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The Impact of Trauma-Informed Care on Mental Health Outcomes for Incarcerated Youth: A Longitudinal Study in Bandung, Indonesia Dedi Affandi; Ericca Dominique Perez; Winata Putri; Anies Fatmawati; Alex Putra Pratama
Scientia Psychiatrica Vol. 6 No. 1 (2025): Scientia Psychiatrica
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/scipsy.v6i1.183

Introduction: Incarcerated youth represent a vulnerable population with disproportionately high rates of trauma exposure and mental health disorders. This study investigated the longitudinal impact of a trauma-informed care (TIC) program on mental health outcomes for incarcerated youth in Bandung, Indonesia. Methods: A quasi-experimental design was employed, comparing a group of incarcerated youth who received TIC with a control group receiving standard care. Participants (n=200) were assessed at baseline, 6 months, and 12 months using validated instruments measuring PTSD symptoms, depression, anxiety, and behavioral problems. Data analysis included repeated measures ANOVA and correlational analyses. Results: Youth in the TIC group demonstrated significant reductions in PTSD symptoms, depression, and anxiety over time compared to the control group. Improvements in behavioral problems were also observed in the TIC group. These positive changes were sustained over the 12-month period. Conclusion: This study provides evidence for the effectiveness of TIC in improving mental health outcomes for incarcerated youth. Implementing TIC programs in juvenile detention facilities is crucial for addressing the mental health needs of this vulnerable population.

The Power Imbalance Personified: A Mixed-Methods Analysis of Senior-to-Junior Bullying in Indonesia's Medical Residency Programs Alex Putra Pratama; Henry Clifford; Ahmad Erza; Ericca Dominique Perez; Fakhrul Setiobudi; Dedi Affandi; Lestini Wulansari; Fachrudin Sani; Vita Amanda; Zahra Amir
Enigma in Education Vol. 3 No. 1 (2025): Enigma in Education
Publisher : Enigma Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61996/edu.v3i1.92

Bullying within medical residency is a pervasive global issue with severe consequences for residents' mental health and patient safety. In Indonesia, where hierarchical structures in medicine are deeply entrenched, senior-to-junior bullying is a significant yet under-investigated problem. This study aimed to analyse the prevalence, forms, and lived experiences of bullying perpetrated by senior residents against their junior counterparts in Indonesian medical residency programs. A sequential explanatory mixed-methods design was employed. In the quantitative phase, an anonymous online survey was distributed to 584 junior medical residents across five major teaching hospitals in Indonesia. The survey included the validated Negative Acts Questionnaire-Revised (NAQ-R) and questions on demographics and specialty. In the qualitative phase, 25 junior residents who reported high levels of bullying were purposively selected for in-depth, semi-structured interviews to explore their experiences. Quantitative data were analysed using descriptive and inferential statistics, while qualitative data were subjected to reflexive thematic analysis. Quantitatively, 81.3% (n=475) of junior residents reported experiencing at least one bullying behaviour weekly. The most common forms were work-related, such as excessive workloads and meaningless tasks, and personal humiliation. Year of residency was significantly associated with bullying exposure. Qualitatively, four major themes emerged: (1) ‘The Hierarchy as an Unassailable Mandate for Abuse’; (2) ‘The Pedagogy of Fear: Bullying as a Misguided Educational Tool’; (3) ‘Silent Suffering and the Armour of Complicity’; and (4) ‘The Perpetuating Cycle: Victims on a Trajectory to Becoming Perpetrators’. The qualitative findings revealed that bullying was often rationalised by seniors as a necessary part of medical training. In conclusion, senior-to-junior bullying is alarmingly prevalent and deeply embedded in the culture of Indonesian medical residency programs. It is personified through a profound power imbalance, rationalised as an educational necessity, and sustained by a culture of silence. Urgent, multi-level interventions focusing on systemic change, faculty training, and robust confidential reporting systems are imperative to dismantle this destructive cycle.

Echoes of Empire: The Politics of Repatriation and Decolonial Praxis in 21st-Century European Museums Alex Putra Pratama; Christian Napitupulu; Aman Suparman; Omar Alieva
Enigma in Cultural Vol. 3 No. 2 (2025): Enigma in Cultural
Publisher : Enigma Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61996/cultural.v3i2.107

