Which psychological characteristics influence therapists' readiness to work with refugees?
mental health
psychotherapy
refugees
therapeutic style
therapists
Journal
Clinical psychology & psychotherapy
ISSN: 1099-0879
Titre abrégé: Clin Psychol Psychother
Pays: England
ID NLM: 9416196
Informations de publication
Date de publication:
Mar 2021
Mar 2021
Historique:
revised:
26
08
2020
received:
25
06
2020
accepted:
27
08
2020
pubmed:
29
8
2020
medline:
3
11
2021
entrez:
29
8
2020
Statut:
ppublish
Résumé
Refugee populations show considerably high rates of mental health problems. Yet many mental health professionals may have reservations to work with refugees due to suspected cultural differences, language barriers and the need to provide additional services. However, little is known about psychotherapists' readiness to work with refugees. In a sample of German psychotherapists (N = 111), we explored therapeutic style (neutrality, supportiveness and self-doubt), therapists' basic assumptions (pessimism, rationality and therapy as art), experiences, private and work-related contact with refugees, political interests, openness and practical barriers as potential predictors of readiness to work with refugees. Therapeutic styles of self-doubt and neutrality, rationality as basic assumption, former experiences with refugees in a therapeutic setting, feeling comfortable working with an interpreter in therapy and perceived language barriers emerged as most important predictors of psychotherapists' readiness to work with refugees. Future directions and potential interventions to promote therapists' readiness to work with refugees are discussed.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
334-344Subventions
Organisme : SAFIR Muenster
Informations de copyright
© 2020 The Authors. Clinical Psychology & Psychotherapy published by John Wiley & Sons Ltd.
Références
Árnadóttir, K., Lolliot, S., Brown, R., & Hewstone, M. (2018). Positive and negative intergroup contact: Interaction not asymmetry. European Journal of Social Psychology, 48(6), 784-800. https://doi.org/10.1002/ejsp.2365
Bansak, K., Hainmueller, J., & Hangartner, D. (2016). How economic, humanitarian, and religious concerns shape European attitudes toward asylum seekers. Science (New York, N.Y.), 354(6309), 217-222. https://doi.org/10.1126/science.aag2147
Baron, J., & Flory, L. (2018). Versorgungsbericht: Zur psychosozialen Versorgung von Flüchtlingen und Folteropfern in Deutschland.
Bendel, R. B., & Afifi, A. A. (1977). Comparison of stopping rules in forward “stepwise” regression. Journal of the American Statistical Association, 72(357), 46-53. https://doi.org/10.1080/01621459.1977.10479905
Bischoff, A., Bovier, P. A., Isah, R., Françoise, G., Ariel, E., & Louis, L. (2003). Language barriers between nurses and asylum seekers: Their impact on symptom reporting and referral. Social Science & Medicine, 57(3), 503-512. https://doi.org/10.1016/S0277-9536(02)00376-3
Bozorgmehr, K., & Razum, O. (2015). Effect of restricting access to health care on health expenditures among asylum-seekers and refugees: A quasi-experimental study in Germany, 1994-2013. PLoS ONE, 10(7), e0131483. https://doi.org/10.1371/journal.pone.0131483
Brisset, C., Leanza, Y., & Laforest, K. (2013). Working with interpreters in health care: A systematic review and meta-ethnography of qualitative studies. Patient Education and Counseling, 91(2), 131-140. https://doi.org/10.1016/j.pec.2012.11.008
Bundesweite Arbeitsgemeinschaft der psychosozialen Zentren für Flüchtlinge und Folteropfer (BafF) (German Network of Rehabilitation Centres for Refugees and Survivors of Torture). (2016). Versorgungsbericht zur psychosozialen Versorgung von Flüchtlingen und Folteropfern in Deutschland (3. Auflage) (Report on the Psychosocial Care of Refugees and Torture Victims in Germany [3rd edition]). http://www.baff-zentren.org/wp-content/uploads/2017/02/Versorgungsbericht_3-Auflage_BAfF.pdf
Byrow, Y., Pajak, R., Specker, P., & Nickerson, A. (2019). Perceptions of mental health and perceived barriers to mental health help-seeking amongst refugees: A systematic review. Clinical Psychology Review, 75, 101812.
