System-Centered Care: How Bureaucracy and Racialization Decenter Attempts at Person-Centered Mental Health Care
System-Centered Care: How Bureaucracy and Racialization Decenter Attempts at Person-Centered Mental Health Care
复制标题
DOI：
10.1177/21677026221133053
复制
发表时间：
2022-12-22
影响因子：
4.8
通讯作者：
Stanhope, Victoria
中科院分区：
文献类型：
--
作者：
Desai, Miraj U.;Paranamana, Nadika;Stanhope, Victoria
在这项研究中，我们探讨了结构性偏见的精神卫生组织的背景下，以人为本的护理，一个新兴的框架，为全球卫生系统。研究结果揭示了制度结构如何有力地制约临床操作和提供者，从而产生了一种风险，即客户将被系统地视为非人，即种族化或官僚化的对象。具体而言，我们阐明了如何种族配置文件可能成为机构内的护理的决定因素，以及如何另一种，隐蔽形式的机构客观化可能会出现，其中客户被减少到看不见的官僚对象。调查结果阐明了一个基本的心理社会过程，通过这个过程，工作人员可能会在不知情的情况下成为系统议程和意图的载体一种“官僚思维”，以及一些供应商如何推动这种气候。这些发现，以及新出现的概念，增加了心理科学中对制度偏见和种族主义的研究。
In this study, we explored structural biases in mental health organizations in the context of person-centered care-an emerging framework for health systems globally. The findings revealed how institutional structures powerfully condition clinical operations and providers, creating a risk that clients will be systemically seen as nonpersons, that is, as racialized or bureaucratic objects. Specifically, we elucidate how racial profiles could become determinants of care within institutions and how another, covert form of institutional objectification could emerge, in which clients are reduced to unseen bureaucratic objects. The findings illuminated a basic psychosocial process through which staff could become unwitting carriers of systemic agenda and intentionality-a type of "bureaucra-think"-and also how some providers pushed against this climate. These findings, and emergent novel concepts, add to the severely limited research on institutional bias and racism within psychological science.