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‘Putting your feet in gloves designed for hands’: Horn of Africa Muslim men perspectives in emotional wellbeing and access to mental health services in Australia “把脚戴上专为手设计的手套”:澳大利亚非洲之角穆斯林男性对情感健康和获得心理健康服务的看法
Q1 Social Sciences Pub Date : 2017-05-17 DOI: 10.1080/17542863.2017.1324887
Y. Omar, Justin Kuay, C. Tuncer
ABSTRACT Refugees from the Horn of Africa have often experienced trauma in their country of origin due to prolonged civil wars. Many face emotional difficulties posed by acculturation challenges when settling in a new country. As the Horn of Africa population grows in Australia, there is a need to know how to best promote the wellbeing and mental health of Horn of Africa refugees. This paper examines Horn of Africa Muslim men’s (HAMM) understanding, experiences and views on the causes of emotional difficulties, barriers to seeking help, access to mainstream mental health services and traditional African treatments in the Australian context. Five focus-group interviews of HAMM from the inner-northern suburbs of Melbourne were conducted and ethnographic, qualitative and thematic analysis was used. Emotional difficulties of HAMM in the Australian context were attributed to immigration and settlement-linked stressors such as unemployment, racism, gender role reversal and raising children. Barriers for not seeking help included lack of mental health literacy and negative perceptions of mainstream services. Existing treatments included social and religious practices, with some differences between young and older men. Cultural treatment strategies to assist with people affected with emotional difficulties were more commonly utilized compared to Australian mainstream services.
来自非洲之角的难民在他们的原籍国经常因为长期的内战而遭受创伤。在一个新的国家定居时,许多人面临文化适应挑战带来的情感困难。随着非洲之角人口在澳大利亚的增长,有必要知道如何最好地促进非洲之角难民的福祉和心理健康。本文考察了非洲之角穆斯林男子(HAMM)的理解,经验和观点对情感困难的原因,寻求帮助的障碍,获得主流精神卫生服务和传统的非洲治疗在澳大利亚的背景下。对来自墨尔本内北郊的五个HAMM进行了焦点小组访谈,并采用了民族志、定性和专题分析。在澳大利亚的背景下,HAMM的情感困难归因于移民和定居相关的压力因素,如失业、种族主义、性别角色转换和抚养孩子。不寻求帮助的障碍包括缺乏心理健康知识和对主流服务的负面看法。现有的治疗方法包括社会和宗教习俗,在年轻男性和老年男性之间存在一些差异。与澳大利亚的主流服务相比,帮助有情绪困难的人的文化治疗策略更常用。
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引用次数: 10
The Psychological Flexibility Model from a cultural perspective: an interpretative analysis of two Native American healing rituals 文化视角下的心理弹性模型:对两种美洲原住民治疗仪式的解释分析
Q1 Social Sciences Pub Date : 2017-05-14 DOI: 10.1080/17542863.2017.1323935
Pablo Sabucedo
ABSTRACT While the growth of Acceptance and Commitment Therapy and its underlying construct, psychological flexibility, has been supported by numerous studies, it has received little attention from sociocultural disciplines. With the aim of considering the transdiagnostic Psychological Flexibility Model from a cultural perspective and from an interdisciplinary approach combining both Psychology and Anthropology, this article proposes an interpretative theoretical analysis of two Native American healing rituals: sweat lodge ceremonies and peyote ceremonies. Drawing from the fieldwork of Calabrese among the Navajo and Wilson among the Lakota Sioux, both healing rituals are interpreted and compared in light of the six processes of psychological flexibility. While recognising the adaptability of the model outside the cultural sphere of Western mental health sciences, the article concludes with two remarks: the relevance of the sociocultural construction of values and a potential connection between psychological flexibility and altered states of consciousness.
