Afetlerden Etkilenen Çocuk ve Gençlere Yönelik Kültür ve Sanat Temelli Psikososyal Müdahalelerin Psikolojik ve Sosyal Uyum Üzerindeki Etkisi

Yıl 2024, , 226 - 241, 29.03.2024

Esra Daşçı

https://doi.org/10.35341/afet.1386495

Öz

Ülkemizin afet ve krizlere açık olduğu gerçeği ile sürekli yüzleşsek de gerekli önlem ve müdahalelerle ilgili yeterince gelişme kaydedemediğimiz hem alan yazında hem de uygulamalarda dikkat çekmektedir. Özellikle afetlerden sonra ortaya çıkan kısa ve uzun dönem olumsuz psikolojik etkilerin iyileştirilmesini amaçlayan psikososyal destek ve müdahalelerin eksikliği sıklıkla vurgulanmaktadır. Çalışmalar, psikososyal müdahalelerin sıklıkla psikolojik ilk yardıma ve akademik çalışmaya yönelik olması, kırılgan grupları göz ardı etmeleri ve kanıta dayalı gerçekleştirilmemeleri bakımından eleştirilmektedirler. Nüfusun büyük bir kısmını oluşturan kırılgan gruplardan biri olan çocuk ve gençlere yönelik müdahalelerin eksikliğinin büyük bir risk faktörü olarak karşımıza çıktığını görebiliyoruz. Bu doğrultuda, mevcut makale öncelikle afetlerin bireyler üzerindeki kısa ve uzun dönem psikolojik etkilerini; sonrasında özellikle bu etkilerin kırılgan grupları nasıl etkilediğine; en kalabalık kırılgan grup olan çocuk ve gençlere yönelik psikososyal müdahale programlarına odaklanmaktadır. Dünyadaki ve Türkiye’deki örnekleri odağına alarak özellikle kültür ve sanat temelli psikososyal müdahale programlarının çocuk ve gençlerin afetten sonraki sosyal uyumlarına etkisi tartışılmıştır. Son olarak, araştırmalar ve uygulamalar doğrultusunda afetler ve krizlerden sonra çocuk ve gençlere yönelik geliştirilecek psikososyal müdahale programlarına yönelik öneriler sunulmaktadır.

Anahtar Kelimeler

Afet Sonrası Psikososyal Müdahale, Çocuk ve Gençler, Deprem, Kırılgan Gruplar, Sanat Temelli Müdahale, Sosyal Uyum

The Effect of Culture and Art-Based Psychosocial Interventions on Psychological and Social Adaptation of Children and Youth Affected by Disasters

Öz

Even though we live with the reality that catastrophes and crises are a constant in our country, it is apparent in the literature and in practice that we have not advanced far enough in terms of the crucial precautions and interventions. In literature, the lack of psychosocial support and interventions aimed at improving the short and long-term negative psychological effects that occur particularly in post-disaster settings is often emphasized. Current post-disaster psychosocial interventions are criticized for the fact that they are often focused on psychological first aid and academic studies, that they ignore vulnerable groups, and that they are not evidence-based. Research specifically indicates the lack of interventions aimed at children and young people, one of the vulnerable groups that constitute a large part of the population, appear as a major risk factor. In this sense, the present article focuses on psychosocial intervention programs for children and youth, the largest vulnerable group, and explores the immediate and long-term psychological consequences of catastrophes on individuals, paying particular attention to how they affect vulnerable populations. The impact of cultural and art-based psychosocial intervention programs on the social adaptation of children and young people following disasters are examined, with a focus on examples from Turkey as well as around the world. Finally, in line with research and practice, recommendations are made for the development of psychological intervention programs for children and youth in post-disaster settings.

Anahtar Kelimeler

Art-Based Intervention, Children and Youth, Earthquake, Post-Disaster Psychosocial Intervention, Social Adaptation, Vulnerable Groups

