"希望你已将瓦卡靠岸":新西兰双文化心理健康体系中的协商空间。

IF 2.5 3区 医学 Q1 ANTHROPOLOGY
Transcultural Psychiatry Pub Date : 2024-06-01 Epub Date: 2021-05-27 DOI:10.1177/13634615211014347
Lorien S Jordan, Desiree M Seponski, Jori N Hall, J Maria Bermúdez
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引用次数: 0

摘要

奥特亚罗瓦/新西兰的多层面背景为心理健康中文化话语的协商提供了启示。在那里,双文化实践已经成为一种以权利为基础的理论性治疗方法。双文化实践邀请临床医生进入土著知识和西方知识之间的空间,以协商和创新治疗方法。在本文中,我们将介绍基于一年人种学实地调查的定性研究结果。借鉴协商空间理论和批判互动论,我们报告了对 30 名在双文化心理健康体系中工作的服务提供者进行访谈的情景分析结果。通过反复绘制地图,我们描绘了在土著和西方生活世界之间的协商空间中所采取的话语立场。在构成双文化心理健康的制度化话语中,我们总共确定了五种主要的协商实践立场。研究结果表明,来自西方化医疗体系的协商充其量只是表面文章,单一文化主义在双文化框架内仍占主导地位。研究还提出了真正参与协商空间的意义,以便让生活在多元文化但又以西方文化为主的社会中的客户对治疗产生共鸣。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
"Hopefully you've landed the waka on the shore": Negotiated spaces in New Zealand's bicultural mental health system.

The multifaceted context of Aotearoa / New Zealand offers insight into the negotiation of cultural discourses in mental health. There, bicultural practice has emerged as a theoretically rights-based delivery of culturally responsive and aligned therapies. Bicultural practices invite clinicians into spaces between Indigenous and Westernized knowing to negotiate and innovate methods of healing. In this article, we present findings from a qualitative study based on one year of ethnographic fieldwork. Drawing on negotiated spaces theory and critical interactionism, we report results of a situational analysis of interviews conducted with 30 service providers working within the bicultural mental health system. Through iterative map-making, we chart the discursive positions taken in the negotiated spaces between Indigenous and Western lifeworlds. In total, we identified five major positions of negotiated practices within the institutionalized discourses that constitute bicultural mental health. Findings indicate that negotiations from Westernized systems of care have been, at best, superficial and that monoculturalism continues to dominate within the bicultural framework. Implications are made for genuine engagement in the negotiated spaces, so treatment has resonance for clients living in multi-cultural, yet Western-dominant societies.

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来源期刊
CiteScore
5.10
自引率
12.00%
发文量
93
期刊介绍: Transcultural Psychiatry is a fully peer reviewed international journal that publishes original research and review articles on cultural psychiatry and mental health. Cultural psychiatry is concerned with the social and cultural determinants of psychopathology and psychosocial treatments of the range of mental and behavioural problems in individuals, families and human groups. In addition to the clinical research methods of psychiatry, it draws from the disciplines of psychiatric epidemiology, medical anthropology and cross-cultural psychology.
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