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A Quantitative Systematic Review to Evaluate the Favorability of the DSM-5 Cultural Formulation Interview (CFI) on the Acceptability, Feasibility, and Clinical Utility for Clinicians, Patients, and Relatives 定量系统综述:评估 DSM-5 文化表述访谈 (CFI) 对临床医生、患者和亲属的可接受性、可行性和临床实用性的有利程度
IF 3 3区 心理学 Q2 PSYCHOLOGY, SOCIAL Pub Date : 2024-09-14 DOI: 10.1177/00220221241269994
Rony Kayrouz, Eyal Karin, Lauren Staples, Olav Nielssen, Shane Cross, Blake F. Dear, Nickolai Titov
The Cultural Formulation Interview (CFI) is a semi-structured interview in the DSM-5 comprised of three parts: a core-16-item questionnaire, an informant version for relatives or relevant others, and 12 supplementary modules placing culture and context at the center of patient assessment and treatment to clarify diagnosis and treatment and ensure patients feel understood. The paper aims to synthesize the current quantitative evidence on CFI’s favorability (i.e., whether it is feasible, acceptable, and valuable) for patients, clinicians, and relatives. A mixed-methods synthesis methodology was used to assess the impact of the favorability of the CFI for patients, clinicians and relatives, and clinicians’ cultural competence. The synthesis included 10 studies on the clinician’s competency, attitudes, training, and diagnosis, three studies on the views of the patients and clinicians about the CFI, and five studies with 34 estimates ( n = 581) on the favorability of the CFI for patients, clinicians and relatives. Clinicians reported that the CFI increased their cultural knowledge across research, training, and practice settings. Patients reported that the CFI prioritized their perspective and increased rapport-building. A quantitative estimate from the five studies on the acceptability, utility, and feasibility of CFI from patients, relatives, and clinicians was favorable, suggesting that patients, relatives, and clinicians were satisfied with using the CFI. A protocol for standardizing CFI training and practice to inform future research using mixed-methods designs that include randomized control trials (RCTs) to examine the effect of the CFI on the clinician’s cultural competence, working alliance, and patient’s level of functioning was recommended.
文化表述访谈(CFI)是 DSM-5 中的一种半结构化访谈,由三部分组成:16 个项目的核心问卷、供亲属或相关人员使用的线人版本以及 12 个补充模块,将文化和背景置于患者评估和治疗的中心,以明确诊断和治疗,确保患者感到被理解。本文旨在综合目前有关 CFI 对患者、临床医生和亲属有利性(即是否可行、可接受和有价值)的定量证据。本文采用混合方法综合法来评估 CFI 对患者、临床医生和亲属的有利程度以及临床医生文化能力的影响。综述包括 10 项关于临床医生能力、态度、培训和诊断的研究,3 项关于患者和临床医生对 CFI 的看法的研究,以及 5 项关于 CFI 对患者、临床医生和亲属的好感度的研究(34 项估计值,n = 581)。临床医生表示,CFI 增加了他们在研究、培训和实践环境中的文化知识。患者表示,CFI 优先考虑了他们的观点并增进了关系的建立。五项研究对患者、亲属和临床医生对 CFI 的可接受性、实用性和可行性进行了量化评估,结果表明患者、亲属和临床医生对使用 CFI 表示满意。建议制定 CFI 培训和实践标准化方案,为今后采用混合方法设计(包括随机对照试验 (RCT))的研究提供参考,以检验 CFI 对临床医生的文化能力、工作联盟和患者功能水平的影响。
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引用次数: 0
Studying Culture, a Methodological Endeavor 研究文化,一种方法论的努力
IF 3 3区 心理学 Q2 PSYCHOLOGY, SOCIAL Pub Date : 2024-08-31 DOI: 10.1177/00220221241273917
Deborah L. Best
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引用次数: 0
Exploring Professional and Carer Stakeholder Conceptualizations of Child and Adolescent Mental Health in Malawi Using a Contextual Co-Design Methodology: The Interplay of Pathology, the Supernatural, and a Pathway to Healing 利用情境共同设计方法探索马拉维专业人员和照护者利益相关者对儿童和青少年心理健康的概念:病理学、超自然现象和治疗途径的相互作用
IF 3 3区 心理学 Q2 PSYCHOLOGY, SOCIAL Pub Date : 2024-08-12 DOI: 10.1177/00220221241249461
Khama Chibwana, Mark Hoelterhoff, Paul Kawale, Cristóbal Guerra, Charles Marley, Action Amos, Paul Mekani, Susannah Johnston, Alinafe Chibwana, Emily P. Taylor, Clara Calia, Corinne Reid