虽然接受与承诺疗法及其基础结构心理灵活性的发展得到了众多研究的支持,但它很少受到社会文化学科的关注。本文旨在从文化视角和心理学与人类学相结合的跨学科方法考虑跨诊断心理灵活性模型,对美洲原住民的两种治疗仪式:汗房仪式和佩奥特仪式进行解释性理论分析。从纳瓦霍人的卡拉布雷斯和拉科塔苏人的威尔逊的田野调查中,这两种治疗仪式都是根据心理灵活性的六个过程来解释和比较的。在承认该模型在西方心理健康科学文化领域之外的适应性的同时,文章总结了两点:价值观的社会文化建构的相关性以及心理灵活性和意识状态改变之间的潜在联系。
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引用次数: 13
Exploring the experience of Polish interpreters who interpret for mental health clinicians in the UK: an interpretative phenomenological analysis 探索波兰口译员的经验谁解释心理健康临床医生在英国:解释性现象学分析
Q1 Social Sciences Pub Date : 2017-05-03 DOI: 10.1080/17542863.2017.1317280
Colm Gallagher, Steve Melluish, Saima Löfgren
ABSTRACT The current study explores the experiences of Polish interpreters who interpret for mental health clinicians and how Polish interpreters view the triadic relationship among themselves, the service user and the mental health clinician they work with when interpreting in a mental health setting. Six participants (four female and two male) were recruited with each taking part in a semi-structured interview. Length of time working as an interpreter in the UK National Health Service (NHS) ranged from six months to 10 years. Interviews were analysed using Interpretative Phenomenological Analysis (Smith, J. A. (2004). Reflecting on the Development of Interpretative Phenomenological Analysis and its Contribution to Qualitative Research in Psychology. Qualitative Research in Psychology, 1, 39–54. doi:10.1191/1478088704qp004oa.). Three themes emerged from the analysis of the participants’ interview transcripts. These were: (1) ‘Just a linguist?’ – highlighting the confusion and complexity of the interpreting role; (2) ‘Unspoken alliances’ – describing the interpreters’ experiences of the triadic relationship; (3) ‘Communicating emotional reactions’ – noting the emotional impact of mental health work on interpreters. The findings of the current research emphasise that it is important for clinicians, mental health and interpreting services to take into account the emotional impact and disempowerment caused by structural systemic factors which limit the voice of the interpreter.
摘要:本研究探讨了波兰口译员为心理健康临床医生进行口译的经历,以及波兰口译员在心理健康环境中如何看待他们自己、服务使用者和他们合作的心理健康临床医生之间的三位一体关系。招募了六名参与者(四女两男),每个人都参加了半结构化的面试。在英国国民健康服务(NHS)担任口译员的时间从6个月到10年不等。访谈分析使用解释性现象学分析(Smith, J. A.(2004))。反思解释现象学分析的发展及其对心理学定性研究的贡献。心理学研究,1,39-54。doi: 10.1191 / 1478088704 qp004oa)。通过分析参与者的访谈记录,我们发现了三个主题。这些问题是:(1)“只是一个语言学家?’——强调口译角色的混乱和复杂性;(2)“潜言同盟”——描述译者对三位一体关系的体验;(3)“沟通情绪反应”——注意心理健康工作对口译员的情绪影响。目前的研究结果强调,对于临床医生、心理健康和口译服务来说,考虑到限制口译员声音的结构性系统性因素所造成的情感影响和丧失权力是很重要的。
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引用次数: 4
The relationship of self-efficacy and money attitudes with mental health: mediation through Maslow's hierarchy of needs 自我效能、金钱态度与心理健康的关系:马斯洛需求层次理论的中介作用
Q1 Social Sciences Pub Date : 2017-04-25 DOI: 10.1080/17542863.2017.1314517
M. Amani, Mohamad Javad Shabahang
ABSTRACT Although it has been reflected in the literature that the satisfaction of psychological and physical needs, self-efficacy and money attitudes relate to mental health, it has not been studied whether the self-efficacy and money attitude can affect mental health through satisfaction of needs. The present study was conducted to investigate the mediating effect of Maslow's hierarchy of needs on the relationship of self-efficacy and money attitudes with mental health. This study was a survey with a correlational research design. A total of 296 participants were randomly selected through cluster sampling. The sample was administered the research instruments and the data were analyzed through correlation tests and structural equation modeling. The results revealed that self-efficacy and money attitudes were related to mental health through needs satisfaction. The individuals with higher self-efficacy and lower worry about money were found to be able to properly satisfy their needs. It was concluded that if the individuals’ needs are satisfied in a suitable time and place, their mental health will improve.
