What Is It to Be Mentally Healthy from the North Korean Refugees’ Perspective?: Qualitative Research on the Changes in Mental Health Awareness among the North Korean Refugees
2
조회
0
다운로드
2
인용
0
참고문헌
키워드
초록
Objective We investigated how mental health awareness among North Korean refugees transformed depending on temporal-spatial context changes. Methods In 2013, we conducted interviews with 10 refugees (eight women) who had been in South Korea for over a year and performed a qualitative analysis of the change in mental health awareness in the differences between living in North Korea, escape (a related period of forced sojourn in a third country), and settlement in South Korea. Results We classified 39 concepts into five main categories. The first two categories (while living in North Korea) were “a mindset for the system, but not for individual mental health” and “being confined in a social environment that was indifferent to mental health.” A third category appeared during escape: “focusing on survival amid continuity of intense suffering.” The final two categories appeared when settling in South Korea: “recognition of mental health amid cultural shock” and “introspection and sorting oneself out.” Conclusion This qualitative study enabled a better multi-dimensional understanding of the social and cultural aspects involved in improving mental health awareness among North Korean refugees in South Korea. It is desirable to integrate mental health as a part of daily life and to expand training for North Korean settlers.
Abstract
Objective We investigated how mental health awareness among North Korean refugees transformed depending on temporal-spatial context changes. Methods In 2013, we conducted interviews with 10 refugees (eight women) who had been in South Korea for over a year and performed a qualitative analysis of the change in mental health awareness in the differences between living in North Korea, escape (a related period of forced sojourn in a third country), and settlement in South Korea. Results We classified 39 concepts into five main categories. The first two categories (while living in North Korea) were “a mindset for the system, but not for individual mental health” and “being confined in a social environment that was indifferent to mental health.” A third category appeared during escape: “focusing on survival amid continuity of intense suffering.” The final two categories appeared when settling in South Korea: “recognition of mental health amid cultural shock” and “introspection and sorting oneself out.” Conclusion This qualitative study enabled a better multi-dimensional understanding of the social and cultural aspects involved in improving mental health awareness among North Korean refugees in South Korea. It is desirable to integrate mental health as a part of daily life and to expand training for North Korean settlers.
참고문헌 (25)
- "Encyclopedia: A common-sense dictionary"[URL]
- Cha J, "Human rights as political determinants of health: a retrospective study of North Korean refugees", Am J Prev Med, 55, pp.271~279 (2018)
- "Ministry of Unification" (2018)[URL]
- Lee JM, "At the 70th Independence day of Korea: Looking at 70 years of separation history in Korean peninsula - different perspectives between South and North seen through North Korean refugees", Over the Horizon of Knowledge, 1, pp.1~15 (2015)
- 김석주, "북한 의사들이 바라보는 북한의 정신의학 현황", 정신신체의학, 20(1), pp.32~39 (2012), 한국정신신체의학회[DOI]
- World Health Organization, "Promoting Mental Health: Concepts, Emerging, Evidence, Practice" (2005), WHO Press
- Keyes CL, "Promoting and protecting mental health as flourishing: a complementary strategy for improving national mental health", Am Psychol, 62, pp.95~108 (2007)
- 박영남, "정신건강의학의 새로운 도전 : 증상 치료에서 정신건강의 증진으로", 신경정신의학, 51(3), pp.101~106 (2012), 대한신경정신의학회
- 안동현, "정신건강의학과로의 개명이 우리에게 주는 것?", 신경정신의학, 49(6), pp.533~537 (2010), 대한신경정신의학회
- Jhe SH, "The need for Korea to enact the “North Korean human rights act”", Chung-Ang J Legal Stud, 31, pp.123~154 (2007)
- 정향진, "탈북 청소년들의 감정성과 남북한의 문화심리적 차이", 비교문화연구, 11(1), pp.81~111 (2005), 비교문화연구소
- 이우영, "‘고난의 행군’과 북한주민의 마음: 국가가 기억하는 ‘고난의 행군’", 통일문제연구, 28(1), pp.173~203 (2016), 평화문제연구소
- Yoon JY, "A study on cultural trauma in North Korea: focusing on narrative process of the Korea War and ‘the Arduous March period’", Korean Assoc North Korean Stud, 3, pp.23~44 (2016)
- 현미열, "일 지역사회의 정신질환자와 정신건강사업에 대한 태도 연구", Journal of Korean Academy of Nursing, 39(1), pp.84~94 (2009), 한국간호과학회
- 박현춘, "북한이탈주민이 생각하는 남·북한 정신건강문제에 대한 시급성(urgency)과 심각성(severity)", 통일문제연구, 27(1), pp.279~297 (2015), 평화문제연구소
- Lee JE, "A survey on community attitudes toward the mentally-ill in Ansan area", J Korean Neuropsychiatr Assoc, 38, pp.530~538 (1999)
- Lee EH, "Attitudes of inhabitants of Kwangju towards persons with mental illness", J Korean Neuropsychiatr Assoc, 39, pp.495~506 (2000)
- 사공정규, "포항시 지역주민의 정신질환자에 대한 태도 연구", 신경정신의학, 40(1) (2001), 대한신경정신의학회
- 조영아, "북한이탈주민의 심리 상담에 대한 요구도와 전문적 도움 추구 행동", 한국심리학회지: 상담 및 심리치료, 21(1), pp.285~310 (2009), 한국상담심리학회
- Park S, "Trauma and depression among North Korean refugees:the mediating effect of negative cognition", Int J Environ Res Public Health, 15, pp.591~ (2018)
- Shin HY, "Mental health and its associated factors among North Korean defectors living in South Korea: a case-control study", Asia Pacific J Public Health, 28, pp.592~600 (2016)
- Kim E, "Pre-migration trauma, repatriation experiences, and PTSD among North Korean refugees", J Immigrant Minor Health, 20, pp.1~7 (2018)
- Creswell JW, "Qualitative Inquiry & Research Design: Choosing Among Five Approaches" (2013), Sage
- Guba E, "Effective Evaluation" (1981), Jossey-Bass
- 안지훈, "Stigma of Mental Illnesses as Perceived by North Korean Defectors Living in South Korea", PSYCHIATRY INVESTIGATION, 12(1), pp.9~15 (2015), 대한신경정신의학회[DOI]