Questioning the status quo: Latino community members as researchers in the study of health equity.

IF 2.6 2区 心理学 Q2 PSYCHOLOGY, CLINICAL Psychotherapy Pub Date : 2024-10-24 DOI:10.1037/pst0000545
Manuel Gutierrez Chavez, Katherine J W Baucom, Ana Sanchez-Birkhead, Jeannette Villalta, Sara Carbajal-Salisbury, Nidia Zavala Gonzalez, Leila Tatarevic, Anu Asnaani
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Abstract

Latinos experience disproportionate rates of obesity and related conditions like type 2 diabetes, which are projected to increase (Mohebi et al., 2022). Standard interventions for these issues often fall short due to individual-focused approaches and the lack of culturally sensitive definitions of health that include emotional, physical, political, and social domains (Gutierrez Chavez et al., 2022; Ritchie et al., 2020). Multilevel and multidimensional research efforts, integrating social justice-informed orientations, psychotherapy science, and behavioral medicine, are crucial for addressing these health inequities (Asnaani, 2023; Collins et al., 2018; Rodriguez Espinosa & Verney, 2021). Additionally, critically analyzing researcher and participant roles is essential to avoid perpetuating systemic racism (Cook et al., 2023). This article highlights the need for a paradigm shift in psychotherapy research by (a) describing Latino families' eating patterns and coping strategies for emotional distress through focus groups in the community and (b) illustrating the process behind the community-partnered development of a culturally responsive mindfulness-based health intervention. Importantly, this research approach emphasizes liberation psychology theory in the exploration of structural influences affecting health (Martín-Baró, 1996). While mindfulness techniques are feasible in this population (Cotter & Jones, 2020), Latino communities may not be amenable to the current presentation of mainstream psychological science interventions. Our research paradigm informed the conceptualization of mindfulness techniques through both clinical science and critical lenses. Thus, this study argues for reconceptualizing the definition of a successful psychotherapy study to include community engagement and liberatory principles, making the potential for big needle jumps in addressing health inequities incalculable. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

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质疑现状:拉丁裔社区成员作为研究人员参与健康公平研究。
拉美裔肥胖和 2 型糖尿病等相关疾病的发病率过高,而且预计还会增加(Mohebi 等人,2022 年)。针对这些问题的标准干预措施往往因以个人为中心的方法以及缺乏对文化敏感的健康定义(包括情感、身体、政治和社会领域)而不足(Gutierrez Chavez 等人,2022 年;Ritchie 等人,2020 年)。结合社会正义导向、心理治疗科学和行为医学的多层次、多维度研究工作对于解决这些健康不平等问题至关重要(Asnaani,2023;Collins 等人,2018;Rodriguez Espinosa & Verney,2021)。此外,批判性地分析研究者和参与者的角色对于避免系统性种族主义的长期存在至关重要(Cook 等人,2023 年)。本文通过(a)通过社区焦点小组描述拉丁裔家庭的饮食模式和情绪困扰的应对策略,以及(b)说明社区合作开发基于文化的正念健康干预背后的过程,强调了心理治疗研究范式转变的必要性。重要的是,这种研究方法强调解放心理学理论,探索影响健康的结构性影响因素(Martín-Baró,1996 年)。虽然正念技术在这一人群中是可行的(Cotter & Jones, 2020),但拉丁裔社区可能不适合当前主流心理科学干预的表现形式。我们的研究范式通过临床科学和批判性视角为正念技术的概念化提供了信息。因此,本研究主张对成功的心理治疗研究的定义进行重新概念化,将社区参与和解放原则纳入其中,从而在解决健康不平等问题方面取得不可估量的重大突破。(PsycInfo Database Record (c) 2024 APA,保留所有权利)。
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来源期刊
Psychotherapy
Psychotherapy PSYCHOLOGY, CLINICAL-
CiteScore
4.60
自引率
12.00%
发文量
93
期刊介绍: Psychotherapy Theory, Research, Practice, Training publishes a wide variety of articles relevant to the field of psychotherapy. The journal strives to foster interactions among individuals involved with training, practice theory, and research since all areas are essential to psychotherapy. This journal is an invaluable resource for practicing clinical and counseling psychologists, social workers, and mental health professionals.
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