Rethinking a Familiar Model: Psychotherapy and the Mental Health of Refugees

This paper examines with a somewhat critical eye the primary role that psychotherapy and other clinic-based services currently play in addressing the mental health needs of political refugees in the industrialized countries. Two factors are considered which suggest that refugee mental health needs might be better served by complementing clinic-based treatments with a variety of community-based interventions. The first factor concerns the pervasiveness of psychological distress within refugee communities, coupled with the reluctance of many refugees to utilize formal psychological and psychiatric services. This calls into question both the adequacy and appropriateness of clinical-based services as cornerstones of our response to the mental health needs of refugees. More precisely, it suggests the need to complement such services with a variety of culturally grounded, community-based strategies that do not require attendance in formal mental health settings. Second, recent findings have shown consistently that a considerable amount of the distress reported by refugees is related not to prior exposure to violent events, but to a constellation of exile-related stressors such as the loss of one's community and social network, the loss of important life projects, changes in socioeconomic status and related concerns about economic survival, the loss of meaningful structure and activity in daily life, and the loss of meaningful social roles. It is suggested that while psychotherapy can play an important adjunctive role in helping people confront these exile-related stressors, they may most effectively be addressed through targeted community-based interventions. Examples of such community-based approaches are briefly described, and suggestions are offered for community-level strategies that might be explored. The paper concludes by emphasizing the complementary nature of clinical and community-based programs, and by suggesting that psychotherapy might best be conceptualized as one component of a more comprehensive approach to addressing the mental health needs of refugee communities.     

Aid for Refugees: Religion,Migration, and Poor Relief in Sixteenth-Century Geneva

During the sixteenth century, migration of mainly French Protestants into Geneva resulted in a significant refugee community dedicated to discipline and poor relief. This article examines the ongoing impact of migration on the formation of religious communities and their correlation with the development of poor relief funds in a leading Reformation city. The social dislocation of religious refugees fostered a high commitment to their new identity as advocates of the Reformed religion and proponents of poor relief for foreigners. John Calvin, chief minister and French immigrant, articulated his ideals for establishing a truly Christianized community through the institutions of the church, the consistory and the Bourse française (French Fund) to support the formation of a distinctive religious identity. This article argues that aid for the refugees became an integral part of establishing this religious and social reformation from the 1540s to the 1560s as waves of refugees landed in Geneva.     

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.     

The role of shared social identity in mutual support among refugees of conflict: An ethnographic study of Syrian refugees in Jordan

In the midst of an unprecedented refugee crisis and the shortfall of aid organization resources, a shift toward utilizing the capacity for collective resilience in refugee communities could be helpful. This paper explores experiences of psychosocial social support among a community of Syrian urban refugees in Jordan, especially the kind of support that helps them deal with secondary stressors. We were specifically interested in the role of shared social identity as a basis of support and the sources of such shared identity. We conducted an 8‐month ethnography that included observations and semistructured interviews with 13 refugees. We found many examples of support among refugees, on both personal and collective levels. Some of this support was based on sharing the identity of “refugee” that stemmed from a sense of common fate. This is similar to the process identified in the literature on disasters. Psychological membership in the refugee group is stigmatic, but it can also lead to positive outcomes in line with the social cure perspective. However, we also found examples of support that were value‐based or based on pre‐existing interpersonal networks. Implications of the findings for models of group processes in stressful situations and the practical question of refugee support are discussed.     

Trust,Respect, and the Psychology of Political Engagement1

Local community involvement has long been regarded as central to citizens’ participation in the political process because it is believed to create attitudes of generalized trust that encourage citizens to become involved in governance. Recently Putnam (1995a) has argued that declining opportunities for community involvement have led to decreased trust in others, and this contributes to declining rates of voting in elections. This paper directly tests the validity of Putnam's argument. It shows that civic participation is related to political participation, but only through the mediating mechanism of generalized trust. The paper further examines why citizens participate in their communities. It finds that people participate more in their communities when they feel that they are respected members of those communities. Implications for psychological theory and political mobilization are discussed.     

