Mülteciler ve Mülteci Çocukların Ruhsal Durumu

Year 2016, Volume: 1 Issue: 1, 43 - 76, 01.06.2016

Serhat Nasıroğlu Veysi Çeri

https://doi.org/10.12738/mejrs.2016.1.1.0003

Cited By: 1

Abstract

Son yıllarda özellikle Orta Doğu’da savaşın şiddetlenmesi ile bölge ülkelerine yoğun bir mülteci akını olmuştur. Ev sahibi ülkelere yerleşen bu mülteci bireylerin hukuki sorunları, eğitim, sağlık, barınma, temiz su, sağlıklı gıda temin edilmesi ve çalışma hakları gibi önemli konular ilgili ülkelerde tartışılmaktadır. Mülteci bireylerin yaşadıkları zorlu olayların yanı sıra ev sahibi ülkede bulundukları sırada aldıkları sosyal desteğin ruh sağlığı üzerinde önemli etkileri olduğu bilinmektedir. Yapılan çalışmalar incelendiğinde mülteci olmanın önemli ruhsal sorunlarla yol açtığı anlaşılmaktadır. Mülteci bireyler, önemli oranda ayrımcılığa uğramakta birçok ülkede ötekileştirilmekte temel insani haklardan mahrum bırakılmaktadır. Derlememizde ülkemizdeki mülteci çocukların hukuksal haklarının anlaşılması, yaşadıkları önemli ruhsal travmaların, ruhsal sorunları arttıran risk faktörlerinin belirtilmesi, tedavi süreci gerektiren çocukların belirlenmesi ve tedavinin sürdürülebilmesi amacıyla okulların da içinde olduğu çalışmalar yapılması gerektiği, bazı olguların psikiyatrik terapotik desteğe veya ilaç alımına ihtiyaç duyabileceği anlatılmıştır. Sonuç olarak bu çocukların toplumsal uyumunun nasıl sağlanacağı ile ilgili önerilerde bulunmak ve mülteci krizi ile ilgili farkındalığı artırmak amaçlanmaktadır.

Keywords

Mülteci , Göç , Hukuk , Çocuk , Travma sonrası stres bozukluğu

Refugees and Mental State of Refugee Children

Abstract

In this study, various ways of describing Syrian refugees as used by a specific group of social media users who identify themselves as “dictionary writers” have been studied through critical discursive psychology and interpretative repertoires. Ekşi and Uludağ collaborative dictionaries, which are the most popular online dictionary sites in Turkey, were used as a database in the process of collecting data, giving the opportunity to reach various discursive repertoires. One hundred web pages from Ekşi Dictionary 10 entries per page, a total of 1000 entries were analyzed. Fourteen web pages from Uludağ Dictionary 25 entries per page except for five entries on the last page, a total of 330 entries were also analyzed. When quoting extracts from the collaborative dictionaries, the page count was taken into consideration, thus more extracts were taken from Ekşi Dictionary. Extracts were analyzed using the critical discursive approach. As a result of this research, seven different repertoires were defined. First of all is the repertoire of “threat,” in which Syrian asylum seekers are constructed as a threat in two forms: while the asylum seeker is the primary threat in its first form, they are seen as the tool of the primary threat in its second form. According to the repertoire of “othering,” Syrian asylum seekers are “otherized” through subjection to humiliation, marginalization, and dehumanization. In the repertoire of “Muslim,” Syrian asylum seekers are defined with a supra-identity as a Muslim beyond national identities, positioning the dictionary writer on similar ground with the asylum seeker. In the repertoire of “empathy,” the refugees are the subject of statements regarding humanity as the common ground. In the repertoire of “normative refugee” an absolute refugee frame is sketched, discussing whether a Syrian refugee fills this frame or not and how they fit in. According to the repertoire of “administration problem,” the inadequate policies of government in relation to the current situation are held responsible and the refugees are identified as victims of governmental policies. Finally, in the seventh repertoire, which can be referred to as “economic burden,” the refugees are described as a burden on the economic system; they are given shelter and care but are also unwanted by the Turkish people.

