| Literature DB >> 35967481 |
Julia Manek1, Andrea Galán-Santamarina2, Pau Pérez-Sales2.
Abstract
Mexico's role in the US-Central American migration regime is threefold: not only is it a country of origin, and a transit country, but also increasingly becoming a receiving country for migrants who flee from violence, insecurity and poverty. The Mexican state responds with detention enforcement. Clinical research usually puts emphasise on the negative impact of detention enforcement on the detainees' mental health. Yet, it often disregards the spatial configurations of detention centres and their socio-political context. This study aims to fill this gap by analysing how such factors create harmful environments that affect both the detainees' mental health and their social life in Mexico's migration detention centres. The study's mixed method approach builds on semi-structured interviews with a sample of N = 56 migrants of diverse nationalities and varying socioeconomic status of whom 22 were still detained while 34 had been released. The interviews include the Torturing Environment Scale (TES), a novel instrument for the analysis of detention environments, as well as clinical psychological measures of emotional distress. Additional n = 10 in-depth interviews with human rights advocates to explore the interconnections between the detention environments, their impact on mental health, and Mexican migration politics. Facultative counter-mappings of the detention centres complement the interviews. Without exception, all interviews of detainees underline that the manipulation of detention conditions creates torturing environments that cause harm to basic physiological and psychological needs. A comparison between detained vs. released interviewees revealed lasting feelings of fear and shame. The study emphasises that immigration detention immobilises migrants in a necropolitical limbo, which destroys hope as much as human integrity. It indicates that detention is part of deterrence politics, which perpetuates harm and inequality through detention and deportation. Highlighting structural human rights violations, the findings stress the need to review current migration policies.Entities:
Keywords: Geography; Psychology; Sociology
Year: 2022 PMID: 35967481 PMCID: PMC9360737 DOI: 10.1057/s41599-022-01252-y
Source DB: PubMed Journal: Humanit Soc Sci Commun ISSN: 2662-9992
Fig. 1Research design.
Representation of the mixed-method design, differentiating between the semi-standardised interviews with the sample of (former) migrant detainees and the in-depth interviews with the expert group. The figure portrays the respective research questions, instruments and methods of analysis. This figure is covered by the Creative Commons Attribution 4.0 International License. Reproduced with permission of Julia Manek; copyright © Julia Manek, all rights reserved.
Characteristics of the sample.
| Detention status | Detained | 22 (39.29%) |
| Released | 34 (60.71%) | |
| Detention centre | Tapachula | 22 (39.29%) |
| Mexico-City | 21 (37.50%) | |
| Other | 13 (23.21%) | |
| Days in detention mean (s.d.) | 51.6 (58.8) | |
| Sex | Men | 44 (78.57%) |
| Women | 12 (21.43%) | |
| Age mean (s.d.) | 30.18 (9.63) | |
| Nationality | Honduras | 24 (42.86%) |
| Cuba | 12 (21.43%) | |
| El Salvador | 9 (16.07%) | |
| Guatemala | 4 (7.12%) | |
| Nicaragua | 3 (5.36%) | |
| Pakistan | 1 (1.79%) | |
| Nigeria | 1 (1.79%) | |
| Columbia | 1 (1.79%) | |
| Dominican Republic | 1 (1.79%) | |
| Level of education | Primary | 14 (25.00%) |
| Secondary | 10 (17.86%) | |
| Tertiary | 14 (25.00%) | |
| Unknown | 18 (32.14%) | |
| Vulnerability | Yes | 24 (42.86%) |
| No | 11 (19.64%) | |
| Unknown | 21 (37.50%) | |
| Asylum application | Yes | 45 (80.36%) |
| No | 5 (8.93%) | |
| Unknown | 6 (10.71%) |
Total N = 56.
Mental health criteria.
| Mean | s.d. | ||
|---|---|---|---|
| 1 | Fatigue | 2.80 | 0.94 |
| 2 | Sadness | 2.66 | 1.1 |
| 3 | Nightmares, intrusive thoughts or images | 1.96 | 0.92 |
| 4 | Mistrust | 2.57 | 1.08 |
| 5 | Anger or rage towards self or others | 1.89 | 0.95 |
| 6 | Guilt | 1.91 | 1.04 |
| 7 | Fear | 2.57 | 1.09 |
| 8 | Anguish and despair | 2.63 | 1.14 |
| 9 | Despair | 2.32 | 1.22 |
| 10 | Suicide (specify) | 1.20 | 0.52 |
| 11 | Humiliation or shame | 2.20 | 0.98 |
| 12 | Moments of happiness in spite of everything | 1.84 | 0.76 |
| 13 | Other stressors | 2.46 | 1.22 |
Total N = 56.
