Abstract
Trauma is often a critical element in the emergence of mental disabilities, yet the human rights of persons labeled with psychiatric, psychosocial, intellectual, or developmental disabilities may be violated in ways that lead to even further traumatization. Many of these abuses occur in institutional settings around the world. This chapter describes the range of traumas experienced by persons labeled with mental disabilities, particularly in institutionalized settings; outlines the human rights issues of greatest concern—and at greatest risk of violation—in such settings; and discusses the need for trauma-sensitive approaches to identifying, addressing, and, ultimately, preventing these human rights violations through human rights monitoring, documentation, and advocacy.
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References
Amnesty International. (2002). Bulgaria: Far from the eyes of society: Systematic discrimination against people with mental disabilities. AI Index: EUR 15/005/2002. Retrieved from https://www.amnesty.org/download/Documents/116000/eur150052002en.pdf.
Butler, L. D., Critelli, F. M., & Rinfrette, E. S. (2011). Trauma-informed care and mental health. Directions in Psychiatry,31, 197–210.
Corrigan, P. W., Markowitz, F. E., & Watson, A. C. (2004). Structural levels of mental illness stigma and discrimination. Schizophrenia Bulletin,30, 481–491.
Corrigan, P. W., & Watson, A. C. (2002). Understanding the impact of stigma on people with mental illness. World Psychiatry,1, 16–20.
Disability Rights International. (2010). Abandoned & disappeared: Mexico’s segregation and abuse of children and adults with disabilities. Retrieved from https://www.driadvocacy.org/wp-content/uploads/Abandoned-Disappeared-web.pdf.
Disability Rights International. (2013). Left behind: The exclusion of children and adults with disabilities from reform and rights protection in the Republic of Georgia. Retrieved from https://www.driadvocacy.org/wp-content/uploads/Left-Behind-final-report1.pdf.
Disability Rights International. (2015a). No justice: Torture, trafficking and segregation in Mexico. Retrieved from https://www.driadvocacy.org/wp-content/uploads/Sin-Justicia-MexRep_21_Abr_english-1.pdf.
Disability Rights International. (2015b). No way home: The exploitation and abuse of children in Ukraine’s orphanages. Retrieved from https://www.driadvocacy.org/wp-content/uploads/No-Way-Home-final.pdf.
Disability Rights International. (2017). After the fire: Survivors of Hogar Seguro Virgen de la Asunción at risk. Retrieved from https://www.driadvocacy.org/wp-content/uploads/After-the-Fire-March-15.pdf.
Disability Rights International. (2018). Still in harm’s way: International voluntourism, segregation and abuse of children in Guatemala. Retrieved from https://www.driadvocacy.org/wp-content/uploads/Still-in-Harms-Way-2018.pdf.
Drew, N., Funk, M., Tang, S., Lamichhane, J., Chavez, E., Katontoka, S., … Saraceno, B. (2011). Human rights violations of people with mental and psychosocial disabilities: An unresolved global crisis. The Lancet, 378, 1664–1675.
Fernandes, V., & Osorio, F. L. (2015). Are there associations between early emotional trauma and anxiety disorders? Evidence from a systematic literature review and meta-analysis. European Psychiatry,30, 756–764.
Gilman, S. (1985). Seeing the insane. New York, NY: Wiley.
Goffman, E. (1968). Asylums: Essays on the social situation of mental patients and other inmates. Harmondsworth, UK: Penguin.
Govindshenoy, M., & Spencer, N. (2006). Abuse of the disabled child: A systematic review of population-based studies. Child: Care, Health and Development,33, 252–258.
Griffin, G., Mcclelland, G., Holzberg, M., Stolbach, B., Maj, N., & Kisiel, C. (2011). Addressing the impact of trauma before diagnosing mental illness in child welfare. Child Welfare,90(6), 69.
Herman, J. L., Perry, J. C., & van der Kolk, B. A. (1989). Childhood trauma in borderline personality disorder. American Journal of Psychiatry,146, 490–495.
Hillman, A. A. (2005). Protecting mental disability rights: A success story in the Inter-American Human Rights system. Human Rights Brief,12, 25–28.
Horner-Johnson, W., & Drum, C. E. (2006). Prevalence of maltreatment of people with intellectual disabilities: A review of recently published research. Mental Retardation and Developmental Disabilities Research Reviews,12, 57–69.
Ingram, R. E., & Luxton, D. D. (2005). Vulnerability-stress models. In B. L. Hankin & J. R. Z. Abela (Eds.), Development of psychopathology: A vulnerability stress perspective (pp. 32–46). Thousand Oaks, CA: Sage.
The ITHACA Project Group. (2010). ITHACA toolkit for monitoring human rights and general health care in mental health and social care institutions. London, UK: Health Service and Population Research Department, Institute of Psychiatry, King’s College London.
Kendler, K. S., Karkowski, K. M., & Prescott, C. J. (1999). Causal relationship between stressful life events and the onset of major depression. American Journal of Psychiatry,156, 837–841.
Mental Disability Rights International. (1997). Human rights & mental health: Hungary. Retrieved from https://www.driadvocacy.org/wp-content/uploads/Hungary.pdf.
Mental Disability Rights International. (1999). Children in Russia’s institutions: Human rights and opportunities for reform. Retrieved from https://www.driadvocacy.org/wp-content/uploads/MDRI-Children-in-Russias-Institutions-1999.pdf.
Mental Disability Rights International. (2002). Not on the agenda: Human rights of people with mental disabilities in Kosovo. Retrieved from https://www.driadvocacy.org/wp-content/uploads/KosovoReport.pdf.