In Malawi, there is a high prevalence of mental disorders in children and adolescents. However, access to specialized care is scarce due to a lack of public policies, resources, and cultural factors. In this context, the aim of this research is to understand how child and adolescent mental health is conceptualized by key stakeholders in Malawi. The participants were 117 stakeholders (59 female and 58 male) involved with children’s mental health from different roles. They participated in workshops, focus groups, and open interviews. The data were processed following the steps of thematic analysis. The results show agreement between the different stakeholders in conceptualizations of child and adolescent mental health in Malawi, where symptoms and signs are not necessarily related to the Western vision, as well as the interaction between natural and supernatural sources in the genesis of mental disorders. Likewise, a pattern of help-seeking is described in which traditional healers stand out over hospitals. Finally, the results allow us to highlight the suggestions made by practitioners, policymakers, community leaders, and academics to improve access to and provision of mental health for children and adolescents in Malawi.
在马拉维,儿童和青少年精神障碍的发病率很高。然而,由于缺乏公共政策、资源和文化因素,获得专业护理的机会很少。在这种情况下,本研究旨在了解马拉维的主要利益相关者是如何看待儿童和青少年心理健康问题的。117 名利益相关者(59 名女性和 58 名男性)以不同的角色参与了儿童心理健康研究。他们参加了研讨会、焦点小组和公开访谈。数据按照专题分析的步骤进行了处理。结果表明,不同的利益相关者在马拉维儿童和青少年心理健康的概念上达成了一致,即症状和体征并不一定与西方的观点相关,而且在精神障碍的成因上,自然和超自然的因素之间存在相互作用。同样,研究还描述了一种求助模式,在这种模式中,传统医治者比医院更受青睐。最后,研究结果使我们能够强调从业人员、政策制定者、社区领袖和学术界提出的建议,以改善马拉维儿童和青少年获得心理健康的机会,并为他们提供心理健康服务。
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引用次数: 0
The Role of Perceived Forms of Discrimination Within the Psychological Acculturation Process of First-Generation Immigrants: A Scoping Review 第一代移民心理文化适应过程中感知到的歧视形式的作用:范围审查
IF 3 3区 心理学 Q1 Social Sciences Pub Date : 2024-06-03 DOI: 10.1177/00220221241255615
Elena Piccinelli, Christin-Melanie Vauclair, Claudia Dollner Moreira
Perceived discrimination has been found to be a common acculturative stressor among migrants negatively affecting their psychological acculturation process. Yet, a comprehensive review that focuses on how perceived discrimination is conceptualized and operationalized in the acculturation context is still missing. Furthermore, it is still unclear whether subtle and blatant forms of discrimination have been considered and compared in their effects in the acculturation literature, albeit some research suggests that the distinction between these two forms of discrimination is relevant and should be considered. Following the guidelines of the Joanna Briggs Institute, the present scoping review aimed to provide a systematic map of how perceived discrimination has been studied in the literature on first-generation adult immigrants’ psychological acculturation. A comprehensive search was executed in three databases (EBSCO, Scopus, and Web of Science), and 2,872 relevant sources were identified. A total of 143 studies were included after screening abstracts and full texts. A systematic coding scheme was then applied to all included articles. Results showed that 80% of the studies were cross-sectional and/or considered discrimination as a predictor of psychological outcomes, while other variables, for example, acculturation orientations and identity constructs, have been much less studied. Perceived discrimination was measured with over 50 different scales, yet only 10% of the studies made a clear conceptual difference between subtle and blatant discrimination. Moreover, the operationalization of these two forms of discrimination was often ambiguous. The present review identifies important knowledge gaps in the acculturation literature and draws recommendations for future research.