Keywords

Refugee , Immigration , Law , Children , Post-traumatic stress disorder

References

• Afet ve Acil Durum Yönetimi Başkanlığı. (2015). AFAD Suriye Afet Raporu. https://www.afad.gov.tr/TR/IcerikDetay1.aspx?ID=16&IcerikID=848 edinilmiştir. adresinden
• Ajduković, M., & Ajduković, D. (1993). Psychological well-being of refugee children. Child Abuse & Neglect, 17(6), 843–854.
• Almqvist, K., & Brandell-Forsberg, M. (1997). Refugee children in Sweden: Post- traumatic stress disorder in Iranian preschool children exposed to organized violence.
• Child Abuse & Neglect, 21(4), 351–366. Barkın, A. E. (2014). 1951 Tarihli Mülteciliğin Önlenmesi Sözleşmesi. Ankara
• Barosu Dergileri, 72(1), 331–361. Bas̨oğlu, M., & Paker, M. (1995). Severity of trauma as predictor of long-term psychological status in survivors of torture. Journal of Anxiety Disorders, 9(4), 339–350.
• Beiser, M. (2005). The health of immigrants and refugees in Canada. Canadian Journal of Public Health/Revue Canadienne de Sante’e Publique, 96(March-April), 30–44.
• Bernardy, N. C., & Friedman, M. J. (2015). Psychopharmacological Strategies in the Management of Posttraumatic Stress Disorder (PTSD): What have we learned?
• Current Psychiatry Reports, 17(4), 1–10. Berry, J. W. (1997). Immigration, acculturation, and adaptation. Applied Psychology, (1), 5–34.
• Berry, J. W. (2009). A critique of critical acculturation. International Journal of
• Intercultural Relations, 33(5), 361–371. Berry, J. W., & Sabatier, C. (2010). Acculturation, discrimination, and adaptation among second generation immigrant youth in Montreal and Paris. International
• Journal of Intercultural Relations, 34(3), 191–207. Betts, A., Loescher, G., & Milner, J. (2013). The United Nations High Commissioner for Refugees (UNHCR): The politics and practice of refugee protection: New York, NY: Routledge.
• Birman, D. (1998). Biculturalism and perceived competence of Latino immigrant adolescents. American Journal of Community Psychology, 26(3), 335–354.
• Bronstein, I., & Montgomery, P. (2011). Psychological distress in refugee children
• A systematic review. Clinical Child And Family Psychology Review, 14(1), 44–56. Couroucli–Robertson, K. (2002). Brief drama therapy of an immigrant adolescent with a speech impediment. The Arts in Psychotherapy, 28(5), 289–297.
• Crisp, J. (2003). A new asylum paradigm? Globalization, migration and the uncertain future of the international refugee regime. Geneva: United Nations High
• Commissioner for Refugees (UNHCR). Çiçekli, B. (2009). Uluslararası hukukta mülteciler ve sığınmacılar: Ankara: Seçkin.
• Daud, A., Af Klinteberg, B., & Rydelius, P.-A. (2008). Resilience and vulnerability among refugee children of traumatized and non-traumatized parents. Child and Adolescent Psychiatry and Mental Health, 2(1), 7-17.
• Davidson, G. R., Murray, K. E., & Schweitzer, R. (2008). Review of refugee mental health and wellbeing: Australian perspectives. Australian Psychologist, 43(3), 160–174.
• Day, T. (2005, September). Harmony in diversity: Using music therapy to address the needs of traumatized refugee youth. Paper presented at the THEMHS Conference, Sydney, Australia.
• Dudley, M., Steel, Z., Mares, S., & Newman, L. (2012). Children and young people in immigration detention. Current Opinion in Psychiatry, 25(4), 285–292.
• Eggli, A. V. (2002). Mass refugee influx and the limits of public international law
• (Vol. 6). Hague: Martinus Nijhoff Publishers. Ergüven, N, Özturanlı, B. (2013). Uluslararası Mülteci Hukuku ve Türkiye. Ankara
• Üniversitesi Hukuk Fakültesi Dergisi, 62(4), 1007-1061.
• Farwell, N. (2003). In war’s wake: Contextualizing trauma experiences and psychosocial well-being among Eritrean youth. International Journal of Mental Health, 32, 20–50.
• Fazel, M., & Stein, A. (2002). The mental health of refugee children. Archives of
