Assessing somatic symptoms.
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Biomedical subjects
Publications and source records attributed to Susan Selby.
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BACKGROUND: Re-entry adjustment affects Australian cross cultural workers returning home; and for many, loss and grief issues arise. General practitioners are often the first point of contact in the health care system and are well placed to deal with these issues. OBJECTIVE: This article examines strategies that GPs can use to support the Australian cross cultural worker on re-entry, and focuses on recognition of re-entry adjustment, the role of loss and grief issues, and the importance of dealing with these issues. DISCUSSION: Australian cross cultural workers are valued members of their communities. However, their loss and grief issues associated with re-entry adjustment on return are often unrecognised and may lead to significant morbidity. Acknowledgment of their disenfranchised grief and appropriate therapy may be part of the role of their GP. Further research is needed to equip GPs to manage this important group in the Australian community.
My journey into research started at a weekend seminar on dealing with loss and grief. In my clinical work, I assess a group of cross cultural workers who are missionaries in various countries and on return from their placement, they present with re-entry adjustment often involving multiple issues of loss and grief. As I read about the topic, I realised there was little to guide the general practitioner to assess and manage these issues.
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