Royal Holloway University of London, Egham, UK.
King's College London, UK.
Clin Child Psychol Psychiatry. 2021 Jan;26(1):268-282. doi: 10.1177/1359104520969762. Epub 2020 Nov 6.
Research has indicated that multisystemic therapy (MST) is an effective treatment for youth with antisocial behaviours (Painter & Scannapieco, 2009). This qualitative study explored minority ethnic young peoples' experiences of MST, focusing on their understanding of their presenting difficulties and aspects of the intervention which facilitated or hindered engagement and change. Seven semi-structured interviews were conducted with London-based young people who had taken part in MST. A constructivist version of grounded theory analysis was employed. Culture-specific theoretical codes emerged; understanding the family culture and the practitioner acting as a cultural broker, consideration of acculturation differences within the family, exploring the young person's cultural identity and reflecting on cultural differences in the therapeutic relationship. Findings suggest potential advances to MST practice to meet the needs of minority ethnic young people, including the importance of appropriate training and supervision, sensitively working with salient cultural issues such as the impact of acculturation, and consideration of the role of therapist ethnicity and culture.
研究表明，多系统治疗（MST）是治疗反社会行为青少年的有效方法（Painter & Scannapieco，2009）。本定性研究探讨了少数族裔青年的 MST 体验，重点关注他们对自身表现困难的理解以及促进或阻碍参与和改变的干预措施的各个方面。对曾参加 MST 的伦敦青年进行了七次半结构化访谈。采用扎根理论的建构主义版本进行分析。出现了特定于文化的理论代码；理解家庭文化和从业者充当文化经纪人，考虑家庭内部的文化融合差异，探索年轻人的文化身份，并反思治疗关系中的文化差异。研究结果表明，MST 实践需要做出一些改进，以满足少数族裔青年的需求，包括提供适当的培训和监督，妥善处理与文化相关的重要问题，如文化融合的影响，并考虑治疗师的种族和文化的作用。