Fig. 2Median and IQR of the TES subscales.
The figure displays boxplots of the eight subscales. Statistical extreme values are marked with asterisks. This figure is covered by the Creative Commons Attribution 4.0 International License. Reproduced with permission of Julia Manek; copyright © Julia Manek, all rights reserved.
Overview of all items [subscales of the TES].
| Mean | s.d. | |||
|---|---|---|---|---|
| (1) Context manipulation | 8.25 | 3.51 | 47 | |
| a | Inhuman conditions | 1.70 | 0.60 | |
| b | Manipulation of environmental conditions | 1.61 | 0.76 | |
| c | Altering basic physiological functions | 1.41 | 0.8 | |
| d | Sleep dysregulation | 1.09 | 0.86 | |
| e | Manipulation sense of time | 0.87 | 0.88 | |
| f | Partial deprivation of senses | 0.21 | 0.59 | |
| g | Medical induction of altered states | 0.21 | 0.56 | |
| h | Other contextual manipulations | 1.14 | 0.96 | |
| (2) Fear | 6.27 | 3.86 | 36 | |
| a | Manipulation of hopes and expectations | 1.46 | 0.76 | |
| b | Threats against the person | 1.18 | 0.9 | |
| c | Threats against family | 0.70 | 0.87 | |
| d | Anguish associated with lack of information | 1.16 | 0.87 | |
| e | Experience of near death | 0.20 | 0.55 | |
| f | Forced witnessing of other’s torture or death | 0.39 | 0.78 | |
| g | Use of situations evoking insurmountable fear | 0.25 | 0.61 | |
| h | Other situations provoking fear or terror | 0.93 | 0.99 | |
| (3) Paina | 3.32 | 3.76 | 17 | |
| a | Blunt trauma | 0.66 | 0.84 | |
| b | Forced battles against oneself | 0.68 | 0.9 | |
| c | Exhaustive exercises | 0.14 | 0.48 | |
| d | Other pain-producing actions | 0.18 | 0.54 | |
| (4) Extreme paina | 1.00 | 2.98 | 3 | |
| a | Devices that produce excruciating pain | 0.16 | 0.53 | |
| b | Mutilation | 0.11 | 0.41 | |
| c | Brain damage | 0.13 | 0.47 | |
| d | Other actions producing extreme pain | 0.11 | 0.41 | |
| (5) Sexual integritya | 1.96 | 2.82 | 4 | |
| a | Humiliation related to sexual identity | 0.20 | 0.55 | |
| b | Sexual assault | 0.16 | 0.5 | |
| c | Rape | 0 | 0 | |
| d | Other actions targeting sexual integrity | 0.63 | 0.82 | |
| (6) Need to belonga | 3.39 | 4.3 | 12 | |
| a | Prolonged solitary confinement | 0.36 | 0.75 | |
| b | Breaking social bonds | 0.70 | 0.81 | |
| c | Manipulation of affect | 0.29 | 0.65 | |
| d | Other actions targeting the need to belong | 0.36 | 0.72 | |
| (7) Identity and control | 4.21 | 3.40 | 24 | |
| a | Attacks on sense of self | 0.41 | 0.65 | |
| b | Induced submission and compliance | 1.13 | 0.83 | |
| c | Instilling guilt | 0.46 | 0.74 | |
| d | Induced shame | 0.75 | 0.84 | |
| e | Induced humiliation | 0.93 | 0.85 | |
| f | Violation of taboos | 0.27 | 0.56 | |
| g | Installing goals and identity | 0.14 | 0.44 | |
| h | Other actions targeting identity | 0.13 | 0.43 | |
| (8) Coercive interrogation | 2.82 | 4.70 | 11 | |
| a | Extreme conditions during interrogation | 0.45 | 0.78 | |
| b | Conditions of interrogation that foster false confessions: extreme emotions | 0.38 | 0.70 | |
| c | Conditions of interrogation that foster false confessions: lies or deliberate confessions | 0.25 | 0.61 | |
| d | Other extreme coercive actions | 0.29 | 0.66 |
Total N = 56. Values in the TES subscales of ≥5 indicate the existence of a torturing environment as defined by the TES.
