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Erschienen in: International Journal of Mental Health and Addiction 3/2019

23.10.2018 | Original Article

Critical Reflections on Mental Well-being for Post-Secondary Students Participating in the Field of Global Health

verfasst von: Corey McAuliffe, Ross Upshur, Daniel W. Sellen, Erica Di Ruggiero

Erschienen in: International Journal of Mental Health and Addiction | Ausgabe 3/2019

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Abstract

The ways in which global health students experience trauma/distress while conducting global health fieldwork is understudied. No identifiable literature addresses the risks to students’ mental well-being, although physical wellness checks exist. Importantly, global health practitioners are at greater risk than the general population for moral distress, secondary-traumatic stress disorder, vicarious traumatization, compassion fatigue, burnout, stress, and anxiety. Students face increased risks (e.g., illness, physical safety), especially in respect to their mental well-being. While academic institutions often require pre-departure trainings, research suggests that they are insufficient or ineffective. Challenges are not only limited to before and during one’s placement, but can be intensified after returning home due to concerns about one’s reputation, being perceived as not able to cope, or feeling ethically/morally obliged to continue research that can be re-traumatizing. This paper critically reflects on these knowledge gaps and on how the lack of appropriate resources and supports has ethical and practical implications for students, the wider academic community, and the communities in which they work.
Literatur
Zurück zum Zitat Bauer, N., & Thomas, M. (2009). The dangerous business of aid: A report on the risks to aid workers in the field. Washington, DC: The John Hopkins University. Bauer, N., & Thomas, M. (2009). The dangerous business of aid: A report on the risks to aid workers in the field. Washington, DC: The John Hopkins University.
Zurück zum Zitat Begley, L. (2009). The other side of fieldwork: experiences and challenges of conducting research in the border area of Rwanda/eastern Congo. Anthropology Matters, 11(2), 1–11. Begley, L. (2009). The other side of fieldwork: experiences and challenges of conducting research in the border area of Rwanda/eastern Congo. Anthropology Matters, 11(2), 1–11.
Zurück zum Zitat Breslau, N., & Kessler, R. C. (2001). The stressor criterion in DSM-IV posttraumatic stress disorder: an empirical investigation. Biological Psychiatry, 50(9), 699–704.PubMedCrossRef Breslau, N., & Kessler, R. C. (2001). The stressor criterion in DSM-IV posttraumatic stress disorder: an empirical investigation. Biological Psychiatry, 50(9), 699–704.PubMedCrossRef
Zurück zum Zitat Brown, T. M., Cueto, M., & Fee, E. (2006). The World Health Organization and the transition from “international” to “global” public health. American Journal of Public Health, 96(1), 62–72.PubMedPubMedCentralCrossRef Brown, T. M., Cueto, M., & Fee, E. (2006). The World Health Organization and the transition from “international” to “global” public health. American Journal of Public Health, 96(1), 62–72.PubMedPubMedCentralCrossRef
Zurück zum Zitat Calgaro, E. (2015). If you are vulnerable and you know it raise your hand: experiences from working in post-tsunami Thailand. Emotion, Space and Society, 17, 45–54.CrossRef Calgaro, E. (2015). If you are vulnerable and you know it raise your hand: experiences from working in post-tsunami Thailand. Emotion, Space and Society, 17, 45–54.CrossRef
Zurück zum Zitat Cardozo, B. L., Holtz, T. H., Kaiser, R., Gotway, C. A., Ghitis, F., Toomey, E., & Salama, P. (2005). The mental health of expatriate and Kosovar Albanian humanitarian aid workers. Disasters, 29(2), 152–170.PubMedCrossRef Cardozo, B. L., Holtz, T. H., Kaiser, R., Gotway, C. A., Ghitis, F., Toomey, E., & Salama, P. (2005). The mental health of expatriate and Kosovar Albanian humanitarian aid workers. Disasters, 29(2), 152–170.PubMedCrossRef
Zurück zum Zitat Clancy, K. B., Nelson, R. G., Rutherford, J. N., & Hinde, K. (2014). Survey of academic field experiences (SAFE): trainees report harassment and assault. PLoS One, 9(7), e102172.PubMedPubMedCentralCrossRef Clancy, K. B., Nelson, R. G., Rutherford, J. N., & Hinde, K. (2014). Survey of academic field experiences (SAFE): trainees report harassment and assault. PLoS One, 9(7), e102172.PubMedPubMedCentralCrossRef
Zurück zum Zitat Clark, I., & Grant, A. (2015). Sexuality and danger in the field: starting an uncomfortable conversation. Journal of the Anthropological Society of Oxford: Special Issue on Sexual Harassment in the Field, 7(1), 1–14. Clark, I., & Grant, A. (2015). Sexuality and danger in the field: starting an uncomfortable conversation. Journal of the Anthropological Society of Oxford: Special Issue on Sexual Harassment in the Field, 7(1), 1–14.
