Dagsvold Inger, Møllersen Snefrid, Stordahl Vigdis
Sámi Norwegian National Advisory Unit on Mental Health and Substance Use, Finnmark Hospital Trust, Hammerfest, Norway.
Centre for Sami Health Research, The Faculty of Health Science, UiT The Arctic University of Norway, Tromsø, Norway;
Int J Circumpolar Health. 2015 May 13;74:26952. doi: 10.3402/ijch.v74.26952. eCollection 2015.
The Sami in Norway have a legal right to receive health services adapted to Sami language and culture. This calls for a study of the significance of language choice and cultural norms in Sami patients' encounters with mental health services.
To explore the significance of language and cultural norms in communication about mental health topics experienced by Sami patients receiving mental health treatment to enhance our understanding of linguistic and cultural adaptation of health services.
Data were collected through individual interviews with 4 Sami patients receiving mental health treatment in Northern Norway. A systematic text reduction and a thematic analysis were employed.
Two themes were identified:(I) Language choice is influenced by language competence, with whom one talks and what one talks about.Bilingualism was a resource and natural part of the participants' lives, but there were limited possibilities to speak Sami in encounters with health services. A professional working relationship was placed on an equal footing with the possibility to speak Sami.
Sami patients' language choice in different communication situations is influenced by a complexity of social and cultural factors. Sami patients have varying opinions about and preferences for what they can talk about, in which language, in what way and with whom. Bilingualism and knowledge about both Sami and Norwegian culture provide latitude and enhanced possibilities for both patients and the health services. The challenge for the health services is to allow for and safeguard such individual variations within the cultural framework of the patients.
挪威的萨米人拥有接受适应萨米语言和文化的医疗服务的合法权利。这就需要研究语言选择和文化规范在萨米患者与心理健康服务接触中的重要性。
探讨语言和文化规范在接受心理健康治疗的萨米患者所经历的心理健康话题交流中的重要性，以增进我们对医疗服务语言和文化适应性的理解。
通过对挪威北部4名接受心理健康治疗的萨米患者进行个人访谈收集数据。采用了系统的文本缩减和主题分析方法。
确定了两个主题：（一）语言选择受语言能力、交谈对象和交谈内容的影响。双语是参与者生活中的一种资源和自然组成部分，但在与医疗服务接触时说萨米语的可能性有限。专业工作关系与说萨米语的可能性处于平等地位。
萨米患者在不同交流情境中的语言选择受到社会和文化因素复杂性的影响。萨米患者对他们能谈论什么、用哪种语言、以何种方式以及与谁交谈有不同的看法和偏好。双语以及对萨米和挪威文化的了解为患者和医疗服务都提供了灵活性和更多可能性。医疗服务面临的挑战是在患者的文化框架内允许并保障这种个体差异。
