Trauma and Migration: The Role of Stigma




© Springer International Publishing Switzerland 2015
Meryam Schouler-Ocak (ed.)Trauma and Migration10.1007/978-3-319-17335-1_5


5. Trauma and Migration: The Role of Stigma



Levent Küey 


(1)
Department of Psychology, Faculty of Social Sciences and Humanities, Istanbul Bilgi University, Istanbul, Turkey

 



 

Levent Küey



Migration has been a collective experience for humankind throughout history. There has almost never been a society which has not experienced migration in some form or the other, and currently no such society exists. Some societies have sent many immigrants abroad, some have received or hosted, and still others have been in transit along paths of migration; almost all have experienced migration, though to varying degrees and in varying forms. Humankind does in fact owe its current existence to a combination of migration and evolution.

Migration is thus a universal and historical fact. One could list a vast variety of historical samples: migration of early human beings out of Africa; migration of European peoples to the east coast of North America in the nineteenth century; further migration of many of them to the west of North America; migration of people from South America and Central America and Mexico via the US border to the north; migration of workforces from southern and eastern European countries to northern and western European countries in the twentieth century; migration of war refugees during and after world wars; migrations of post-colonial and post-cold war periods; migration of highly educated professionals from developing countries to more developed countries (the so-called brain drain or gain); and recent migration of refugees and asylum seekers from conflict areas, especially from Africa and the Middle East, to more stable and developed countries.

Although these events have their own historical, socio-economic and political reasons and dynamics, migration is used as an umbrella term to signify a wide variety of facts and processes including ‘forced migration’, ‘voluntary migration’, ‘migration of the work force’, ‘economic migration’ and so on. Furthermore, the groups of people taking part in migration are also defined under similar umbrella terms (e.g. immigrants, refugees, asylum seekers, guest workers, etc.). On the other hand, it should be kept in mind that groups of people referred to under such umbrella terms, while sharing some commonalities, also show some distinctive features.

In general, migration is defined as the geographical movement of people from one place to another, but every instance of migration needs to be assessed in its singularity. Such an approach helps to discuss certain special aspects of migration, such as where the demarcation line between voluntary migration and forced migration should be drawn or what the legal and health conditions of refugees and asylum seekers are in different parts of the world at different times and how these could be improved. In fact, the definition and features of migration and the related phenomenon are not consistent in every geographical and historical context (Bartram et al. 2014).

Since there is no ‘one uniform migration’, reviewing its impact on mental health by taking it as an independent variable and examining its effects on the people who had migrated or hosted the immigrants would be misleading. This ‘geographical move’ involves a complex web of cultural, economic, social, psychological and political reasons, motives and implications, including the ones relevant to the mental well-being and mental ill health of the peoples involved. Immigrants do not all prepare in the same way and their reasons for migration are varied. The process of migration and subsequent cultural and social adjustments also play key roles in the mental health of the individual. Clinicians must take these ranging factors into account when assessing and planning unique intervention strategies aimed at the individual in his or her social context.

These mental health implications and traumatic consequences of migration, especially on refugees and asylum seekers, are the subject matter of the other chapters of this book; this chapter, meanwhile, focuses more on the traumatising effects of stigma and discrimination.


The Issue of ‘the Other’


In order to understand the traumatising effect of stigma and discrimination on immigrants, the issue of ‘the Other’ should be briefly reviewed from a historical and conceptual perspective. Different human social groupings are commonly seen as ‘others’ by members of other groups. Mercier (2013), philosopher and novelist, captured it precisely as follows: ‘Others are really others. Others’. We human beings need to set up social networks with our fellows for existence and survival, which inevitably sets the basis for social groupings and, in turn, generates the categorisation of ‘in-groups’ and ‘out-groups’, ‘me’ and ‘others’ or ‘us’ and ‘them’.