Zurück zum Zitat Cohen, K., & Collens, P. (2013). The impact of trauma work on trauma workers: a metasynthesis on vicarious trauma and vicarious posttraumatic growth. Psychological Trauma Theory Research Practice and Policy, 5(6), 570–580.CrossRef Cohen, K., & Collens, P. (2013). The impact of trauma work on trauma workers: a metasynthesis on vicarious trauma and vicarious posttraumatic growth. Psychological Trauma Theory Research Practice and Policy, 5(6), 570–580.CrossRef
Zurück zum Zitat Congdon, V. (2015). The ‘lone female researcher’: isolation and safety upon arrival in the field. Journal of the Anthropological Society of Oxford, 7(1), 15–24. Congdon, V. (2015). The ‘lone female researcher’: isolation and safety upon arrival in the field. Journal of the Anthropological Society of Oxford, 7(1), 15–24.
Zurück zum Zitat Connolly, K., & Reilly, R. C. (2007). Emergent issues when researching trauma: a confessional tale. Qualitative Inquiry, 13(4), 522–540.CrossRef Connolly, K., & Reilly, R. C. (2007). Emergent issues when researching trauma: a confessional tale. Qualitative Inquiry, 13(4), 522–540.CrossRef
Zurück zum Zitat Connorton, E., Perry, M. J., Hemenway, D., & Miller, M. (2012). Humanitarian relief workers and trauma-related mental illness. Epidemiologic Reviews, 34(1), 145–155.PubMedCrossRef Connorton, E., Perry, M. J., Hemenway, D., & Miller, M. (2012). Humanitarian relief workers and trauma-related mental illness. Epidemiologic Reviews, 34(1), 145–155.PubMedCrossRef
Zurück zum Zitat Delamont, S. (2009). Familiar screams: a brief comment on “field of screams”. Anthropology Matters, 11(2), 1–2. Delamont, S. (2009). Familiar screams: a brief comment on “field of screams”. Anthropology Matters, 11(2), 1–2.
Zurück zum Zitat Di Ruggiero, E, MacPherson, D, Bajwa, U. (2018) Directions in Global Public Health Graduate Education. In Oxford Bibliographies in Public Health. (Ed.). New York: Oxford University Press. (in press) Di Ruggiero, E, MacPherson, D, Bajwa, U. (2018) Directions in Global Public Health Graduate Education. In Oxford Bibliographies in Public Health. (Ed.). New York: Oxford University Press. (in press
Zurück zum Zitat Dickson-Swift, V., James, E. L., Kippen, S., & Liamputtong, P. (2007). Doing sensitive research: what challenges do qualitative researchers face? Qualitative Research, 7(3), 327–353.CrossRef Dickson-Swift, V., James, E. L., Kippen, S., & Liamputtong, P. (2007). Doing sensitive research: what challenges do qualitative researchers face? Qualitative Research, 7(3), 327–353.CrossRef
Zurück zum Zitat Dominey-Howes, D. (2015). Seeing ‘the dark passenger’–reflections on the emotional trauma of conducting post-disaster research. Emotion, Space and Society, 17, 55–62.CrossRef Dominey-Howes, D. (2015). Seeing ‘the dark passenger’–reflections on the emotional trauma of conducting post-disaster research. Emotion, Space and Society, 17, 55–62.CrossRef
Zurück zum Zitat Donahoe, E. L. H., Rochat, R. W., McFarland, D., & del Rio, C. (2017). From Albania to Zimbabwe: surveying 10 years of summer field experiences at the Rollins School of public health. Global Health: Science and Practice, 5(3), 468–475. Donahoe, E. L. H., Rochat, R. W., McFarland, D., & del Rio, C. (2017). From Albania to Zimbabwe: surveying 10 years of summer field experiences at the Rollins School of public health. Global Health: Science and Practice, 5(3), 468–475.
