The Experience of Pregnancy and Childbirth Overshadowed by Obstetric Violence and Structural Barriers of the Israeli Health System from the Perspective of Arab and Jewish Women.

The aim of this study was to give a voice to Arab and Jewish women in Israel who had suffered obstetric violence during various stages of fertility treatments, pregnancy, and childbirth and also to learn from the women about their experiences of obstetric violence subject to the barriers of the Israeli health system, and their recommendations of possible solutions. The study underlines the unique gender, social, and cultural context in Israel concerning pregnancy and childbirth, and was based on the feminist approach that strives to promote human rights, and eradicate phenomena of gender-related, patriarchal, and social structures. The study used a qualitative-constructivist methodology. Twenty semi-structured interviews with ten Arab women and ten Jewish women were thematically analyzed, and five main themes emerged: first, the women's experience of becoming pregnant and pregnancy overshadowed by physical and emotional barriers from caregivers and the close environment; second, the women's awareness of their bodies and needs during pregnancy dominated by the challenges of the health services; third, the women's awareness of their bodies and needs during childbirth alongside incompatible expectations and nonattentive medical staff; fourth, the women's descriptions of experiences and types of obstetric violence; and fifth, the women's recommendations to eradicate obstetric violence.

"Poster girl": The discourse constructing the image of "girls in distress" as existential epistemic injustice.

The present study is focused on understanding how the image of the girl designated "in distress" in official regulations guiding the provision of public social services to girls in Israel can be structured. The study takes a qualitative approach, and employs the critical-feminist paradigm to the analysis and interpretation of discourse, combining thematic content analysis and deductive critical discourse analysis. Its main findings disclose an organized process of establishing the normative authorities dominating the discourse on public social services for girls; classifying groups of service recipients to which a girl can belong; constructing their forms; and ultimately circumscribing the girls thereto, determining the performative acts on which receiving state assistance is conditional. Through discursive maneuvers of construction, the image of the girl is "born" as an undisputed "truth" deriving from the deviance attached to her every move. In this trajectory, basic epistemic injustices are perpetuated and solidified, and a new form of epistemic injustice-existential epistemic injustice-is revealed. This process's implications are proposed.

The role of exposure to child abuse, social exclusion, and discrimination in predicting posttraumatic symptoms and resilience among young Arab women in Israel.

Child abuse has been demonstrated to have long-term negative effects on mental and social functioning. However, only few studies have focused on ethnic minority women. Our study examined the role of exposure to child abuse, social exclusion, and discrimination in predicting posttraumatic symptoms and resilience among young Arab women in Israel. Young Arab women (n = 482) aged 18-25 filled out questionnaires regarding background information, exposure to child abuse (Childhood Trauma Questionnaire-Short Form), social exclusion, perceived discrimination, posttraumatic stress symptoms (Screen for Posttraumatic Stress Symptoms), and resilience (Connor-Davidson Resilience Scale-10). Participants who experienced child abuse reported higher levels of social exclusion, perceived discrimination, and posttraumatic symptoms and lower levels of resilience, compared to participants who did not experience child abuse. Experiencing child abuse, social exclusion, and discrimination were associated with higher levels of posttraumatic symptoms. Social exclusion moderated the association between child abuse and resilience. Consistent with the concept of intersectional trauma, the findings show that both child abuse and social exclusion play a significant role in predicting posttraumatic symptoms and resilience among young Arab women. Accordingly, we need to embrace a context-informed perspective in research and practice. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

The association of social factors and COVID-19-related resource loss with depression and anxiety among Arabs in Israel.

OBJECTIVES: Arabs in Israel have been found to experience higher levels of mental distress compared to Jews due to COVID-19. However, the social mechanisms underlying mental health vulnerability in the context of mass crisis have been understudied. Based on the Conservation of Resources (COR) theory, the aim of the current study was to examine experiences of resource loss, social exclusion, ethnic discrimination, and social support and their association with depression and anxiety symptoms during the COVID-19 outbreak among Arabs in Israel. METHOD: The sample included 665 adult Arabs in Israel who completed an online self-report questionnaire regarding background variables, resource loss due to COVID-19, social exclusion, ethnic discrimination, social support, and depression and anxiety symptoms. RESULTS: Participants reported on average mild depression and anxiety severity scores, and 15.2% met criteria for major depressive disorder. Many (43.1%) reported experiencing more than 1 loss due to COVID-19 in health, finances or occupation, and interpersonal relationships. Path analyses show that cumulative losses due to COVID-19 and social exclusion were directly associated with depression and anxiety symptom levels. Discrimination moderated the association between losses and both depression and anxiety symptom levels. CONCLUSION: Mental health is embedded in dynamic sociopolitical contexts. Arabs as a national minority in Israel have a perceived sense of social exclusion and discrimination and social and material resource deprivation, which relates to their vulnerability, especially in the face of crisis. It is our obligation as researchers and practitioners to illuminate the centrality of these oppressive mechanisms in shaping mental health vulnerability. Clinical Impact Statement: The present study suggests that social exclusion and cumulative resource losses due to COVID-19 in areas of health, occupation, finances, and social connections predict depression and anxiety among Arabs in Israel. In addition, ethnic discrimination moderates the relationship between cumulative losses and mental health outcomes. These results highlight the importance of developing and implementing context-informed health and social care policies and practices, especially in this time of crisis. (PsycInfo Database Record (c) 2022 APA, all rights reserved).