Examining the resettlement experiences of Muslim women

Implications for training psychologists and counselors

Authors

  • Farahdeba Herrawi University of Massachusetts, Boston
  • Christine Marsico Counseling Psychology and Applied Human Development, Boston University Wheelock College of Education and Human Development
  • Álvaro Gamio Cuervo Department of Counseling and School Psychology, University of Massachusetts Boston https://orcid.org/0000-0002-8647-7138
  • Lisa Cosgrove Department of Counseling and School Psychology, University of Massachusetts Boston https://orcid.org/0000-0003-3101-5726

DOI:

https://doi.org/10.33043/JSACP.15.1.51-69

Keywords:

refugee, asylum, human rights, Muslim, capabilities approach

Abstract

In recent years there has been increased attention to the impact of migration on mental health. However, existing research uses an intra-individual lens, focuses on the poor mental health of refugees and asylum seekers, and fails to address the limits of traditional therapy. The aim of the present study was to address a gap in the literature on migration by focusing on the following question: how might a human rights approach help us to identify the policies, practices, and structural forces that impact mental health after migration?

Muslim women who migrated to the U.S. as refugees and/or seeking asylum were asked about their experiences of health and well-being. Qualitative data from 10 semi-structured interviews were analyzed and thematic methods were used to generate themes. Four main themes were identified: 1) critical to the definition of a meaningful life was having access to human rights to which Muslim women were entitled; 2) the pervasive impact of legal and financial issues, family separation, and citizenship-related challenges as structural causes of distress; 3) connection serves to enhance well-being; and 4) clinicians can help mitigate the emotional distress incurred by migration by identifying and responding to the health harming legal needs of their clients. This study highlights the importance of incorporating a structural competency framework when working with refugee and asylum-seeking Muslim women in order to challenge health-harming systems which restrict their human rights.

Downloads

Download data is not yet available.

Author Biographies

Christine Marsico, Counseling Psychology and Applied Human Development, Boston University Wheelock College of Education and Human Development

Christine is a doctoral candidate in Counseling Psychology at Boston University Wheelock College of Education and Human Development.  Her research and clinical work focuses on critical consciousness development and trauma recovery, particularly within refugee and asylum-seeking populations. 

Álvaro Gamio Cuervo, Department of Counseling and School Psychology, University of Massachusetts Boston

Álvaro Gamio Cuervo is a doctoral student in Counseling Psychology at the University of Massachusetts-Boston. His research focuses on family violence and rejection, critical suicidology, and community responses to mental health crises. They strive to improve preventative and therapeutic services to benefit communities who reside at the intersection of multiple interlocking systems of oppression and who have been historically excluded from research.

Lisa Cosgrove, Department of Counseling and School Psychology, University of Massachusetts Boston

Lisa Cosgrove, PhD is a Clinical Psychologist and Professor at the University of Massachusetts, Boston where she teaches courses on psychiatric diagnosis and psychopharmacology. She was a Research Fellow at the Edmond J. Safra Center for Ethics, Harvard University (2010-2015), served as a consultant to the United Nations Special Rapporteur on the Right to Health, child psychiatrist Dainius Puras (2017-2020), and is currently a Faculty Fellow at the Applied Ethics Center at UMB.

References

Ali, A., & Sichel, C. E. (2014). Structural competency as a framework for training in counseling psychology. The Counseling Psychologist, 42(7), 901–918. https://doi.org/10.1177/0011000014550320

Akhtar, S. (1999). Immigration and identity: Turmoil, treatment, and transformation. Jason Aronson.