The housing situation of refugees in Montréal three years after arrival: The case of asylum seekers who obtained permanent residence

This article presents the results of a secondary analysis of the housing-related variables contained in a survey of the settlement experiences of some 400 regularized refugee claimants living in Greater Montréal. It examines housing as a vector of settlement and integration, as well as the related neighbourhood context. The data indicate that the refugees are relatively well housed in terms of dwelling quality, but spend inordinately high percentages of their income on rent, essentially because of their low incomes. More optimistically, the refugees have access to social support from within their ethnolinguistic group, and in their neighbourhoods they are not isolated from the majority cultural groups of Québec society.     

Le logement des réfugiés à Montréal trois ans après leur arrivée: le cas des demandeurs d'asile ayant obtenu la résidence permanente

This article presents the results of a secondary analysis of the housing-related variables contained in a survey of the settlement experiences, of some 400 regularized refugee claimants living in Greater Montréal. It examines housing as a vector of settlement and integration, as well as the related neighbourhood context. The data indicate that the refugees are relatively well housed in terms of dwelling quality, but spend inordinately high percentages of their income on rent, essentially because of their low incomes. More optimistically, the refugees have access to social support from within their ethnolinguistic group, and in their neighbourhoods they are not isolated from the majority cultural groups of Québec society.     

From empathy to action: Can enhancing host‐society children's empathy promote positive attitudes and prosocial behaviour toward refugees?

Over half of refugees are school‐aged children. In host communities, children's attitudes and behaviours are important for the integration of refugee children. This study examines the empathy–attitudes–action model in middle childhood (N = 94, 8 to 11 years old). In both the experimental and control conditions, children were introduced to a (fictional) refugee and told that he or she would be moving to their school. The experimental condition also listened to a storybook about the child's refugee experience. Empathy, outgroup attitudes, and prosocial behaviour toward the incoming child, and refugees as a group, were measured. Although mediation was not supported, the storybook condition reported more empathy and helping intentions, and attitudes predicted helping intentions but not giving to refugees. Results highlight how host‐society children can welcome refugees.     

Political and media discourses about integrating refugees in the UK

This article addresses political and media discourses about integrating refugees in the UK in the context of the “refugee crisis”. A discursive psychological approach is presented as the best way to understand what talk about the concept is used to accomplish in these debates. A large corpus of political discussions (13 hours of debate featuring 146 politicians) and 960 newspaper articles from the UK were discourse analysed. The analysis identified five dilemmas about integration: Integration is positive and necessary, but challenging; Host communities are presented as welcoming, but there are limits to their capacity; Refugees are responsible for integration, but host communities need to provide support; Good refugees integrate, bad ones don't; Refugees are vulnerable and are skilled. All are used to warrant the inclusion or exclusion of refugees. The responsibility of western nations to support refugees is therefore contingent on the refugees behaving in specific ways.     

Building Bridges for Refugee Empowerment

After the Syrian Humanitarian Crisis, the people of Turkey have long-established informal organizations to accommodate refugees. These local agencies often take responsibility as a cultural bridge between the refugee and the host community to establish peaceful relationships between two communities. In this paper, I examined the activities of one such local women’s organization in the Central Anatolia region. The organizational structure of this network of women was critically examined based on the principles of critical feminist theory. The findings showed that this organization challenged the dominant narratives of refugees as victims and helpers as liberators. In contrasts to much of the literature on refugee and migration studies, which avoided questioning the position of helpers, it unveiled some of the unacknowledged benefits accrued by the local women and presents an alternative humanitarian endeavor for improving refugees’ life standards.     

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.     