研究发现,感知到的歧视是移民中常见的文化适应压力源,会对他们的心理适应过程产生负面影响。然而,目前仍缺少一份全面的综述,重点关注在文化适应背景下如何将感知到的歧视概念化和操作化。此外,尽管一些研究表明,这两种形式的歧视之间的区别是相关的,应予以考虑,但目前还不清楚在文化适应文献中是否考虑到了微妙的和公然的歧视形式,并对其影响进行了比较。根据乔安娜-布里格斯研究所(Joanna Briggs Institute)的指导方针,本范围界定综述旨在提供一份系统性地图,说明在有关第一代成年移民心理文化适应的文献中,是如何对感知到的歧视进行研究的。我们在三个数据库(EBSCO、Scopus 和 Web of Science)中进行了全面检索,共找到 2,872 篇相关资料。经过对摘要和全文的筛选,共纳入了 143 项研究。然后对所有纳入的文章进行了系统编码。结果显示,80%的研究都是横断面研究和/或将歧视视为心理结果的预测因素,而对其他变量(如文化适应取向和身份建构)的研究要少得多。感知到的歧视有 50 多种不同的量表,但只有 10% 的研究在概念上明确区分了微妙歧视和公然歧视。此外,这两种形式的歧视在操作上也往往模棱两可。本综述指出了文化适应文献中的重要知识空白,并为今后的研究提出了建议。
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引用次数: 0
Who Is Your Biggest Critic? Cultural Variation in Moral Judgments of the Self and Others 谁是你最大的批评者?自我和他人道德判断的文化差异
IF 3 3区 心理学 Q1 Social Sciences Pub Date : 2024-06-03 DOI: 10.1177/00220221241255673
Cristina E. Salvador, Cindel J. M. White, Ting Ai
People are motivated to punish others who commit immoral actions when they believe the person willingly committed such an act. Compared with European American individuals, East Asian individuals are more punitive of wrongdoings, yet are less likely to attribute actions to the person. Here, we drew on research in cultural psychology to test the prediction that Chinese individuals are more punitive in part because they are more self-critical than European American individuals. This prediction would imply that cultural differences in punishment are most pronounced in judgments of oneself (vs. others) and largely driven by a difference in self-enhancement motives. To test this prediction, we conducted two studies, where 1,563 participants imagined immoral (vs. moral) actions performed by themselves or others. We then measured self-enhancement (how much participants perceived the immoral act impacts self-esteem) and attributions (how much participants perceived the immoral act is due to the person). As predicted, Chinese individuals punished immoral behavior more than European American individuals, which was explained by Chinese individuals being less self-enhancing, as indicated by a greater perception that immoral actions will negatively impact their self-esteem. Dispositional attributions predicted punishment regardless of culture. This work highlights how cultural differences in self-enhancement are key to understanding moral judgments and their cultural variation.
