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This paper explores how middle aged and older asylum applicants in the UK speak about health in relation to migratory experiences. It proposes biocredibility as a novel theoretical concept, through which the narratives of those migrating to the UK to seek asylum can be analysed. The UK government's hostile environments policies, which aim to make life uncomfortable for irregular migrants in the UK in order to drive down migration, have been criticised on legal, material and moral grounds. This paper adds to this critique. Narrative analysis of semi-structured interviews shows that the majority of the asylum applicants interviewed felt their health was poor and told of the difficulties of life in the UK. Stories of homelessness, poverty and exclusion dominated, underpinned by the erosion of their perceived trustworthiness and credibility through encounters with the Home Office. Particular personal experiences of social, political and economic strife in exile were narrated closely against stories of illness. The concept of biocredibility refers to, and provides a way of understanding, participants' propensity for creating narrative enclaves for pathographies as a discursive mechanism to add credibility to narratives of lived experience. In this way, visceral descriptions of biological suffering can function as a narrative resource. It does this firstly by providing material and social context for adverse health, thus allowing participants to attribute a socio-political cause for their illness. Secondly it interjects experiences of illness into life narratives, thus effectively communicating the significance of such experiences. Finally, it provides narrative evidence of individuals' autobiographical testimony. For discredited and marginalised asylum applicants, biocredibility can be understood to represent a strategy used to re-negotiate credibility and urges a critical consideration of the hostile and austere socio-political context in which it is observed.
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http://dx.doi.org/10.1016/j.socscimed.2020.113509 | DOI Listing |
J Prim Care Community Health
June 2025
Massachusetts General Hospital, Boston, USA.
Background: Despite increased focus on social determinants of health, little is known about screening and intervention for asylum seekers, a highly marginalized group. We present the feasibility of a pilot social needs screening and resource navigation program at the Massachusetts General Hospital (MGH) Asylum Clinic in Boston, Massachusetts.
Methods: Clinicians and staff referred patients who had a forensic evaluation in the clinic for screening.
Int J Legal Med
September 2025
Forensic Service for Asylum Seekers & Unaccompanied Minors, Laboratorio di Antropologia e Odontologia Forense, Dipartimento di Scienze Biomediche per la Salute, LABANOF, Sezione di Medicina Legale, Università degli Studi di Milano, via Luigi Mangiagalli 37, 20133, Milan, Italy.
The comprehensive involvement of forensic practitioners in asylum cases aids the accurate identification and overall evaluation of asylum applications, with demonstrated direct associations between asylum assessment application outcomes and medico-legal conclusions. Forensic involvement is ever more urgent with the increasing migration flows. This paper examines the multifaceted utility of analysing migrant narratives together with forensic data over an extended period: A detailed qualitative secondary analysis of data collected between 2008 and 2021 by the Milan Institute of Forensic Medicine, which includes all migrants who underwent a forensic assessment as unaccompanied foreign minors or torture victims.
View Article and Find Full Text PDFBMC Med Educ
October 2024
Amsterdam UMC location Vrije Universiteit Amsterdam, Research in Education, De Boelelaan 1118, Amsterdam, The Netherlands.
Higher education institutions increasingly aim to implement equity in admissions. However, there is no one-size-fits-all solution to determine which equitable admissions procedures are suitable in a specific context, nor which groups should be its beneficiaries. Therefore, we applied the Formal Consensus Method (FCM) to investigate the support amongst experts and stakeholders for different equitable admissions policies and target groups within the context of Health Professions Education in The Netherlands.
View Article and Find Full Text PDFJ Forensic Leg Med
October 2024
Emergency Medicine and Pediatrics, New York - Presbyterian Weill Cornell Medicine, Cornell Center for Health Equity, New York, NY, USA.
The medical affidavit is critically significant for asylum seekers. Studies have shown that asylum seekers applying with a medical affidavit (versus without a medical affidavit) have double the success rate. There are many training resources for clinician-evaluators on the interviewing process, but little instruction exists on the affidavit writing process.
View Article and Find Full Text PDFHealth Expect
June 2024
Swansea University Medical School, ILS 2, Swansea University, Swansea, UK.
Background: Healthcare and support workers play a pivotal role in delivering quality services and support to people seeking sanctuary who have experienced poor physical and mental health linked to previous trauma, relocation and loss of freedoms. However, they often encounter various challenges in their daily work, ranging from communication barriers to resource constraints. This qualitative study seeks to delve into the perspectives of healthcare and support workers' experience of workarounds, employed to overcome barriers to providing care.
View Article and Find Full Text PDF