Human capital,acculturation and social identity: Bosnian refugees in Australia

This article explores the processes of acculturation and identity among refugees from Bosnia and Herzegovina who resettled in the Australian cities of Perth and Sydney during the 1990s. We start from the idea that refugees, through the process of forced migration, lose aspects of their identities that were embedded in their former communities, jobs, skills, language, and culture. Upon arrival in a new society, they seek to reconstruct their identity, and we argue that this happens in the context of the process of acculturation. We use two social psychological perspectives, social identity theory and acculturation theory, and the sociological theory of the migration of human capital, to examine our data collected by qualitative research methods from refugees and Australian professionals who work in the government‐funded refugee resettlement programme. Our data highlight the loss of identity experienced in forced migration, difficulties in refugee acculturation and identity reconstruction, and collective and individual strategies in acculturation and identity adaptation. We see our perspective as essentially interdisciplinary, and take an interactional view of the acculturation and identity processes, as the characteristics of both the host society and the immigrants affect them. Copyright © 2003 John Wiley & Sons, Ltd.     

Developing preventive mental health interventions for refugee families in resettlement

In refugee resettlement, positive psychosocial outcomes for youth and adults depend to a great extent on their families. Yet refugee families find few empirically based services geared toward them. Preventive mental health interventions that aim to stop, lessen, or delay possible negative individual mental health and behavioral sequelae through improving family and community protective resources in resettled refugee families are needed. This paper describes 8 characteristics that preventive mental health interventions should address to meet the needs of refugee families, including: Feasibility, Acceptability, Culturally Tailored, Multilevel, Time Focused, Prosaicness, Effectiveness, and Adaptability. To address these 8 characteristics in the complex environment of refugee resettlement requires modifying the process of developmental research through incorporating innovative mental health services research strategies, including: resilience framework, community collaboration, mixed methods with focused ethnography, and the comprehensive dynamic trial. A preventive intervention development cycle for refugee families is proposed based on a program of research on refugees and migrants using these services research strategies. Furthering preventive mental health for refugee families also requires new policy directives, multisystemic partnerships, and research training.     

Between Hospitality and Hostility

Migration has been a global phenomenon since the beginning of humankind. But despite its ordinariness, migration is a complex issue. The arrival of refugees in another country might have significant social, economic, political, cultural, and religious repercussions for both the migrants and the host societies. In 2015, many refugees, mainly from the Middle East and the North African region, fled to Europe. Migration has become a subject of research in social sciences and, recently, in social ethics and theology. An ethical dilemma arises around the refugee crisis and the relationships between the host countries and guest communities: What is the relevance of the ethics of hospitality in a climate of political radicalization and hostility toward the “other”? This paper studies social ethical perspectives of hospitality and hostility toward refugees in the context of Sweden.     

Whether a religious group membership is shared and salient influences perceived similarity,political support,and helping intention toward refugees,but not charitable donation

This research investigates the ways in which (un)shared religious group memberships contribute to individual helping responses through perceived similarity in the context of a refugee emergency. Across three studies (N = 762), we examined religious sub-groups of British people's helping responses to religious subgroups of Syrian refugees, in quasi-experimental and experimental designs. Overall findings suggest that sharing a religious group membership with refugee targets increases perceived similarity, political support, and helping intention, but not charitable donation—regardless of shared group membership being subtle or salient. However, when refugee targets' religious identity is that of a salient unshared group membership, not sharing a religious group membership reduces perceived similarity, political support, and helping intention, among those who are religious—with again charitable donation remaining unchanged. These results provide critical insights into developing more effective and unique strategies to promote and mobilize support for refugees among different groups of potential helpers.     