虽然文献已经反映了心理和生理需求的满足、自我效能感和金钱态度与心理健康的关系,但尚未研究自我效能感和金钱态度是否通过需求满足影响心理健康。本研究旨在探讨马斯洛需求层次理论在自我效能感、金钱态度与心理健康关系中的中介作用。本研究采用相关性研究设计。采用整群抽样的方法,随机抽取296名参与者。采用相关检验和结构方程模型对样本进行数据分析。结果表明,自我效能感和金钱态度通过需求满足与心理健康相关。研究发现,自我效能感高、金钱忧虑低的个体能够适当地满足自己的需求。结论是,如果在适当的时间和地点满足个人的需求,他们的心理健康将得到改善。
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引用次数: 5
Explanatory models and psychiatric pluralism among family members of mentally Ill persons: a narrative inquiry 精神病患者家庭成员的解释模式与精神多元性:一个叙事探究
Q1 Social Sciences Pub Date : 2017-04-23 DOI: 10.1080/17542863.2017.1316753
Bidisha Banerjee, S. Dixit
ABSTRACT Active involvement of families in mental health care in India is well documented. This study aimed to understand the explanatory models of the family members of persons suffering from common as well as severe mental illness. Narratives were collected through interviews from family members accompanying the patients at a psychiatric clinic. Data were also obtained from professionals at the clinic as well as folk healers. The Constant Comparative Method was used for analysis. The notable findings were: healthcare pluralism at institutional, cognitive and structural levels; conflicting explanatory models about mental illness; and stigma regarding mental illness. The findings suggest that in addition to explanatory models, the accessibility and availability of healers also plays a major role in treatment choices by the families.
在印度,家庭积极参与精神卫生保健是有据可查的。本研究旨在了解普通及严重精神疾病患者家庭成员的解释模式。通过与精神病诊所陪伴患者的家庭成员的访谈,收集了患者的叙述。数据也从诊所的专业人员和民间治疗师那里获得。采用恒定比较法进行分析。值得注意的发现是:制度、认知和结构层面的医疗多元化;相互矛盾的精神疾病解释模型以及精神疾病的污名。研究结果表明,除了解释模型外,治疗师的可及性和可获得性也在家庭的治疗选择中起着重要作用。
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引用次数: 7
Alexithymia and psychological symptomatology: research conducted on a non-clinical group of Italian adolescents 述情障碍和心理症状学:对意大利青少年非临床组进行的研究
Q1 Social Sciences Pub Date : 2017-04-07 DOI: 10.1080/17542863.2017.1307434
Monica Pellerone, M. Cascio, Giulia Costanzo, A. Gori, Ugo Pace, G. Craparo
ABSTRACT Alexithymia can be considered as a defense mechanism against emotions associated with traumatic experiences that are perceived as too severe and traumatic. Due to the overwhelming nature of a traumatic event, there might be a rapid regression of affect to a pre-conceptual level of organization: so, the capacity to tolerate affect and the capacity to identify and verbalize feelings decrease. The aim of this cross-sectional study is to evaluate the trend of the correlation between psychological effects of possible childhood trauma and alexithymia in a non-clinical group of 389 Sicilian students (192 males and 197 females), aged 11–16 (M = 12.87; SD = 0.80), attending middle and secondary schools. The following instruments were used: 20-Item Toronto Alexithymia Scale and Trauma Symptom Checklist for Children. Correlation analyses seem to support the hypothesis of a relation between age and the following scales: anger, overt dissociation, sexual concerns and preoccupation; and the presence of correlations between gender and anxiety, depression, post-traumatic stress, and fantasy. The multiple linear regression seems to indicate that a higher level of post-traumatic stress might be a predictor of the level of alexithymia. The results confirm that alexithymia is a well-established personality construct that could inhibit and interfere with normal affect regulating abilities.
