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完整後設資料紀錄
DC 欄位 | 值 | 語言 |
---|---|---|
dc.contributor.advisor | 黃柏堯 | zh_TW |
dc.contributor.advisor | Poyao Huang | en |
dc.contributor.author | 何意 | zh_TW |
dc.contributor.author | Chloe Hemm | en |
dc.date.accessioned | 2023-09-20T16:16:52Z | - |
dc.date.available | 2023-11-09 | - |
dc.date.copyright | 2023-09-20 | - |
dc.date.issued | 2023 | - |
dc.date.submitted | 2023-06-26 | - |
dc.identifier.citation | Adank, P., Stewart, A., Connell, L., & Wood, J. (2013). Accent imitation positively affects language attitudes. Frontiers in Psychology, 4. https://www.frontiersin.org/articles/10.3389/fpsyg.2013.00280
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dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/89764 | - |
dc.description.abstract | 在全球化脈絡下,隨著跨國移動與移居的頻率增加,關照多元文化背景的心理健康照護更顯重要。心理健康不單單是個人層面議題,更是一攸關社群與社會福祉與健康不平等的重要議題。本研究的目的探討跨文化脈絡之下的心理健康諮商服務,並透過人際健康傳播的理論視角,分析台灣心理諮商師如何對外國人提供諮商服務。
本研究是一個「台灣心理諮商師提供外國人醫療服務」的質性研究,計畫主持人以及其團隊的既有人際網路進行招募,我們透過立意取樣以及滾學球方式,招募到9位在北台灣地區(以台北與新北市兩地為主)職業的心理諮商師,或稱「心理健康服務提供者」(MHCPs)進行訪問,透過半結構式的訪談法,每個訪問約進行了一至一個半小時,以英文進行。透過Communication Accommodation Theory(Giles et al., 1987)作為理論架構,本研究探討本地醫療提供者如何溝通並文化再譯外國人的醫療需求,並分析醫病溝通策略的類型。訪談資料計畫主持人與團隊製作逐字稿,並運用扎根理論分析方法進行主題式分析。研究結果透過人際溝通與跨文化健康傳播的理論視角充實了醫病關係的文獻,並對台灣醫療現況以及外國人心理健康服務提出政策建議。 | zh_TW |
dc.description.abstract | Mental health is an aspect of individual and community wellbeing that cannot be limited to a single domain. In Taiwan, existing public health studies on mental health tend to focus on population health with limited cultural considerations. Efforts to highlight cultural elements in mental healthcare are often oversimplified to dichotomous categorizations—such as “Eastern” vs. “Western” perspectives and direct vs indirect approaches. However, given the continually globalizing nature of Taiwanese society, there is a pressing need to better develop mental healthcare studies in multifaceted cultural contexts. This study approached such a need by examining the nature of mental health consultations between foreigners and their local Taiwanese providers from a sociocultural perspective. We considered aspects such as individuals’ social positions and cultural backgrounds. Due to their essential roles in promoting mental health, we chose to explore mental healthcare in Taiwan according to the perspective of providers. As such, semi-structured interviews were conducted with nine Taiwanese mental healthcare providers (MHCPs), including six psychologists and three psychiatrists, in the Taipei and New Taipei areas from 03/2023- 05/2023, Each MHCP was interviewed in English for 60-90 minutes. Using Communication Accommodation Theory (CAT, Giles et al., 1987) as a framework, this study (1) characterizes providers’ understanding of foreigners’ mental health issues and (2) investigates the communicative strategies they use in mental health consultations. All data was transcribed and analyzed thematically using principles of grounded theory. Four themes were identified and given conceptual titles, namely: experiential origins, collectively individual, managing reflections, and spoken barriers & perceptual openings. Providers largely understood their mental health care receivers’ (MHCRs’) identity and mental health issues to include intertwined experiences and original nature. They identified influences of collectivism and individualism, and described treating their MHCRs as both individuals and members of cultural groups. In consultations, they explained managing their MHCRs reflections, or attempts to