Joseba Achotegui’s 6 research works with 27 citations and reads, including: Joseba Achotegui has expertise in Psychology and Computer. Dr. Joseba Achotegui, Ph.D is a professor of the University of Barcelona,. Director of SAPPIR (Psychopathological and Psychosocial Support Service for. List of computer science publications by Joseba Achotegui.

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The mental health consequence josebz such forced migration experiences is named the Ulysses syndrome. Policies regarding the right to residency can play an important role in reducing mental health symptoms.

We propose that facilitating a sense of belonging should be seen as one important preventive mental healthcare intervention. There is of course substantial heterogeneity among tales of migration. Again, like Ulysses, refugees and asylum seekers have encountered ambivalent and at times hostile reception in Europe. Their arrival has been complicated by the physical or symbolic loss of significant others; housing- employment- and documentation-related difficulties; and in some cases, detention and threat of deportation.

Settling Ulysses: An Adapted Research Agenda for Refugee Mental Health

Not achktegui the refugees: Seeking to belong as a primary human motivation is an established phenomenon achotegii psychological literature. Baumeister and Leary argue that belonging can be considered a fundamental human motivation for the following reasons: Its obstruction leads to negative consequences such as psychological and physical ailments; it is universal and non-derivative of other motivations; and it has significant implications for psychological operations.

They further argue that communities utilize belonging to reward and reprimand achotegi Just as a sense of belonging is necessary for physical and mental wellbeing, being able to access healthcare without achoteggui indicates a sense of belonging.

We believe that one indicator of congruency, that is a sign of inclusion, is being able to receive treatment for health problems with the same degree of access as all members of the community. There is without doubt a need for care: For example, a recent systematic review 10 of psychosocial interventions developed for or used with refugees and asylum seekers indicates narrative exposure therapy 11 to have evidence-based suitability for refugees with posttraumatic symptomatology.

Yet mental healthcare is generally not prioritized, neither by governments nor by donors. Level of access to healthcare across Europe varies considerably. In Germany, for example, refugees and asylum seekers are entitled solely to vaccinations, emergency and maternal healthcare in the first 15 months of arrival; other care, such mental healthcare is subject to formal request.

As these findings suggest, shifting the restrictions on entitlements and removing access barriers as advocated by public health research, 13 although steps in the right direction, would not by themselves improve mental health.


An embodied illustration comes from Sweden, where asylum-seeking children have analogous access to healthcare as resident children. Beginning ina significant number of children facing threat of deportation received a diagnosis acbotegui Uppgivenhetssyndromjoweba by a state of severe apathy, stupor, non-communication and loss of bodily functions.

Although not immediate, among the healing factors were gaining residence rights and the renewed sense of hope it brought. From a public health and epidemiological perspective, it is difficult acjotegui establish the contribution of policies and politics to the trauma symptomatology observed in refugees and asylum seekers because of the different levels of analysis when achotehui exposure is a national policy and the outcome individual health, only between-country comparisons can be informative; these, however, are likely to suffer from confounding by differences between respective political systems as well as refugee populations.

It may not even be possible to speak of post -traumatic symptomatology when deterrence prevails in national policies. From a clinical perspective, developing intervention programs to counter traumatization due to national policies, or treating what could have been prevented, creates multi-layered ethical issues. Adopting a community-based public mental health approach may generate positive change not only for refugee populations, but also for the host societies.

Josrba would focus not on illnesses and symptoms but on ecological and transgenerational resiliencies, 23 and all institutions would achotegki part in upstream prevention.

Such models are usually developed for post-conflict zones and humanitarian emergencies. However, in the case of refugee migration to Europe, community-based approaches may not only strengthen the resilience of refugees, but may contribute towards building heterogeneous yet cohesive societies.

The ethical and scientifically responsible path is to involve all participants of healthcare systems, including refugees and asylum seekers themselves, to propose policy that promotes belonging as preventive healthcare. The UK-based mental health charity Mind specifically recommends the incorporation of refugee community organisations and mental health advocacy training. This loss is mourned over every day. Yet, what eventually instilled in Ulysses the sense of homecoming was not coming home per seas he was not recognized on his initial arrival, but the eventual recognition and the reassertion of his dignity.

This implies granting entitlements to healthcare equal to those of the majority populations of host countries, and lifting access barriers not only to healthcare, but also blocking access to employment, residency and public life. Otherwise, healthcare systems will once more be left with the task of treating the health consequences of political decisions.

Both authors conceptualized the perspective. YN drafted the first version of the manuscript. OR critically revised the manuscript for important intellectual content. Both authors read and approved the final manuscript. Namer Y, Razum O. Int J Health Policy Manag. National Center for Biotechnology InformationU. Published online Nov 8. Author information Article notes Copyright and License information Disclaimer. Received Jul 25; Accepted Oct This is an achottegui article distributed under the terms of the Creative Commons Attribution License http: Ethical issues Not applicable.


Competing interests Authors declare that they have no competing interests. Migration and mental health in Europe the state of the mental health in Europe working group: An eponym identifies a psychosomatic joseva in modern migrants.

Eur J Intern Med. Crawley H, Skleparis D.

“Ulysses Syndrome” Lecture by Dr. Joseba Achotegui at the CBS – Basque Books and More Blog

Refugees, migrants, neither, both: Slobodin O, de Jong JT. Mental health interventions for traumatized asylum seekers and refugees: What do joeeba know about their efficacy?

Int J Soc Psychiatry. The need to belong: Sense of belonging and indicators of social and psychological functioning. Common mental disorders in asylum seekers and refugees: Int J Ment Health Syst. A systematic review of psychosocial interventions for adult refugees and asylum seekers.

Can asylum-seekers with posttraumatic stress disorder be successfully treated? A randomized controlled pilot study. Razum O, Bozorgmehr K. Restricted entitlements and access to health care for refugees and immigrants: The example of Germany. Disparities in health and access to healthcare between asylum seekers and residents in Germany: Porter Achotgui, Haslam N. Predisplacement and postdisplacement factors associated with mental health of refugees and internally displaced persons: Impact of immigration detention and temporary protection on the mental health of refugees.

Impact of asylum interviews on the mental health of traumatized asylum seekers. Improving mental health support for refugee communities — an advocacy approach. Accessed October 17, Pervasive loss of function in asylum-seeking children in Sweden. Patterns of endogenous steroids in apathetic refugee children are compatible with long-term achoteguui. Ascher H, Hjern A.

From apathy to activity: Nordic Work With Traumatised Refugees: Do We Really Care. Cambridge Scholars Publishing; Health changes of refugees from Afghanistan, Iran and Somalia: Eur J Public Health. A public health approach to address the mental health burden of youth in situations of political violence and humanitarian emergencies. Support Center Support Center.

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