To obtain an overview of the roots of the issue of ‘the Other’, some of the works by scientists of the humanities were reviewed (see, e.g. Şenel 1982, 2003, 2014; Ilin and Segal 1942; Leakey 1994; Engels [1884] 2010; Hirs 2010; Mayor 2012). Historically, during the hunter-gatherer period of humanity, the main categorisation which was used as a crucial tool for survival was the distinction between ‘harmful/poisonous (food)’ and ‘edible/nutritious (food)’. Any obstacle in reaching necessary aliments was to be removed or killed including the other human beings or animals. These ‘others’, however, were not categorically conceptualised as ‘the Other’; they were merely obstacles to be eliminated in order to ensure survival. The establishment of such categorisations (i.e. ‘in-groups’ vs. ‘out-groups’, ‘me’ vs. ‘others’ or ‘us’ vs. ‘them’) has their roots in the historical period in which people were shifting from the hunter-gatherer lifestyle to the period of the first settlements. The first settlements developed near to the big rivers. The Nile, Yellow River, Euphrates-Tigris (i.e. Mesopotamia) and Amazon, with their continuous flow of water, provided the preconditions for the earliest agricultural production. The first horticultural and agricultural societies were formed, and farming offered the inhabitants of these first settlements more sustainable means of nutrition such as wheat, corn and rice. Furthermore, shelters and housing, mainly made of mud and agricultural leftovers such as straw, became the living area; these new homes were obviously more protective than caves had been and were to form protection against the attacks of others. These processes also forced people to create more elaborate social groupings and organisations in these first cities. Göbekli Tepe, in southeastern Turkey, has been shown to be a good example of such a process in modern day (Benedict 1980). This development, in turn, gave way to more clearly defined social strata and the division of labour into categories such as social leaders, priests and workforces. The emerging social classes and hierarchy set the basis for sharing the surplus value and production as well as fulfilling people’s spiritual needs, especially in face of overwhelming natural changes and disasters. These social organisations were established through cooperation, collaboration and solidarity among the members of the ‘in-groups’. Moreover, they were an effective means of defending the group against ‘out-groups’. These modes of production and sharing were also reflected in their corresponding modes of thinking and mindsets. Conceptual categories of ‘members of my city’ or ‘my citizens’ or ‘my civilisation’ and ‘members of other cities’ or ‘non-citizens’ or ‘other civilisations’ or ‘foreigners’ had become a paradigmatic fact of the human condition. The zeitgeist of the city states had developed, and conceptualisations of ‘us/friends’ vs. ‘them/enemies’ had emerged and been established along with the formation of city states and city walls.

The conflicts of interest between members of ‘in-groups’ were solved through the use of inner regulations based on shared goals, ideals, values and rules, while conflicts with ‘out-groups’ were solved either by armed confrontations and wars or negotiations and treaties. Not only socio-economical life itself but also the psychological mindsets and mental structure of humanity gave birth to the categorisation of ‘us’ vs. ‘others’; hence, such categorisation has also been the source of discrimination and stigmatisation in the centuries that followed. This is a reality of human history/existence which cannot be ignored and should not be seen from a romantic idealistic perspective, but rather from a realistic humanistic perspective.

Accordingly, the crucial question is not whether the categorisations of ‘us’ vs. ‘others’ exist, but rather how and by whom these categorisations are determined. In any given society, the ‘social power relations’ determine the stratification of ‘us’ vs. ‘them’ groupings. This stratification works both for intergroup relations and for intragroup relations. Whether a group is to be designated as ‘the Other’ and labelled with prejudice and discrimination will depend heavily on the zeitgeist of the current dominant social power.

Throughout history, the zeitgeist of any social power has evolved alongside socio-economic changes. In the era of empires, the social power was in the hands of a dynasty which also owned the armed forces and land in the name of ‘the holy’. The majority acknowledged the existence of minorities, a sort of ‘parallel existence’, unless these minorities or ‘others’ expressed a will to take over the power. Discrimination against marginalised people, for example, people with mental illness or so-called witches, was an unquestioned exercise like all the other discrimination in the name of ‘the holy and the king’. Moreover, other empires or their immigrants, named barbarians, were considered to be real threats, i.e. ‘the Other’.