• Disease in Childhood, 87(5), 366–370. Fazel, M., Doll, H., & Stein, A. (2009). A school-based mental health intervention for refugee children: An exploratory study. Clinical Child Psychology and Psychiatry, (2), 297–309.
• Fazel, M., Wheeler, J., & Danesh, J. (2005). Prevalence of serious mental disorder in 7000 refugees resettled in Western countries: A systematic review. The Lancet, (9467), 1309–1314.
• Felsman, J. K., Leong, F. T., Johnson, M. C., & Felsman, I. C. (1990). Estimates of psychological distress among Vietnamese refugees: Adolescents, unaccompanied minors and young adults. Social Science & Medicine, 31(11), 1251–1256.
• Foa, E. B., & Meadows, E. A. (1998). Psychosocial treatments for posttraumatic stress disorder. Psychological trauma. Washington, DC: American Psychiatric Press.
• Foner, N. (1997). The immigrant family: Cultural legacies and cultural changes.
• International Migration Review, 31, 961–974. Garmezy, N. E., & Rutter, M. E. (1983). Stress, coping, and development in children.
• Ney Work, NY: McGraw Hill. Geltman, P. L., Augustyn, M., Barnett, E. D., Klass, P. E., & Groves, B. M. (2000). War trauma experience and behavioral screening of Bosnian refugee children resettled in
• Massachusetts. Journal of Developmental & Behavioral Pediatrics, 21(4), 255–261. Geltman, P. L., Grant-Knight, W., Mehta, S. D., Lloyd-Travaglini, C., Lustig, S., Landgraf, J. M., & Wise, P. H. (2005). The “lost boys of Sudan”: Functional and behavioral health of unaccompanied refugee minors resettled in the United States.
• Archives of Pediatrics & Adolescent Medicine, 159(6), 585–591. Goodwin-Gill, G. S., McAdam, J., & McAdam, J. (1996). The refugee in international law. New York, NY: Clarendon Press Oxford.
• Heptinstall, E., Sethna, V., & Taylor, E. (2004). PTSD and depression in refugee children. European Child & Adolescent Psychiatry, 13(6), 373–380.
• Hetrick, S. E., Purcell, R., Garner, B., & Parslow, R. (2010). Combined pharmacotherapy and psychological therapies for post traumatic stress disorder (PTSD). Cochrane
• Database of Systematic Reviews, 7. doi:10.1002/14651858.CD007316
• Hjern, A., Angel, B., & Jeppson, O. (1998). Political violence, family stress and mental health of refugee children in exile. Scandinavian Journal of Public Health, 26(1), 18–25.
• Hodes, M. (2000). Psychologically distressed refugee children in the United
• Kingdom. Child Psychology and Psychiatry Review, 5(2), 57–68. İçişleri Bakanlığı. (2014, 13 Ekim). 2014/6883 karar sayılı Geçici Koruma
• Yönetmeliği. T.C. Resmi Gazete, 29153.
• Kunz, E. F. (1973). The Refugee in flight: Kinetic models and forms of displacement.
• International Migration Review, 7(2), 125–146. Laor, N., Wolmer, L., Mayes, L. C., Golomb, A., Silverberg, D. S., Weizman, R., & Cohen, D. J. (1996). Israeli preschoolers under Scud missile attacks: A developmental perspective on risk-modifying factors. Archives of General Psychiatry, 53(5), 416–423.
• Lustig, S. L., Kia-Keating, M., Knight, W. G., Geltman, P., Ellis, H., Kinzie, J. D., & Saxe, G. N. (2004). Review of child and adolescent refugee mental health. Journal of the American Academy of Child & Adolescent Psychiatry, 43(1), 24–36.
• Masia, C. L., Klein, R. G., Storch, E. A., & Corda, B. (2001). School-based behavioral treatment for social anxiety disorder in adolescents: Results of a pilot study. Journal of the American Academy of Child & Adolescent Psychiatry, 40(7), 780–786.
• McDermott, B. M. (2004). Child and youth emotional trauma: an explanatory model of adverse outcomes. Psychiatry, Psychology and Law, 11(2), 269–279.
• Mestheneos, E., & Ioannidi, E. (2002). Obstacles to refugee integration in the European Union member states. Journal of Refugee Studies, 15(3), 304–320.
• Mghir, R., Freed, W., Raskin, A., & Katon, W. (1995). Depression and posttraumatic stress disorder among a community sample of adolescent and young adult Afghan refugees. The Journal of Nervous and Mental Disease, 183(1), 24–30.
