Working with bereaved asylum-seekers and refugees
Keywords:
Asylum-seeker, refugee, bereavement, grief, therapyAbstract
AbstractAsylum-seekers and refugees have usually sustained multiple losses by the time they arrive in the host country – their homeland, personal possessions, their occupation and traditional way of life. Many are fleeing persecution and death as a result of their ethnicity or religious beliefs. War or civil unrest may have led to the murders of their families. In many cases these atrocities have been witnessed by the refugee, leading to complicated bereavements. Survivor guilt may make it difficult for the person to move forward. In order to help this client group, bereavement counsellors need to familiarise themselves with the belief systems and mourning rituals of people from a wide range of cultures, as well as the features of traumatic bereavement and the new skills of working with an interpreter. This paper offers an introduction to this complex work, drawing on the literature and composite examples from the author's therapeutic work.
References
Douglas, AR. 2010. Identities in transition: living as an asylum seeker. Advances in Psychiatric Treatment, 16: 238–244.
Eisenbruch, M. 1984. Cross-cultural aspects of bereavement 11: ethnic and cultural variations in the development of bereavement practices. Cultural, Medicine and Psychiatry, 8: 315–347.
Eisenbruch, M. 1991. From post-traumatic stress disorder to cultural bereavement: diagnosis of Southeast Asian refugees. Social Science and Medicine, 33(6): 673–680.
Herman, JL. 1992. Trauma and recovery, London: Pandora.
Lifton, RJ. 1983. Responses of survivors to man-made catastrophes. Bereavement Care, 2: 2–6.
Losi, N. 2006. “The structure of migration trauma in ethno-systemic-narrative practice: initiation rites and fables”. In Lives elsewhere: migration and psychic malaise, Edited by: Losi, N. 13–45. London: Karnac.
McCann, IL and Pearlman, LA. 1990. Vicarious traumatisation: a framework for understanding the psychological effects of working with victims. Journal of Traumatic Stress, 3(1): 131–149.
Payne, M. 2006. Narrative therapy: an introduction for counsellors, 2nd ed, London: Sage.
Preitler B 2009 . Working with persons who have broken family links. Mental health care for asylum seekers in the European Union . Austrian Red Cross Conference, Vienna, 1 July .
Raphael, B. 1983. The anatomy of bereavement, New York: Basic Books.
Raphael, B, Delaney, P and Bonner, D. 2007. “Assessment of trauma for aboriginal people”. In Cross-cultural assessment of psychological trauma and PTSD, Edited by: Wilson, JP and Tang, CS. 337–369. New York: Springer.
Rosenblatt, PC. 1993. “Grief: the social context of private feelings”. In Handbook of bereavement: theory, research and intervention, Edited by: Stroebe, MS, Stroebe, W and Hansson, RO. 102–111. New York: Cambridge University Press.
Rosenblatt, PC. 2008. “Grief across cultures: a review and research agenda”. In Handbook of bereavement research and practice: advances in theory and intervention, Edited by: Stroebe, MS, Hansson, RO, Schut, H and Stroebe, W. 207–222. Washington, DC: American Psychological Association.
Schreiber, S. 1995. Migration, traumatic bereavement and transcultural aspects of psychological healing: loss and grief of a refugee woman from Begameder County in Ethiopia. British Journal of Medical Psychology, 68: 135–142.
Tribe, R and Raval, H. 2003. Working with interpreters in mental health, Hove: Brunner-Routledge.
UNHCR 1951 . Convention relating to the status of refugees . Geneva : United Nations .
White, M. 1989. “Saying hello again”. In Selected papers, Edited by: White, M. Adelaide: Dulwich Centre Publications.
Zwart, M and Nieuwenhuis, L. 1998. “Mourning rituals in non-verbal therapy with traumatised refugees”. In Art therapists and migrants reaching across borders, Edited by: Doketer, D. 62–78. London: Jessica Kingsley.