述情障碍可以被认为是一种防御机制,可以抵抗与创伤经历相关的情绪,这些情绪被认为过于严重和创伤。由于创伤性事件的压倒性性质,情感可能会迅速回归到概念前的组织水平:因此,容忍情感的能力以及识别和表达情感的能力都会下降。本横断面研究的目的是评估非临床组389名11-16岁西西里学生(男192名,女197名)的心理影响与述情障碍之间的相关性趋势(M = 12.87;SD = 0.80),上初中和初中。使用的工具如下:20项多伦多述情障碍量表和儿童创伤症状检查表。相关分析似乎支持年龄与以下量表之间关系的假设:愤怒、明显的分离、性关注和专注;性别与焦虑,抑郁,创伤后应激和幻想之间存在相关性。多元线性回归似乎表明,较高水平的创伤后应激可能是述情障碍水平的预测因子。结果证实述情障碍是一种成熟的人格结构,可以抑制和干扰正常的情绪调节能力。
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引用次数: 29
Long-term non-catatonic mutism in schizophrenia: cultural influences 精神分裂症的长期非紧张性缄默症:文化影响
Q1 Social Sciences Pub Date : 2017-04-03 DOI: 10.1080/17542863.2016.1246582
M. Seeman
ABSTRACT Selective mutism stemming from social anxiety is not rare in childhood and can also occur, though less frequently, in adulthood. Mutism can be one component of a catatonic syndrome but it can also occur, as reviewed in this paper, as a symptom in non-catatonic schizophrenic illness. Reviewing mutism in non-catatonic schizophrenia in the Google Scholar database (1995–2015), a large majority of reports originate in the Indian subcontinent, which raises the question of what this symptom might mean from a perspective of culture, ethnicity and religion. Silence is valued in many cultures and is an integral part of many religious rites but appears to have special spiritual value in India, which may explain the prevalence in that country of long-term mutism in the context of schizophrenia. Mutism manifesting in other diagnostic categories may also be prevalent in India, but perhaps less likely to come to psychiatric attention. A case history of prolonged non-catatonic mutism in an Orthodox Jewish woman with schizophrenia is included, an exception that perhaps proves the rule because silence is also of great spiritual significance in Orthodox Judaism. The psychological uses of silence and the value one’s culture places on silence appear to determine the symptom of mutism.
由社交焦虑引起的选择性缄默症在儿童时期并不罕见,也可能发生在成年期,尽管频率较低。缄默症可以是紧张性综合征的一个组成部分,但它也可以发生,如本文所述,作为非紧张性精神分裂症的症状。回顾谷歌学者数据库(1995-2015)中的非紧张性精神分裂症中的缄默症,绝大多数报告起源于印度次大陆,这从文化、种族和宗教的角度提出了这种症状可能意味着什么的问题。沉默在许多文化中受到重视,是许多宗教仪式的组成部分,但在印度似乎具有特殊的精神价值,这可能解释了该国精神分裂症背景下长期缄默症的流行。在其他诊断类别中表现出来的缄默症可能在印度也很普遍,但可能不太可能引起精神病学的注意。其中包括一位患有精神分裂症的正统犹太妇女长期非紧张性缄默症的病例,这一例外可能证明了这一规则,因为沉默在正统犹太教中也具有重要的精神意义。沉默的心理用途和一个人的文化对沉默的重视似乎决定了缄默症的症状。
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引用次数: 3
Non-suicidal self-injury in a sample of university students in Tehran, Iran: prevalence, characteristics and risk factors 伊朗德黑兰大学生非自杀性自伤:患病率、特征和危险因素
Q1 Social Sciences Pub Date : 2017-04-03 DOI: 10.1080/17542863.2016.1265999
M. Gholamrezaei, N. Heath, L. Panaghi
ABSTRACT Despite increased empirical and clinical attention to non-suicidal self-injury (NSSI) in Western countries, far less is known about NSSI in non-Western cultures. This study is the first to investigate the prevalence, characteristics and risk factors of NSSI in a sample of university students in Tehran, Iran. All participants (n = 554, mean age = 22.65, 57.2% female) were asked to self-report on NSSI over their lifetime. The Difficulties in Emotion Regulation Scale, Depression Anxiety Stress Scales, and Suicidal Behaviors Questionnaire-Revised were employed. A lifetime NSSI prevalence of 12.3% (n = 68) was found with no gender differences. Using logistic regression, lack of emotional awareness remained negatively significant for females after controling for anxiety, depression and suicidality; however, after controlling for the psychological symptoms, no relations were found between emotion dysregulation and a history of lifetime NSSI for male students. In a separate logistic regression, lifetime NSSI predicted suicide attempt above and beyond depressive symptoms and suicidal ideation across gender. Our results on the relations between emotion dysregulation and lifetime NSSI contradict the ample research in the West, emphasizing emotion dysregulation as a risk factor of NSSI and suggest that this relation might vary across cultures. The results are situated within the sociocultural context and compared and contrasted with Western data.
