caa a22 4500 606211608 CHVBK 20210128101038.0 cr unu---uuuuu 210128e20151201xx s 000 0 eng 10.1007/s10615-015-0542-5 doi (NATIONALLICENCE)springer-10.1007/s10615-015-0542-5 Caught in a Web of Multiple Jeopardy: Post-Traumatic Stress Disorder and HIV-Positive Asylum Seekers in Scotland [Elektronische Daten] [George Palattiyil, Dina Sidhva] Many HIV-positive asylum seekers have experienced multiple traumas and human rights violations—circumstances that engender posttraumatic stress disorder (PTSD). This qualitative study examines the impact of PTSD symptoms among HIV-positive asylum seekers in Scotland. Data were collected from 19 participants, using open-ended interviews, and narrative analysis was used to develop significant themes. All respondents had significant traumatic experiences, such as physical and sexual assault, witnessing the beating and death of a loved one, and being forced to participate in the sex trade. Many experienced multiple symptoms of PTSD, including re-experiencing of intrusive thoughts, flashbacks, avoidance, and arousal. These symptoms met the duration and impairment requirements for DSM-5 diagnosis of PTSD. Their symptoms impacted their ability to tell their stories convincingly when interviewed by immigration officials. Legal processes for asylum seeking require individuals to tell their stories but ignore the impact of trauma on their ability to do so, thus increasing the likelihood of their applications being rejected. The findings indicate the need for asylum seekers to have routine assessment and treatment for PTSD and the provision of appropriate therapeutic and advocacy services. Springer Science+Business Media New York, 2015 HIV and AIDS nationallicence Asylum seekers nationallicence Human rights nationallicence Post-traumatic stress disorder nationallicence Multiple jeopardy nationallicence Palattiyil George Social Work, School of Social and Political Science, The University of Edinburgh, 15A George Square, EH8 9LD, Edinburgh, UK aut Sidhva Dina Edinburgh India Institute, The University of Edinburgh, 22A Buccleuch Place, EH8 8LN, Edinburgh, UK aut Clinical Social Work Journal Springer US; http://www.springer-ny.com 43/4(2015-12-01), 362-374 0091-1674 43:4<362 2015 43 10615 https://doi.org/10.1007/s10615-015-0542-5 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s10615-015-0542-5 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Palattiyil George Social Work, School of Social and Political Science, The University of Edinburgh, 15A George Square, EH8 9LD, Edinburgh, UK aut NATIONALLICENCE 700 1- Sidhva Dina Edinburgh India Institute, The University of Edinburgh, 22A Buccleuch Place, EH8 8LN, Edinburgh, UK aut NATIONALLICENCE 773 0- Clinical Social Work Journal Springer US; http://www.springer-ny.com 43/4(2015-12-01), 362-374 0091-1674 43:4<362 2015 43 10615