Institute of Psychiatry, Psychology and Neuroscience, King's College London, UK.
Clin Child Psychol Psychiatry. 2024 Jan;29(1):127-140. doi: 10.1177/13591045231208571. Epub 2023 Oct 17.
There have been several reports of inequalities for ethnic minoritised service users across National Health Service mental health services in the United Kingdom. This research aims to explore the perspectives and experiences of young people from ethnic minoritised groups accessing psychological therapy in a National Specialist Child and Adolescent Mental Health Service in England.
Semi-structured interviews were conducted to investigate how young people perceived their ethnicity and how it was considered during psychological therapy. Nine young people were interviewed, and a thematic analysis was conducted.
Qualitative analysis revealed five themes: (1) adolescence, ethnicity, and identity; (2) ethnicity as a meaningful part of the therapeutic intervention; (3) therapeutic alliance to facilitate dialogue; (4) aversion to ethnicity exploration; and (5) treading lightly: a fine line between sensitive and overly cautious.
The study illustrated the complexity of considering ethnicity in therapy due to conflicting views and preferences and the need for further research.
在英国国民保健服务体系的精神卫生服务中，少数民族服务使用者存在着多种不平等现象。本研究旨在探讨在英格兰的一家国家专科儿童和青少年心理健康服务机构中，少数民族群体的年轻人在接受心理治疗时的观点和体验。
采用半结构化访谈的方式，调查年轻人如何看待自己的族裔身份，以及在心理治疗中是如何考虑这一因素的。共对 9 名年轻人进行了访谈，并进行了主题分析。
定性分析揭示了五个主题：（1）青春期、族裔和身份；（2）族裔是治疗干预的有意义的一部分；（3）治疗联盟促进对话；（4）回避族裔探索；以及（5）谨慎行事：在敏感和过于谨慎之间的微妙平衡。
研究表明，由于观点和偏好存在冲突，以及需要进一步研究，在治疗中考虑族裔因素的复杂性。