尽管西方国家对非自杀性自伤(NSSI)的实证和临床关注有所增加,但非西方文化对自伤的了解却少得多。本研究首次调查了伊朗德黑兰大学生自伤的患病率、特征和危险因素。所有参与者(n = 554,平均年龄= 22.65,其中57.2%为女性)被要求在其一生中自我报告自伤。采用《情绪调节困难量表》、《抑郁、焦虑、压力量表》和《自杀行为问卷-修订版》。终生自伤患病率为12.3% (n = 68),无性别差异。经logistic回归分析,在控制焦虑、抑郁和自杀倾向后,女性的情绪意识缺失仍呈显著负相关;然而,在控制心理症状后,男学生的情绪失调与终生自伤史之间没有关系。在一个单独的逻辑回归中,终生自伤预测自杀企图高于抑郁症状和自杀意念的性别。我们关于情绪失调与终生自伤之间关系的研究结果与西方的大量研究相矛盾,强调情绪失调是自伤的一个危险因素,并表明这种关系可能因文化而异。结果被置于社会文化背景下,并与西方数据进行比较和对比。
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引用次数: 18
Qualitative interviewing of Malay caregivers: stigma and mental health problems of older adults 马来照护者的质性访谈:老年人的污名与心理健康问题
Q1 Social Sciences Pub Date : 2017-04-03 DOI: 10.1080/17542863.2016.1259338
Fatimah Zailly Ahmad Ramli, C. Tilse, Jill Wilson
ABSTRACT In many cultures, diagnoses of mental illness are commonly associated with stigmatisation. Negative attitudes and beliefs cause significant problems not only for people with mental illness but also for their caregivers. Such attitudes and beliefs are embedded in cultural, religious and social contexts. It is important therefore to understand experiences of stigma in a range of contexts. This article reports on a qualitative study of the experiences of fourteen Malay caregivers’ of older people with a mental health problem in Kelantan, Malaysia. The in-depth interview data were analysed thematically. The impacts of stigma are reported in relation to caregivers’ life course opportunities; shame and embarrassment in a small community; a complex mix of understandings and the role of religion and culture in help-seeking behaviour. The challenges and ways forward to address this sensitive issue in this particular socio-cultural context are presented.
在许多文化中,精神疾病的诊断通常与污名化有关。消极的态度和信念不仅会给精神疾病患者带来严重的问题,也会给他们的照顾者带来严重的问题。这种态度和信仰根植于文化、宗教和社会背景中。因此,重要的是要了解在各种情况下的耻辱经历。这篇文章报告了一个定性研究经验的14名马来人照顾者的老年人与精神健康问题在吉兰丹,马来西亚。对深度访谈数据进行主题分析。据报道,耻辱的影响与照顾者的生命历程机会有关;在一个小群体中感到羞耻和尴尬;在寻求帮助的行为中,宗教和文化的理解和作用是一个复杂的组合。在这种特殊的社会文化背景下,提出了解决这一敏感问题的挑战和方法。
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引用次数: 7
The impact of distributive and procedural justice on burnout: does it affect French and German teachers differently? 分配公正和程序公正对职业倦怠的影响:对法语和德语教师的影响是否不同?
Q1 Social Sciences Pub Date : 2017-03-30 DOI: 10.1080/17542863.2017.1300592
Marie Andela, D. Truchot
ABSTRACT The aim of this study was to analyze and compare the relationships between distributive and procedural justice and teachers’ burnout (emotional exhaustion, depersonalization and lack of personal accomplishment) between two countries: France and Germany. It was assumed that, due to the difference in the organizational educational structures of France and Germany, distributive and procedural justice would have different relationships on teachers’ burnout in both countries. Our samples consisted of 93 teachers in Germany and 89 teachers in France. Results of regression analysis indicated that among teachers in France, distributive justice plays a major role in the burnout process, while among teachers in Germany both distributive and procedural justice have strong impacts on burnout.
摘要本研究旨在分析和比较法国和德国两国教师的分配公平和程序公平与职业倦怠(情绪耗竭、人格解体和个人成就感缺乏)之间的关系。假设由于法德两国组织教育结构的差异,分配正义和程序正义对两国教师职业倦怠的关系不同。我们的样本包括93名德国教师和89名法国教师。回归分析结果表明,在法国教师中,分配公正在职业倦怠过程中起主要作用,而在德国教师中,分配公正和程序公正对职业倦怠都有较强的影响。
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引用次数: 9
期刊
International Journal of Culture and Mental Health
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