Violence and conflict related psychological issues

Violence and conflict related psychological issues

1. Violence, Conflict-related psychological issues 2018ba22402 2018ba22416 2018ba22484 2018ba22401 2018ba22423 Mid-Semester Presentation (GROUP – 03) “Trauma and Beyond: The Evolving Field of Mental Health and Psychosocial Support after Disaster and Conflict in Sri Lanka” (SOC 4283)

2. lïmkh hkq ¦ zzwk ;= rla"ia ;%S ¥ IKhla fyda iajNdúl úm;la jeks Nhdkl isÿùulg olajk Ñ;a;fõ.Sh m%; spdrhlsZZ - American Psychological Association(APA). lïmkh hkq ¦ zzTng ydkslr fyda Ôúf;ag ;¾ckhla jk isÿùuls'th Tnf.a ldhsl " Ñ;a;fõ.Sh " iudÔh fyda wOHd;añl hymeje;aug iodld,sl wys;lr n,mEula we;s lrkq , nhsZZ (SAMHSA,2014). ksoiqka ( < ud úfhaoS foudmshka wysñùu " jdyk wk ;=re" yuqod igka w;aoelSï " YdÍßl ysxikh " < ud wmpdr " wdorh lrk flfkl = f.a wkfmalaIs ; úfhdaj"iajNdúl úm;a^iq <s l= Kdgq " . xj ;=r" N+ñ lïmd & iajNdúl jHik iy úiska ñksid úiska idod . kakd ,o jHik lïmkh iy bkaTíng

3. lïmk j¾.' W.% lïmkh - tlajrla isÿùïlska blaì;sj we;s jk oeä mSvdj ms < sìUq jk w;r m%; sl%shdj fláld,Sk fõ ' ksoka .; lïmkh - kej ; kej ;;a fyda È.= ld,Skj isÿjk ydks lr isÿùïj,ska u;= fõ ' ixlS¾K lïmkh - . e,ùfï yelshdjla fkdue;s kej ; kej ; fyda nyqúO lïmk iy .; isÿùï w;aú£fuka we;sfõ ' frda . , laIK ' lïmk frda . , laIK uDÿ isg oreKq olajd mrdihl mj;S ' f,dal fi!LH ixúOdkh ixúOdkh lrk ,o udkisl fi!LH iólaIKhlska fy <s jQfha " úúO rgj,a 26l iólaIKhlg wkqj 125"000lg jeä msßilf.ka wju jYfhka 1$3lgj;a lïmkh w;aúo we;s njhs ' ÿl"m %; slafIam lsÍu " , eÊcdj " ìh " kmqre ySk " kskao fkdhdu " in|;d iuÕ ÿIalr;d

4. mYapd;a yÈis udkisl fi!LH yd ufkda iudchSh iyh ms < sn | Y%S , xldfõ úldYkh jk lafIa ;% fuu lafIa ;% hka ;=< ska ksrEmKh jkafka lïmk iy .; isÿùula w;aú£fuka miq oreKq Ñ;a;fõ.Sh mSvdjlg , laj isák mqoa ., hkag ufkdaúoHd;aul iydh , nd oSuhs ' úfYaIfhka fï , smsh yryd Y%S , xldj w;aú ¢ m%Odk lïmk iy .; wjia:d ;% s;ajhla fmkajd oS we;' 1' 1971$1988-89 le/,a,' 2' ; sia jirl hqoaOh ^Y%S , xld wdKavqj iy W;=re kef.kysr fnÿï fnÿïjdoS wr .,h&‘ 3' 2004 iqkdó jHikh

5. Dominant Models (Intervening with refugees) The emergence of mental health work with refugees in 1980s Dominant perspectives Importance “ Refugees tend to show higher levels of psychological disturbances such as major depressive disorder , PTSD , anxiety , Chronic stress and OCD as a result of the torture, loss, and trauma they had experienced “ ( Murray , Davidson & Schweitzer in 2010 – Review of Refugee Mental Health Interventions following Resettlement: Best Practices & Recommendations) “ Psychiatry Clinical Psychology

6. Example (Further explanation of the dominant model) A refugee diagnosed with depression . - Psychiatric treatment Anti-depressants - Clinical psychological aspect CBT

7. Western models and Sri Lanka ? Incorporation Argument Example Psychotherapeutic & Medical Approaches Would these western models fit the culture and different subjective needs of people in Sri Lanka (refugees)? A refugee with PTSD . Intervention – Trauma-focused CBT or Prolonged exposure Involving in – local rituals & traditions, Religious beliefs - More effective. - A combination- Western model + Our cultural aspects

