PRAKTIK PASUNG PADA ORANG DENGAN GANGGUAN JIWA: STUDI KASUS DI MALAKA
DOI:
https://doi.org/10.51878/paedagogy.v6i3.12962Keywords:
Pasung, Keluarga, Orang Dengan Gangguan JiwaAbstract
The practice of shackling people with mental disorders (ODGJ) still occurs in Malaka Regency. This study aims to uncover the reasons why families still practice shackling their family members with mental disorders. This study uses a qualitative method with a case study approach. Participants in this study were selected using a snowball sampling technique. Data collection was conducted through semi-structured interviews, while the data analysis technique used the Creswell model case study data analysis. The results of the study indicate that shackling is carried out as a last resort due to aggressive behavior of family members. This decision is based on the family's inability to control aggressive behavior, limited access to health services, economic limitations, and low family understanding of mental disorders. Pressure from society and family experiences when family members relapse also strengthen the family's decision to shackle their family members. Limited resources and suboptimal care make shackling the choice of families, this decision also has a negative impact on family members both physically and psychologically and adds to the emotional burden on the family.
ABSTRAK
Praktik pasung pada Orang Dengan Gangguan Jiwa (ODGJ) masih terjadi di kabupaten Malaka. Penelitian ini bertujuan untuk mengungkap alasan keluarga masih melakukan praktik pasung pada anggota keluarga yang mengalami gangguan jiwa. Penelitian ini menggunakan metode kualitatif dengan pendekatan studi kasus. Partisipan dalam penelitian ini dipilih menggunakan teknik snowball sampling. Pengumpulan data dilakukan dengan wawancara semi terstruktur, sedangkan teknik analisi data menggunakan analisi data studi kasus model creswell. Hasil penelitian menunjukan bahwa pemasungan dilakukan sebagai pilihan terakhir akibat perilaku agresif anggota keluarga. Keputusan ini didasari oleh ketidakmampuan keluarga untuk mengendalikan perilaku agresif, keterbatasan akses pada layanan kesehatan, keterbatasan ekonomi, dan rendahnya pemahaman keluarga terkait gangguan jiwa. Tekanan dari masyarakat dan pengalaman keluarga saat anggota keluarganya kambuh juga memperkuat keputusan keluarga untuk melakukan pemasungan pada anggota keluarganya. Keterbatasan sumber daya dan ketidak optimalan perawatan membuat pemasungan dipilih keluarga, keputusan ini juga berdampat buruk bagi anggota keluarganya baik secara fisik, dan psikologis serta menambah beban emosional bagi keluarga.
Downloads
References
Anggraini, A., Arifin, A. A., Alhaddad, B., & Puspita, R. (2022). Kecenderungan perilaku agresif anak pada ibu bekerja dan tidak bekerja. Jurnal Basicedu, 6(3), 4163–4172. https://doi.org/10.31004/basicedu.v6i3.2758
Atikawati, D., Harahab, N., Caesar, N. R., Puspitawati, D., Muflihulafi, D. A., Supriyadi, S., Wardana, N. K., Hakim, A. I., Fathah, A. L., Putri, B. M., Isdianto, A., Maskan, M., & Utaminingsih, A. (2024). Political and ideological vulnerabilities in Indonesia’s border with Timor-Leste to support state resilience and security: A study on Belu and Malaka regencies. International Journal of Sustainable Development and Planning, 19(6), 2319–2331. https://doi.org/10.18280/ijsdp.190630
