Department of Psychology, University of Michigan, 530 Church St., Ann Arbor, MI 48109, USA.
Health Place. 2012 Sep;18(5):1025-33. doi: 10.1016/j.healthplace.2012.06.004. Epub 2012 Jun 17.
We engage and extend the concept of therapeutic landscapes through a case study at an urban American Indian health organization in the Midwestern United States. This case affords insights at the unique confluence of indigeneity and urbanization, prompting us to coin the construct "urban-indigenous therapeutic landscapes" to characterize such sites. These landscapes warrant urgent attention in light of increasing urbanization and health disparities among indigenous peoples internationally. On the basis of thematic content analysis, three themes were identified from 17 open-ended interviews with American Indian community members. Specifically, respondents viewed the health organization as (a) a vital place to be among other American Indians and connected to Native culture, (b) a place where one feels at home and welcome, and (c) a place in which health services are delivered in an especially intimate and hospitable manner. Significant challenges and tensions were also communicated, in terms of unique intersections of health care and indigeneity. Results are interpreted in terms of urban Indian health organizations as urban-indigenous therapeutic landscapes.
我们通过对美国中西部一个城市印第安人健康组织的案例研究，参与并扩展了治疗性景观的概念。这个案例提供了在本土性和城市化的独特交汇点的深刻见解，促使我们创造了“城市本土治疗性景观”这一概念来描述这样的场所。鉴于城市化的加速和国际上原住民之间的健康差距，这些景观迫切需要引起关注。基于主题内容分析，我们从对印第安社区成员的 17 次开放式访谈中确定了三个主题。具体而言，受访者认为该健康组织是(a) 与其他印第安人在一起并与本土文化保持联系的重要场所，(b) 一个让人感到宾至如归的地方，以及(c) 一个以特别亲密和热情的方式提供医疗服务的地方。在医疗保健和本土性的独特交叉点方面，也传达了一些重大的挑战和紧张局势。研究结果从城市印第安人健康组织作为城市本土治疗性景观的角度进行了解释。
