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Muslim Middle Eastern clients' reflections on their relationship with their occupational therapists in mental health care
Malmö högskola, Faculty of Health and Society (HS), Department of Health and Welfare Studies (HV).ORCID iD: 0000-0002-0890-6793
Malmö högskola, Faculty of Health and Society (HS), Department of Health and Welfare Studies (HV).
2012 (English)In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 19, no 4, p. 328-40Article in journal (Refereed)
Abstract [en]

Persons with a Middle Eastern background represent a minority in Sweden which has significantly increased in size over recent years. The purpose of the present study was to explore the elements that shape the experiences and perceptions of clients with a Middle Eastern background living by Muslim norms who received occupational therapy in mental health care at the time of participating in the study. The study included interviews with 11 clients who received occupational therapy in mental health care. Data collection and analysis were carried out in accordance with the grounded theory approach. One core category, desiring a union, described the clients’ desire for an alliance with the therapists that encompassed the realities and truths embedded in their values, preferences, world-views, and belief systems, as well as a wish to reconstruct their abilities to function and perform daily life tasks within their cultural contexts. The core category included sub-categories: desiring relationship, desiring affiliation, and desiring affirmation as well as some related components. The overall findings showed a tentative model in which the notion of mahram affinity was embedded. The results demonstrated that the clients’ views regarding desiring a union had their support in collectivistic world-views that often clash with those of the therapists.

Place, publisher, year, edition, pages
Informa Healthcare, 2012. Vol. 19, no 4, p. 328-40
Keywords [en]
culture, cultural diversity, occupational therapy, therapeutic relationship
National Category
Social Sciences
Identifiers
URN: urn:nbn:se:mau:diva-14715DOI: 10.3109/11038128.2011.600328ISI: 000305704400004PubMedID: 21936733Scopus ID: 2-s2.0-84862888065Local ID: 12504OAI: oai:DiVA.org:mau-14715DiVA, id: diva2:1418236
Available from: 2020-03-30 Created: 2020-03-30 Last updated: 2024-02-05Bibliographically approved
In thesis
1. Culture, occupation and occupational therapy in a mental health care context- the challenge of meeting the needs of Middle Eastern immigrants
Open this publication in new window or tab >>Culture, occupation and occupational therapy in a mental health care context- the challenge of meeting the needs of Middle Eastern immigrants
2012 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

The purpose of the thesis was to explore the cultural views of reality embedded in experiences and perceptions of occupational therapy made by Middle Eastern clients with mental health disorders and their occupational therapists. The challenges of diversity related to occupational well-being in the field of occupation-based rehabilitation among Middle Eastern clients were also addressed. A qualitative approach was used throughout the thesis. A grounded theory was used for studies I, II and IV and a narrative analysis was applied for study III. In study I, eleven clients who received occupational therapy were interviewed and the elements that shaped their experiences and perceptions with occupational therapists were investigated. The result demonstrated that the clients’ desire for an alliance with the therapists encompassed the realities and truths embedded in their values and preferences and that the belief systems of their collectivistic world-views often clashed with those of the therapists. Study II included interviews with eight occupational therapists and investigated their experiences and perceptions of working with Middle Eastern clients. The result showed that cultural, societal, and professional dilemmas influenced feelings and thoughts, in turn influencing both motivation for seeking cultural knowledge and the choice of adequate strategies for creating a therapeutic relationship. Study III was a case study with a narrative approach, aiming to illustrate how an occupational therapy intervention can highlight the role of culture and address bicultural identification in a young adult immigrant woman with mental health problem. The study demonstrated how a culturally adapted intervention model could help the client go through a transition from an interdependent to a more independent self and achieve better skills in dealing with cultural discrepancies in different situations. Study IV examined perceived occupational well-being among ten participants with psychiatric disabilities who received occupation- based rehabilitation. The results showed the participants’ ambivalence between striving for empowerment and wanting support and revealed the realities and truths embedded in both collectivistic and individualistic world-views, in turn influencing the ways the participants viewed themselves in relation to empowerment, support and occupational well-being. The results of this thesis provide new insight into the complexity of the phenomena of culture and mental health and may be used in developing culturally adjusted interventions, not only within the areas of occupational therapy and occupation-based rehabilitation but in mental health care in general.

Place, publisher, year, edition, pages
Malmö University, Faculty of Health and Society, 2012. p. 98
Series
Malmö University Health and Society Dissertations, ISSN 1653-5383 ; 1
Keywords
Middle Eastern immigrants, culture, cultural diversity, therapeutic relationship, Young immigrant, psychosis, interdependent self, occupational therapy, empowerment
National Category
Social Sciences
Identifiers
urn:nbn:se:mau:diva-7347 (URN)13757 (Local ID)978-91-7104-434-1 (ISBN)13757 (Archive number)13757 (OAI)
Note

Note: The papers are not included in the fulltext online.

Paper IV in dissertation as manuscript with title "Facing the challenges during rehabilitation – Middle Eastern immigrants’ paths to occupational well-being."

Available from: 2020-02-28 Created: 2020-02-28 Last updated: 2024-03-06Bibliographically approved

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Pooremamali, ParvinÖstman, Margareta

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