Zurück zum Zitat Drozdzewski, D., & Dominey-Howes, D. (2015). Research and trauma: understanding the impact of traumatic content and places on the researcher. Emotion, Space and Society, 17, 17–21.CrossRef Drozdzewski, D., & Dominey-Howes, D. (2015). Research and trauma: understanding the impact of traumatic content and places on the researcher. Emotion, Space and Society, 17, 17–21.CrossRef
Zurück zum Zitat England, K. V. (1994). Getting personal: reflexivity, positionality, and feminist research. The Professional Geographer, 46(1), 80–89.CrossRef England, K. V. (1994). Getting personal: reflexivity, positionality, and feminist research. The Professional Geographer, 46(1), 80–89.CrossRef
Zurück zum Zitat Eriksen, C., & Ditrich, T. (2015). The relevance of mindfulness practice for trauma-exposed disaster researchers. Emotion, Space and Society, 17, 63–69.CrossRef Eriksen, C., & Ditrich, T. (2015). The relevance of mindfulness practice for trauma-exposed disaster researchers. Emotion, Space and Society, 17, 63–69.CrossRef
Zurück zum Zitat Grieser, A. (2014). Fieldwork encounters: being foreign and female in Gilgit. Ethnoscripts, 16(1). Grieser, A. (2014). Fieldwork encounters: being foreign and female in Gilgit. Ethnoscripts, 16(1).
Zurück zum Zitat Hanson, R., & Richards, P. (2017). Sexual harassment and the construction of ethnographic knowledge. Sociological Forum, 32(3), 587–609.CrossRef Hanson, R., & Richards, P. (2017). Sexual harassment and the construction of ethnographic knowledge. Sociological Forum, 32(3), 587–609.CrossRef
Zurück zum Zitat Hopwood, N., & Paulson, J. (2012). Bodies in narratives of doctoral students' learning and experience. Studies in Higher Education, 37(6), 667–681.CrossRef Hopwood, N., & Paulson, J. (2012). Bodies in narratives of doctoral students' learning and experience. Studies in Higher Education, 37(6), 667–681.CrossRef
Zurück zum Zitat Huffman, D. M., & Rittenmeyer, L. (2012). How professional nurses working in hospital environments experience moral distress: a systematic review. Critical Care Nursing Clinics of North America, 24(1), 91–100.PubMedCrossRef Huffman, D. M., & Rittenmeyer, L. (2012). How professional nurses working in hospital environments experience moral distress: a systematic review. Critical Care Nursing Clinics of North America, 24(1), 91–100.PubMedCrossRef
Zurück zum Zitat Inter-Agency Standing Committee. (2006). IASC guidelines on mental health and psychosocial support in emergency settings. Geneva: IASC. Inter-Agency Standing Committee. (2006). IASC guidelines on mental health and psychosocial support in emergency settings. Geneva: IASC.
Zurück zum Zitat Jenkins, S. R., & Baird, S. (2002). Secondary traumatic stress and vicarious trauma: a validational study. Journal of Traumatic Stress, 15(5), 423–432.PubMedCrossRef Jenkins, S. R., & Baird, S. (2002). Secondary traumatic stress and vicarious trauma: a validational study. Journal of Traumatic Stress, 15(5), 423–432.PubMedCrossRef
Zurück zum Zitat Johansson, L. (2015). Dangerous liaisons: risk, positionality and power in women’s anthropological fieldwork. Journal of the Anthropological Society of Oxford, 7(1), 55–63. Johansson, L. (2015). Dangerous liaisons: risk, positionality and power in women’s anthropological fieldwork. Journal of the Anthropological Society of Oxford, 7(1), 55–63.
Zurück zum Zitat Kiyimba, N., & O’Reilly, M. (2015). The risk of secondary traumatic stress in the qualitative transcription process: a research note. Qualitative Research, 92–108. Kiyimba, N., & O’Reilly, M. (2015). The risk of secondary traumatic stress in the qualitative transcription process: a research note. Qualitative Research, 92–108.