Asif, Z., & Kienzler, H. (2022). Structural barriers to refugee, asylum seeker and undocumented migrant healthcare access: Perceptions of doctors of the world caseworkers in the UK. SSM – Mental Health, 2. https://doi.org/10.1016/j.ssmmh.2022.100088

Atari-Khan, R., Covington, A. H., Gerstein, L. H., Herz, H. a., Varner, B. R., Brasfield, C., Shurigar, B., Hinnenkamp, S. F., Devia, M., Barrera, S., & Deogracias-Schleich, A. (2021). Concepts of resilience among trauma-exposed Syrian refugees. The Counseling Psychologist, 49(2), 233–268. https://doi.org/10.1177/0011000020970522

Bemak, F., & Chung, R. C.-Y. (2021). Contemporary refugees: Issues, challenges, and a culturally responsive intervention model for effective practice. The Counseling Psychologist, 49(2), 305–324. https://doi.org/10.1177/0011000020972182

Berg, D., Setrini, A., Chan, K., Cibulskis, A., Ameji, K., & Hinami, K. (2022). A care coordinator screening strategy to address health harming legal needs. BMC Health Services Research, 22(1). https://doi.org/10.1186/s12913-021-07440-x

Bergkamp, J. (2022). Tugging at the root of oppression: Infusing social justice across doctoral level clinical psychology curriculum. Journal for Social Action in Counseling & Psychology, 14(1), 37–52. https://doi.org/10.33043/jsacp.14.1.37-52/

Billioux, A., Verlander, V., Anthony, S., & Alley, D. (2017). Standardized screening for health-related social needs in clinical settings: The accountable health communities screening tool. National Academy of Medicine. https://nam.edu/wp-content/uploads/2017/05/Standardized-Screening-for-Health-Related-Social-Needs-in-Clinical-Settings.pdf

Blackmore, R., Boyle, J. A., Fazel, M., Ranasinha, S., Gray, K. M., Fitzgerald, G., Misso, M., & Gibson-Helm, M. (2020). The prevalence of mental illness in refugees and asylum seekers: A systematic review and meta-analysis. PLOS Medicine, 17(9), e1003337. https://doi.org/10.1371/journal.pmed.1003337.

Bogic, M., Njoku, A., & Priebe, S. (2015). Long-term mental health of war-refugees: a systematic literature review. BMC International Health and Human Rights, 15(29). https://doi.org/10.1186/s12914-015-0064-9

Bradby H., Humphris, R., Newall, D., & Phillimore, J. (2015). Public health aspects of migrant health: A review of the evidence on health status for refugees and asylum seekers in the European region. WHO Regional Office for Europe: Health Evidence Network Synthesis Report. https://www.ncbi.nlm.nih.gov/books/NBK379415/

Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77–101. https://doi.org/10.1191/1478088706qp063oa

Chapman A. (2015). The foundations of a human right to health: human rights and bioethics in dialogue. Health and Human Rights, 17(1), 6–18.

Clarke, V., Braun, V., Terry, G., & Hayfield, N. (2019). Thematic analysis. In P. Liamputtong (Ed.), Handbook of Research Methods in Health and Social Sciences. 843-863. Springer.

Cohen, J., & Ezer, T. (2013). Human rights in patient care: a theoretical and practical framework. Health and Human Rights, 15(2), 7–19.

Cosgrove, L. (2000). Crying out loud: Understanding women’s emotional distress as both lived experience and social construction. Feminism & Psychology, 10(2), 247–267. https://doi.org/10.1177/0959353500010002004

Cosgrove, L., & Shaughnessy, A. F. (2020). Mental Health as a basic human right and the interference of commercialized science. Health and Human Rights, 22(1), 61–68.

Daniels, N. (2007). Just health: Meeting health needs fairly. Cambridge University Press.

Deneulin, S., & Shahani, L. (2009). An introduction to the human development and capability approach: Freedom and agency. IDRC. 22-39.

Esposito, L., & Perez, F. M. (2014). Neoliberalism and the commodification of mental health. Humanity & Society, 38(4), 414-442.

Fanon, F. (1968). The wretched of the earth. Grove Press.