Mental Disability Rights International. (2007). Torment not treatment: Serbia’s segregation and abuse of children and adults with disabilities. Retrieved from https://www.driadvocacy.org/wp-content/uploads/Serbia-rep-english.pdf.
Mental Disability Rights International. (2010). Torture not treatment: Electric shock and long-term restraint in the United States on children and adults with disabilities at the Judge Rotenberg Center. Retrieved from https://www.driadvocacy.org/wp-content/uploads/USReportandUrgentAppeal.pdf.
Office of the High Commissioner for Human Rights. (2001). Training manual on human rights monitoring (Professional Training Series No. 7). Retrieved from http://www.ohchr.org/EN/PublicationsResources/Pages/MethodologicalMaterials.aspx.
Office of the High Commissioner for Human Rights. (2010). Monitoring the Convention on the Rights of Persons with Disabilities: Guidance for human rights monitors (HR/P/PT/17, Professional Training Series No. 17). Retrieved from https://www.ohchr.org/Documents/Publications/Disabilities_training_17EN.pdf.
Office of the High Commissioner for Human Rights. (2011). Manual on human rights monitoring (Professional training series No. 7, Rev. 1). Retrieved from https://www.ohchr.org/_layouts/15/WopiFrame.aspx?sourcedoc=/Documents/Publications/OHCHRIntro-12pp.pdf&action=default&DefaultItemOpen=1.
Read, J., van Os, J., Morrison, A. P., & Ross, C. A. (2005). Childhood trauma, psychosis and schizophrenia: A literature review with theoretical and clinical implications. Acta Psychiatrica Scandinavica,112, 330–350.
Rosenthal, E. (2017). A mandate to end placement of children in institutions and orphanages: The duty of governments and donors to prevent segregation and torture. In Center for Human Rights & Humanitarian Law’s Anti-Torture Initiative (Ed.), Protecting children against torture in detention: Global solutions for a global problem (pp. 303–352). Washington, DC: American University, Washington College of Law. Retrieved from https://www.driadvocacy.org/wp-content/uploads/Rosenthal-Torture-seg-Feb-16.pdf.
Rosenthal, E., & Rubenstein, L. S. (1993). International human rights advocacy under the “Principles for the Protection of Persons with Mental Illness”. International Journal of Law and Psychiatry,16, 257–300.
Rosenthal, E., & Sundram, C. J. (2003). Recognizing existing rights and crafting new ones: Tools for drafting human rights instruments for people with mental disabilities. In S. S. Herr, L. O. Gostin, & H. H. Koh (Eds.), The human rights of persons with intellectual disabilities: Different but equal (pp. 467–502). New York: Oxford University Press.
Sadock, B. J., & Sadock, V. A. (2011). Kaplan and Sadock’s synopsis of psychiatry. Philadelphia, PA: Lippincott Williams & Wilkins.
Steel, Z., Bateman Steel, C. R., & Silove, D. (2009). Human rights and the trauma model: Genuine partners or uneasy allies? Journal of Traumatic Stress,22, 358–365.
Sullivan, P. M. (2009). Violence exposure among children with disabilities. Clinical Child and Family Psychology Review,12, 196–216.
Sullivan, P. M., & Knutson, J. F. (2000). Maltreatment and disabilities: A population-based epidemiological study. Child Abuse and Neglect,24, 1257–1273.
Szeli, E., & Pallaska, D. (2004). Violence against women with mental disabilities: The invisible victims in CEE/NIS countries. Feminist Review,76, 117–119.
UN Human Rights Council. (2015). Report of the Special Rapporteur on torture and other cruel, inhuman or degrading treatment or punishment (A/HRC/28/68). Retrieved from https://documents-dds-ny.un.org/doc/UNDOC/GEN/G15/043/37/PDF/G1504337.pdf.
United Nations. (1948). Universal Declaration of Human Rights. Retrieved from https://www.ohchr.org/EN/UDHR/Documents/UDHR_Translations/eng.pdf.
United Nations. (1966a). International Covenant on Civil and Political Rights. Retrieved from http://www.ohchr.org/EN/ProfessionalInterest/Pages/CCPR.aspx.
United Nations. (1966b). International Covenant on Economic, Social and Cultural Rights. Retrieved from http://www.ohchr.org/EN/ProfessionalInterest/Pages/CESCR.aspx.
United Nations. (1971). Declaration on the rights of mentally retarded persons (A/RES/2856[XXVI]). Retrieved from https://www.ohchr.org/Documents/ProfessionalInterest/res2856.pdf.
United Nations. (1989). Convention on the Rights of the Child. Retrieved from https://www.ohchr.org/Documents/ProfessionalInterest/crc.pdf.
United Nations. (1991). The protection of persons with mental illness and the improvement of mental health care (A/RES/46/119). Retrieved from http://www.un.org/documents/ga/res/46/a46r119.htm.
United Nations. (1993). Standard rules on the equalization of opportunities for persons with disabilities (A/RES/48/96). Retrieved from http://www.un.org/disabilities/documents/gadocs/standardrules.pdf.
United Nations. (2006). Convention on the Rights of Persons with Disabilities. Retrieved from http://www.un.org/disabilities/documents/convention/convoptprot-e.pdf.
Waites, E. A. (1993). Trauma and survival: Post-traumatic and dissociative disorders in women. New York, NY: W. W. Norton.
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Szeli, É. (2019). Mental Disability, Trauma, and Human Rights. In: Butler, L.D., Critelli, F.M., Carello, J. (eds) Trauma and Human Rights. Palgrave Macmillan, Cham. https://doi.org/10.1007/978-3-030-16395-2_9
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DOI: https://doi.org/10.1007/978-3-030-16395-2_9
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