee and asylum seeker associations formed by Somalians, Congolese and Rwandan asylum seekers and refugees were investigated, based on extensive interviews with 11 leaders of refugee organisations. These organisations not only strongly defend migrant interests but also project a long-term view of integration into South African society. In addition, the paper concludes by arguing for a shift in the focus of research in order to show that migrant organisations are crucial in an individual’s collective security concerns, in advocacy with government institutions and in initiatives to build relationships with South Africans.     

Our Immigration and Human Rights Work Group in Action: Psychoanalysts Evaluating Asylum Seekers,Trauma and Family Devastation

ABSTRACT

This paper presents the story of a family of four refugees from Central America seeking asylum in the United States, and of the experience of a group of psychoanalysts, members of the New York University Postdoctoral Program Immigration and Human Rights Work Group, who evaluated each member of the family and wrote affidavits in support of their applications for asylum. The work described provides an example of how clinicians can apply their skills and understandings outside the consulting room to address the dire needs of refugees who have fled from their homes. We discuss the process of refugees seeking asylum and the role of a psychological evaluation in the asylum process. We elaborate on the content and process of the evaluations of each member of the family with a focus on the trauma suffered and its sequelae on two school-aged children, their adolescent aunt, and their courageous and protective mother. We also address the analysts’ experience of doing psychological evaluations and writing affidavits for asylum seekers who have experienced trauma.     

Treating PTSD in refugees and asylum seekers within the general health care system. A randomized controlled multicenter study

Objective

There has been uncertainty about whether refugees and asylum seekers with PTSD can be treated effectively in standard psychiatric settings in industrialized countries. In this study, Narrative Exposure Therapy (NET) was compared to Treatment As Usual (TAU) in 11 general psychiatric health care units in Norway. The focus was on changes in symptom severity and in the diagnostic status for PTSD and depression.

Method

Refugees and asylum seekers fulfilling the DSM-IV criteria for PTSD (N = 81) were randomized with an a-priori probability of 2:1 to either NET (N = 51) or TAU (N = 30). The patients were assessed with Clinician Administered PTSD Scale, Hamilton rating scale for depression and the MINI Neuropsychiatric Interview before treatment, and again at one and six months after the completion.

Results

Both NET and TAU gave clinically relevant symptom reduction both in PTSD and in depression. NET gave significantly more symptom reduction compared to TAU as well as significantly more reduction in participants with PTSD diagnoses. No difference in treatment efficacy was found between refugees and asylum seekers.

Conclusions

The study indicated that refugees and asylum seekers can be treated successfully for PTSD and depression in the general psychiatric health care system; NET appeared to be a promising treatment for both groups.

ClinicalTrials.gov registry number

NCT00218959.     

Practitioners’ perspectives on the use of clinical supervision in their therapeutic engagement with asylum seekers and refugee clients

The present study is the first study undertaken in Australia that seeks to explore practitioners’ perspectives on the use of clinical supervision in their therapeutic engagement with asylum seekers and refugees. We used thematic analysis to analyse extracts of interviews that were conducted with nine professionals who worked therapeutically with asylum seekers and refugees and had experience of participating in individual and peer supervision. The findings of the study suggest that supervision encouraged practitioners to develop multicultural awareness and explore therapeutic ways of working that are compatible with their clients’ frame. In addition, supervision provided the context in which practitioners explored the impact of the asylum legislative framework on their clinical work and reflected upon their feelings of powerlessness and political impotence. Implications for practice that derive from supervisory needs of practitioners who work with asylum seekers and refugees are explored.     

From individual to social and relational dimensions in asylum-seekers’ narratives: A multidimensional approach

Taking a psychodynamic perspective, the present exploratory study proposes an integrated approach to explore the forced migratory experience, focusing simultaneously on mental health risk and protective factors and on the quality of the subjective experience of migration. We aimed to evaluate trauma and protective factors and to explore in-depth representations and meanings asylum seekers hosted in Italy attribute to their experiences. Levels of trauma and resilience were first evaluated for twenty asylum seekers hosted in two Reception Centres; then, in-depth interviews were administered. Six out of twenty participants presented with symptoms of trauma and all presented with moderately high resilience levels. The interviews were analysed using a quality-quantitative methodology via T-Lab software, and showed four thematic clusters: A godforsaken place; From death to life across the sea; Memories from the past; Searching for a land of care. In line with the identity fracture highlighted in psychodynamic literature, our results show a breakdown between the deeper and original aspects of participants’ identity and their new cultural identity as migrants, which has many social components. Reflections on the implications of the study will be outlined.     