Kaynakça

• Aksaray, G., Kortan, G., Erkaya, H., Yenilmez, Ç., Kaptanoğlu, C. (2006). Gender differences in psychological effect of the August 1999 earthquake in Turkey. Nordic journal of psychiatry, 60(5), 387-391. https://doi.org/10.1080/08039480600937553.
• Aksoy, Ş., Kabasakal, Z. (2023). Afet Sonrası Durumlara Yönelik Hazırlanan Psikososyal Destek Uygulamalarının ve Çalışmalarının İncelenmesi. IBAD Sosyal Bilimler Dergisi, 15(15), 80-91. https://doi.org/10.21733/ibad.1272044.
• Beaglehole, B., Mulder, R. T., Frampton, C. M., Boden, J. M., Newton-Howes, G., Bell, C. J. (2018). Psychological distress and psychiatric disorder after natural disasters: systematic review and meta-analysis. The British Journal of Psychiatry, 213(6), 716-722. https://doi.org/10.1192/bjp.2018.210.
• Bennetts, H., Soebarto, V., Oakley, S., Babie, P. (2017). Feeling safe and comfortable in the urban environment. Journal of Urbanism: International Research on Placemaking and Urban Sustainability. 1-21. doi: 10.1080/17549175.2017.1310746. https://doi.org/10.1080/17549175.2017.1310746.
• Bokszczanin, A. (2007). PTSD symptoms in children and adolescents 28 months after a flood: Age and gender differences. Journal of Traumatic Stress, 20, 347–351. https://doi.org/10.1002/jts.20220.
• Bravo, M., Rubio-Stipec, M., Canino, G. J., Woodbury, M. A., Ribera, J. C. (1990). The psychological sequelae of disaster stress prospectively and retrospectively evaluated. American journal of community psychology, 18(5), 661-680. https://doi.org/10.1007/BF00931236 .
• Cahill, H. (2006). Sensitive issues: supportive structures. Drama Australia Journal, 30(1), 7-22. https://doi.org/10.1080/14452294.2006.11649485.
• Cahill, H., Shlezinger, K., Romei, K., Dadvand, B. (2020). Research-informed approaches to supporting student well-being post-disaster. Melbourne: Youth Research Centre.
• Cancellieri, U. G., Manca, S., Laurano, F., Molinario, E., Talamo, A., Recupero, A., vd., (2018). Visitors’ satisfaction and perceived affective qualities towards museums: the impact of recreational areas. Rassegna di Psicologia, 35, 5–18. https://doi.org/10.4458/0135-01
• Cervantes RC, de Snyder VNS, Padilla AM. Posttraumatic stress in immigrants from Central America and Mexico. Psychiatr Serv. (1989) 40:615–9. https://doi.org/10.1176/ps.40.6.615
• Chmutina, K., Von Meding, J. (2019). A dilemma of language:“Natural disasters” in academic literature. International Journal of Disaster Risk Science, 10, 283-292. https://doi.org/10.1007/s13753-019-00232-2
• Cobham, V. E., McDermott, B., Haslam, D., Sanders, M. R. (2016). The role of parents, parenting and the family environment in children’s post-disaster mental health. Current psychiatry reports, 18, 1-9. https://doi.org/10.1007/s11920-016-0691-4
• Cohen, J.A., Perel, J.M., DeBellis, M.D., Friedman, M.J., Putnam, F.W. (2002). Treating traumatized children. Trauma, Violence and Abuse, 3, 91–108. https://doi.org/10.1177/15248380020032001
• Cox, R. S., Scanella, L., Heykoopa, C., Tobin-Gurleyb, J., Pekkc, L. (2017). Understanding youth disaster recovery: The vital role of people, places, and activities. International Journal of Disaster Risk Reduction, 22, 249-256. https://doi.org/10.1016/j.ijdrr.2017.03.011
• Craig, S. E. (2021). Travmaya duyarlı okullar. Sola Unitas, İstanbul.
• Çal, R. (2019). Savaş veya doğal afet sonrasında çocuk veya ergenlere uygulanan okul bazlı müdahalelerin ruh sağlığı semptomlarına etkililiği üzerine bir sistematik derleme. Talim, 3(1), 71-102. https://doi.org/10.37344/talim.2020.8
• Dyregrov, A., Yule, W. (2006). A review of PTSD in children. Child and Adolescent Mental Health, 11(4), 176-184. https://doi.org/10.1111/j.1475-3588.2005.00384.x
• Erman, A., De Vries Robbe, S. A., Fabian Thies, S., Kabir, K., Maruo, M. (2021). Gender dimensions of disaster risk and resilience: Existing evidence. World Bank. http://hdl.handle.net/1920/12777