The universalist claims of major European museums are built upon collections inextricably linked to the history of colonial violence and asymmetrical power. In the 21st century, a global movement demanding the repatriation of cultural heritage has challenged the very ethical and political foundations of these institutions. This study investigates the complex dynamics governing repatriation and the significant gap between museums' stated decolonial ambitions and their institutional practices, treating this dysfunction as a form of structural pathology. This study employed a mixed-methods approach grounded in a decolonial methodological awareness. The first phase consisted of a systematic thematic analysis of 188 policy documents from 25 major European museums (2019-2025), identifying the core logic of institutional responses to repatriation claims. The second phase developed a heuristic framework—a qualitative analytical model—to explore the logical outcomes of this institutional logic across three archetypal scenarios: a high-profile plunder case, a contested acquisition, and the return of ancestral remains. This model is presented not as a predictive tool, but as a framework for making the power structures and pathogenic mechanisms of holding institutions more legible. The documentary analysis revealed four key symptoms of a systemic pathology: a pervasive "rhetoric-practice gap"; the use of provenance research as both a facilitator and a barrier to claims; the strategic invocation of legal inalienability as an institutional defense; and a clear hierarchy of "returnable" heritage. The heuristic framework demonstrated that claims were most successful when high diplomatic pressure and clear evidence of looting created an overwhelming political imperative, while claims with ambiguity were likely to result in a chronic stalemate or offers of long-term loans. In conclusion, repatriation is not a simple administrative process but a deeply political and affective struggle shaped by enduring colonial power asymmetries. Genuine decolonial praxis requires more than institutional rhetoric of "slow ethics"; it necessitates treating the issue as a structural pathology requiring fundamental legal and systemic reforms, a shift in the burden of proof, and an acknowledgment of repatriation as an act of epistemic and restorative justice for source communities.

Forging the ‘New Opposition’: Resilience, Strategy, and Digital Contention in Post-Election Indonesian Civil Society Alex Putra Pratama; Christian Napitupulu; Dais Susilo
Open Access Indonesia Journal of Social Sciences Vol. 8 No. 4 (2025): Open Access Indonesia Journal of Social Sciences
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/oaijss.v8i4.292

In the wake of recent elections, Indonesia’s political landscape has seen a consolidation of power and the co-optation of formal opposition parties, creating a vacuum in democratic accountability. This study investigates the emergence of a ‘New Opposition’—a constellation of civil society coalitions that have assumed the role of a critical check on state power. We examine the strategies these coalitions employ, their internal dynamics, and the mechanisms underpinning their resilience in an increasingly restrictive political environment. This research employed a 12-month ethnographic mixed-methods approach from May 2024 to May 2025. We conducted 35 in-depth interviews with activists, lawyers, and academics; participant observation within a major civil society coalition in Jakarta; and three focus group discussions. This qualitative data was triangulated with quantitative analysis, including a Social Network Analysis (SNA) of 45 organizations to map collaborative structures and a survey (n=150) of activists to gauge perceived strategic effectiveness. Our findings reveal a strategic repertoire that blends legal-constitutional challenges, sophisticated public narrative framing, and digitally-enabled mobilization. SNA results demonstrate a significant increase in network density (from 0.21 to 0.45) and centralization following key political triggers, indicating a rapid consolidation of the coalition. Key ‘broker’ organizations, particularly in the legal aid and digital rights sectors, were crucial for connecting disparate clusters. While digital platforms were vital for mobilization, they also exposed activists to significant risks, including doxxing and state-sponsored cyber-attacks, creating a paradox of visibility and vulnerability. In conclusion, Indonesian civil society coalitions have effectively transformed into a resilient ‘New Opposition,’ characterized by adaptive strategies and a robust, networked structure. They function as a crucial bulwark for democratic norms, operating outside formal political structures. Their resilience is derived not from a single strategy but from the synergistic interplay of legal, narrative, and digital contention, sustained by a dense network of trust and shared purpose. This study underscores the critical role of networked civil society in upholding democratic accountability in hybrid regimes.

Forging the ‘New Opposition’: Resilience, Strategy, and Digital Contention in Post-Election Indonesian Civil Society Alex Putra Pratama; Christian Napitupulu; Dais Susilo
Open Access Indonesia Journal of Social Sciences Vol. 8 No. 4 (2025): Open Access Indonesia Journal of Social Sciences
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/oaijss.v8i4.292

