Contrapuntal framework of accessing mental health services among Pacific Islanders in the United States.

IF 2.9 2区心理学 Q1 ETHNIC STUDIES

Cultural Diversity & Ethnic Minority Psychology Pub Date : 2025-09-11 DOI:10.1037/cdp0000766

G E Kawika Allen, Elizabeth A Cutrer-Párraga, Benjamin K Coffey, Cameron Hee, Hokule'a Conklin

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引用次数: 0

Abstract

Objectives: The purpose of this study was to understand Pacific Islanders' (PIs) experiences related to accessing psychological services. An interpretative phenomenological analysis was conducted to collect and analyze cultural perspectives and frameworks that may assist or prevent this group from seeking help.

Method: This interpretative phenomenological analysis focus group study was conducted with 32 total participants in nine focus groups consisting of cross-generational PIs residing in one western state of the United States. The results yielded multiple contrapuntal themes related to PI meaning-making regarding mental health care.

Results: These were (a) family-centered culture is valued versus family may be dismissive of family members seeking help for mental health needs; (b) history of minimizing mental health needs in PI communities versus a desire for normalizing moving forward; (c) mental health issues are your fault versus external factors are responsible for mental health challenges; (d) emergency room primary mental health resource versus mental health support is too expensive; (e) faith community is helpful versus conflicting religious experiences; and (f) desire for cultural fit versus mistrust of confidentiality in PI community.

Conclusions: These contrapuntal voices/tensions provide unique insights to therapy adaptations when working with PIs. We discuss clinical implications for working with this group and recommendations for future research. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

查看原文本刊更多论文

美国太平洋岛民获得心理健康服务的对位框架。

目的：本研究的目的是了解太平洋岛民（PIs）在获得心理服务方面的经验。我们进行了解释性现象学分析，以收集和分析可能有助于或阻止这一群体寻求帮助的文化视角和框架。方法：采用解释性现象学分析的焦点小组研究方法，对居住在美国西部一个州的跨代pi组成的9个焦点小组中的32名参与者进行了研究。结果产生了与精神卫生保健相关的PI意义制造的多个对位主题。结果：(a)家庭中心文化受到重视，而家庭可能对寻求心理健康帮助的家庭成员不屑一顾；(b)将PI社区的心理健康需求最小化的历史与向前正常化的愿望；(c)心理健康问题是你的错，而外部因素是造成心理健康挑战的原因；(d)急诊室初级精神卫生资源与精神卫生支助相比过于昂贵；(e)信仰社区是有益的，而不是相互冲突的宗教体验；以及(f) PI社区对文化契合的渴望与对保密的不信任。结论：当与pi一起工作时，这些对位的声音/紧张为治疗适应提供了独特的见解。我们讨论与该组合作的临床意义以及对未来研究的建议。（PsycInfo Database Record (c) 2025 APA，版权所有）。

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

Cultural Diversity & Ethnic Minority Psychology Multiple-

CiteScore

5.90

自引率

6.10%

发文量

101

期刊介绍： Cultural Diversity & Ethnic Minority Psychology seeks to publish theoretical, conceptual, research, and case study articles that promote the development of knowledge and understanding, application of psychological principles, and scholarly analysis of social–political forces affecting racial and ethnic minorities.