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

TY - JOUR

T1 - The subjective experience of trauma within structural marginality

T2 - An ethnography of mental health among survivors of gender-based violence in Italy

AU - Borghi, Emanuela Nadia

AU - Tay Wee Teck, Joseph

AU - Roe, Laura

AU - Zlatkute, Giedre

AU - Baldacchino, Alexander Mario

N1 - Publisher Copyright: © The Author(s) 2025

PY - 2025/9/2

Y1 - 2025/9/2

N2 - 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.

AB - 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.

KW - ethnography

KW - Female mental health

KW - gender-based violence

KW - marginality

KW - trauma

UR - https://www.scopus.com/pages/publications/105016757153

U2 - 10.1177/00207640251362317

DO - 10.1177/00207640251362317

M3 - Article

C2 - 40891903

AN - SCOPUS:105016757153

SN - 0020-7640

JO - International Journal of Social Psychiatry

JF - International Journal of Social Psychiatry

M1 - 00207640251362317

ER -