Ferdowsian, H., McKenzie, K., & Zeidan, A. (2019). Asylum medicine: Standard and best practices. Health and Human Rights, 21(1), 215–225. https://doi.org/10.1353/hhr.2019.0008

Fiddian-Qasmiyeh, E., Loescher, G., Long, K., & Sigona, N. (Eds.). (2014). The Oxford handbook of refugee and forced migration studies. Oxford University Press.

Flyvbjerg, B. (2001). Making social science matter: Why social inquiry fails and how it can succeed again. Cambridge University Press.

Gabriel, P., Kaczorowski, J., & Berry, N. (2017). Recruitment of refugees for health research: A qualitative study to add refugees’ perspectives. International Journal of Environmental Research and Public Health, 14(2), 125. https://doi.org/10.3390/ijerph14020125

Gergen, K. J. (2001). Psychological science in a postmodern context. American Psychologist, 56(10), 803–813. https://doi.org/10.1037/0003-066X.56.10.803

Haas, B. M. (2021). “Asylum is the most powerful medicine”: Navigating therapeutic interventions in limbo. Culture, Medicine and Psychiatry, 45(2), 193–217. https://doi.org/10.1007/s11013-020-09681-7

Hanza, M. M., Goodson, M., Osman, A., Porraz Capetillo, M. D., Hared, A., Nigon, J. A., Meiers, S. J., Weis, J. A., Wieland, M. L., & Sia, I. G. (2016). Lessons learned from community-led recruitment of immigrants and refugee participants for a randomized, community-based participatory research study. Journal of Immigrant and Minority Health, 18(5), 1241–1245. https://doi.org/10.1007/s10903-016-0394-2

Henry, H. M. (2015). Spiritual energy of Islamic prayers as a catalyst for psychotherapy. Journal of Religion and Health, 54(2), 387–398. https://doi.org/10.1007/s10943-013-9780-4

Herrawi, F., Logan, J., Cheng, C.-P., & Cosgrove, L. (2021). Global health, human rights, and neoliberalism: The need for structural frameworks when addressing mental health disparities. Journal of Theoretical and Philosophical Psychology, 42(1), 52–60. https://doi.org/10.1037/teo0000192

Hess, R. F., Croasmun, A. C., Pittman, C., Baird, M. B., & Ross, R. (2022). Psychological distress, post-traumatic stress, and suicidal ideation among resettled Nepali-speaking Bhutanese refugees in the United States: Rates and predictors. Journal of Transcultural Nursing, 33(3), 314-323. https://doi.org/10.1177/10436596211032559

Hynie, M. (2018). The social determinants of refugee mental health in the post-migration context: A critical review. The Canadian Journal of Psychiatry, 63(5), 297–303. https://doi.org/10.1177/0706743717746666

Immigration Equality. (n.d.). Asylum manual. Immigration Equality. https://immigrationequality.org/asylum/asylum-manual/asylee-status/

Jacobson, K., & Landau, L. B. (2003). The dual imperative in refugee research: Some methodological and ethical considerations in social science research on forced migration. Disasters, 27(3), 185–206. https://doi.org/10.1111/1467-7717.00228

James, P., Iyer, A., & Webb, T. L. (2019). The impact of post-migration stressors on refugees’ emotional distress and health: A longitudinal analysis. European Journal of Social Psychology, 49(7), 1359–1367. https://doi.org/10.1002/ejsp.2589

Jordan, M. (2019, February). Wait times for citizenship have doubled in the last two years. The New York Times. https://www.nytimes.com/2019/02/21/us/immigrant-citizenship-naturalization.html

Keles, S., Friborg, O., Idsøe, T., Sirin, S., & Oppedal, B. (2018). Resilience and acculturation among unaccompanied refugee minors. International Journal of Behavioral Development, 42(1), 52–63. https://doi.org/10.1177/0165025416658136

Krishnamurthy, B., Hagins, S., Lawton, E., & Sandel, M. (2015). What we know and need to know about medical-legal partnership. South Carolina Law Review, 67(377), 377–390.

