Discrimination and Social Exclusion of People Experiencing Mental Disorders in Burkina Faso: A Socio-anthropological Study.

Autor: Pigeon-Gagné É; School of Psychology, University of Ottawa, Ottawa, Canada. epigeong@uottawa.ca., Hassan G; Department of Psychology, Université de Québec à Montréal, Montreal, Canada., Yaogo M; Université Catholique de l'Afrique de l'Ouest, Bobo-Dioulasso, Burkina Faso., Saïas T; Department of Psychology, Université de Québec à Montréal, Montreal, Canada.
Jazyk: angličtina
Zdroj: Culture, medicine and psychiatry [Cult Med Psychiatry] 2024 Dec; Vol. 48 (4), pp. 792-815. Date of Electronic Publication: 2024 Jul 17.
DOI: 10.1007/s11013-024-09860-w
Abstrakt: Stigma has been pointed out as a barrier to mental healthcare in sub-Saharan Africa. Among the manifestations of stigma, the use of physical restraints is condemned as a form of violation of basic human rights. Research on this phenomenon is limited in West Africa and more particularly in Burkina Faso. This study explores the phenomenon of stigma of individuals experiencing mental disorders in Bobo-Dioulasso (Burkina Faso). As part of 8 months of socio-anthropological fieldwork, we interviewed 94 informants (7 focus groups and 25 individual interviews) to document exclusionary practices, their perceptions, and justifications. Exclusionary practices can be divided in five subgroups: ignoring, physically and sexually abusing, abandoning, banning, and restraining. Some practices were linked to a lack of financial and material resources, while others were justified by an inferior moral status. We observed differences in the type of exclusion experienced between men and women. Restrictive, abusive, and exclusionary measures are common in Bobo-Dioulasso. These practices can either be understood as part of families' adaptative strategies when dealing with chronic conditions, as part of security measures in the case of patients with aggressive behaviors, or as part of punitive measures when transgressions are committed. We conclude the article by addressing the tensions between local and global meanings of stigma.
Competing Interests: Declarations Conflict of interest The authors have no competing interest to declare. Ethical Approval This study was conducted in accordance with the Declaration of Helsinki. Prior to data collection, ethical approval was obtained by (masked for review) and by the Ministry of Health of Burkina Faso.
(© 2024. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.)
Databáze: MEDLINE
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