Beyond trauma-focused psychiatric epidemiology: bridging research and practice with war-affected populations
Abstract
This article examines the centrality of trauma-focused psychiatric epidemiology (TFPE) in research with war-affected populations. The authors question the utility of the dominant focus on posttraumatic stress disorder and other disorders of Western psychiatry, and they identify a set of critical research foci related to mental health work with communities affected by political violence. Core assumptions of TFPE and its roots in logical positivism and the biomedical model of contemporary psychiatry are explored. The authors suggest that an alternative framework--social constructivism--can serve as a bridge between researchers and practitioners by helping to refocus research efforts in ways that are conceptually and methodologically more attuned to the needs of war-affected communities and those working to address their mental health needs.
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Humanitarian workers continue to disagree about the public health importance of PTSD.
“whereas humanitarian workers still disagree about the public health value of this disorder.80,81”
From Mental health and psychosocial support in humanitarian settings: linking practice and research (2011) · cites this paper as [80]
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- Authors
- Miller, K. E., Kulkarni, M., & Kushner, H.
- Affiliations
- Pomona College (US)
- University of Michigan (US)
- University of Chicago (US)
- ORCID
- Miller, Kenneth E.
- Venue
- American Journal of Orthopsychiatry
- Published
- 2006
- Volume
- 76
- Issue
- 4
- Pages
- 409-422
- ISSN
- 0002-9432 (ISSN-L)
- 1939-0025
- OpenAlex
- W1992993584
- Cited by
- 188
- References
- 76
- Citations by year
- 2026: 2 · 2024: 2 · 2023: 8 · 2022: 6 · 2021: 10 · 2020: 10 · 2019: 10 · 2018: 12 · 2017: 9 · 2016: 10 · 2015: 12 · 2014: 15 · 2013: 19 · 2012: 9
- FWCI
- 9.22
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Journal of Orthopsychiatry (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Social Sciences › Psychology › Clinical Psychology › Migration, Health and Trauma
- Health Sciences › Health Professions › General Health Professions › Health and Conflict Studies
- Keywords
- post-traumatic stress disorder, war-affected populations, political violence, social constructivism, logical positivism, mental health research, research-practice gap, Western psychiatry
- MeSH terms
- Combat Disorders, Community Mental Health Services, Cross-Sectional Studies, Cross-Cultural Comparison, Cultural Characteristics, Developing Countries, Health Services Needs and Demand, Humans, Interprofessional Relations, Patient Acceptance of Health Care, Politics, Refugees, Somatoform Disorders, Stress Disorders, Post-Traumatic, Violence, Warfare, Biomedical Research
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