The global increase in refugee migration to urban areas creates challenges pertaining to the promotion of refugee health, broadly conceived. Despite considerable attention to trauma and forced migration, there is relatively little focus on how refugees cope with stressful situations, and on the determinants that facilitate and undermine resilience. This article examines how urban Congolese refugees in Kenya promote psychosocial well-being in the context of structural vulnerability. This article is based on interviews ( N = 55) and ethnographic participant observation with Congolese refugees over a period of 8 months in Nairobi in 2014. Primary stressors related to scarcity of material resources, political and personal insecurity, and emotional stress. Congolese refugees mitigated stressors by (a) relying on faith in God's plan and trust in religious community, (b) establishing borrowing networks, and (c) compartmentalizing the past and present. This research has broader implications for the promotion of urban refugees' psychosocial health and resilience in countries of first asylum.
Attributes of AIAN resilience should be considered in the development of health interventions. Attention to collective resilience is recommended to leverage existing assets in AIAN communities.
Researchers who desire to make positive changes for vulnerable populations often conduct problem‐focused studies. Although problem‐focused research is important, when such studies are not carefully designed, their results can contribute to a deficit discourse. A deficit discourse is a narrative that describes the person through a myopic lens of negativity characterized only by illness, death, depression, failure, or the like. Deficit discourse negatively affects how health care providers and society interact with vulnerable people. This article discusses deficit discourse in health care and strengths‐based research: an ethical approach to working with vulnerable individuals in research settings and a strategy to overcome deficit discourse. Strengths‐based research approaches balance risks with countermeasures that include areas that are positive and amenable to growth or intervention. Strengths‐based research can be conducted using qualitative, quantitative, or mixed‐methods methodology. Strengths‐based research should be culturally relevant and population‐specific, often including the individuals of study throughout the process. By modifying the research approach, critical problems can be identified and addressed while also emphasizing positive ways to empower individuals and improve their lives. Additionally, these changes better the way researchers and health care providers view and care for people while also challenging deficit discourses in society at large.
Community resilience has been used as a conceptual framework to promote urban refugee protection, integration, and well-being. In the context of this focus on "refugee communities," it is critical to gain a deeper understanding of the ways urban refugee "communities" function. This study explored urban Congolese refugees' use of social capital to promote resilience during a period of political violence in Nairobi, Kenya. Findings illustrate how refugees used social capital across different contexts to access and distribute resilience-promoting resources. Women primarily relied on informal bonding forms of capital while men exhibited greater degrees of access to formal bridging and linking networks. I argue for a conceptual shift from "community resilience" to "resilience within networked communities" in order to develop a more nuanced understanding pertaining to how urban-displaced refugees interact with various social networks to survive and thrive.
This study explored how ethnic Yazidi refugee women overcome adversity to promote psychosocial health and well-being within the context of U.S. resettlement. Nine Yazidi women participated in two small photovoice groups, each group lasting eight sessions (16 sessions total). Women discussed premigration and resettlement challenges, cultural strengths and resources, and strategies to overcome adversity. Yazidi women identified trauma and perceived loss of culture as primary stressors. Participants’ resilience processes included using naan (as sustenance and symbol) to survive and thrive as well as by preserving an ethnoreligious identity. Findings suggest that women’s health priorities and resilience-promoting strategies center on fostering a collective cultural, religious, and ethnic identity postmigration. Importantly, women used naan (bread) as a metaphor to index cultural values, experiences of distress, and coping strategies. We discuss implications for this in promoting refugees’ mental and psychosocial health in U.S. resettlement.
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