Reconsidering culturally competent approaches to American Indian healing and well-being.

Reconsidering culturally competent approaches to American Indian healing and well-being.
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DOI:
10.1177/1049732314551056
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发表时间:
2015-04
影响因子:
3.2
通讯作者:
Hough RL
Hough RL
中科院分区:
医学2区
文献类型:
--
作者:
Goodkind JR;Gorman B;Hess JM;Parker DP;Hough RL

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迫切需要消除美洲印第安人和阿拉斯加原住民(AI/ANs)所经历的心理健康差异。服务提供者和研究人员经常通过关注西方心理健康服务的低参与率来解决这些差异。在某种程度上,这反映了对AI/AN心理健康问题的社会政治和历史背景的有限理解。此外,这种强调未能认识到当地共鸣的应对策略,愈合和治疗的主位理解的重要性。在这篇文章中,我们描述了(a)一项旨在解决这些差距的研究,(B)与土地和地方的重要性有关的调查结果,以及(c)社区大学合作,将这些调查结果转化为一个迪内社区内有意义的变化。与土地的联系是促进心理健康的重要文化力量。因此,有效的治疗可能需要更深入地了解文化过程,通过这些过程,愈合和福祉得以维持。
There is an urgent need to eliminate mental health disparities experienced by American Indians and Alaska Natives (AI/ANs). Service providers and researchers often address these disparities by focusing on low rates of participation in Western mental health services. In part, this reflects limited understandings of the sociopolitical and historical context of AI/AN mental health problems. Furthermore, this emphasis fails to recognize the importance of emic understandings of locally resonant coping strategies, healing, and treatment. In this article, we describe (a) a study designed to address these gaps, (b) findings related to the importance of land and place, and (c) a community-university collaboration to translate these findings into meaningful change within one Diné community. Connections to the land were an important cultural strength on which to build efforts to promote mental health. Thus, effective treatment might involve more in-depth understanding of cultural processes through which healing occurs and well-being is maintained.
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