Internally Displaced “Victims of Armed Conflict” in Colombia: The Trajectory and Trauma Signature of Forced Migration

被引:0
|
作者
James M. Shultz
Dana Rose Garfin
Zelde Espinel
Ricardo Araya
Maria A. Oquendo
Milton L. Wainberg
Roberto Chaskel
Silvia L. Gaviria
Anna E. Ordóñez
Maria Espinola
Fiona E. Wilson
Natalia Muñoz García
Ángela Milena Gómez Ceballos
Yanira Garcia-Barcena
Helen Verdeli
Yuval Neria
机构
[1] University of Miami Miller School of Medicine,Center for Disaster & Extreme Event Preparedness (DEEP Center)
[2] University of California,Department of Psychology and Social Behavior
[3] Irvine,Department of Psychiatry and Behavioral Health
[4] University of Miami Miller School of Medicine and Jackson Memorial Hospital,Department of Psychiatry
[5] Centre for Global Mental Health,Global Mental Health T32 Research Fellowship, Department of Psychiatry
[6] London School of Hygiene and Tropical Medicine,Child and Adolescent Psychiatry, Fundación Santa Fe de Bogotá, Hospital Militar Central
[7] Columbia University & The New York State Psychiatric Institute,Department of Psychiatry
[8] Columbia University & The New York State Psychiatric Institute,Child Psychiatry Branch
[9] Universidad El Bosque,McLean Hospital, Department of Psychiatry
[10] Universidad de Los Andes,Department of Clinical & Health Psychology
[11] Universidad CES,Program in Clinical and Health Psychology, School of Social Sciences
[12] National Institute of Mental Health (NIMH)/National Institutes of Health (NIH),Program in Public Health, Schools of Medicine and Government
[13] Harvard Medical School,Department of Health Informatics, Leonard M. Miller School of Medicine
[14] University of Edinburgh,Teachers College and Department of Psychiatry
[15] Universidad de Los Andes,Department of Psychiatry & Department of Epidemiology
[16] Universidad de Los Andes,undefined
[17] Louis Calder Memorial Library,undefined
[18] Columbia University & The New York State Psychiatric Institute,undefined
[19] Columbia University & The New York State Psychiatric Institute,undefined
来源
Current Psychiatry Reports | 2014年 / 16卷
关键词
Internal displacement; Internally displaced persons; Victims of armed conflict; Humanitarian crisis; Complex emergency; Forced displacement; Forced migration; Trauma signature analysis; TSIG;
D O I
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摘要
While conflict-induced forced migration is a global phenomenon, the situation in Colombia, South America, is distinctive. Colombia has ranked either first or second in the number of internally displaced persons for 10 years, a consequence of decades of armed conflict compounded by high prevalence of drug trafficking. The displacement trajectory for displaced persons in Colombia proceeds through a sequence of stages: (1) pre-expulsion threats and vulnerability, (2) expulsion, (3) migration, (4) initial adaptation to relocation, (5) protracted resettlement (the end point for most forced migrants), and, rarely, (6) return to the community of origin. Trauma signature analysis, an evidence-based method that elucidates the physical and psychological consequences associated with exposures to harm and loss during disasters and complex emergencies, was used to identify the psychological risk factors and potentially traumatic events experienced by conflict-displaced persons in Colombia, stratified across the phases of displacement. Trauma and loss are experienced differentially throughout the pathway of displacement.
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