8. Understanding the broader social circumstances that Ex:- of fering psychotherapy to a patient with depression Yet, He’s still living in an atmosphere exposed to violence 01 Key takeaways produce distress for the refugees Proposed solution : incorporating a social work approach in alighnmrnt with the psychological intervention. ( By the inclusion of a psychiatric social worker , helping the patient change that ‘atmosphere ’. Then only the psychological treatment would be effective ). proposed intervention – useless

9. Offering prominence to the survivor himself in the process of recovery 02 Key takeaways Psychiatry + clinical psychology Perspectives Only Offer focus to Medical professional’s view Ex:- 1. Diagnosing the survivor 2. Labelling him with a mental disorder 3. Proposing treatment method 4. Patient’s view --- not regarded

10. Concluding factors Need for a holistic approach (Which is a combination of psychological, social interventions ) For ex:- helping a refugee not only through Psychiatric + clinical psychological aspects but also by Incorporating social work methods and help him gain Economic stability Employment Regain + strengthen social bonds A holistic approach because, problems are interrelated & treating just one won’t solve others. A holistic approach helps the refugees reach a successful cure from the trauma they are burdened with Legal assistance to seek justice Counseling for psychological problems

11. iudc ÿlaodhS;ajh f;areï . ekSu iy udkisl fi!LH iy ufkdaiudÔh iyh taldnoaO lsÍu 1990 oS ufkda iudÔh m%fõYh bÈßhg meñKSu foaYmd,kh iudc ixj¾Okh m%pKav;ajh jeks me;slvhka lsysmhla Tiafia fï ms < sn | j wjOdkh fhduq lsÍu wdlD;Ska 4la Tiafia fï ms < sn | j wjOdkh fhduq lsÍu

12. wdlD;Ska 04 Bundled Integration iïnkaëlrKh yd wjYH;d imqrd,Su 2. ixúOdkh lsÍfï uQ,O¾uhka f,i ufkda iudÔh iyh ixúOdkh lsÍu yd fjk;a wjYH;d iemhSu moku fõ 3. taldnoaO ufkda iudÔh uQ,O¾u udkisl fi!LH iy ufkda iudÔh wruqKq mokï ùu 4. Integration of Psychological Principles of PS Support m%; sldr u; mokï ùu

13. › , xldj ;=< taldnoaO m%fõYfha (Integrated Approch ) fhoùu

14. taldnoaO m%fõYh (Integrated Approch ) yryd udkisl fi!LHh yd ufkda iudcSh iyh , ndfok lafIa ;% cSjfkdamdh fi !LHh wOHdmkh wdrlaIdj fmdaIKh há ;, myiql ï wdydr iqrlaIs ;; dj lafIa ;%

15. ksoiqka weiqßka …… iqkdñ jHikhg f.dÿrejQjkag wjYH WmfoaYk fiajdjka , ndoSu ' iqkdñfhka miq w;= reoyka jQ iy ñh.sh mqoa ., hka yÿkd . ekSug Wmldr lsrSu ' › , xldfõ W;=re m%foaYfha kej ; mosxÑ lsrSfï jHdmD;shla i|yd ufkda iudcSh iyh , ndoSu '

16. m%dfoaYSh frday,a flakaølr .;a iudc fiajd jHdmD;s yryd < uqkaf.a iudc iïnkaO;d j¾Okh lsrSug lghq ;= lsrSu ' › , xldfõ kef.kysr m%foaYfha m%pKav;ajhg f.dÿre jQ ldka;djkag Wmldr lsrSug lghq ;= lsrsu '

17. taldnoaO lsÍug bf.kSu wjYH fõo @ bf.kSu hkq taldnoaO lsÍu ls%hd;aul lsÍug iïmQ¾K úh hq ;= idOl w;ßka ; j;a jeo .;a idOlhls . tneúka bf.kSu wjYH fõ . bf.kSu . eg`M fhdackd ÿ¾j,;d wju lsÍu

18. taldnoaO m%fõYfha kshq ;= jD;a;slhska úúO l= i,;d yd yelshdjkaf.ka iukaú ; lrùu ' taldnoaO m%fõYh iïnkaO kj mdGud,djka yÿkajdoSu ' fuu fiajd iïmdokfhaoS udkqISh m%; spdr yd ixj¾Okh w;r iïnkaO;djla f.dvkef.k wdldrhg ; ks mqoa .," m%dfoaYSh yd cd;sl uÜgfï m%; sm;a;s iïmdokh lsÍu ' (The Asia Foundation,2016) taldnoaO lsÍug bf.kSu ---- fhdackd

19. Y%S , xldfõ MHPSS lafIa ;%hg we;s jQ kj wNsfhda . ^2009 isú,a hqoaOfhka miq & < ud wmfhdack iy ldka;d m%pKav;ajh kfjda;amdokj , ; srirNdjh fuka u mß;Hd.YS,Skaf.a wruqo,a iy uQ,H iïmdokhka ysñùu my; jeàu ixj¾Okh iy udkqIsh ueÈy;a ùï MHPSS lafIa ;%h ;=< wju ùu '

