The Transformative Potential of Kaupapa Maori Research and Indigenous Methodologies: Positioning Maori Patient Experiences of Mental Health Services
The Transformative Potential of Kaupapa Maori Research and Indigenous Methodologies: Positioning Maori Patient Experiences of Mental Health Services
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DOI：
10.1177/1609406920953752
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发表时间：
2020-08-28
影响因子：
5.4
通讯作者：
Lacey, Cameron
中科院分区：
文献类型：
--
作者：
Haitana, Tracy;Pitama, Suzanne;Lacey, Cameron
本文介绍了一个具体的土著研究方法，考帕帕毛利人研究（KMR）的描述，随后讨论的潜在贡献，KMR和其他土著框架，使对理解和解决广泛的心理健康不平等影响世界土著人民。现有的定性KMR在新西兰的健康和心理健康领域的贡献进行了讨论，这些研究中采用的创新方法将被概述。本文介绍了实用的KMR方法，告知定性访谈的发展和适应的分析框架，用于探索毛利人（新西兰土著人民）的经验与双相情感障碍（BD）的影响系统。本文补充了该杂志上发表的其他文章，这些文章描述了KMR方法的价值，内在创新和变革潜力，为未来与土著人民的定性研究提供信息，并制定系统性变革。通过以下方式实现转变：倾听毛利人的声音，描述他们在精神卫生系统的经历;向负责设计和提供精神卫生服务的人提出他们的专家意见;并确保同等重视探索实现健康公平所需的临床、结构和组织变革。有人建议，这种研究实践的方法是必要的，以确保研究不会使制度性种族主义永久化，这需要在研究过程的所有步骤中密切遵守土著研究的优先事项和与土著人民的伙伴关系。
This article presents a description of a specific Indigenous research methodology, Kaupapa Maori Research (KMR), followed by a discussion of the potential contribution that KMR and other Indigenous frameworks make toward understanding and addressing widespread mental health inequities affecting the world's Indigenous peoples. The contribution of existing qualitative KMR to the fields of health and mental health in New Zealand is discussed, and innovative approaches employed within these studies will be outlined. This paper describes the utility of KMR methodology which informed the development of qualitative interviews and the adaptation of an analytic framework used to explore the impact of systems on the experiences of Maori (the Indigenous peoples of New Zealand) with bipolar disorder (BD). This paper adds to others published in this journal that describe the value, inherent innovation, and transformative potential of KMR methodologies to inform future qualitative research with Indigenous peoples and to enact systemic change. Transformation is achieved by privileging the voices of Maori describing their experiences of mental health systems; presenting their expert critique to those responsible for the design and delivery of mental health services; and ensuring equal weight is given to exploring the clinical, structural and organizational changes required to achieve health equity. It is proposed that this approach to research praxis is required to ensure that studies do not perpetuate institutional racism, which requires close adherence to Indigenous research priorities and partnership with Indigenous peoples in all steps of the research process.