In the era of nation states, the social power seems to be in the hands of the state, run by the ‘elected or selected powers’. Nation states, independent of their sociopolitical administrative regimes, relied heavily on the motto of ‘one nation, one flag, one language’; in some cases, ‘one religion and/or one leader’ is also added to this motto. The zeitgeist of the current dominant ‘social power’ and the majority in general do not acknowledge the existence of minorities. Minorities are either exterminated or assimilated. They are defined and discriminated as ‘the Others’, people who have different ethnic origins, belong to other cultures and talk other languages (as their mother tongue). ‘The Other’ is discriminated against in the name of national identity and uniformity. The borders of these states are strictly controlled, and border crossing is regulated by national regulations and international treaties. Travelling documents and working and residence permits are also strictly controlled by national authorities. Other than tourists, anyone geographically moving from one national state to another, either legally or illegally, becomes an immigrant, refugee or asylum seeker and is open to discrimination.

Although some sociologists consider the current historical period as the ‘post-national’ era (Soysal 1994), immigration and refugee policies are mainly controlled by national states and to some extent by international organisations founded through treaties signed by these national authorities. According to the zeitgeist of the current times, ‘us’ denotes productive human resources while ‘the Other’ is anyone outside of this group, such as the disabled. Of course, humanity has also developed policies and taken humanistic steps against such discrimination. The human rights of various minorities, including disabled and disadvantaged groups, immigrants, refugees and asylum seekers are protected by many international laws and treaties (see some of the relevant United Nations documents listed at the end of ‘References’), at least de jure, if not de facto.

Here, as far as the focus of our discussion is concerned, it is important to add that each era had inherited ‘the Other’ of the preceding era. Hence, in today’s societies, all the historical ‘Others’ could be and frequently are designated as ‘the Other’. This explains, why in various parts of the world, many people are still discriminated on the basis of their ‘in-group’ features, i.e. on the basis of race, nation, ethnicity, religion, sex, sexual orientation, gender identity, skin colour, health condition or abilities and mostly socio-economic class and inequalities.

Prejudice and discrimination based on such designations have been causing devastating trauma due to personal cruelty and mass violence and consequently human suffering on a vast scale in almost all societies. Human history is full of violent acts which are examples of specific discrimination of people with migration backgrounds. Today, the challenge seems to be to confront all the discriminative practices which have built up over the course of human history and have been inherited by our current societies. The solutions in such a process of confrontation do not lie in the challenges and solutions of previous eras; modern challenges cannot be resolved by referring to the means of premodern times. Tackling the discrimination of populations with migration backgrounds, whether it is based on nationality, ethnicity or religious belief, should therefore not be based on the values and zeitgeist of previous eras of national states or emperorships. Fundamentalism based on religious beliefs and national identities are premodern suggestions to postmodern challenges and the ones which lead to deepening suffering rather than furthering human collaboration. Our current task is to develop new postmodern ways of overcoming discrimination, thus leading to a more humane cosmopolitanism (Appiah 2006) by enjoying our intergroup diversities and differences. As stated elsewhere (Bartram et al. 2014), national identity is not the focus of attention in cosmopolitanism; people are considered equal as individuals, as global citizens. In today’s world, migration is considered as a key component of social transformation in general. The salience of national identity is a matter of great regret for many people, in part because of its consequences on how immigrants are sometimes treated by host societies. ‘Nationalism is something to be resisted or suppressed, particularly when one considers its consequences. Modern nationalism had fed vicious violence and wars ranging from individual acts of cruelty to genocide’ (Bartram et al. 2014).

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Oct 28, 2016 | Posted by in CRITICAL CARE | Comments Off on Trauma and Migration: The Role of Stigma

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