种族主义,早期精神病和机构接触:对土著经验的定性研究
Jenni Manuel1,2, Suzanne Pitama1, Mauterangimarie Clark1
1Māori/Indigenous Health Innovation, University of Otago Christchurch, New Zealand.
The International journal of social psychiatry
|September 4, 2023
概括
种族主义通过社会响应能力,风险评估和心理健康服务的系统偏见,显著影响了土著青年早期精神病的结果,需要进行反种族主义干预.
科学领域:
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
- 社会学 社会学 社会学
背景情况:
- 土著和少数民族的人口在早期精神病发病率和结果方面经历了显著的不平等.
- 人种主义被认为是导致这些差距的一个关键因素.
研究的目的:
- 探索原住民的经验,并更深入地了解种族主义如何影响早期精神病的结果.
- 利用批判性种族理论来告知研究方法.
主要方法:
- 与23位土著参与者 (早期精神病的毛利青年,家庭成员和心理健康专业人员) 进行了重点小组和个人采访.
- 采用了演结构编码,其次是诱导描述和模式编码,以分析有关种族主义的数据.
主要成果:
- 种族主义作为一种社会文化现象,影响社会响应,风险话语和心理健康服务的制度政策和文化.
- 确定的主题包括基于刻板印象的选择性反应,与种族相关的风险评估偏见,以及心理健康工作人员中的机构种族主义.
- 报告中的影响包括对社会需求的不作为,强制性做法的增加,以及资源不足的土著心理健康工作人员.
结论:
- 证明了人际,机构和结构性种族主义的相互联系.
- 突出了组织文化如何不成比例地影响土著和少数民族个人.
- 强调社会响应,风险话语和劳动力分配是精神卫生保健中反种族主义倡议的关键目标.
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