Lawless, B., & Chen, Y.-W. (2019). Developing a method of critical thematic analysis for qualitative communication inquiry. Howard Journal of Communications, 30(1), 92–106. https://doi.org/10.1080/10646175.2018.1439423

Li, S. S. Y., Liddell, B. J., & Nickerson, A. (2016). The relationship between post-migration stress and psychological disorders in refugees and asylum seekers. Current Psychiatry Reports, 18(9), 1–9. https://doi.org/10.1007/s11920-016-0723-0

Lyons, H. Z., Bike, D. H., Ojeda, L., Johnson, A., Rosales, R., & Flores, L. Y. (2013). Qualitative research as social justice practice with culturally diverse populations. Journal for Social Action in Counseling & Psychology, 5(2), 10–25. https://doi.org/10.33043/jsacp.5.2.10-25

Marple, K., Curran, M. Lawton, E. Rahajason, D. (2020, October). Bringing lawyers onto the health center care team to promote patient & community health. National Center for Medical Legal Partnership. https://medical-legalpartnership.org/wp-content/uploads/2020/10/Health-Center-MLP-Toolkit-FINAL.pdf

Marquez, B. A., Marquez-Velarde, G., Eason, J. M., & Aldana, L. (2021). Pushing them to the edge: suicide in immigrant detention centers as a product of organizational failure. Social Science & Medicine, 283, 1–9.

Matthew, D.B. (2017). Medical-legal partnerships and mental health: qualitative evidence that integrating legal services and health care improves family well-being. Houston Journal of Health Law and Policy, 17, 348–365. https://ssrn.com/abstract=3279690

Metzl, J. M., & Hansen, H. (2014). Structural competency: theorizing a new medical engagement with stigma and inequality. Social Science & Medicine, 103, 126-133.

Mitra, R., & Hodes, M. (2019). Prevention of psychological distress and promotion of resilience amongst unaccompanied refugee minors in resettlement countries. Child: Care, Health and Development, 45(2), 198–215. https://doi.org/10.1111/cch.12640

Monyak, S. (2022, March). Immigrants with asylum put lives on hold over green card waits. Roll Call. https://rollcall.com/2022/03/16/immigrants-with-asylum-put-lives-on-hold-over-green-card-waits/

Naderifar, M., Goli, H., & Ghaljaie, F. (2017). Snowball sampling: A purposeful method of sampling in qualitative research. Strides in Development of Medical Education, 14(3), 1–7. https://doi.org/10.5812/sdme.67670

National Association of Community Health Centers. (n.d.). PRAPARE: Protocol for responding to and assessing patient assets, risks, and experiences. Bethesda (MD): NACHC. https://www.nachc.org/research-and-data/prapare/

Neff, J., Holmes, S. M., Knight, K. R., Strong, S., Thompson-Lastad, A., McGuinness, C., Duncan, L., Saxena, N., Harvey, M. J., Langford, A., Carey-Simms, K. L., Minahan, S. N., Satterwhite, S., Ruppel, C., Lee, S., Walkover, L., De Avila, J., Lewis, B., Matthews, J., & Nelson, N. (2020). Structural competency: Curriculum for medical students, residents, and interprofessional teams on the structural factors that produce health disparities. MedEdPORTAL: The Journal of Teaching and Learning Resources, 16, 1-10. https://doi.org/10.15766/mep_2374-8265.10888

Nesterko, Y., Jäckle, D., Friedrich, M., Holzapfel, L., & Glaesmer, H. (2020). Prevalence of post-traumatic stress disorder, depression and somatisation in recently arrived refugees in Germany: An epidemiological study. Epidemiology and Psychiatric Sciences, 29, 1-11. https://doi.org/10.1017/S2045796020000429

Nussbaum, M. (2008). Human dignity and political entitlements. In President’s Council on Bioethics (Ed.), Human Dignity and Bioethics. 351-380. CreateSpace Independent Publishing Platform.

