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The subjective experience of trauma within structural marginality: An ethnography of mental health among survivors of gender-based violence in Italy

Author

Listed:
  • Emanuela Nadia Borghi
  • Joseph Tay Wee Teck
  • Laura Roe
  • Giedre Zlatkute
  • Alexander Mario Baldacchino

Abstract

Background: Gender-based violence (GBV) has multi-dimensional impacts on women’s mental health and everyday life, often leading to experiences of trauma, PTSD and co-morbid mental health conditions. Institutional practices and strategies designed to support survivors of gender-based violence can collide with, overshadow and misapprehend women’s own subjective experiences. Aims: This study aims to highlight the importance of subjective accounts in understanding women’s mental health and the complexity of trauma experienced by female survivors of gender-based violence. It aims to put forward survivors’ voices that are often excluded from research. Method: This study draws on 12 months of ethnographic fieldwork (2021–2022) among 38 women seeking psychological support from anti-violence centres in Milan, Italy. The participants, including 12 migrant women, represented a diverse set of demographic backgrounds. The study also incorporated accounts from mental health professionals and NGO coordinators. Using anthropological and phenomenological approaches, this qualitative analysis is based on themes which illustrate survivors’ lived experiences of trauma. Results: This ethnography identified several pathways contributing to poor mental health among GBV survivors. Key findings reveal that survivors engage with trauma and mental health symptoms through subjective, embodied and temporally informed processes, affecting their recovery and societal vulnerability. Structural marginalisation, including insufficient government funding, prolonged legal procedures and invasive medical practices, further impacted survivors’ well-being. Themes from the analysis demonstrated that structural marginality and isolation exacerbated mental health issues, hindering empowerment and autonomy; thus trapping survivors in a state of long-term vulnerability. Conclusion: This study emphasises the importance of incorporating subjective accounts to understand women’s mental health in-depth. The findings highlight that current services often fail to address the complexity of trauma, leading to inadequate support and prolonged marginalisation. To improve outcomes, it is crucial to offer tailored mental health support, address socio-economic challenges and implement trauma-informed care that fosters safety, empowerment and resilience.

Suggested Citation

  • Emanuela Nadia Borghi & Joseph Tay Wee Teck & Laura Roe & Giedre Zlatkute & Alexander Mario Baldacchino, 2026. "The subjective experience of trauma within structural marginality: An ethnography of mental health among survivors of gender-based violence in Italy," International Journal of Social Psychiatry, , vol. 72(2), pages 387-397, March.
    • Handle: RePEc:sae:socpsy:v:72:y:2026:i:2:p:387-397
    DOI: 10.1177/00207640251362317
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    References listed on IDEAS

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    1. Adriana Aubert & Ramon Flecha, 2021. "Health and Well-Being Consequences for Gender Violence Survivors from Isolating Gender Violence," IJERPH, MDPI, vol. 18(16), pages 1-14, August.
    2. Karen M Devries & Joelle Y Mak & Loraine J Bacchus & Jennifer C Child & Gail Falder & Max Petzold & Jill Astbury & Charlotte H Watts, 2013. "Intimate Partner Violence and Incident Depressive Symptoms and Suicide Attempts: A Systematic Review of Longitudinal Studies," PLOS Medicine, Public Library of Science, vol. 10(5), pages 1-11, May.
    3. Silvia Polettini & Serena Arima & Sara Martino, 2024. "An Investigation of Models for Under-Reporting in the Analysis of Violence Against Women in Italy," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 175(3), pages 1007-1026, December.
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