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2017
Nesterko, Yuriy; Kaiser, Marie; Glaesmer, Heide (2017): Kultursensible Aspekte während der Diagnostik von psychischen Belastungen bei Flüchtlingen – Zwei kommentierte Fallberichte. In: Psychotherapie, Psychosomatik, medizinische Psychologie 67 (3-04), S. 109-118. DOI: 10.1055/s-0042-107802

DOI: http://www.ncbi.nlm.nih.gov/pubmed/27706544

Abstract: High levels of mental disorders, especially PTSD, are commonly known among groups of people forced to leave their homeland as a consequence of war-related experiences (e. g. armed conflict, torture or persecution). Depending on the cultural background the perceptions of illnesses vary, different symptom presentation and thereupon different coping strategies respectively expectations towards health care services exist. To minimize the danger of misdiagnosis by different experts working with refugees in the host countries, a culture-sensitive diagnostic approach is needed from the beginning. This article describes important aspects of culture-sensitive diagnostics by means of 2 commented case reports. Special focus is set on the aspect of linguistic and in a broader sense cultural comprehension between therapist, client and if necessary language mediator.

Keywords: Adult, Communication Barriers, Culturally Competent Care, Culture, culture sensitive, Disziplin, Female, Germany, Humans, Kultur, Kulturtheorie, Life Change Events, Linguistik, Male, Mental Disorders/diagnosis/ethnology/psychology, Observablen/Kriterien für sozial angemessenes Verhalten und dessen Bewertung, Pathologie, Physician-Patient Relations, PREJUDICE, Psychologie, Refugees/psychology, Social Identification, Somatoform Disorders/diagnosis/ethnology/psychology, Stress Disorders, Post-Traumatic/diagnosis/ethnology/psychology, Suicidal Ideation, Translating
2016
Zito, Dima (2016): Kindersoldatinnen und -soldaten als Flüchtlinge in Deutschland. In: PRAXIS DER KINDERPSYCHOLOGIE UND KINDERPSYCHIATRIE 65 (10), S. 763-780. DOI: 10.13109/prkk.2016.65.10.763

DOI: http://www.ncbi.nlm.nih.gov/pubmed/27923337

Abstract: Child Soldiers as Refugees in Germany How do former child soldiers cope with their potentially traumatic experiences, and how do the living conditions as refugees influence these coping processes? A dissertation at the faculty of human and social sciences at the University of Wuppertal, based on biographical-narrative interviews with 15 young refugees from six African countries, describes the characteristics of the traumatic sequences in the countries of origin and in exile, and elaborates typical coping processes. In order to survive a situation of absolute subjection within armed groups, children develop forms of adequate adaptation to the context like regulation and detachment of emotions e.g. with the use of drugs, assimilation to an idea of "hard masculinity" etc. They become victims, witnesses and often perpetrators of extreme violence (man-made-disaster), respectively traumatic processes can be seen in all sequences. After leaving the armed groups there is no way back into the families and communities destroyed by armed conflict, so they become refugees. In Germany, they are subjected to a bureaucratic and excluding asylum system, in which decisions on all relevant areas of life (age determination, place and right of residence, form of accommodation, access to education, etc.) are imposed on them. Especially the insecure right of residence and the living conditions in refugee camps are severe risk factors, impeding stabilization. Social support, e. g. by competent professionals, access to trauma- and culture-sensitive psychotherapy, societal inclusion, but also personal resilience are essential for coping with trauma and developing new future perspectives.

Keywords: Adaptation, Psychological, Adolescent, Africa/ethnology, Armed Conflicts/psychology, Beeinflussung der Bewertung moralischer Urteile, Bewertung von sozialem Verhalten (/sozialer Angemessenheit), culture sensitive, Defense Mechanisms, Dissociative Disorders/diagnosis/psychology/therapy, Female, Germany, Humans, Interview, Psychological, Male, Military Personnel/psychology, Minors/psychology, Pathologie, Psychologie, Refugees/psychology, Social Conditions, Stress Disorders, Post-Traumatic/diagnosis/psychology/therapy, Substance-Related Disorders/diagnosis/psychology/therapy, Trauma, Young Adult

2017

2016

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