20. Timeline of MHPSS sector development in Sri Lanka ( Galappatti 2016) 2004 isg 2014 olajd MHPSS lafIa ;% fha fjkiaùï

21. wNsfhda . u.yrjd . kakd wdldr jD;a;slhskaf.a ; dlaI‚l Odß;dj by, kexùu kj uQ,Hlrk hdka ;% Khka wkq.ukh lsÍu ufkda iudÔh iy udkisl fi!LHh iyh , ndoSu iyfhda.h , nd fokakka iy iyfhda.h , nd . kakka w;r ixfõoS iy wjHdc iïnkaO;d mj;ajd . ekSu

22. oekqu iy m%ùK;ajfha m%jdyka iïmQ¾K jYfhka u Èjhsfkka msg;g talrdYS ùu ' mYapd;a yÈis udkisl fi!LH yd ufkda iudÔh lghq ;= iïnkaOfhka w;aoelSï iy m%ùK;d uÜgula f.dvk.d . ekSu ' oekqu yqjudre lr . ekSu ioyd f.da,Sh iyNd.s;ajh jeäÈhqKq lsÍug foaYSh Ndú;fha uQ,drïNhka mej;Su ' hqoaO iy úm;a;s ;; a;ajhka ;=< Èú f.jk jD;a;slhskaf.a y~ yd m%uqL;djhka foaYShj yd bka Tíng f.k hdu ' iïnkaO;d f.da,Sh lafIa ;%hg fjkia ùu '

23. ixj¾Okh fjñka mj;akd f,dalfha hqoaOfhka iy jHikj,ska mSvdjg m;a irKd .; ck.ykh iu `. kj jD;a;suh udkqIsl ueÈy;a ùu ' fuys oS , xldj ;=< jeä jYfhka ufkda Ñ;s;aidj iy idhksl ufkdaúoHdj Ndú;d lr we;s w;r fïjd hqfrdamfha iy W;=re weußldfõ ixj¾Okh jQ ffjoH m%fõYhka fõ ' fuys oS ngysr fkdjk miqìul , xldj ;=< fuu l%ufõoh iqÿiq fkdjk njg ;¾l bÈßm;a fõ fï i|yd iqÿiq m%fõYh jkafka ufkda iudÔh bÈß o¾Ykhhs hï ld , jljdkqjl oS fuu udkisl fi!LH iy ufkda iudÔh iyh lafIa ;%hg wNsfhda . / ila we;s jQ nj;a th u`. yrjd . ekSug ks.ukh fhdackd l%shd;aul lsÍfï wjYH;dj fuys oS lemS fmfkhs

24. Refernences Abdelhamed , K. A. (2021, May).  Social Worker Roles with Refugees . ResearchGate. Retrieved February 26, 2023, from  https://file:///C:/Users/User/Downloads/social-work-with-refugees%20(1).pdf Transitions in mental health and psychosocial support servicers in Sri Lanka. (2016). The Asia foundation. Retrieved February 25, 2023, from https://asiafoundation.org/wp-content/uploads/2016/09/Transitions-in-Mental-Health-and-Psychosocial-Support-Services-in-Sri-Lanka.pdf Ballard, C. E. W. E. C. B. J. W. (2019, November 20).  5.3 Mental Health Treatments – Immigrant and Refugee Families, 2nd Ed.  Pressbooks.  https://open.lib.umn.edu/immigrantfamilies/chapter/5-3-mental-health-treatments/   Health Pluralism - A More Appropriate Alternative to Western Models of Therapy in the Context of the conflict and Natural Disaster in Sri Lanka?  (n.d.). UEL Research Repository. Retrieved February 26, 2023, from  https://repository.uel.ac.uk/download/18f977ca761405818beb448089b9f13dbcc2e8fae9d7dadc138aeb6e5d029184/210988/Tribe_Health_Pluralism_2.pdf Murray, K. E. M., Davidson, G. R. D., & Schweitzer, R. D. S. (2010). Review of Refugee Mental Health Interventions Following Resettlement: Best Practices and Recommendations.  PubMed .  https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3727171/pdf/nihms-494469.pdf Salih, M., Tegal , E., Daniel,M.C ., & Galappatti , A. (2016). Transitions in Mental Health and Psychosocial Support Services in Sri lanka . Retrieved February 25, 2023, from https://www.cambridge.org/core/journals/global-mental-health/article Galappatti , A. (n.d.). Coordination, Conflict and Power: Negotiating Politics within the Mental Health and Psychosocial Support Sector in Batticaloa’. Unpublished dissertation chapter.