• Falk, J. H. (2009). Identity and the Museum Visitor Experience (1st ed.). Routledge. https://doi.org/10.4324/9781315427058
• Fancourt, D., Finn, S. (2019). What is the evidence on the role of the arts in improving health and well-being? A scoping review. World Health Organization. Regional Office for Europe. https://apps.who.int/iris/handle/10665/329834 License: CC BY-NC-SA 3.0 IGO
• Fancourt, D., Steptoe, A. (2018). Physical and psychosocial factors in the prevention of chronic pain in older age. The Journal of Pain, 19(12), 1385-1391. https://doi.org/10.1016/j.jpain.2018.06.001
• Fazel, M., Patel, V., Thomas, S., Tol, W. (2014). Mental health interventions in schools in low income and middle-income countries. The Lancet Psychiatry, 1(5), 388-398. https://doi.org/10.1016/S2215-0366(14)70357-8
• Fore, H. H. (2020). A wake-up call: COVID-19 and its impact on children's health and wellbeing. The Lancet Global Health, 8(7), e861-e862. https://doi.org/10.1016/S2214-109X(20)30238-2
• Fortune, D. (2020). Envisioning museums as welcoming spaces for belonging. In Glover, T.D., Sharpe, E.K., (ed.) Leisure communities: Rethinking mutuality, Collective identity and belonging in the new century, 181-191.
• Fothergill, A., Peek, L. A. (2004). Poverty and disasters in the United States: A review of recent sociological findings. Natural hazards, 32, 89-110. https://doi.org/10.1023/B:NHAZ.0000026792.76181.d9
• Gibbs, L., Marinkovic, K., Nursey, J., Tong, L. A., Tekin, E., Ulubasoglu, M., ... & Cobham, V. E. (2021). Child and adolescent psychosocial support programs following natural disasters—A scoping review of emerging evidence. Current psychiatry reports, 23(12). https://doi.org/10.1007/s11920-021-01293-1
• Goodman‐Casanova, J. M., Guzman‐Parra, J., Duran‐Jimenez, F. J., Garcia‐Gallardo, M., Cuesta‐Lozano, D., Mayoral‐Cleries, F. (2023). Effectiveness of museum‐based participatory arts in mental health recovery. International Journal of Mental Health Nursing. https://doi.org/10.1111/inm.13186
• Hallegatte, S., Rozenberg, J. (2017). Climate change through a poverty lens. Nature Climate Change, 7(4), 250-256. https://doi.org/10.1038/nclimate3253
• Hirsu, L., Arizpe, E., McAdams, J. E. (2020). Cultural interventions through children’s literature and arts-based practices in times of disaster: A case study of reading mediators’ response to the Mexican earthquakes (September 2017). International Journal of Disaster Risk Reduction, 51, 1-8. https://doi.org/10.1016/j.ijdrr.2020.101797
• Hobfoll, S. E., Watson, P., Bell, C. C., Bryant, R. A., Brymer, M. J., Friedman, M. J., ... & Ursano, R. J. (2007). Five essential elements of immediate and mid–term mass trauma intervention: Empirical evidence. Psychiatry: Interpersonal and Biological Processes, 70(4), 283-315. https://doi.org/10.1521/psyc.2007.70.4.283
• IOM, (2023). 2023 Earthquakes Displacement Overview-Türkiye. DTM IOM Displacement Tracking Matrix, 1 March 2023. https://dtm.iom.int/republic-of-t%C3%BCrkiye
• Johnson, J. (2015). Psychosocial interventions and museums. Canterbury Christ Church University (United Kingdom). 2015. 28167377.
• Kaçmaz, K. S., Kaçmaz, C. (2023). Çocuklarda Deprem Sonrası Rehabilitasyon Çalışmalarının Bibliyografik Analiz Yöntemiyle İncelenmesi: Sistematik Derleme. İzmir Katip Çelebi Üniversitesi Sağlık Bilimleri Fakültesi Dergisi, 8(2), 537-543.
• Kahramanmaraş ve Hatay Depremleri Raporu (2023). TC Cumhurbaşkanlığı Strateji ve Bütçe Başkanlığı. https://www.sbb.gov.tr/wp-content/uploads/2023/03/2023-Kahramanmaras-ve-Hatay-Depremleri-Raporu.pdf (Son Erişim: 10.08.2023).
• Kaniasty, K., Norris, F. H. (1995). In search of altruistic community: Patterns of social support mobilization following Hurricane Hugo. American journal of community psychology, 23(4), 447-477. https://doi.org/10.1007/BF02506964
• Kargillis, C., Kako, M., Gilham, D. (2014). Disaster survivors: A narrative approach towards emotional recovery. Australian Journal of Emergency Management, 29, 25–30. https://search.informit.org/doi/10.3316/informit.656225798377153