Zurück zum Zitat Klocker, N. (2015). Participatory action research: the distress of (not) making a difference. Emotion, Space and Society, 17, 37–44.CrossRef Klocker, N. (2015). Participatory action research: the distress of (not) making a difference. Emotion, Space and Society, 17, 37–44.CrossRef
Zurück zum Zitat Kloß, S. T. (2016). Sexual(ized) harassment and ethnographic fieldwork: a silenced aspect of social research. Ethnography, 18(3), 396–414.CrossRef Kloß, S. T. (2016). Sexual(ized) harassment and ethnographic fieldwork: a silenced aspect of social research. Ethnography, 18(3), 396–414.CrossRef
Zurück zum Zitat Koplan, J. P., Bond, T. C., Merson, M. H., Reddy, K. S., Rodriguez, M. H., Sewankambo, N. K., & Wasserheit, J. N. (2009). Towards a common definition of global health. The Lancet, 373(9679), 1993–1995.CrossRef Koplan, J. P., Bond, T. C., Merson, M. H., Reddy, K. S., Rodriguez, M. H., Sewankambo, N. K., & Wasserheit, J. N. (2009). Towards a common definition of global health. The Lancet, 373(9679), 1993–1995.CrossRef
Zurück zum Zitat Levecque, K., Anseel, F., De Beuckelaer, A., Van der Heyden, J., & Gisle, L. (2017). Work organization and mental health problems in PhD students. Research Policy, 46(4), 868–879.CrossRef Levecque, K., Anseel, F., De Beuckelaer, A., Van der Heyden, J., & Gisle, L. (2017). Work organization and mental health problems in PhD students. Research Policy, 46(4), 868–879.CrossRef
Zurück zum Zitat Lowery, K., & Stokes, M. A. (2005). Role of peer support and emotional expression on posttraumatic stress disorder in student paramedics. Journal of Traumatic Stress, 18(2), 171–179.PubMedCrossRef Lowery, K., & Stokes, M. A. (2005). Role of peer support and emotional expression on posttraumatic stress disorder in student paramedics. Journal of Traumatic Stress, 18(2), 171–179.PubMedCrossRef
Zurück zum Zitat Macfarlane, S. B., Jacobs, M., & Kaaya, E. E. (2008). In the name of global health: trends in academic institutions. Journal of Public Health Policy, 29(4), 383–401.PubMedCrossRef Macfarlane, S. B., Jacobs, M., & Kaaya, E. E. (2008). In the name of global health: trends in academic institutions. Journal of Public Health Policy, 29(4), 383–401.PubMedCrossRef
Zurück zum Zitat McKinzie, A. E. (2017). Scared to death: reflections on panic and anxiety in the field. Symbolic Interaction, 40(4), 483–497.CrossRef McKinzie, A. E. (2017). Scared to death: reflections on panic and anxiety in the field. Symbolic Interaction, 40(4), 483–497.CrossRef
Zurück zum Zitat McLennan, J., Evans, L., Cowlishaw, S., Pamment, L., & Wright, L. (2016). Secondary traumatic stress in postdisaster field research interviewers. Journal of Traumatic Stress. McLennan, J., Evans, L., Cowlishaw, S., Pamment, L., & Wright, L. (2016). Secondary traumatic stress in postdisaster field research interviewers. Journal of Traumatic Stress.
Zurück zum Zitat Mountz, A., Bonds, A., Mansfield, B., Loyd, J., Hyndman, J., Walton-Roberts, M., … Hamilton, T. (2015). For slow scholarship: a feminist politics of resistance through collective action in the neoliberal university. ACME: An International E-journal for Critical Geographies, 14(4), 1235–1259. Mountz, A., Bonds, A., Mansfield, B., Loyd, J., Hyndman, J., Walton-Roberts, M., … Hamilton, T. (2015). For slow scholarship: a feminist politics of resistance through collective action in the neoliberal university. ACME: An International E-journal for Critical Geographies, 14(4), 1235–1259.
Zurück zum Zitat Parizeau, K., Shillington, L., Hawkins, R., Sultana, F., Mountz, A., Mullings, B., & Peake, L. (2016). Breaking the silence: a feminist call to action. The Canadian Geographer/Le Géographe canadien, 60(2), 192–204.CrossRef Parizeau, K., Shillington, L., Hawkins, R., Sultana, F., Mountz, A., Mullings, B., & Peake, L. (2016). Breaking the silence: a feminist call to action. The Canadian Geographer/Le Géographe canadien, 60(2), 192–204.CrossRef
Zurück zum Zitat Paulson, J., Hopwood, N., McAlpine, L., & Mills, D. (2009). Untold doctoral experiences: research findings and recommendations from a study into the challenges of doctoral study. Paulson, J., Hopwood, N., McAlpine, L., & Mills, D. (2009). Untold doctoral experiences: research findings and recommendations from a study into the challenges of doctoral study.