Cipta, D. A., Andoko, D., Theja, A., Utama, A., Hendrik, H. D., William, D., Reina, N., Handoko, M. T., & Lumbuun, N. (2024). Culturally sensitive patient-centered healthcare: A focus on health behavior modification in low and middle-income nations—insights from Indonesia. Frontiers in Medicine, 11, Artikel 1353037. https://doi.org/10.3389/fmed.2024.1353037
Hartanto, A. E., Hendrawati, G. W., & Sugiyorini, E. (2021). Pengembangan strategi pelaksanaan masyarakat terhadap penurunan stigma masyarakat pada pasien gangguan jiwa. Indonesian Journal for Health Sciences, 5(1), 63–68. https://doi.org/10.24269/ijhs.v5i1.3249
Hidayat, M. T., Oster, C., Muir?Cochrane, E., & Lawn, S. (2023). Indonesia free from pasung: A policy analysis. International Journal of Mental Health Systems, 17(1), Artikel 12. https://doi.org/10.1186/s13033-023-00579-6
Hutasuhut, A. F., Anggraini, M., & Angnesti, R. (2020). Analisis fungsi kognitif pada lansia ditinjau dari jenis kelamin, riwayat pendidikan, riwayat penyakit, aktivitas fisik, aktivitas kognitif, dan keterlibatan sosial. Jurnal Psikologi Malahayati, 2(1), 45–56. https://doi.org/10.33024/jpm.v2i1.2428
Indriawan, D., Wahyudi, S., & Handayani, S. W. (2025). Perlindungan hukum bagi orang dengan gangguan jiwa untuk mendapatkan pelayananan kesehatan di Indonesia. Jurnal Ilmu Hukum, Humaniora dan Politik, 5(4), 3159–3173. https://doi.org/10.38035/jihhp.v5i4.4322
Khairani, W., & Yusniarita, Y. (2022). Pengaruh peran keluarga dalam pencegahan dan penanganan perilaku agresif prehospital pada orang dengan kelainan jiwa. Jurnal Media Kesehatan, 15(1), 37–45. https://doi.org/10.33088/jmk.v15i1.733
Kusumawaty, I., & Yunike, Y. (2023). Investigating the experiences of family caregivers who shackle people with mental disorders. Frontiers in Psychiatry, 14, Artikel 1062100. https://doi.org/10.3389/fpsyt.2023.1062100
Lammer, L., Beyer, F., Luppa, M., Sander, C., Baber, R., Engel, C., Wirkner, K., Loeffler, M., Riedel?Heller, S. G., Villringer, A., & Witte, A. V. (2021). Social isolation is linked to declining grey matter structure and cognitive functions in the LIFE-Adult panel study (Naskah pracetak). medRxiv. https://doi.org/10.1101/2021.12.14.21267787
Lestari, N. W., Soeharto, S., & Windarwati, H. D. (2020). Reason for the family doing confinement on people with mental disorders. International Journal of Science and Society, 2(3), 277–284. https://doi.org/10.54783/ijsoc.v2i3.173
Lestari, W. A. E., Yusuf, A., & Tristiana, R. D. (2020). Pengalaman petugas kesehatan jiwa dalam menangani orang dengan gangguan jiwa (ODGJ) di Puskesmas Kabupaten Lamongan. Psychiatry Nursing Journal (Jurnal Keperawatan Jiwa), 2(1), 5–14. https://doi.org/10.20473/pnj.v2i1.18589
Mastory, B., Kamaruddin, S. A., & Awaru, A. O. T. (2025). Dinamika sosial di perbatasan: Adaptasi masyarakat Sebatik dalam arus urbanisasi. Journal Social Society, 5(1), 46–55. https://doi.org/10.54065/jss.5.1.2025.612
Ndruru, Y. (2020). Peran orangtua dalam mengatasi perilaku agresifitas anak usia remaja di Desa Talio Kecamatan Hilisala’ahe tahun 2021. Civic Society Research and Education, 3(1), 44–56. https://doi.org/10.57094/jpkn.v3i1.339
Ran, M., Hall, B. J., Su, T. T., Prawira, B., Breth?Petersen, M., Li, X., & Zhang, T. (2021). Stigma of mental illness and cultural factors in Pacific Rim region: A systematic review. BMC Psychiatry, 21(1), Artikel 8. https://doi.org/10.1186/s12888-020-02991-5