Zero‐sum thinking as mediator of the relationship of national attitudes with (un)willingness to host refugees in own country

This study examines factors related to willingness to host refugees. We examined the role of national attitudes (patriotism, nationalism), out‐group attitudes (classic and modern prejudice), and zero‐sum thinking: Belief in a Zero‐Sum Game and psychological entitlement in attitudes towards hosting refugees. We proposed including zero‐sum thinking as possible mediator between national attitudes and attitudes towards refugees based on assumption that nationalism is a competitive attitude towards out‐groups, while patriotism does not. Structural equation modelling based on a Polish national sample (N = 1092) revealed that patriotism is positively associated with willingness to host refugees, through its negative association with prejudice via decreasing zero‐sum thinking. Nationalism was negatively associated with willingness to host refugees, through prejudice via increasing zero‐sum thinking. Findings are discussed in the context of current refugee policies.     

Review of refugee mental health and wellbeing: Australian perspectives

This review covers refugee mental health and wellbeing within the Australian context to assist psychologists who provide services for, or who conduct research with, refugees. It provides a brief overview of the refugee movement, prior to examining evidence relating to the impacts of pre‐displacement, displacement and resettlement factors on psychological adjustment in the resettlement phase, and the systemic and sociopolitical factors that influence the process of adaptation during resettlement. Australian findings suggest that mental health and wellbeing outcomes are influenced by a complexity of pre‐displacement, displacement, resettlement and systemic factors; the detention or award of temporary residence to refugees who are already experiencing psychological distress on arrival are cases in point. Limitations of the findings are considered. More research into the combined, pathwise relations between the psychosocial pre‐determinants and psychological sequelae of the refugee experience is required. Finally, suggestions for the development of practice, training and ethical guidelines are offered.     

The experience of working with refugees: counsellors in primary care

The provision of counselling services for refugee and asylum-seeking patients is relatively new in the UK and their complex needs may present considerable challenges within primary care, where access to specialist support resources is often limited. As far as we know, no previous research has attempted to look at the experiences of the counsellors who do this work. We undertook in-depth interviews with 13 counsellors who provide counselling to refugees in primary care in north London. The findings of this study suggest that counsellors who work in a primary care setting find themselves conflicted, troubled and out of their depth by the experiences, narratives and distress presented by refugee and asylum-seeking patients. They also report an erosion of usual counselling boundaries. Thus, the problems presented by refugees seem to demand approaches which go beyond standard counselling practice and which create ambivalence and uncertainty. These counsellors express feelings of isolation and impotence. The paper concludes with implications for counselling practice and suggestions for further research.     

(THE IMAGE OF) GOD IN ALL OF US

This essay compares Sikh and Christian thought about and practices of hospitality in light of the global refugee crisis. It aims to show how both practices of hospitality, and religious ethical thought about hospitality, can be enhanced by dialogue between traditions. The refugee crisis arises out of a global failure of hospitality, and the type of hospitality refugees most fundamentally need is that which confers membership in a political community. Comparing Christian and Sikh ethics of hospitality provides guidance toward building rooted religious communities that welcome outsiders, including by incorporating them into political communities. In particular, Christians who hold social power and privilege can better fulfill ethical mandates of hospitality by looking to the example of Sikhs and other marginalized groups. Sikhs have often built communities through acts of hospitality and welcomed outsiders without fear, even in contexts where their own belonging is questioned and their own security is under threat.     

Religious exploration and conversion in forced displacement: a case study of Syrian Muslim refugees in Lebanon receiving assistance from Evangelical Christians

The idea of religious conversion as a break with one’s past and a change in identity and belonging is precarious when religious practices are considered in a context of displacement. Forced migrants’ sense of identity often becomes volatile when social and political pressures lead them to break with various aspects of their past lives. During a season of displacement, refugees and forced migrants may begin to attend religious meetings of a tradition different to that of their family or cease engaging in religious activities at all. Using the humanitarian engagement of Lebanese Evangelical churches with Syrian Muslim refugees as a case study, this article explores some of the unique dynamics in religious engagement in refugee communities. Many Syrian refugees began to attend church and study Christianity and this did indeed seem to have some sort of ‘spiritual’ influence on them, although few considered making a more radical change in their identity.