Lifeboat politics in the Pacific: Affect and the ripples and shimmers of a migrant saturated future

Affect is explored in relation to the governance of irregular migrants and asylum seekers that turn such vulnerable individuals into a feared category. How are emotions as practices developed, fostered and enacted? The examples developed in the article focus on ‘illegal maritime arrivals’ (asylum seekers arriving by boat) and the emotionally charged response to them in Australia. The article argues that the state, far from embodying a detached and neutral arbiter utilising various steering mechanisms of care and due process, instead governs through fear and anxiety generated in relation to outsiders. The state draws on, and indeed creates, dispositions and feelings, generating a distinct politics of affect. The motif of the lifeboat is an example of a diversion from the anxieties and fears in everyday life; a metaphor for scarcity and a battle for survival. The asylum seeker as ‘illegal maritime arrival’ (boat person) is the exemplar of such a lifeboat politics in the Australian case.     

The Role of Christianity and Islam in Explaining Prejudice against Asylum Seekers: Evidence from Malaysia

ABSTRACT

Prejudicial attitudes toward asylum seekers are prevalent, and an emerging body of literature has revealed that this is partly driven by religious affiliation. The population of Malaysia is multireligious, making it a fruitful location for testing religion-based prejudice hypotheses. Thus, across 2 studies we tested the roles of Christianity and Islam in explicit and implicit prejudices against asylum seekers in the Malaysian context. In Study 1 (n = 97), we present evidence that there are religion-based differences in prejudice against asylum seekers; specifically, Muslims reported higher levels of (classical) explicit prejudice toward asylum seekers than Christians (there were no differences in conditional or implicit prejudices). In Study 2 (n = 117), we tested the hypothesis that these religion-based differences are qualified by the religion of the asylum seeker. In this study, we used a framing paradigm to experimentally manipulate the religion of the asylum-seeking targets. The results revealed an out-group exacerbation effect; that is, participants reported higher levels of prejudice toward asylum seekers who had a different religion from their own. For classical explicit prejudice, the effect was strongest from Muslims toward Christian asylum seekers. Conversely, for implicit prejudice, the reverse was true: The effect was strongest from Christians toward Muslim asylum seekers. These findings are discussed in terms of the political and social circumstances in Malaysia, but we interpret these findings as evidence that explicit and implicit attitudes toward asylum seekers are driven by a complex pattern of religion-based intergroup biases.     

Les nouveaux «Gastarbeiter»? Les réfugiés sur le marché du travail suisse

With about 28,000 asylum requests a year since 1990, Switzerland is one of the western countries with the highest inflow of refugees. The aim of this article is to answer two questions: What is the role of refugees in the Swiss economy? and what are the factors influencing their incorporation into the labour market? The research is based on the multivariate analysis of an individual database of 110,000 asylum seekers and refugees, in-depth interviews and 174 questionnaires to refugees and employers.     

Religion and Prejudice Toward Immigrants and Refugees: A Meta-Analytic Review

ABSTRACT

Religion is often a driving force in negative attitudes; however, in the specific case of migrant-based attitudes, research has produced conflicting findings. That is, religion can paradoxically facilitate either tolerance or intolerance toward this group. In light of these inconsistent findings, we conducted a meta-analytic review to estimate the effect size of this relationship with two major aims—first, to explore differences as a function of how religion was operationalised, and second, to explore differences in the target migrant-type (e.g., differences in religion-based attitudes toward immigrants and refugees/asylum seekers). Our search strategy was applied to PsycINFO, EBSCO Psychology and Behavioural Sciences Collection, Web of Science, PsycEXTRA, and ProQuest Central for peer-reviewed English language studies and made calls for unpublished data through relevant professional bodies. This search strategy yielded 37 records (including 43 studies; N = 472,688). Religion was quantified in two ways: either as categorical religious affiliations (k = 60) or as individual differences in self-reported religiosity (k = 30). The meta-analyses revealed that religion quantified as affiliation, but not religiosity, was related to negative migrant attitudes. Specifically, religiously affiliated samples report more negative attitudes than nonreligious affiliated samples, and this effect was often stronger when the target groups were refugees rather than immigrants. In addition, analyses revealed that Muslims have more negative attitudes toward migrants than Christians. Religiosity was unrelated to negative attitudes. These findings are discussed in light of rising antimigrant attitudes.     

“It's ok if it's hidden”: The discursive construction of everyday racism for refugees and asylum seekers in Wales

Wales has a long history of migration; however, the introduction of dispersed asylum seekers in 2001 has led to Wales becoming a more superdiverse nation. Wales has often been positioned as a more “tolerant nation” than England; however, the increasingly superdiverse nature of Wales in a postdevolution era may now be calling this tolerance thesis into question. Models of refugee and asylum seeker integration suggest that the absence of racism plays a key role in integration. This paper reports the findings of research that centres on refugee and asylum seeker integration in Wales. Nineteen interviews were conducted with refugees and asylum seekers who had been living in Wales for between 1 month and 12 years. Each interview was analysed using a discursive psychology approach. In this paper, I show that the interviewees appeared to negotiate a dilemma when talking about experiencing potentially racist incidents within the interviews, constructing them as trivial so as not to appear critical of the protection they have received in Wales. The findings also highlight the more everyday and banal forms of racism that are regularly experienced by refugees and asylum seekers living in Wales.     

