Abo-Rass Fareeda, Nakash Ora, Abu-Kaf Sarah, Braun-Lewensohn Orna
School for Social Work, Smith College, Northampton, MA, USA.
Conflict Management and Resolution Program, Ben-Gurion University of the Negev, Beer-Sheva, Israel.
Cult Med Psychiatry. 2024 Jun;48(2):350-366. doi: 10.1007/s11013-024-09862-8. Epub 2024 Jun 5.
Trust in mental health professionals and services profoundly impacts health outcomes. However, understanding trust in mental health professionals, especially in ethnic minority contexts, is lacking. To explore this within the Bedouin-Arab minority, a qualitative study conducted semi-structured interviews with 25 Bedouins in southern Israel. Participants were primarily female (60%) married (60%), averaging 34.08 years old. Employing grounded theory, three themes emerged. Firstly, concerns about confidentiality were central, eroding trust due to societal repercussions. Secondly, factors influencing confidentiality concerns and distrust were tied to Bedouin-Arab social structures and cultural values rather than professional attributes. Lastly, the consequences of distrust included reduced help-seeking. This study enriches the understanding of trust in mental health professionals among non-Western ethnic minorities, highlighting how cultural factors shape perceptions of mental health services and distrust. Addressing confidentiality worries demands Bedouin mental health professionals to acknowledge hurdles, build community ties, and demonstrate expertise through personal connections and events.
对心理健康专业人员和服务的信任对健康结果有着深远影响。然而,目前缺乏对心理健康专业人员信任的理解,尤其是在少数族裔背景下。为了在贝都因 - 阿拉伯少数群体中探讨这一问题,一项定性研究对以色列南部的25名贝都因人进行了半结构化访谈。参与者主要为女性(60%),已婚(60%),平均年龄34.08岁。采用扎根理论,出现了三个主题。首先,对保密性的担忧是核心问题,由于社会影响而侵蚀了信任。其次,影响保密性担忧和不信任的因素与贝都因 - 阿拉伯社会结构和文化价值观相关,而非专业属性。最后,不信任的后果包括减少求助行为。这项研究丰富了对非西方少数族裔对心理健康专业人员信任的理解,突出了文化因素如何塑造对心理健康服务的认知和不信任。解决保密性担忧要求贝都因心理健康专业人员认识到障碍,建立社区联系,并通过个人关系和活动展示专业知识。