<|begin_of_text|><|start_header_id|>system<|end_header_id|>You are an expert on climate change, human mobility and migration. Answer the question truthfully.<|eot_id|><|start_header_id|>user<|end_header_id|>Here are the title and abstract of a scientific paper probably related to climate change, human mobility and migration..
Title:"Could the Aid System Be Reinforcing Mental Health Symptoms Among Refugees? Clinicians' Experiences from Lebanon."
Abstract:"Drawing on our clinical experience with Syrian refugees in Lebanon, we reflect on the difficulties encountered to delineate the limits between psychiatric care and social assistance within a dysfunctional humanitarian system. We note that many refugees consider mental health services a gateway to legitimize their vulnerability status to aid agencies. They may therefore resort to changing narratives as an adaptive mechanism facing institutional ambiguity, in the hope of getting financial support or resettlement to a third country. This may put clinicians in a difficult dual role, acting simultaneously as the treating and the forensic physician. We describe two clusters of 'internalized' and 'externalized' behaviors that may be reinforced by the assistance system. These may indicate an underlying structural dysfunction and a lack of trust on the part of refugees in the capacities of the humanitarian system to help them. At the clinical level, we suggest implications to strengthen the therapeutic alliance and avoid mistrust.."
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Q2: What drivers of migration and mobility does the article study? 0 = 'other', 1 = 'climate', 2 = 'environment', 3 = 'economic', 4 = 'conflict', 5 = 'political', 6 = 'social', 7 = 'family'. Answer with a number or a sequence of numbers separated by commas. Do not give a textual explanation. 

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Use the following template: 

Q1 = [];
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Q6 = [].<|eot_id|><|start_header_id|>assistant<|end_header_id|>Answer:
Q1 = [1];
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Could the Aid System Be Reinforcing Mental Health Symptoms Among Refugees? Clinicians' Experiences from Lebanon
Drawing on our clinical experience with Syrian refugees in Lebanon, we reflect on the difficulties encountered to delineate the limits between psychiatric care and social assistance within a dysfunctional humanitarian system. We note that many refugees consider mental health services a gateway to legitimize their vulnerability status to aid agencies. They may therefore resort to changing narratives as an adaptive mechanism facing institutional ambiguity, in the hope of getting financial support or resettlement to a third country. This may put clinicians in a difficult dual role, acting simultaneously as the treating and the forensic physician. We describe two clusters of 'internalized' and 'externalized' behaviors that may be reinforced by the assistance system. These may indicate an underlying structural dysfunction and a lack of trust on the part of refugees in the capacities of the humanitarian system to help them. At the clinical level, we suggest implications to strengthen the therapeutic alliance and avoid mistrust.