Panter-Brick, C., & Eggerman, M. (2012). Understanding culture, resilience, and mental health: The production of hope. In M. Ungar (Ed.), The Social Ecology of Resilience. 447-462. Springer. https://doi.org/10.1007/978-1-4614-0586-3_29

Paul, E. G., Curran, M., & Tobin Tyler, E. (2017). The medical-legal partnership approach to teaching social determinants of health and structural competency in residency programs. Academic Medicine: Journal of the Association of American Medical Colleges, 92(3), 292–298. https://doi.org/10.1097/ACM.0000000000001494

Ponterotto, J. G. (2005). Qualitative research in counseling psychology: A primer on research paradigms and philosophy of science. Journal of Counseling Psychology, 52(2), 126–136. https://doi.org/10.1037/0022-0167.52.2.126

Porsdam Mann, S., Bradley, V. J., & Sahakian, B. J. (2016). Human rights-based approaches to mental health: A review of programs. Health and Human Rights, 18(1), 263–276.

Pūras, D. (2017, June). Statement by Mr Dainius Pūras, Special Rapporteur on the right of everyone to the enjoyment of the highest attainable standard of physical and mental health at the 35th session of the Human Rights Council. United Nations. https://www.ohchr.org/en/statements/2017/09/statement-mr-dainius-puras-special-rapporteur-right-everyone-enjoyment-highest

Reinhart, E. (2021, March). Medicine for the people. Boston Review. https://www.bostonreview.net/articles/eric-reinhart-accompaniment-and-medicine/

Richmond, A. H. (1993). Reactive migration: Sociological perspectives on refugee movements. Journal of Refugee Studies, 6(1), 7–24. https://doi.org/10.1093/jrs/6.1.7

Sangalang, C. C., Becerra, D., Mitchell, F. M., Lechuga-Peña, S., Lopez, K., & Kim, I. (2019). Trauma, post-migration stress, and mental health: A comparative analysis of refugees and immigrants in the United States. Journal of Immigrant and Minority Health, 21(5), 909-919. https://doi.org/10.1007/s10903-018-0819-9

Scruggs, E., Guetterman, T. C., Meyer, A. C., VanArtsdalen, J., & Heisler, M. (2016). “An absolutely necessary piece”: A qualitative study of legal perspectives on medical affidavits in the asylum process. Journal of Forensic and Legal Medicine, 44, 72–78. https://doi.org/10.1016/j.jflm.2016.09.002

Sen, A. (1980). Equality of what?. Lecture delivered at Stanford University. https://www.suz.uzh.ch/dam/jcr:ffffffff-df42-7cac-ffff-ffffd4ec9ff2/SEN_1.pdf

Sen, A. (2009). The idea of justice. Belknap Press of Harvard University Press.

Shinn, M. (2014). The capabilities approach to transformative change in mental health. In G. Nelson, B. Kloos, & J. Ornelas (Eds.), Advances in community psychology. Community psychology and community mental health: Towards transformative change. 75–86. Oxford University Press. https://doi.org/10.1093/acprof:oso/9780199362424.003.0004

Steel, Z., Chey, T., Silove, D., Marnane, C., Bryant, R.A., & van Ommeren, M. (2009). Association of torture and other potentially traumatic events with mental health outcomes among populations exposed to mass conflict and displacement: A systematic review and meta-analysis. JAMA: The Journal of the American Medical Association, 302(5), 537-549. https://doi.org/10.1001/jama.2009.1132

Summerfield, D. (2001). Asylum-seekers, refugees and mental health services in the UK. Psychiatric Bulletin, 25(5), 161–163. https://doi.org/10.1192/pb.25.5.161

Summerfield D. (2003). War, exile, moral knowledge and the limits of psychiatric understanding: A clinical case study of a Bosnian refugee in London. The International Journal of Social Psychiatry, 49(4), 264–268. https://doi.org/10.1177/0020764003494004