当人们认为他人是自愿做出不道德的行为时,他们就会有惩罚他人的动机。与欧美人相比,东亚人对不法行为的惩罚性更强,但却不太可能将行为归咎于个人。在此,我们借鉴了文化心理学的研究成果,来验证这样一个预测:中国人更具有惩罚性,部分原因是他们比欧美人更具有自我批评精神。这一预测意味着,惩罚方面的文化差异在对自己(与他人)的判断中最为明显,而且主要是由自我提升动机的差异所驱动的。为了验证这一预测,我们进行了两项研究,让 1563 名参与者想象自己或他人的不道德(与道德)行为。然后,我们测量了自我提升(参与者认为不道德行为对自尊的影响程度)和归因(参与者认为不道德行为对个人的影响程度)。正如预测的那样,中国人比欧美人更惩罚不道德行为,这是因为中国人的自我提升程度较低,他们认为不道德行为会对他们的自尊产生负面影响。无论文化如何,倾向性归因都能预测惩罚。这项研究强调了自我提升方面的文化差异是理解道德判断及其文化差异的关键。
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引用次数: 0
Cutting Cultural Ties? Reasons Why Ukrainians Terminate or Continue to Interact With Russian Culture Despite the Ongoing Russian-Ukrainian War 切断文化联系?尽管俄乌战争仍在持续,乌克兰人终止或继续与俄罗斯文化互动的原因
IF 3 3区 心理学 Q1 Social Sciences Pub Date : 2024-06-01 DOI: 10.1177/00220221241256322
Anton Kurapov, Oleksandra Balashevych, Christoph Bamberg, Pawel Boski
The study investigates the factors related to Ukrainian nationals’ engagement or disengagement with Russian culture amid Russian-Ukrainian war. It explores the predictors of both continued engagement and reasons for terminating interaction, considering demographic, emotional, and circumstantial factors. A cross-sectional correlational design was used, involving 935 participants (305 continuing and 630 ceasing interaction with Russian culture). Participants completed questionnaires and detailed their engagement with Russian culture across various cultural items. Multiple linear and logistic regressions were conducted for analysis. The study found that factors like spoken language and coping strategies play a significant role in the decision to cut cultural ties. For those continuing interaction, language and emotional attachment were influential, alongside practical necessities like work/study requirements and the absence of Ukrainian alternatives. The study highlights a complex interplay of emotion, language, and age in shaping Ukrainians’ interaction with Russian culture during the war. It suggests future research should include additional sociopolitical and sociocultural factors, and a broader demographic representation to gain more nuanced perspectives.
本研究调查了乌克兰国民在俄乌战争期间接触或脱离俄罗斯文化的相关因素。研究考虑了人口、情感和环境因素,探讨了继续参与的预测因素和终止互动的原因。本研究采用横截面相关性设计,共有 935 名参与者(其中 305 人继续与俄罗斯文化互动,630 人停止与俄罗斯文化互动)参与研究。参与者填写了调查问卷,并详细描述了他们在不同文化项目中与俄罗斯文化的互动情况。研究采用多元线性回归和逻辑回归进行分析。研究发现,口语和应对策略等因素在决定切断文化联系方面起着重要作用。对于那些继续交往的人来说,语言和情感依恋以及工作/学习要求等实际需要和没有乌克兰替代品等因素都有影响。这项研究强调了情感、语言和年龄在战争期间影响乌克兰人与俄罗斯文化互动的复杂相互作用。研究建议未来的研究应包括更多的社会政治和社会文化因素以及更广泛的人口代表性,以获得更细致入微的视角。
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引用次数: 0
Chinese People’s Child Bearing and Rearing Beliefs: The Interplay Between Confucianism and Neoliberalism 中国人的生儿育女观念:儒家思想与新自由主义的相互作用
IF 3 3区 心理学 Q1 Social Sciences Pub Date : 2024-05-22 DOI: 10.1177/00220221241248596
Shuning Liu, Hongli Wang
Previous research on Chinese people’s child bearing and rearing beliefs (CBRBs) has overwhelmingly focused on how Chinese view specific issues about child bearing and rearing and shown Confucian and neoliberal perspectives on these issues. However, limited studies have adopted a holistic view to analyze Chinese people’s CBRBs and explored the influence of the interplay between Confucianism and neoliberalism on their CBRBs comprehensively. This study aimed to bridge this gap by examining 2,590 pieces of posts (microblogs published by users) containing the hashtag “#The proper beliefs about child bearing and rearing#” on Weibo, one of the most popular social media sites in China. Corpus analysis and reflexive thematic analysis methods were used to quantitatively and qualitatively analyze the data, and five themes with various subthemes about Chinese people’s CBRBs were generated. This study uncovered that the three themes, namely, Parenthood Is Optional, How to Raise Children and Rewards of Child Bearing and Rearing, reflect an integration of Confucianism and neoliberalism, while Blind Compliance (to Parents’ Demands) Is Not Advisable and Costliness to Women show a neoliberal perspective. The findings enhance the understanding of Chinese people’s CBRBs and the influence of the interplay between Confucian and neoliberal cultures on their CBRBs, and provide insight for all concerned to improve fertility and health care programs.