Pearson correlation coefficients for TES subscales, time in detention, and mental health criteria.
| Variable | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 |
|---|---|---|---|---|---|---|---|---|---|
| 1 Context manipulation | |||||||||
| 2 Fear | 0.51** [0.21, 0.71] | ||||||||
| 3 Pain | 0.57** [0.31, 0.74] | 0.66** [0.43, 0.79] | |||||||
| 4 Extreme pain | 0.48** [0.15, 0.66] | 0.47** [0.01, 0.69] | 0.66** [0.23, 0.82] | ||||||
| 5 Sexual integrity | 0.21 [−0.09, 0.49] | 0.34* [0.05, 0.59] | 0.29* [−0.07, 0.59] | 0.39** [−0.07, 0.72] | |||||
| 6 Need to belong | 0.42** [0.06, 0.66] | 0.49** [0.15, 0.70] | 0.42** [0.05, 0.66] | 0.59** [0.05, 0.77] | 0.34* [0.02, 0.63] | ||||
| 7 Identity and control | 0.68** [0.49, .80] | 0.73** [0.53, 0.85] | 0.70** [0.54, .82] | 0.54** [0.15, 0.75] | 0.44** [0.15, 0.66] | 0.59** [0.23, 0.78] | |||
| 8 Coercive Interrogation | 0.65** [0.41, 0.79] | 0.52** [0.18, 0.73] | 0.63** [0.33, 0.78] | 0.63** [0.15, 0.82] | 0.21 [−0.11, 0.55] | 0.59** [0.20, 0.79] | 0.64** [0.37, 0.80] | ||
| 9 Time in detention | 0.18 [−0.15, 0.82] | 0.26 [−0.03, 0.50] | 0.33* [0.07, 0.53] | 0.33* [−0.02, 0.59] | 0.08 [−0.17, 0.38] | 0.53** [0.28, 0.78] | 0.20 [−0.14, 0.50] | 0.40** [0.08, 0.61] | |
| 10 Mental health criteria | 0.71** [0.53, 0.82] | 0.43** [0.12, 0.64] | 0.46** [0.22, 0.64] | 0.44** [0.14, 0.61] | 0.08 [−0.29, 0.39] | 0.47** [0.20, 0.66] | 0.59** [0.31, 0.73] | 0.43** [0.14, 0.63] | 0.05 [−0.27, 0.35] |
N = 56.
Values in square brackets indicate the 95% confidence interval for each correlation.
*p < 0.05, **p < 0.01.
By detention centre.
| Median (IQR) | Tapachula | CDMX | Other | Test statistic | Effect size estimate ( |
|---|---|---|---|---|---|
| (1) Context manipulation | 8 (7–10) | 6 (4–9)a | 9 (8–16)a | 7.986* | −2.70 |
| (2) Fear | 6 (2–8.25) | 8 (4.5–8) | 7 (4.5–13) | 1.647 | – |
| (3) Pain | 4 (0–6) | 0 (0–4) | 4 (0–8) | 3.052 | – |
| (4) Extreme pain | 0 (0–0) | 0 (0–0) | 0 (0–0) | 5.042 | – |
| (5) Sexual integrity | 0 (0–2) | 2 (0–4) | 4 (0–4) | 4.683 | – |
| (6) Need to belong | 2 (0–4) | 2 (0–4) | 4 (0–14) | 4.393 | – |
| (7) Identity and control | 4.5 (2–6.25) | 2 (1–4)a | 6 (3–11)a | 8.178* | 0.02 |
| (8) Coercive interrogation | 0 (0–2.5) | 0 (0–3) | 2 (0–15) | 3.230 | – |
| Time in detention | 16.50 (10–63.25) | 29 (22–46) | 30 (13.5–150) | 2.015 | – |
| Mental health criteria | 31 (28–33.5) | 28 (20–36) | 35 (23–46.5) | 3.154 | – |
aThe superscript letter marks those groups between which significant differences manifest.
*p-values < 0.05.
