Pooremamali Parvin, Persson Dennis, Eklund Mona
Faculty of Health and Society, Malmö University, Sweden.
Scand J Occup Ther. 2011 Jun;18(2):109-21. doi: 10.3109/11038121003649789. Epub 2010 Mar 24.
Sweden's cultural diversity generates considerable challenges for occupational therapists. The aim of this study was to explore experiences and perceptions of occupational therapists working with immigrant psychiatric clients from the Middle East region. The study included interviews with eight occupational therapists employed in mental health care and working in a variety of settings. The data collection and analysis were carried out in accordance with the grounded theory approach. One core category, "the challenges of the multicultural therapeutic journey-a journey on a winding road" was identified. The core category included three categories: dilemmas in clinical practice, feelings and thoughts, and building cultural bridges, in turn comprising sub-categories and components. The results showed that the many dilemmas influencing effective multicultural occupational therapy were cultural, societal, and professional in nature. The dilemmas influenced feelings and thoughts, in turn influencing both motivation for seeking cultural knowledge and choice of adequate strategies in which the multicultural therapeutic relationship could develop. The results imply that culturally congruent occupational therapy practice needs to be further developed and more research is needed on how cultural issues can be met in occupational therapy practice.
瑞典的文化多样性给职业治疗师带来了巨大挑战。本研究的目的是探讨职业治疗师与中东地区移民精神病患者打交道的经验和看法。该研究包括对八名受雇于精神卫生保健机构、在各种环境中工作的职业治疗师进行访谈。数据收集和分析是按照扎根理论方法进行的。确定了一个核心类别，即“多元文化治疗之旅的挑战——一条蜿蜒道路上的旅程”。该核心类别包括三个类别：临床实践中的困境、感受和想法以及搭建文化桥梁，这些类别又依次包含子类别和组成部分。结果表明，影响有效的多元文化职业治疗的诸多困境本质上是文化、社会和专业方面的。这些困境影响了感受和想法，进而影响了寻求文化知识的动机以及多元文化治疗关系得以发展的适当策略的选择。结果表明，需要进一步发展文化适配的职业治疗实践，并且需要更多关于如何在职业治疗实践中应对文化问题的研究。