以往关于中国人生育和养育子女观念(CBRBs)的研究绝大多数集中在中国人如何看待有关生育和养育子女的具体问题上,并展示了儒家和新自由主义在这些问题上的观点。然而,采用整体视角分析中国人的生养观念,并全面探讨儒家思想与新自由主义之间的相互作用对中国人生养观念的影响的研究还很有限。本研究通过对中国最受欢迎的社交媒体之一--微博上2590条包含 "#正确的生儿育女观念#"标签的帖子(用户发布的微博)进行研究,旨在弥补这一空白。研究采用语料库分析法和反思性主题分析法对数据进行定量和定性分析,得出了关于中国人生儿育女观念的五个主题及不同的副主题。研究发现,"为人父母是可选项"、"如何养育子女 "和 "生儿育女的回报 "这三个主题反映了儒家思想与新自由主义的融合,而 "盲目顺从(父母的要求)是不可取的 "和 "女性的代价 "则显示了新自由主义的视角。这些研究结果加深了人们对中国人的生育和养育行为以及儒家文化和新自由主义文化的相互作用对中国人生育和养育行为的影响的理解,并为有关各方改进生育和保健计划提供了启示。
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引用次数: 0
Self or Non-Self? Self-Essentialism and Well-Being in Tibetan Buddhist Monks 自我还是非我?藏传佛教僧侣的自我本质主义与福祉
IF 3 3区 心理学 Q1 Social Sciences Pub Date : 2024-05-18 DOI: 10.1177/00220221241252629
Youlim Kim, Ellen Dulaney, Gelek Wangchuk, Kyunghee Kim, Verena Graupmann
In monastic Tibetan Buddhists, we explored the psychological construct of self-essentialism, looking at links to satisfaction with life and meaning in life. We selected this population due to their deep commitment to teachings that emphasize the notion of “non-self.” We further explored the role of self-construal in the association between self-essentialism and psychological well-being. Finally, we explored how differences between the formal learning stages in Tibetan Buddhism affected our outcome variables. Replicating findings with other samples, there was small positive endorsement of self-essentialism, and a positive association between psychological essentialism and psychological well-being in this Tibetan Buddhist sample. Those on the highest learning stage in Tibetan Buddhism indicated greater self-essentialism, satisfaction with life, and search for life-meaning compared with the other stages. Interdependent self-construal moderated the association of self-essentialism with satisfaction with life. Contextualizing these findings within Tibetan Buddhist doctrine, it appears that Tibetan Buddhist monks utilize self-essentialism to clearly identify their path from the self toward “non-self.”
在藏传佛教僧侣中,我们探索了自我本质主义的心理结构,研究了自我本质主义与生活满意度和人生意义之间的联系。我们之所以选择这一人群,是因为他们笃信强调 "无我 "概念的教义。我们进一步探讨了自我概念在自我本质主义与心理健康之间的关联中的作用。最后,我们探讨了藏传佛教正式学习阶段之间的差异对结果变量的影响。与其他样本的研究结果相同,在这个藏传佛教样本中,对自我本质主义的认可度较小,心理本质主义与心理健康之间存在正相关。与其他阶段的人相比,藏传佛教最高学习阶段的人表现出更强的自我本质主义、对生活的满意度和对生命意义的追求。相互依存的自我结构调节了自我本质主义与生活满意度之间的关系。将这些发现与藏传佛教教义相结合,藏传佛教僧侣似乎利用自我本质主义来明确他们从自我走向 "非我 "的道路。
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引用次数: 0
Checking Multiple Boxes: Themes Associated With Bicultural Identities 勾选多个框:与双文化身份有关的主题
IF 3 3区 心理学 Q1 Social Sciences Pub Date : 2024-05-10 DOI: 10.1177/00220221241249999
Merrisa Lin, Nairán Ramírez-Esparza
Multicultural individuals frequently feel they must check multiple boxes when responding to identity questions. In this investigation, we collected narratives from 402 bicultural individuals about their experiences with multicultural identities and used automated text-analytic tools to examine the valence of the narratives (sentiment analysis) and the most prevalent themes used (Meaning Extraction Method). In addition, we examined the relationships between the narratives and the two dimensions of Bicultural Identity Integration (BII) scales, Harmony and Blendedness. Findings suggested that the narratives were more emotionally positive than negative, and there were six most common themes. Furthermore, themes were significantly associated with BII scales. Our analyses provide deeper insights into the nature of bicultural identity using naturalistic language data.
