Mescouto Karime, Olson Rebecca E, Plage Stefanie, Zulfiqar Asma, Setchell Jenny, Dune Tinashe, Suleman Sameera, Cummins Drew, Prasad-Ildes Rita, Costa Nathalia
RECOVER Injury Research Centre, The University of Queensland, Brisbane, QLD, Australia.
School of Social Science, The University of Queensland, Brisbane, QLD, Australia.
Front Sociol. 2024 Feb 16;9:1282938. doi: 10.3389/fsoc.2024.1282938. eCollection 2024.
Mental health is political, with intersecting economic, cultural, racialized, and affective dimensions making up the care assemblage, signalling how care is conceptualised and who is deserving of care. In this article, we examine emotions circulating in a non-clinical psychosocial support program for culturally and linguistically diverse people experiencing mental ill-health, foregrounding the relations between culture, race, economy, and assumptions underpinning understandings of care. The mental health program under study offers psychosocial support for culturally and linguistically diverse people to manage life challenges and mental ill-health exacerbated by navigating the complexities of Australia's health and social care systems. We draw on interviews with clients, staff, and providers of intersecting services, employing Ahmed's concept of affective economies and Savreemootoo's concept of navigating whiteness to examine the care assemblage within interview transcripts. We provide insight into affective intensities such as hate, anger, and indifference embedded in white Anglo-centric services, positioning culturally and linguistically diverse people on the margins of care. Non-clinical psychosocial support programs can counter such affective intensities by training and employing multicultural peer support workers-people with lived experience-prioritising relational and place-based approaches to care and supporting and providing clients with relevant skills to navigate an Anglo-centric care system. However, this support is filled with affective tensions: (com)passion, frustration and fatigue circulate and clash due to the scarcity of resources, further signalling what type of care (and with/for whom) is prioritised within Australian relations of care.
心理健康具有政治性,其经济、文化、种族化和情感维度相互交织,构成了护理组合,表明了护理是如何被概念化的以及谁值得获得护理。在本文中,我们考察了一个针对心理健康状况不佳的文化和语言背景多元人群的非临床心理社会支持项目中所流传的情绪,突出文化、种族、经济以及支撑护理理解的假设之间的关系。所研究的心理健康项目为文化和语言背景多元的人群提供心理社会支持,以应对因应对澳大利亚健康和社会护理系统的复杂性而加剧的生活挑战和心理健康问题。我们借鉴了对客户、工作人员以及交叉服务提供者的访谈,运用艾哈迈德的情感经济概念和萨夫里穆图的“穿越白人特质”概念,来审视访谈记录中的护理组合。我们深入了解了白人盎格鲁中心服务中所蕴含的仇恨、愤怒和冷漠等情感强度,将文化和语言背景多元的人群置于护理的边缘。非临床心理社会支持项目可以通过培训和雇佣具有实际生活经验的多元文化同伴支持工作者来对抗这种情感强度,优先采用基于关系和地点的护理方法,并为客户提供相关技能,以应对以盎格鲁为中心的护理系统。然而,这种支持充满了情感张力:由于资源稀缺,同情、沮丧和疲惫相互交织并发生冲突,这进一步表明了在澳大利亚的护理关系中优先考虑的是何种类型的护理(以及针对谁/为谁提供护理)。