• Kılıç, E. Z., Özgüven, H. D., Sayıl, I. (2003). The psychological effects of parental mental health on children experiencing disaster: The experience of Bolu earthquake in Turkey. Family process, 42(4), 485-495. https://doi.org/10.1111/j.1545-5300.2003.00485.x
• Kılıç, C., Ulusoy, M. A. H. I. R. (2003). Psychological effects of the November 1999 earthquake in Turkey: an epidemiological study. Acta Psychiatrica Scandinavica, 108(3), 232-238. https://doi.org/10.1034/j.1600-0447.2003.00119.x
• Le Brocque, R., De Young, A., Montague, G., Pocock, S., March, S., Triggell, N., . . . Kenardy, J. (2017). Schools and natural disaster recovery: the unique and vital role that teachers and education professionals play in ensuring the mental health of students following natural disasters. Journal of Psychologists and Counsellors in Schools, 27(1), 1-23. https://doi.org/10.1017/jgc.2016.17
• Leon, G. R. (2004). Overview of the psychosocial impact of disasters. Prehospital and disaster medicine, 19(1), 4-9. https://doi.org/10.1017/S1049023X00001424
• Math, S. B., Nirmala, M. C., Moirangthem, S., Kumar, N. C. (2015). Disaster management: mental health perspective. Indian journal of psychological medicine, 37(3), 261-271. https://doi.org/10.4103/0253-7176.162915
• Mwoma, T., Pillay, J. (2015). Psychosocial support for orphans and vulnerable children in public primary schools: Challenges and intervention strategies. South African Journal of Education, 35(3). https://doi.org/10.15700/saje.v35n3a1092
• NATO (2009). Psychosocial care for people affected by disasters and major incidents: A model for designing, delivering, and managing psychosocial services for people involved in major incidents, conflict, disasters and terrorism. Brussels, Belgium: Author. https://www.coe.int/t/dg4/majorhazards/ressources/virtuallibrary/materials/Others/NATO_Guidance_Psychosocial_Care_for_People_Affected_by_Disasters_and_Major_Incidents.pdf
• Norris F. H., Friedman M. J., Watson P. J., Byrne C. M., Diaz, E., Kaniasty, K. (2002). 60,000 disaster victims speak: Part I. An empirical review of the empirical literature, 1981–2001. Psychiatry. 65:207–39. doi: 10.1521/psyc.65.3.207.20173. https://doi.org/10.1521/psyc.65.3.240.20169
• OECD (2020). Combatting COVID-19's effect on children. Retrieved October 25, 2023, from https://www.oecd.org/coronavirus/policy-responses/combatting-covid-19-s-effect-on-children-2e1f3b2f/
• Orui, M., Sato, Y., Tazaki, K., Kawamura, I., Harada, S., Hayashi, M. (2015). Delayed increase in male suicide rates in tsunami disaster-stricken areas following the great east japan earthquake: a three-year follow-up study in Miyagi Prefecture. The Tohoku Journal of Experimental Medicine, 235(3), 215-222. https://doi.org/10.1620/tjem.235.215
• O'Neill, M., & Hubbard, P. (2010). Walking, sensing, belonging: Ethno-mimesis as performative praxis. Visual Studies, 25(1), 46-58. https://doi.org/10.1080/14725861003606878
• Panday, S., Rushton, S., Karki, J., Balen, J., Barnes, A. (2021). The role of social capital in disaster resilience in remote communities after the 2015 Nepal earthquake. International Journal of Disaster Risk Reduction, 55, 102112. https://doi.org/10.1016/j.ijdrr.2021.102112
• Park, J. M., Bae, S. M. (2022). Impact of depressive, anxiety, and PTSD symptoms in disaster victims on quality of life: The moderating effect of perceived community resilience. International Journal of Disaster Risk Reduction, 69, 102749. https://doi.org/10.1016/j.ijdrr.2021.102749
• Perilla, J. L., Norris, F. H., Lavizzo, E. A. (2002). Ethnicity, culture, and disaster response: Identifying and explaining ethnic differences in PTSD six months after Hurricane Andrew. Journal of social and clinical psychology, 21(1), 20-45. https://doi.org/10.1521/jscp.21.1.20.22404
