症状与上下文:从大规模实施文化制定采访中吸取的经验教训
Linda Silvius1, Katrina V Antezana J1, Samrad Ghane1
1Parnassia Academy, Parnassia Psychiatric Institute, The Hague, Netherlands.
Frontiers in psychiatry
|September 19, 2024
概括
在精神卫生服务中实施文化表述采访 (CFI) 显示了低的采用率. 临床医生的文化能力和患者的就业状况影响了其有效使用.
科学领域:
- 精神病学是一个精神病学.
- 文化精神病学是一种精神病学.
- 心理健康服务研究 心理健康服务研究
背景情况:
- 文化敏感的方法对于多元文化社会中的心理健康服务至关重要,以减少健康差异.
- 文化制定面试 (CFI) 旨在改善共享决策和文化知情治疗.
- 有限的数据存在于CFI在大规模精神病学环境中的可实施性.
研究的目的:
- 报告一家荷兰大型心理健康组织中CFI的实施情况.
- 评估实施过程并确定CFI采用的障碍.
- 调查临床医生的看法和与充分使用CFI相关的因素.
主要方法:
- 实施涉及开发一个在线课程,团队教练培训,数字资源,并将CFI问题纳入摄入量.
- 研究1:对150名临床医生进行的关于CFI熟悉度,感知价值和使用情况的调查.
- 研究2:对112名患者摄入量的回归分析,以确定与足够的CFI文档相关的变量.
主要成果:
- 初步评估显示,CFI仅在13.2%的摄入量中使用,培训资源利用率低.
- 研究1:临床医生报告熟悉度低 (50%的人认为没有附加价值,61%的人只对少数群体有相关性).
- 研究2:更高的临床医生文化能力和患者失业率与充分的CFI使用有关.
结论:
- CFI的实施需要从以症状为导向的转向以人为中心和上下文为中心的摄入评估.
- 培训应该将CFI纳入更广泛的文化能力框架,以便更好地采用.
- 解决与临床医生的认知和培训有关的障碍对于有效的CFI整合至关重要.
更多相关视频
06:16Involving Individuals with Developmental Language Disorder and Their Parents/Carers in Research Priority Setting
Published on: June 6, 2020
3.7K
05:48The Adventures of Fundi Intervention Based on the Cognitive and Emotional Processing in Attention Deficit Hyperactive Disorder Patients
Published on: June 12, 2020
5.7K
相关概念视频
00:52Social Proof
27.6K
Social proof is a form of persuasion based on comparison and conformity. People compare their behavior and actions to what others are doing and will change to conform to do what their peers do.
27.6K
01:21Cognitive Learning
229
Cognitive learning is based on purposive behavior, incidental learning, and insight learning.
E. C. Tolman's theory of purposive behavior emphasizes that much behavior is goal-directed. He argued that to understand behavior, we must look at the entire sequence of actions leading to a goal. For instance, high school students study hard, not just due to past reinforcement but also to achieve the goal of getting into a good college.
Tolman introduced the idea that behavior is influenced by...
E. C. Tolman's theory of purposive behavior emphasizes that much behavior is goal-directed. He argued that to understand behavior, we must look at the entire sequence of actions leading to a goal. For instance, high school students study hard, not just due to past reinforcement but also to achieve the goal of getting into a good college.
Tolman introduced the idea that behavior is influenced by...
229
02:30Naturalistic Observations
15.4K
If you want to understand how behavior occurs, one of the best ways to gain information is to simply observe the behavior in its natural context. However, people might change their behavior in unexpected ways if they know they are being observed. How do researchers obtain accurate information when people tend to hide their natural behavior? As an example, imagine that your professor asks everyone in your class to raise their hand if they always wash their hands after using the restroom. Chances...
15.4K
01:26Modeling in Therapy
56
Modeling, a key technique in therapy, uses observational learning to help clients acquire and practice new skills by watching therapists demonstrate desired behaviors. This approach, rooted in Albert Bandura's concept of vicarious learning, plays a significant role in therapeutic interventions for various psychological conditions, including social anxiety, ADHD, and depression.
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in...
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in...
56
01:26Cultural Influences on Personality
132
Individualist and collectivist cultures emphasize different core values, shaping personality in distinct ways. In individualist cultures, such as those in the United States, England, and Australia, people prioritize independence, competition, and personal achievement. These societies tend to promote self-focused traits, with individuals often reporting higher levels of self-esteem. In contrast, collectivist cultures, commonly found in regions like Asia, Africa, and South America, emphasize...
132
01:25Interpersonal Psychotherapy
23
Interpersonal psychotherapy (IPT) is a structured, time-limited therapeutic approach initially developed to treat depression. It integrates key concepts from psychodynamic, humanistic, and cognitive-behavioral therapies, making it a uniquely eclectic framework. The therapy is rooted in the interpersonal theories of Adolph Meyer and Harry Stack Sullivan, as well as John Bowlby's attachment theory, and focuses on the interplay between interpersonal relationships and emotional well-being.
23