未被听到的声音:文化制定访谈引发的寻求庇护者对精神疾病的解释模型的专题分析。

IF 3.9 3区 医学 Q1 PSYCHIATRY
BJPsych Open Pub Date : 2025-03-19 DOI:10.1192/bjo.2024.866
Lukas Claus, Mario Braakman, Meryam Schouler-Ocak, Laura Van de Vliet, Bernard Sabbe, Seline van den Ameele
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引用次数: 0

摘要

背景:寻求庇护者难以获得精神保健。缺乏对寻求庇护者精神疾病解释模型的理解似乎是一个重要的障碍。更好地了解这些解释模型对于确保将寻求庇护者纳入保健服务至关重要。文化表述访谈(CFI)可能有助于探索寻求庇护者对精神疾病的解释模式。目的:分析庇护寻求者的解释模型,由CFI引出。方法:对有精神健康问题的寻求庇护者进行CFI及其第一个补充模块。访谈记录在社会建构主义框架下进行反身性主题分析。结果:在对25种疾病叙述的分析中,确定了庇护寻求者解释模型的三个主要主题:过去的负担,目前的现实,以及个人立场和个人经历。结论:“过去的负担”和“使人丧失能力的当前现实”这两个主题强调了移民前、移民中和移民后经历之间的相互作用,这些经历对寻求庇护者的心理健康产生了持续的影响。“个人立场和个人经历”的主题揭示了CFI如何通过接受不确定性和质疑痛苦的医疗化,在临床遭遇中实现自决。该分析将寻求庇护者的症状定性为社会关系背景下痛苦的个人习语。CFI为探索寻求庇护者的解释模型和促进动态理解提供了一个临床有用的框架。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The voices not heard: thematic analysis of asylum seekers' explanatory models of mental illness as elicited by the Cultural Formulation Interview.

Background: Asylum seekers have difficulty gaining access to mental healthcare. Lack of understanding of asylum seekers' mental illness explanatory models appears to be an important barrier. Gaining a better understanding of these explanatory models is crucial for ensuring the inclusion of asylum seekers in healthcare services. The Cultural Formulation Interview (CFI) might help to explore asylum seekers' explanatory models of mental illness.

Aims: To analyse asylum seekers' explanatory models as elicited by the CFI.

Methods: The CFI and its first supplementary module were carried out with asylum seekers with mental health problems. Transcriptions of the interviews underwent reflexive thematic analysis within a social constructivist framework.

Results: In the analysis of 25 illness narratives, three major themes characterising asylum seekers' explanatory models were identified: a burden of the past, a disenabling current reality, and a personal position and individual experience.

Conclusions: The interplay among pre-, peri- and post-migration experiences, having a continuous impact on asylum seekers' mental health, was highlighted by the themes 'a burden of the past', and 'a disenabling current reality'. The theme 'a personal position and individual experience' revealed how the CFI enables self-determination in clinical encounters by embracing uncertainty and questioning the medicalisation of distress. The analysis characterises asylum seekers' symptoms as a personal idiom of distress within socio-relational contexts. The CFI provides a clinically useful framework for exploring asylum seekers' explanatory models and fostering dynamic understanding.

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来源期刊
BJPsych Open
BJPsych Open Medicine-Psychiatry and Mental Health
CiteScore
6.30
自引率
3.70%
发文量
610
审稿时长
16 weeks
期刊介绍: Announcing the launch of BJPsych Open, an exciting new open access online journal for the publication of all methodologically sound research in all fields of psychiatry and disciplines related to mental health. BJPsych Open will maintain the highest scientific, peer review, and ethical standards of the BJPsych, ensure rapid publication for authors whilst sharing research with no cost to the reader in the spirit of maximising dissemination and public engagement. Cascade submission from BJPsych to BJPsych Open is a new option for authors whose first priority is rapid online publication with the prestigious BJPsych brand. Authors will also retain copyright to their works under a creative commons license.
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