• Rubonis, A. V., Bickman, L. (1991). Psychological impairment in the wake of disaster: The disaster–psychopathology relationship. Psychological Bulletin, 109(3), 384–399. https://doi.org/10.1037/0033-2909.109.3.384
• Rushton, A., Phibbs, S., Kenney, C., Anderson, C. (2020). The gendered body politic in disaster policy and practice. International journal of disaster risk reduction, 47, 101648. https://doi.org/10.1016/j.ijdrr.2020.101648
• Rutherford, W. H., De Boer, J. (1983). The definition and classification of disasters. Injury, 15(1), 10-12. https://doi.org/10.1016/0020-1383(83)90154-7
• Ruzek, J. I., Brymer, M. J., Jacobs, A. K., Layne, C. M., Vernberg, E. M., Watson, P. J. (2007). Psychological first aid. Journal of Mental Health Counseling, 29(1), 17-49. https://doi.org/10.17744/mehc.29.1.5racqxjueafabgwp
• Suzuki, L. K., Kato, P. M. (2003). Psychosocial support for patients in pediatric oncology: the influences of parents, schools, peers, and technology. Journal of Pediatric Oncology Nursing, 20(4), 159-174. https://doi.org/10.1177/1043454203254039
• Terr, L. C. (1979). Children of Chowchilla: A study of psychic trauma. The psychoanalytic study of the child, 34(1), 547-623. https://doi.org/10.1080/00797308.1979.11823018
• Terr, L. C. (1989). Treating psychic trauma in children: A preliminary discussion. Journal of traumatic stress, 2(1), 3-20. https://doi.org/10.1002/jts.2490020103
• Theimann, M. (2016). School as a space of socialization and prevention. European Journal of Criminology, 13(1), 67-91. https://doi.org/10.1177/1477370815597254
• Tiryaki Yenilmez, D. (2023). Deprem ve göç i̇li̇şki̇si̇ üzeri̇ne bi̇r değerlendi̇rme. Akademik Düşünce Dergisi (7), 39-52. https://doi.org/10.53507/akademikdusunce.1282303
• URL 1, (2023). TÜBİTAK Deprem Araştırmaları Sanal Konferansı. https://www.youtube.com/watch?v=cJ-EUd1rEJY (Son Erişim: 25.10.2023).
• URL 2, (2023, February 16). Eğitim 360° (59): 2023-2024 Eğitim-Öğretim Yılı Nasıl Başladı? EğItim Reformu Girişimi from https://www.egitimreformugirisimi.org/egitim-360-59-2023-2024-egitim-ogretim-yili-nasil-basladi/ (Son Erişim: 01.11.2023)
• URL 3, Tunca, E., Uyan Semerci, P., & Erdoğan, E. (2023, January 5). Eğitim 360° (49): “COVID-19 ve Çocukların İyi Olma Hâli” Araştırmasının Bulguları Neler Gösteriyor? EğItim Reformu Girişimi. Retrieved November 1, 2023, from https://www.egitimreformugirisimi.org/egitim-360-49-covid-19-ve-cocuklarin-iyi-olma-hali-arastirmasinin-bulgulari-neler-gosteriyor/ (Son Erişim: 01.11.2023).
• Williams, R., Drury, J. (2009). Psychosocial resilience and its influence on managing mass emergencies and disasters. Psychiatry, 8(8), 293-296. https://doi.org/10.1016/j.mppsy.2009.04.019
• Williams, R., Ntontis, E., Alfadhli, K., Drury, J., Amlôt, R. (2021). A social model of secondary stressors in relation to disasters, major incidents and conflict: implications for practice. International Journal of Disaster Risk Reduction, 63, 102436. https://doi.org/10.1016/j.ijdrr.2021.102436
• Wolmer, L., Laor, N., Dedeoglu, C., Siev, J., Yazgan, Y. Teacher-mediated intervention after disaster: a controlled three-year follow-up of childrens’ functioning. Journal of Child Psychology and Psychiatry, 46(11), 1161-1168. https://doi.org/10.1111/j.1469-7610.2005.00416.x
• World Health Organization (WHO), (2013) Mental health action plan 2013–2020. https://doi.org/10.1207/s15327752jpa8601_03
• Velázquez, T., Rivera-Holguin, M., & Morote, R. (2017). Disasters and postdisasters: Lessons and challenges for community psychology. In M. A. Bond, I. Serrano-García, C. B. Keys, & M. Shinn (Eds.), APA handbook of community psychology: Methods for community research and action for diverse groups and issues (pp. 425–439). American Psychological Association. https://doi.org/10.1037/14954-025
• Van der Kolk, B. (2003). The neurobiology of childhood trauma and abuse. Child and Adolescent Psychiatric Clinics of North America, 12, 293–317. https://doi.org/10.1016/S1056-4993(03)00003-8