Terry, G., Hayfield, N., Clarke, V., & Braun, V. (2017). Thematic analysis. In C. Willig & W. S. Rogers (Eds.), The Sage Handbook of Qualitative Research in Psychology. Sage. https://doi.org/10.4135/9781526405555.n2

Teodorescu, D. S., Siqveland, J., Heir, T., Hauff, E., Wentzel-Larsen, T., & Lien, L. (2012). Posttraumatic growth, depressive symptoms, posttraumatic stress symptoms, post-migration stressors and quality of life in multi-traumatized psychiatric outpatients with a refugee background in Norway. Health and Quality of Life Outcomes, 10(84), 1-16 . https://doi.org/10.1186/1477-7525-10-84

Tobin-Tyler, E., & Teitelbaum, J. (2016). Training the 21st-century health care team: Maximizing interprofessional education through medical-legal partnership. Academic Medicine: Journal of the Association of American Medical Colleges, 91(6), 761–765. https://doi.org/10.1097/ACM.0000000000000943

United Nations. (2000). General comment no. 14 (2000), The right to the highest attainable standard of health (article 12 of the International Covenant on Economic, Social and Cultural Rights). https://digitallibrary.un.org/record/425041?ln=en

United Nations Convention Relating to the Status of Refugees. (1951, July). https://www.ohchr.org/en/instruments-mechanisms/instruments/convention-relating-status-refugees

United Nations High Commissioner for Refugees (UNHCR). (2022a). Figures at a glance. https://www.unhcr.org/en-us/figures-at-a-glance.html

United Nations High Commissioner for Refugees (UNHCR). (2022b). Global trends: Forced displacement in 2021. https://www.unhcr.org/en-us/publications/brochures

United States Citizenship and Immigration Services (USCIS). (n.d.). Naturalization test and study resources. https://www.uscis.gov/citizenship/find-study-materials-and-resources

United States Citizenship and Immigration Services (USCIS). (n.d.). USCIS welcomes refugees and asylees. https://www.uscis.gov/sites/default/files/document/brochures/USCIS_Welcomes_Refugees_and_Asylees.pdf

Watkins, M. (2015). Psychosocial accompaniment. Journal of Social and Political Psychology, 3(1), 324-341.

Williamson, W. P. (2018). The experience of Muslim prayer: A phenomenological investigation. Pastoral Psychology, 67(5), 547–562. https://doi.org/10.1007/s11089-018-0831-3

Woolf, S. H., Zimmerman, E., Haley, A., & Krist, A. H. (2016). Authentic engagement of patients and communities can transform research, practice, and policy. Health Affairs (Project Hope), 35(4), 590–594. https://doi.org/10.1377/hlthaff.2015.1512

World Health Organization (WHO) (1946). Constitution of the World Health Organization. American Journal of Public Health, 36(11), 1315-1323. https://doi.org/10.2105/AJPH.36.11.1315

Yakushko, O., & Morgan Consoli, M. L. (2014). Politics and research of immigration: Implications for counseling and psychological scholarship and action. Journal for Social Action in Counseling & Psychology, 6(1), 98–121. https://doi.org/10.33043/jsacp.6.1.98-121

Zeira, A. (2022). Mental health challenges related to neoliberal capitalism in the United States. Community Mental Health Journal, 58(2), 205–212. https://doi.org/10.1007/s10597-021-00840-7

Downloads

Published

2023-08-31

How to Cite

Herrawi, F., Marsico, C., Gamio Cuervo, Álvaro, & Cosgrove, L. (2023). Examining the resettlement experiences of Muslim women: Implications for training psychologists and counselors. Journal for Social Action in Counseling & Psychology, 15(1), 51–69. https://doi.org/10.33043/JSACP.15.1.51-69

Issue

Section

Education and Training

Similar Articles

1 2 3 4 5 > >> 

You may also start an advanced similarity search for this article.