understand their internal predicaments. Finally, they noted a need for balance between verbal and nonverbal communication in their consultations. Together, these themes challenged and enriched common dichotomous understandings concerning cultural and communicative dynamics in mental healthcare. Specific communication strategies are explored within each theme according to CAT. The findings contribute to global health studies by exploring nuanced relationships between sociocultural elements and mental health as well as by revealing communicative strategies for mental healthcare professionals in intercultural contexts. Such results have the potential to advance mental healthcare for diverse populations. | en |
dc.description.provenance | Submitted by admin ntu (admin@lib.ntu.edu.tw) on 2023-09-20T16:16:52Z No. of bitstreams: 0 | en |
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dc.description.tableofcontents | CHAPTER 1: INTRODUCTION 1
CURRENT CONTEXT 2 STUDY OVERVIEW 5 CONTEXT OF THE RESEARCH QUESTIONS 8 Health disparity 8 Labor mobility 10 Foreigners seeking mental healthcare in Taiwan 13 Targeting patient-provider communication 14 CHAPTER 2: LITERATURE REVIEW 17 CAT AND DISCOURSE 17 Principles of CAT 19 CAT in healthcare 24 Intercultural applications of CAT 28 Operationalization of CAT in the present study 32 STRUCTURAL DETERMINANTS OF FOREIGNERS’ MENTAL HEALTH 33 SES as a determinant of foreigners’ mental health 33 Race and Ethnicity as Determinants of Foreigners’ Mental Health 39 CHAPTER 3: METHODS AND METHODOLOGY 46 DATA COLLECTION 46 Participants 47 Interviews 49 DATA ANALYSIS 54 Practical Details of Analysis 55 Theoretical Underpinnings Behind Analysis 57 CHAPTER 4: RESULTS AND ANALYSIS 61 LINGUISTIC ANALYSIS 62 THEME 1: EXPERIENTIAL ORIGINS 68 1-1. No major differences in mental health disorders between foreigners and locals 69 1-2. Same stressors faced by locals and foreigners, but culturally transformed 72 1-3. Complication of “foreignness” from in-between identity and third culture kids 75 THEME 2: COLLECTIVELY INDIVIDUAL 77 2-1. Psychological impacts of collectivism and individualism 77 2-2. MHCPs’ perceptions of groups and individuals 82 THEME 3: MANAGING REFLECTIONS 86 3-1. The mirror of mental healthcare consultations 87 3-2. Awareness through MHCPs’ intuition and human qualities 91 THEME 4: SPOKEN BARRIERS & PERCEPTUAL OPENINGS 96 4-1. Fluid Language barriers 96 4-2. Essential Verbal and Nonverbal Communications 99 RESEARCHER POSITIONALITY AND REFLEXIVE INSIGHT 103 CHAPTER 5: DISCUSSION AND CONCLUSION 106 THEMATIC IMPLICATIONS 107 STRENGTHS AND LIMITATIONS 109 REFERENCES 111 APPENDIX 130 | - |
dc.language.iso | en | - |
dc.title | 以溝通適應理論檢視台灣心理健康照護者與外國病人之醫療互動:一個質性研究取徑 | zh_TW |
dc.title | Examining Taiwanese Mental Healthcare Providers' Consultations with Foreign Patients: A Qualitative Approach using Communication Accommodation Theory | en |
dc.type | Thesis | - |
dc.date.schoolyear | 111-2 | - |
dc.description.degree | 碩士 | - |
dc.contributor.oralexamcommittee | 張竹芩;張書森;官晨怡 | zh_TW |
dc.contributor.oralexamcommittee | Rita Jhang;Shu-Sen Chang;Chen-I Kuan | en |
dc.subject.keyword | 全球衛生,心理健康,健康傳播, | zh_TW |
dc.subject.keyword | global health,mental health,communication accommodation theory, | en |
dc.relation.page | 141 | - |
dc.identifier.doi | 10.6342/NTU202301159 | - |
dc.rights.note | 同意授權(限校園內公開) | - |
dc.date.accepted | 2023-06-26 | - |
dc.contributor.author-college | 公共衛生學院 | - |
dc.contributor.author-dept | 全球衛生學位學程 | - |
顯示於系所單位: | 全球衛生學位學程 |
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