In the wake of recent elections, Indonesia’s political landscape has seen a consolidation of power and the co-optation of formal opposition parties, creating a vacuum in democratic accountability. This study investigates the emergence of a ‘New Opposition’—a constellation of civil society coalitions that have assumed the role of a critical check on state power. We examine the strategies these coalitions employ, their internal dynamics, and the mechanisms underpinning their resilience in an increasingly restrictive political environment. This research employed a 12-month ethnographic mixed-methods approach from May 2024 to May 2025. We conducted 35 in-depth interviews with activists, lawyers, and academics; participant observation within a major civil society coalition in Jakarta; and three focus group discussions. This qualitative data was triangulated with quantitative analysis, including a Social Network Analysis (SNA) of 45 organizations to map collaborative structures and a survey (n=150) of activists to gauge perceived strategic effectiveness. Our findings reveal a strategic repertoire that blends legal-constitutional challenges, sophisticated public narrative framing, and digitally-enabled mobilization. SNA results demonstrate a significant increase in network density (from 0.21 to 0.45) and centralization following key political triggers, indicating a rapid consolidation of the coalition. Key ‘broker’ organizations, particularly in the legal aid and digital rights sectors, were crucial for connecting disparate clusters. While digital platforms were vital for mobilization, they also exposed activists to significant risks, including doxxing and state-sponsored cyber-attacks, creating a paradox of visibility and vulnerability. In conclusion, Indonesian civil society coalitions have effectively transformed into a resilient ‘New Opposition,’ characterized by adaptive strategies and a robust, networked structure. They function as a crucial bulwark for democratic norms, operating outside formal political structures. Their resilience is derived not from a single strategy but from the synergistic interplay of legal, narrative, and digital contention, sustained by a dense network of trust and shared purpose. This study underscores the critical role of networked civil society in upholding democratic accountability in hybrid regimes.

Spatial Heterogeneity of Child Malnutrition and Governance Fragility: A Geographically Weighted Regression Analysis of Stunting and Political Instability in Indonesia’s Peripheral Regions Fitriyanti Fitriyanti; Aylin Yermekova; Ahmad Erza; Alex Putra Pratama
Open Access Indonesia Journal of Social Sciences Vol. 8 No. 3 (2025): Open Access Indonesia Journal of Social Sciences
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/oaijss.v8i3.303

Stunting remains a critical public health challenge in Indonesia, particularly in peripheral regions known as Terdepan, Terluar, Tertinggal (3T). While biological and nutritional factors are well-documented, the impact of political instability and governance fragility on health outcomes remains under-explored. This study investigates the spatial relationship between political instability and stunting prevalence across Indonesia's peripheral districts. We employed Geographically Weighted Regression (GWR) to analyze spatial non-stationarity. Data were analyzed for 122 peripheral districts, integrating the Stunting Prevalence Index (SPI) as the dependent variable and the Political Instability Index (PII), poverty rates, and healthcare accessibility as predictors. Global Moran’s I was used to detect spatial autocorrelation. Significant spatial clustering was identified (Moran’s I = 0.48, p < 0.001). The GWR model significantly outperformed the Ordinary Least Squares (OLS) model (R-squared GWR = 0.76 versus R-squared OLS = 0.54), revealing that political instability has a disproportionately higher impact on stunting in the Eastern Indonesia cluster—specifically Papua and Maluku—compared to Western peripheral zones. In conclusion, stunting interventions in peripheral regions must transcend clinical nutrition to include governance stabilization. Tailored, location-specific policies are essential for regions where political fragility exacerbates supply chain disruptions for health services.

Spatial Heterogeneity of Child Malnutrition and Governance Fragility: A Geographically Weighted Regression Analysis of Stunting and Political Instability in Indonesia’s Peripheral Regions Fitriyanti Fitriyanti; Aylin Yermekova; Ahmad Erza; Alex Putra Pratama
Open Access Indonesia Journal of Social Sciences Vol. 8 No. 3 (2025): Open Access Indonesia Journal of Social Sciences
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/oaijss.v8i3.303

Stunting remains a critical public health challenge in Indonesia, particularly in peripheral regions known as Terdepan, Terluar, Tertinggal (3T). While biological and nutritional factors are well-documented, the impact of political instability and governance fragility on health outcomes remains under-explored. This study investigates the spatial relationship between political instability and stunting prevalence across Indonesia's peripheral districts. We employed Geographically Weighted Regression (GWR) to analyze spatial non-stationarity. Data were analyzed for 122 peripheral districts, integrating the Stunting Prevalence Index (SPI) as the dependent variable and the Political Instability Index (PII), poverty rates, and healthcare accessibility as predictors. Global Moran’s I was used to detect spatial autocorrelation. Significant spatial clustering was identified (Moran’s I = 0.48, p < 0.001). The GWR model significantly outperformed the Ordinary Least Squares (OLS) model (R-squared GWR = 0.76 versus R-squared OLS = 0.54), revealing that political instability has a disproportionately higher impact on stunting in the Eastern Indonesia cluster—specifically Papua and Maluku—compared to Western peripheral zones. In conclusion, stunting interventions in peripheral regions must transcend clinical nutrition to include governance stabilization. Tailored, location-specific policies are essential for regions where political fragility exacerbates supply chain disruptions for health services.

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