MAHAMADOU SIMAKHA
Community Facilitator of the Sir[a] Center
In general, seeking help from a mental health professional is associated with a number of stigmas throughout Africa. Psychology is linked to madness, and going to a mental health center is therefore seen as a sign of having lost control over your body and mind.
In the worldview of the region of origin, mental illnesses can be attributed to various causes, such as drug addiction; having been victims of the evil eye or "bad energies"; or the influence of spirits. It is understood that there is an imbalance between the world of the living and the dead, which can affect and shift a person's consciousness to other dimensions.
A lack of familiarity with these cultural nuances can lead professionals working in the field of international protection to misinterpret the reluctance - either indifference —which people show when seeking mental health care once they arrive in their destination country. This can, in turn, lead to statements such as, «We also refer them to a psychologist, but they don’t go.» At the same time, this Eurocentric perspective can also lead some people to feel pressured to seek psychological help, given that some institutions reprimand their clients if they don’t attend. This behavior can hinder the therapeutic process, as it generates a defensive attitude in the individual.
”"This knowledge is not limited to superficial experiences, such as a tourist trip, but involves in-depth research into the culture of the other.".
In my experience working with refugees, I have observed a significant need for information and training to better understand the culture and provide more effective support to the people we work with. This knowledge is not limited to superficial experiences, such as a tourist trip, but involves in-depth research into the other's culture, Reading relevant literature and, above all, engaging in dialogue with people to understand their perspectives are essential. Furthermore, training in cultural diversity, cultural nuances, and transculturality is crucial.
It is essential to have interpreters who not only master the language but also understand the person's cultural context, avoiding literal translations that may disregard the cultural and contextual background. Identifying common cultural practices, such as avoiding eye contact, tone of voice, and facial expressions, is crucial to avoid misinterpreting them as a lack of interest or detachment. These cultural codes are rich in meaning and must be interpreted within each individual's cultural context.
Factors that can improve communication include language proficiency, a deep understanding of the culture, empathy, and emotional connection. It is important to be aware of our own culture, values, projections, and attitudes, and how these can influence our interactions with people from other cultures. Apologizing and admitting mistakes are human practices that can help establish effective connections in any cultural context.
Ultimately, a focus on cultural understanding and adapting to the needs of people from a Black African perspective is essential for addressing mental health and ensuring appropriate and respectful care. This requires a concerted effort from psychology professionals, including enhanced training and cultural awareness, as well as a focus on mutual respect and empathy.
”"In my experience working with refugees, I have observed a significant need for information and training to better understand the culture and provide more effective support to the people we work with.".
Mahamadou Simakha
Community Facilitator of the Sir[a] Center