Self-harm in immigration detention: political, not (just) medical

Journal of Medical Ethics (forthcoming)
  Copy   BIBTEX

Abstract

Self-harm within immigration detention centres has been a widely documented phenomenon, occurring at far higher rates than the wider community. Evidence suggests that factors such as the conditions of detention and uncertainty about refugee status are among the most prominent precipitators of self-harm. While important in explaining self-harm, this is not the entire story. In this paper, we argue for a more overtly political interpretation of detainee self-harm as resistance and assess the ethical implications of this view, drawing on interviews with detainees from Australia’s offshore system. Self-harm by detainees is not only a medical ‘condition’ arising in response to oppression but a form of political action to lessen or contest it. We first establish how self-harm could be conceptualised as resistance. We then discuss its political purpose, noting it serves at least three functions: intrinsic, instrumental and disruptive or coercive. Viewing detainee self-harm as political resistance is a supplement to (rather than a substitute for) a medical approach. However, conceptualising self-harm this way has several advantages, namely, moving away from the idea that such behaviour is ‘maladaptive’, recognising detainees as political agents, combatting government claims of ‘manipulation’ and ‘blackmail’ and clarifying the duties of healthcare workers who work in detention.

Links

PhilArchive



    Upload a copy of this work     Papers currently archived: 93,127

External links

Setup an account with your affiliations in order to access resources via your University's proxy server

Through your library

Similar books and articles

Why self-ownership is prescriptively impotent.Evan Fox-Decent - 1998 - Journal of Value Inquiry 32 (4):489-506.
Bodywork: Self-harm, trauma, and embodied expressions of pain.Kesherie Gurung - 2018 - Arts and Humanities in Higher Education 17 (1):32-47.
Silent Rage: Queer Youth Self-harm as a Protest.Chris Jingchao Ma - 2019 - Journal of Speculative Philosophy 33 (3):422-433.

Analytics

Added to PP
2023-01-05

Downloads
16 (#935,433)

6 months
8 (#415,230)

Historical graph of downloads
How can I increase my downloads?

Author's Profile

Guy Aitchison
University College London

References found in this work

Resistance and Well‐being†.Daniel Silvermint - 2013 - Journal of Political Philosophy 21 (4):405-425.
Fragility as Strength: The Ethics and Politics of Hunger Strikes.Guy Aitchison - 2021 - Journal of Political Philosophy 30 (4):535-558.
Fragility as Strength: The Ethics and Politics of Hunger Strikes.Guy Aitchison - 2021 - Journal of Political Philosophy 30 (4):535-558.
Resisting for other reasons.Daniel Silvermint - 2018 - Canadian Journal of Philosophy 48 (1):18-42.

Add more references