Unraveling Trust Issues Towards Mental Health Professionals Among Bedouin-Arab Minority in Israel.

IF 1.5 4区医学 Q2 ANTHROPOLOGY

Culture Medicine and Psychiatry Pub Date : 2024-06-01 Epub Date: 2024-06-05 DOI:10.1007/s11013-024-09862-8

Fareeda Abo-Rass, Ora Nakash, Sarah Abu-Kaf, Orna Braun-Lewensohn

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Abstract

Trust in mental health professionals and services profoundly impacts health outcomes. However, understanding trust in mental health professionals, especially in ethnic minority contexts, is lacking. To explore this within the Bedouin-Arab minority, a qualitative study conducted semi-structured interviews with 25 Bedouins in southern Israel. Participants were primarily female (60%) married (60%), averaging 34.08 years old. Employing grounded theory, three themes emerged. Firstly, concerns about confidentiality were central, eroding trust due to societal repercussions. Secondly, factors influencing confidentiality concerns and distrust were tied to Bedouin-Arab social structures and cultural values rather than professional attributes. Lastly, the consequences of distrust included reduced help-seeking. This study enriches the understanding of trust in mental health professionals among non-Western ethnic minorities, highlighting how cultural factors shape perceptions of mental health services and distrust. Addressing confidentiality worries demands Bedouin mental health professionals to acknowledge hurdles, build community ties, and demonstrate expertise through personal connections and events.

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揭示以色列贝都因-阿拉伯少数民族对心理健康专业人员的信任问题。

对心理健康专业人员和服务的信任会对健康结果产生深远影响。然而，人们对心理健康专业人员的信任还缺乏了解，尤其是在少数民族环境中。为了在贝都因-阿拉伯少数民族中探讨这一问题，一项定性研究对以色列南部的 25 名贝都因人进行了半结构化访谈。参与者主要为女性（60%），已婚（60%），平均年龄 34.08 岁。通过采用基础理论，得出了三个主题。首先，对保密性的担忧是核心问题，社会影响削弱了信任。其次，影响保密问题和不信任的因素与贝都因-阿拉伯社会结构和文化价值观有关，而非专业属性。最后，不信任的后果包括减少求助。这项研究丰富了人们对非西方少数民族对心理健康专业人员的信任的理解，强调了文化因素如何影响人们对心理健康服务的看法和不信任。要消除对保密性的担忧，贝都因心理健康专业人员就必须承认存在的障碍，建立社区联系，并通过个人联系和活动来展示专业知识。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Culture Medicine and Psychiatry Multiple-

CiteScore

3.70

自引率

5.90%

发文量

期刊介绍： Culture, Medicine, and Psychiatry is an international and interdisciplinary forum for the publication of work in three interrelated fields: medical and psychiatric anthropology, cross-cultural psychiatry, and related cross-societal and clinical epidemiological studies. The journal publishes original research, and theoretical papers based on original research, on all subjects in each of these fields. Interdisciplinary work which bridges anthropological and medical perspectives and methods which are clinically relevant are particularly welcome, as is research on the cultural context of normative and deviant behavior, including the anthropological, epidemiological and clinical aspects of the subject. Culture, Medicine, and Psychiatry also fosters systematic and wide-ranging examinations of the significance of culture in health care, including comparisons of how the concept of culture is operationalized in anthropological and medical disciplines. With the increasing emphasis on the cultural diversity of society, which finds its reflection in many facets of our day to day life, including health care, Culture, Medicine, and Psychiatry is required reading in anthropology, psychiatry and general health care libraries.