• Miller, K. E. (1996). The effects of state terrorism and exile on indigenous Guatemalan refugee children: A mental health assessment and an analysis of children’s narratives.
• Child Development, 67(1), 89–106. Miller, K. E., & Billings, D. L. (1994). Playing to grow: A primary mental health intervention with Guatemalan refugee children. American Journal of Orthopsychiatry, (3), 346–356.
• Mollica, R. F., Poole, C., Son, L., Murray, C. C., & Tor, S. (1997). Effects of war trauma on Cambodian refugee adolescents’ functional health and mental health status. Journal of the American Academy of Child & Adolescent Psychiatry, 36(8), –1106.
• Montgomery, E. (2010). Trauma and resilience in young refugees: A 9-year follow- up study. Development and Psychopathology, 22(2), 477–489.
• National Collaborating Centre for Mental Health. (2005). Post-traumatic stress disorder: The management of PTSD in adults and children in primary and secondary care. London: Gaskell.
• National Institute for Clinical Excellence. (2005). Post-traumatic stress disorder
• (PTSD). The management of PTSD in adults and children in primary and secondary care. National Clinical Practice Guideline Number 26. London: Gaskell and the British Psychological Society. NSW Refugee Health Service Refugee Children. (2009). Fact sheet 8. Retrieved from http://www.swslhd.nsw.gov.au/refugee/pdf/Resource/FactSheet/FactSheet_08.pdf
• Odman, T. (1995). Mülteci kukuku. Ankara: AÜSBF İnsan Hakları Merkezi Yay.
• Oras, R., Ezpeleta, S. C. D., & Ahmad, A. (2004). Treatment of traumatized refugee children with eye movement desensitization and reprocessing in a psychodynamic context. Nordic Journal of Psychiatry, 58(3), 199–203.
• Özcan, M. (2005). Avrupa Birliği sığınma hukuku: Ortak bir sığınma hukukunun ortaya çıkışı: Ankara: USAK Books.
• Papadopoulos, R. K. (2001). Refugee families: Issues of systemic supervision.
• Journal of family Therapy, 23(4), 405–422. Papageorgiou, V., Frangou-Garunovic, A., Iordanidou, R., Yule, W., Smith, P., & Vostanis, P. (2000). War trauma and psychopathology in Bosnian refugee children.
• European Child & Adolescent Psychiatry, 9(2), 84–90. Pedersen, D. (2002). Political violence, ethnic conflict, and contemporary wars: broad implications for health and social well-being. Social Science and Medicine, 55(2), 175–190.
• Phinney, J. S., Horenczyk, G., Liebkind, K., & Vedder, P. (2001). Ethnic identity, immigration, and well-being: An interactional perspective. Journal of Social Issues, (3), 493–510.
• Rothe, E. M., Lewis, J., Castillo-Matos, H., Martinez, O., Busquets, R., & Martinez, I. (2002). Posttraumatic stress disorder among Cuban children and adolescents after release from a refugee camp. Psychiatric Services, 53(8), 970–976.
• Rousseau, C. (1995). The mental health of refugee children. Transcultural Psychiatry, (3), 299–331.
• Rousseau, C., Benoit, M., Gauthier, M.-F., Lacroix, L., Alain, N., Rojas, M. V., … Bourassa, D. (2007). Classroom drama therapy program for immigrant and refugee adolescents: A pilot study. Clinical Child Psychology and Psychiatry, 12(3), 451–465.
• Rousseau, C., Drapeau, A., & Corin, E. (1996). School performance and emotional problems in refugee children. American Journal of Orthopsychiatry, 66(2), 239–251.
• Rousseau, C., Drapeau, A., & Platt, R. (1999). Family trauma and its association with emotional and behavioral problems and social adjustment in adolescent Cambodian refugees. Child Abuse & Neglect, 23(12), 1263–1273.
• Rutter, M. (1987). Psychosocial resilience and protective mechanisms. American
• Journal of Orthopsychiatry, 57(3), 316–331. Sack, W., Clarke, G., & Him, C. (1993). A six-year follow-up of Cambodian youth traumatised as children. Journal of the American Academy of Child and Adolescent Psychiatry, 32, 431–437.
• Schaefer, C. (1993). The therapeutic powers of play. Northvale, NJ: Aronson.
