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Culture, Medicine, and Psychiatry

, Volume 42, Issue 4, pp 840–861 | Cite as

“If One Does Not Fulfil His Duties, He Must Not Be a Man”: Masculinity, Mental Health and Resilience Amongst Sri Lankan Tamil Refugee Men in Canada

  • William Affleck
  • Umaharan Thamotharampillai
  • Judy Jeyakumar
  • Rob Whitley
Original Paper
  • 229 Downloads

Abstract

Refugee men face unique mental health stressors in the pre- and post-migratory periods. However, there has been little in-depth research on the mental health of refugee men in Canada. Given this situation, the overall aim of this study is to explore the psycho-social experience of Sri Lankan Tamil refugee men in Canada. Particular objectives include better understanding any inter-relationship between war-trauma, migration, concepts of masculinity and mental health. The study employed a two-phase participatory action research design based on the grounded theory approach. Phase 1 involved an 8-month ethnography conducted in Sri Lanka. Phase 2 consisted of qualitative interviews with 33 Sri Lankan Tamil refugee men living in Canada. Consistent with grounded theory, analysis was conducted inductively and iteratively. Four specific themes emerged from the data (i) gendered helplessness of war: participants commonly reported ongoing negative rumination regarding experiences where they were unable to adequately protect loved ones from physical suffering or death; (ii) reduced capacity: participants frequently felt unable to fulfill culturally sanctioned duties, such as supporting their family, due to ongoing pre- and post-migratory stress; (iii) redundancy: many participants felt that they were useless in Canada, as they could not fulfill typical masculine social roles (e.g. provider) due to factors such as unemployment and underemployment; (iv) intimate criticism: some participants reported that their spouses would often attempt to ‘shame’ them into greater achievement by constantly reminding them of their ‘failures’. Many found this distressing. These various failures culminated in a state that we label “depleted masculinity”, which participants linked to emotional and behavioural problems. Participants reported that they actively tried to rebuild their masculine identity, for example by adopting leadership roles in community organizations, which fostered resiliency. Results suggest a need to review and rebuild masculine identity to support the mental health of refugee men.

Keywords

Refugee Displaced Refugee men Mental health Psychosocial Sri Lanka 

Notes

Funding

This study received funding from the Canadian Institute for Health Research (CIHR) Frederick Banting and Charles Best Doctoral Research Award #766578.

Compliance with ethical standards

Conflict of interest

All the authors declare that they have no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from all individual participants included in the study.

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Division of Social and Transcultural PsychiatryMcGill UniversityMontréalCanada
  2. 2.Vavuniya General HospitalVavuniyaSri Lanka
  3. 3.Batticaloa Teaching HospitalBatticaloaSri Lanka

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