Health-Related Quality of Life of Asylum Seekers and Refugees in Germany: a Cross-Sectional Study with Data from the German Socio-Economic Panel

The purpose of this study was to estimate the health-related quality of life (HrQoL) of asylum seekers and refugees that arrived during the European migrant and refugee crisis in Germany between 2014 and 2017. The analysis was based on the 2016 and 2017 refugee samples of the German Socio-Economic Panel (n = 6821). HrQoL was measured using a modified version of the SF-12v2 questionnaire and presented as physical (PCS) and mental (MCS) component summary scores. PCS and MCS scores for the total sample, males and females were calculated by sociodemographic characteristics. Associations between PCS and MCS scores and sociodemographic variables were examined by a linear regression with bootstrapped standard errors. The mean PCS and MCS scores of the sample were 53.4 and 47.9, respectively. Female sex was statistically significantly associated with lower PCS and MCS scores. The SF-12 subscale general health was valued highest with a score of 55.4, whereas the subscale role emotional was valued lowest with a score of 46.9. Employment was statistically significantly associated with higher PCS and MCS scores. Persons from Afghanistan had statistically significantly lower MCS scores than persons from Syria, whereas MCS scores were statistically significantly higher for persons from Eritrea. Physical and mental HrQoL of asylum seekers and refugees that arrived during the European migrant and refugee crisis in Germany between 2014 and 2017 was higher and lower than the German norm, respectively. Female sex, older age, unemployment and being separated, divorced or widowed were negatively associated with HrQoL. The three largest ethnical groups of asylum seekers and refugees, Syrians, Afghans and Eritreans, differ inherently in their HrQoL.

     

The Importance of Resources and Security in the Socio-Economic Integration of Refugees. A Study on the Impact of Length of Stay in Asylum Accommodation and Residence Status on Socio-Economic Integration for the Four Largest Refugee Groups in the Netherlands

In many European countries, including the Netherlands, refugees stay in asylum accommodation pending a decision on their asylum request. While it seems evident that the lack of resources and insecurity about the future experienced during this stay will impact refugees’ subsequent ability to integrate with the host society, so far this has hardly been studied in an extensive way. Also, the type of residence status granted can be a source of insecurity that impacts their integration. Previous studies on refugee integration have already shown the impact of pre-migration stressors such as traumatic experiences on mental health and integration. In this study, we use a large-scale dataset containing detailed information on about 4,000 refugees to show that also post-migration stressors affect mental health and hinder the socio-economic integration of the four largest refugee groups in the Netherlands: Afghan, Iraqi, Iranian and Somali.     

Asylum Seekers and Human Rights

Asylum seekers, by their very circumstances, test our common assumptions and practice in relation to human rights. The treatment of asylum seekers in many European countries has become harsher, more restrictive and less tolerant in recent years, raising questions about the violation of their rights. The article examines the bases of the rights that asylum seekers do have and whether these are best supported as human rights or more limited rights that attach to the place of their temporary residence and to obligations made by their country of temporary residence. Given the propensity of receiving countries to afford increasingly limited rights, the article identifies a limited set of rights that should take priority in a hierarchy of rights and which might claim widespread acceptance as those which asylum seekers must enjoy. This revised version was published online in August 2006 with corrections to the Cover Date.     

A Threatened Identity: The Mental Health Status of Syrian Refugees in Egypt and Its Etiology

This study utilized the development-based trauma framework on identity traumas to study the cumulative effects of trauma on the identities of Syrian refugees. Participants included 196 Syrian refugees residing in Cairo, Egypt (Mean age = 35.99, SD = 11.05). The rate of post-traumatic stress disorder was 33.5%, and the rate of depression was around 30%; the level of comorbidity was high with a high rate of suicidal plans or attempts (13.7%). Analyses indicated that existential annihilation anxieties, moderated by identity salience, mediated the effects of cumulative trauma on mental health. The results confirmed the utility and validity of the identity trauma model and provided evidence of the dire mental health needs of Syrian refugees.     

Social representations of refugees: Place of origin as a delineating resource

This study investigated social understandings of refugees from Africa in a regional town in NSW, Australia. Drawing from Social Representations Theory (Moscovici, 1984 ), the study investigated whether place of origin (Africa) mediated understandings held about refugees. Two studies were conducted. In the first study, a between‐subjects manipulation using word association tasks revealed that the super‐ordinate term Refugees, and Refugees from Africa shared a common core of elements (poor, war). Although sharing a core, these representations were differentiated by peripheral elements which concurred with social understanding of Africa (e.g. disease), and media portrayal of refugees/asylum seekers (e.g. boat). The salience of these meanings in the community was further explored using a self‐report questionnaire. Results suggested that place of origin, manifested as peripheral representational elements, may play an important role in differentiating, orientating and linking specific refugee groups to particular socio‐political contexts. Further, we contend that place of origin may be understood as a discursive resource, deployed for rhetorical ends. Copyright © 2009 John Wiley & Sons, Ltd.