By gender.
| Median (IQR) | Male | Female | Test statistic | Effect size estimate ( |
|---|---|---|---|---|
| (1) Context manipulation | 8 (5–10) | 9.5 (7.25–11.75) | 3.027 | – |
| (2) Fear | 6 (3.5–8) | 7 (5.25–8.75) | 1.898 | – |
| (3) Pain | 4 (0–6) | 0 (0–4) | 1.037 | – |
| (4) Extreme pain | 0 (0–0) | 0 (0–3) | 1.769 | – |
| (5) Sexual integrity | 0 (0–4) | 11 (0–4) | 0.117 | – |
| (6) Need to belong | 2 (0–4) | 3 (0–7) | 0.201 | – |
| (7) Identity and control | 4 (1.5–6) | 4,5 (1.25–7.75) | 0.284 | – |
| (8) Coercive interrogation | 0 (0–3) | 1 (0–7) | 0.966 | – |
| Time in detention | 26 (12.5–101) | 21 (10.75–29.95) | 0.848 | – |
| Mental health criteria | 29 (20.5–35) | 35 (28.25–38.5) | 3.884 | – |
Total N = 56
By status of detention.
| Median (IQR) | Released | In detention | Test statistic | Effect size estimate ( |
|---|---|---|---|---|
| (1) Context manipulation | 8.5 (4.75–10) | 8 (7–12) | 1.662 | – |
| (2) Fear | 6 (3.75–8) | 6.5 (4–9.25) | 2.280 | – |
| (3) Pain | 1 (0–6) | 4 (0–6) | 0.698 | – |
| (4) Extreme pain | 0 (0–0) | 0 (0–1) | 2.431 | – |
| (5) Sexual integrity | 0 (0–2.5) | 1 (0–4) | 0.534 | – |
| (6) Need to belong | 2 (0–4) | 2 (0–9) | 1.165 | – |
| (7) Identity and control | 3 (1–5.25) | 5 (2.75–8) | 6.392** | 0.85 |
| (8) Coercive interrogation | 0 (0–2.5) | 2 (0–5) | 2.657 | – |
| Time in detention | 24 (14.5–35.75) | 30.5 (10–150) | 0.636 | – |
| Mental health criteria | 29.5 (20–36) | 32 (27.5–36.25) | 1.306 | – |
Total N = 56.
**p < 0.01.
TES subscale values and selected themes.
| No. of items | Min. | Max. | Mean | s.d. | Selected themes [quotations of sample’s participants] | ||
|---|---|---|---|---|---|---|---|
| (1) Context manipulation | 8 | 2 | 16 | 8.25 | 3.51 | 47 | “Everything I saw inside this detention centre was terrible because there were so many people, there was hardly enough food.” |
| (2) Fear | 8 | 0 | 16 | 6.27 | 3.86 | 36 | “I did not get any information about my legal process until 15 days prior to my release from the immigration station, that is after four and a half months of immigration custody and I didn’t know what was going to happen with me.” |
| (3) Pain | 4 | 0 | 16 | 3.32 | 3.76 | 17 | “I was in a forced position before entering the cell. For 6 h on my feet, with the threat of beatings if you couldn’t stand it. The people who could no longer stand it were beaten by the INM agents”. |
| (4) Extreme pain | 4 | 0 | 16 | 1.00 | 2.98 | 3 | “[In the moment of arresting] they grabbed me from above by the hair like an animal and insulted me and threw me down. I hit my face and my teeth, my fangs, […] so it bothers me to eat and I don’t eat for days because they are broken.” |
| (5) Sexual integrity | 4 | 0 | 12 | 1.96 | 2.82 | 4 | “At the time of arrest there is a moment of sexual harassment. The officers tell us that if we have sex they won’t arrest us.” |
| (6) Need to belong | 4 | 0 | 16 | 3.39 | 4.30 | 12 | “During many weeks, I could not communicate with anyone.” |
| (7) Identity and control | 8 | 0 | 14 | 4.21 | 3.40 | 24 | “It is impacting emotionally. It’s better to keep away from trouble, you’re kind of humiliated like that. A constant humiliation that you feel inside. You can’t even open your mouth, not even to ask for soap, not even to ask for water.” |
| (8) Interrogation | 4 | 0 | 16 | 2.82 | 4.7 | 11 | “If was threaten with forced disappearance [in the asylum interview].” |
Total N = 56.
Fig. 3A spatial configuration of a torturing environment.
This figure is a visual integration of the different counter-mappings by n = 5 former detainees and n = 5 participants of the group of key actors. The integration portrays an estación migratorias from the perspective of an adult cis-male inmate. The figure indicates different areas. Colours represent emotions linked to a certain place. Icons describe the infrastructure, conditions of the detention’s environment, incidents and different state actors. This figure is covered by the Creative Commons Attribution 4.0 International License. Reproduced with permission of Julia Manek; copyright © Julia Manek, all rights reserved.