Zurück zum Zitat Peake, L. J., & Mullings, B. (2016). Critical reflections on mental and emotional distress in the academy. ACME: An International Journal for Critical Geographies, 15(2), 253–284. Peake, L. J., & Mullings, B. (2016). Critical reflections on mental and emotional distress in the academy. ACME: An International Journal for Critical Geographies, 15(2), 253–284.
Zurück zum Zitat Pinto, A. D., & Upshur, R. E. (2013). An introduction to global health ethics. Abingdon, UK: Routledge.CrossRef Pinto, A. D., & Upshur, R. E. (2013). An introduction to global health ethics. Abingdon, UK: Routledge.CrossRef
Zurück zum Zitat Pollard, A. (2009). Field of screams: difficulty and ethnographic fieldwork. Anthropology Matters, 11(2), 1–23. Pollard, A. (2009). Field of screams: difficulty and ethnographic fieldwork. Anthropology Matters, 11(2), 1–23.
Zurück zum Zitat Ross, K. (2015). “No sir, she was not a fool in the field”: gendered risks and sexual violence in immersed cross-cultural fieldwork. The Professional Geographer, 67(2), 180–186.CrossRef Ross, K. (2015). “No sir, she was not a fool in the field”: gendered risks and sexual violence in immersed cross-cultural fieldwork. The Professional Geographer, 67(2), 180–186.CrossRef
Zurück zum Zitat Rowley, E. A., Crape, B. L., & Burnham, G. M. (2007). Violence-related mortality and morbidity of humanitarian workers. American Journal of Disaster Medicine, 3(1), 39–45.CrossRef Rowley, E. A., Crape, B. L., & Burnham, G. M. (2007). Violence-related mortality and morbidity of humanitarian workers. American Journal of Disaster Medicine, 3(1), 39–45.CrossRef
Zurück zum Zitat Schwedler, J. (2006). The third gender: Western female researchers in the Middle East. PS: Political Science & Politics, 39(3), 425–428. Schwedler, J. (2006). The third gender: Western female researchers in the Middle East. PS: Political Science & Politics, 39(3), 425–428.
Zurück zum Zitat Serekoane, M., Sharp, C., Skinner, D., & Marais, L. (2014). Untold stories of fieldworkers working amid adverse conditions. Journal of Ethnographic & Qualitative Research, 8(3), 157–172. Serekoane, M., Sharp, C., Skinner, D., & Marais, L. (2014). Untold stories of fieldworkers working amid adverse conditions. Journal of Ethnographic & Qualitative Research, 8(3), 157–172.
Zurück zum Zitat Sharp, G., & Kremer, E. (2006). The safety dance: confronting harassment, intimidation, and violence in the field. Sociological Methodology, 36(1), 317–327.CrossRef Sharp, G., & Kremer, E. (2006). The safety dance: confronting harassment, intimidation, and violence in the field. Sociological Methodology, 36(1), 317–327.CrossRef
Zurück zum Zitat Sohn, E. (2017). Health and safety: danger zone. Nature, 541(7636), 247–249.CrossRef Sohn, E. (2017). Health and safety: danger zone. Nature, 541(7636), 247–249.CrossRef
Zurück zum Zitat Surya, M., Jaff, D., Stilwell, B., & Schubert, J. (2017). The importance of mental well-being for health professionals during complex emergencies: it is time we take it seriously. Global Health: Science and Practice, 5(2), 188–196. Surya, M., Jaff, D., Stilwell, B., & Schubert, J. (2017). The importance of mental well-being for health professionals during complex emergencies: it is time we take it seriously. Global Health: Science and Practice, 5(2), 188–196.
Zurück zum Zitat Welton-Mitchell, C. E. (2013). UNHCR's mental health and psychosocial support for staff. Retrieved from Geneva: UNHCR. Welton-Mitchell, C. E. (2013). UNHCR's mental health and psychosocial support for staff. Retrieved from Geneva: UNHCR.
Metadaten
Titel
Critical Reflections on Mental Well-being for Post-Secondary Students Participating in the Field of Global Health
verfasst von
Corey McAuliffe
Ross Upshur
Daniel W. Sellen
Erica Di Ruggiero
Publikationsdatum
23.10.2018
Verlag
Springer US
Erschienen in
International Journal of Mental Health and Addiction / Ausgabe 3/2019
Print ISSN: 1557-1874
Elektronische ISSN: 1557-1882
DOI
https://doi.org/10.1007/s11469-018-0007-5

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