Shi, J., Primanov, R. M., Amelia, R., & Andini, N. (2025). From chains to care: Ending pasung (physical restraint) among schizophrenia patients in Indonesia, a systematic review. Clinical Practice and Epidemiology in Mental Health, 21(1), 78–89. https://doi.org/10.2174/0117450179414516251030074059
Slewa?Younan, S., Guajardo, M. G. U., Mohammad, Y., Lim, H. W., Martínez, G. A., Saleh, R., & Sapucci, M. (2020). An evaluation of a mental health literacy course for Arabic speaking religious and community leaders in Australia: Effects on posttraumatic stress disorder related knowledge, attitudes and help-seeking. International Journal of Mental Health Systems, 14(1), Artikel 69. https://doi.org/10.1186/s13033-020-00401-7
Subandi, M. A., Nihayah, M., Marchira, C. R., Tyas, T., Marastuti, A., Pratiwi, R., Mediola, F., Herdiyanto, Y. K., Sari, O. K., Good, M. D., & Good, B. J. (2023). The principles of recovery-oriented mental health services: A review of the guidelines from five different countries for developing a protocol to be implemented in Yogyakarta, Indonesia. PLoS ONE, 18(3), Artikel e0276802. https://doi.org/10.1371/journal.pone.0276802
Subardjo, R. Y. S., & Nurmaguphita, D. (2021). Dukungan keluarga dalam penanganan ODGJ. Jurnal Psikologi Terapan dan Pendidikan, 3(1), 27–34. https://doi.org/10.26555/jptp.v3i1.20693
Subu, M. A., Holmes, D., Arumugam, A., Al?Yateem, N., Dias, J. M., Rahman, S. A., Waluyo, I., Ahmed, F. R., & Abraham, M. S. (2022). Traditional, religious, and cultural perspectives on mental illness: A qualitative study on causal beliefs and treatment use. International Journal of Qualitative Studies on Health and Well-Being, 17(1), Artikel 2123090. https://doi.org/10.1080/17482631.2022.2123090
Suratman, B., Arif, M., & Purnama, S. (2024). Family challenges in the Indonesia-Malaysia border areas: Early marriage, child violence, and stunting in Sambas Regency. Golden Age: Jurnal Ilmiah Tumbuh Kembang Anak Usia Dini, 9(3), 375–384. https://doi.org/10.14421/jga.2024.93-01
Sutikno, E. (2024). Improving legal protection for people with mental illness: Addressing confinement practices and promoting human rights protections. Pakistan Journal of Life and Social Sciences, 22(2), 445–456. https://doi.org/10.57239/pjlss-2024-22.2.00563
Tendean, J. J., Sinaga, J., Nainggolan, S., & Sinambela, J. L. (2023). Strategi adaptif dalam meredakan konflik keluarga. Mutiara: Jurnal Ilmiah Multidisiplin Indonesia, 1(2), 31–45. https://doi.org/10.61404/jimi.v1i2.33
Tyas, T. H., Good, M. D., Pratikno, B., Subandi, M. A., Marchira, C. R., & Good, B. J. (2024). Unlocking the mentally ill in Indonesia: An empirical study of the effectiveness of a “Bebas Pasung” program in Central Java (Naskah pracetak). medRxiv. https://doi.org/10.1101/2024.04.01.24305185
Windarwati, H. D., Susanti, H., Brooks, H., Wardani, I. Y., Hasniah, H., Raya, M., Ati, N. A. L., & Sari, H. (2023). Lay community mental health workers (cadres) in Indonesian health services: A qualitative exploration of the views of people with mental health problems and their families. PLoS ONE, 18(11), Artikel e0289943. https://doi.org/10.1371/journal.pone.0289943
Zhang, W., Zhang, J., & Gao, N. (2025). Social isolation and cognitive decline in older adults: A longitudinal study across 24 countries. BMC Geriatrics, 25(1), Artikel 775. https://doi.org/10.1186/s12877-025-06430-6
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Gabriel Hermes Poyk, R. Pasifikus C, Wijaya Wijaya, Diana Aipipidely, Christina Nayoan

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.














