MIGRATION, PSYCHOSIS AND COMPULSIVE HOSPITALIZATION IN THE POPULATION OF LOURES – THE PATH TO SOCIAL DEFEAT

• DOI: 10.22533/at.ed.1592652225101

• Palavras-chave: Migration, Psychosis, Loures, Hospitalisation, Compulsory.

• Keywords: Migration, Psychosis, Loures, Hospitalisation, Compulsory.

• Abstract:

  Migration flows have led to increased contacts between cultures and the cohabitation of different ethnic-cultural groups, often in heavily urbanised areas, which has generated new and complex challenges to the management of intercultural communication and is reflected in the inefficiency of health policies. There is a vast literature reporting the high rates of psychotic disorders in ethnic minority populations in developed countries. The author describes the relationship between migration and psychosis based on the socio-developmental model of psychotic illness, presents data on the ecology of the risk in the population of Loures (greater Lisbon area) and puts forward explanatory hypotheses for the process of social defeat leading to compulsory hospitalisation in this population. The author concludes with a set of proposals, in the context of psychiatric intervention, aimed at strategic audiences that are strongly discriminated against, with special focus on the so-called institutional structural violence, in terms of access, adherence and patients' experience with services.