多元文化人在回答身份认同问题时,经常会觉得自己必须勾选多个选项。在这项调查中,我们收集了 402 位具有两种文化背景的个人关于其多元文化身份经历的叙述,并使用自动文本分析工具来研究叙述的价值(情感分析)和最常用的主题(意义提取法)。此外,我们还研究了叙述与双文化身份整合(BII)量表的两个维度--和谐性和混合性--之间的关系。研究结果表明,叙述中正面情绪多于负面情绪,有六个最常见的主题。此外,这些主题与 BII 量表有明显关联。我们的分析利用自然语言数据对双文化认同的本质进行了更深入的了解。
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引用次数: 0
Experiences of Help-Seeking for Severe Mental Health Problems in Young Pakistani Women: A Preliminary Qualitative Study 巴基斯坦年轻女性因严重心理健康问题寻求帮助的经历:初步定性研究
IF 3 3区 心理学 Q1 Social Sciences Pub Date : 2024-05-02 DOI: 10.1177/00220221241236944
Chiara Causier, Louise Johns, Jerica Radez, Hibah Hassan, Daniel Maughan, Felicity Waite
Almost three quarters of mental illnesses start by the age of 25, yet youth (18–25-year-olds) are often underrepresented in U.K. services. This is particularly true for those of ethnic minorities. In this study, we aimed to understand how young Pakistani women and their parents make decisions to seek help for severe mental health problems, and the barriers and facilitators to accessing professional help. Young Pakistani women with experience of severe mental health problems and their parents were recruited from a community sample. Semi-structured interviews were conducted with six young people and two parents. Data were analyzed using reflexive thematic analysis. Pakistani culture and its interplay with British culture strongly influenced the decisions and ability of young Pakistani women and their parents to help-seek, largely through the role of stigma. Low mental health literacy, stigma, and a lack of culturally informed services were identified as the most common barriers to accessing care. These barriers fed into the internalized stigma these young women experienced which, through fear of damaged reputation and personal prejudices, posed further barriers to seeking help. Participants highlighted recommendations for both individual-level (e.g., increased education and awareness) and service-level (e.g., greater choice over care) change to facilitate accessibility of professional help. Young Pakistani women face multiple culturally related challenges to accessing care for severe mental health problems at both the individual- and service-level. Novel suggestions to address these challenges, such as including youth peer support workers in services, may facilitate more inclusive and accessible services.
将近四分之三的精神疾病都是在 25 岁之前开始的,然而在英国的服务机构中,青少年(18-25 岁)的比例往往偏低。对于少数民族而言,情况尤其如此。在这项研究中,我们旨在了解巴基斯坦年轻女性及其父母是如何决定就严重的精神健康问题寻求帮助的,以及获得专业帮助的障碍和促进因素。我们从社区样本中招募了有过严重心理健康问题经历的巴基斯坦年轻女性及其父母。对六名年轻人和两名家长进行了半结构式访谈。采用反思性主题分析法对数据进行了分析。巴基斯坦文化及其与英国文化的相互作用在很大程度上通过污名化的作用,影响了巴基斯坦年轻女性及其父母寻求帮助的决定和能力。低心理健康素养、污名化以及缺乏有文化背景的服务被认为是获得护理最常见的障碍。这些障碍助长了这些年轻女性所经历的内在污名化,由于害怕名誉受损和个人偏见,这些污名化进一步阻碍了她们寻求帮助。与会者强调了个人层面(如加强教育和提高认识)和服务层面(如增加护理选择)的变革建议,以促进获得专业帮助。年轻的巴基斯坦女性在个人和服务层面上都面临着多种与文化相关的挑战,难以获得对严重精神健康问题的治疗。为应对这些挑战而提出的新建议,如在服务中加入青年同伴支持工作者,可能会促进服务的包容性和可及性。
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引用次数: 0
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Journal of Cross-Cultural Psychology
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