• Servan-Schreiber, D., Le Lin, B., & Birmaher, B. (1998). Prevalence of posttraumatic stress disorder and major depressive disorder in Tibetan refugee children. Journal of the American Academy of Child & Adolescent Psychiatry, 37(8), 874–879.
• Shuttleworth, R. (1981). Adolescent drama therapy. Drama in Therapy, 2, 157–172.
• Silove, D. (1999). The psychosocial effects of torture, mass human rights violations, and refugee trauma: Toward an integrated conceptual framework. The Journal of
• Nervous and Mental Disease, 187(4), 200–207. Smith, D. S., & Hairston, M. J. (1999). Music therapy in school settings: Current practice. Journal of Music Therapy, 36(4), 274–292.
• Smith, P., Perrin, S., Yule, W., Hacam, B., & Stuvland, R. (2002). War exposure among children from Bosnia-Hercegovina: psychological adjustment in a community sample. Journal of Traumatic Stress, 15(2), 147–156.
• Steel, Z., Silove, D., Phan, T., & Bauman, A. (2002). Long-term effect of psychological trauma on the mental health of Vietnamese refugees resettled in Australia: A population-based study. The Lancet, 360(9339), 1056–1062.
• Sujoldžić, A., Peternel, L., Kulenović, T., & Terzić, R. (2006). Social determinants of health–A comparative study of Bosnian adolescents in different cultural contexts.
• Collegium Antropologicum, 30(4), 703–711. Tolfree, D. (1996). Restoring playfulness: different approaches to assisting children who are psychologically affected by war or displacement. Falun: Rädda Barnen.
• Toole, M. (2003). The health of refugees: An international public health problem.
• In P. Allotey (Ed.), The health of refugees: Public health perspectives from crisis to settlement (pp. 35–53). Melbourne: Oxford University Press. Tousignant, M., Habimana, E., Biron, C., Malo, C., Sidoli-LeBianc, E., & Bendris, N. (1999). The Quebec adolescent refugee project: Psychopathology and family variables in a sample from 35 nations. Journal of the American Academy of Child &
• Adolescent Psychiatry, 38(11), 1426–1432.
• Tran, T. V., Manalo, V., & Nguyen, V. T. (2007). Nonlinear relationship between length of residence and depression in a community-based sample of Vietnamese
• Americans. International Journal of Social Psychiatry, 53(1), 85–94. Trimble, J. (2003). Introduction: Social change and acculturation. In K. M. Chun, P. B.
• Organista, & G. Marin (Eds.), Acculturation: Advances in theory, measurement, and applied research (pp. 3–13). Washington, DC: American Psychological Association. Türkiye Psikiyatri Derneği. (2015). Mülteci raporu. http://www.psikiyatri.org.tr/ news.aspx?notice=1311 adresinden edinilmiştir.
• UN General Assembly. (1951). Convention Relating to the Status of Refugees (United Nations, Treaty Series, vol. 189). Retrieved from http://www.unhcr.org/refworld/ docid/ 3be01b964.html
• United Nations High Commissioner for Refugees. (2009). 2008 Global trends
• Refugees, asylum-seekers, returnees, internally displaced persons and stateless persons. Geneva: Author. United Nations High Commissioner for Refugees. (2015). Syrian refugees in Europe
• What Europe can do to ensure protection and solidarity. Retrieved from http://www. refworld.org/docid/53b69f574.html Van Velsen, C., Gorst-Unsworth, C., & Turner, S. (1996). Survivors of torture and organized violence: Demography and diagnosis. Journal of Traumatic Stress, 9(2), –193.
• Weine, S. M., Becker, D. F., McGlashan, T. H., Laub, D., Lazrove, S., Vojvoda, D., & Hyman, L. (1995). Psychiatric consequences of “ethnic cleansing”: Clinical assessments and trauma testimonies of newly resettled Bosnian refugees. The American Journal of Psychiatry, 152, 536–542.
• Zagefka, H., & Brown, R. (2002). The relationship between acculturation strategies, relative fit and intergroup relations: immigrant-majority relations in Germany.
• European Journal of Social Psychology, 32(2), 171–188.