An interpretative phenomenological analysis of African Caribbean women's experiences and management of emotional distress
An interpretative phenomenological analysis of African Caribbean women's experiences and management of emotional distress
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DOI：
10.1111/j.1365-2524.2010.00986.x
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发表时间：
2011-07-01
影响因子：
2.4
通讯作者：
Brown, June S. L.
中科院分区：
文献类型：
--
作者：
Sisley, Emma J.;Hutton, Jane M.;Brown, June S. L.
在联合王国，非洲加勒比妇女在心理健康服务中的代表性不足，尽管社会背景的脆弱性可能会增加情绪困扰。本研究的目的是探讨个人的解释模式的经验，痛苦，应对和寻求帮助的选择，以期提高文化相关性的服务。参与者是在自我推荐参加自助社区福利讲习班后招募的。解释现象学分析进行了半结构化的采访后，七个非洲加勒比妇女在伦敦，谁报告以前经历的情绪困扰。该研究于2009年进行。五个上级主题出现的数据：解释的痛苦，痛苦的经验，管理的痛苦，社会和文化的影响和寻求帮助。每一个上级主题由若干次主题组成，这些次主题描述了参与者的经历。性别角色和文化遗产的强大和隐藏的痛苦出现在参与者的信念管理个人困难的影响。然而，与此相平衡的是，人们承认，代际差异突出表明，社区越来越接受谈论问题和寻求专业支持。研究结果提供了支持的概念，个人痛苦的理解和反应受到广泛和交织的影响。这种复杂性可以被概念化为一个“探索地图”，其中个人在他们当前和新遇到的知识和经验之间建立联系，以指导他们应对和寻求帮助的个人路线。这项研究提供了支持，定制服务，以满足个人的需求，使用灵活的方法，赋予个人从黑人和少数民族群体的价值解释模型的痛苦替代西化的医疗模式。此外，调查结果强调，有关法定和非法定的社区资源，使用语言相关的社区，他们的目的是从事现成的和可访问的信息的重要性。
African Caribbean women are under-represented within mental health services in the United Kingdom, despite sociocontextual vulnerabilities which may increase emotional distress. This qualitative study aimed to explore individual explanatory models of experiences of distress, coping and help-seeking choices, with a view to improving cultural relevance of services. Participants were recruited following their self-referral to self-help community wellbeing workshops. Interpretative phenomenological analysis was carried out following semi-structured interviews with seven African Caribbean women in central London, who reported previously experiencing emotional distress. The study was conducted during 2009. Five super-ordinate themes emerged from the data: explanations of distress, experiences of distress, managing distress, social and cultural influences and seeking help. Each super-ordinate theme consisted of several subthemes which described participants' experiences. Gender roles and a cultural legacy of being strong and hiding distress emerged as influential in participants' beliefs about managing personal difficulties. However, this was balanced with an acknowledgement that intergenerational differences highlighted an increasing acceptance amongst the community of talking about issues and seeking professional support. The findings offered support for the notion that understandings and responses to personal distress are subject to broad-ranging and interwoven influences. This complexity may be conceptualised as an 'exploratory map' where individuals make links between their current and newly encountered knowledge and experience to guide their personal route to coping and help-seeking. The study provides support for tailoring services to individual needs using a flexible approach which empowers individuals from black and minority ethnic groups by valuing explanatory models of distress alternative to the westernised medical model. Furthermore, findings emphasise the importance of readily available and accessible information about statutory and non-statutory community resources which use language relevant to the communities they are aimed at engaging.