Chen, W., Hall, B. J., Ling, L., & Renzaho, A. M. N. (2017). Pre-migration and post-migration factors associated with mental health in humanitarian migrants in Australia and the moderation effect of post-migration stressors: Findings from the first wave data of the BNLA cohort study. The Lancet Psychiatry, 4(3), 218-229. https://doi.org/10.1016/S2215-0366(17)30032-9
Costantino, G., & Malgady, R. G. (1994). Storytelling through pictures: Culturally sensitive psychotherapy for Hispanic children and adolescents. Journal of Clinical Child Psychology, 23(1), 13-20. https://doi.org/10.1207/s15374424jccp2301_3
Cuéllar, I., & Paniagua, F. A. (2000). Handbook of multicultural mental health: Assessment and treatment of diverse populations. Academic Press. Retrieved from. http://site.ebrary.com/lib/alltitles/docDetail.action?docID=10186424
d'Ardenne, P., Ruaro, L., Cestari, L., Fakhoury, W., & Priebe, S. (2007). Does interpreter-mediated CBT with traumatized refugee people work? A comparison of patient outcomes in East London. Behavioural and Cognitive Psychotherapy, 35(3), 293-301. https://doi.org/10.1017/S1352465807003645
Echterhoff, G., Hellmann, J. H., Back, M. D., Kärtner, J., Morina, N., & Hertel, G. (2020). Psychological antecedents of refugee integration (PARI). Perspectives on Psychological Science. Advance online publication. https://doi.org/10.1177/1745691619898838
Elkin, I., Falconnier, L., Smith, Y., Canada, K. E., Henderson, E., Brown, E. R., & Mckay, B. M. (2014). Therapist responsiveness and patient engagement in therapy. Psychotherapy Research, 24(1), 52-66. https://doi.org/10.1080/10503307.2013.820855
Esses, V. M., Hamilton, L. K., & Gaucher, D. (2017). The global refugee_xcrisis: Empirical evidence and policy implications for improving public attitudes and facilitating refugee resettlement. Social Issues and Policy Review, 11(1), 78-123. https://doi.org/10.1111/sipr.12028
Fazel, M., Wheeler, J., & Danesh, J. (2005). Prevalence of serious mental disorder in 7000 refugees resettled in western countries: A systematic review. The Lancet, 365(9467), 1309-1314. https://doi.org/10.1016/S0140-6736(05)61027-6
Graf, S., Paolini, S., & Rubin, M. (2014). Negative intergroup contact is more influential, but positive intergroup contact is more common: Assessing contact prominence and contact prevalence in five Central European countries. European Journal of Social Psychology, 44(6), 536-547. https://doi.org/10.1002/ejsp.2052
Hadziabdic, E., Albin, B., & Hjelm, K. (2014). Arabic-speaking migrants' attitudes, opinions, preferences and past experiences concerning the use of interpreters in healthcare: A postal cross-sectional survey. BMC Research Notes, 7, 71. https://doi.org/10.1186/1756-0500-7-71
Hamann, U., & Karakayali, S. (2016). Practicing Willkommenskultur: Migration and solidarity in Germany. Intersections, 2(4), 69-86. https://doi.org/10.17356/ieejsp.v2i4.296
Hanft-Robert, S., Römer, M., Morgenroth, O., Redlich, A., & Metzner, F. (2018). Handlungsempfehlungen für die dolmetschergestützte Psychotherapie mit Flüchtlingen und Asylbewerbern: Ergebnisse qualitativer Interviews mit Psychotherapeuten und Dolmetschern zu Chancen und Herausforderungen in der Triade. Verhaltenstherapie, 28(2), 73-81. https://doi.org/10.1159/000480667
Hassan, G., Ventevogel, P., Jefee-Bahloul, H., Barkil-Oteo, A., & Kirmayer, L. J. (2016). Mental health and psychosocial wellbeing of Syrians affected by armed conflict. Epidemiology and Psychiatric Sciences, 25(2), 129-141. https://doi.org/10.1017/S2045796016000044
Heinonen, E., & Nissen-Lie, H. A. (2020). The professional and personal characteristics of effective psychotherapists: A systematic review. Psychotherapy Research, 30(4), 417-432. https://doi.org/10.1080/10503307.2019.1620366
Hinton, D. E., & Jalal, B. (2014). Guidelines for the implementation of culturally sensitive cognitive behavioural therapy among refugees and in global contexts. Intervention, 12, 78-93. https://doi.org/10.1097/WTF.0000000000000069
Hook, J. N., Davis, D. E., Owen, J., Worthington, E. L. Jr., & Utsey, S. O. (2013). Cultural humility: Measuring openness to culturally diverse clients. Journal of Counseling Psychology, 60, 353-366. https://doi.org/10.1037/a0032595
Horn, J. L. (1965). A rationale and test for the number of factors in factor analysis. Psychometrika, 30(2), 179-185. https://doi.org/10.1007/BF02289447
Jefee-Bahloul, H., Moustafa, M. K., Shebl, F. M., & Barkil-Oteo, A. (2014). Pilot assessment and survey of Syrian refugees' psychological stress and openness to referral for telepsychiatry (PASSPORT Study). Telemedicine Journal and E-Health: The Official Journal of the American Telemedicine Association, 20(10), 977-979. https://doi.org/10.1089/tmj.2013.0373
Johns, R. G., Barkham, M., Kellett, S., & Saxon, D. (2019). A systematic review of therapist effects: A critical narrative update and refinement to review. Clinical Psychology Review, 67, 78-93. https://doi.org/10.1016/j.cpr.2018.08.004
Kizilhan, J. I. (2017). Verhaltensterapie bei erwachsenen Geflüchteten mit Traumafolgestörungen. Psychotherapeut, 62(4), 299-305. https://doi.org/10.1007/s00278-017-0203-y
Klug, G., Henrich, G., Kächele, H., Sandell, R., & Huber, D. (2008). Die Therapeutenvariable. Psychotherapeut, 53(2), 83-91. https://doi.org/10.1007/s00278-008-0598-6
Koehn, M. A., Jonason, P. K., & Davis, M. D. (2019). A person-centered view of prejudice: The Big Five, Dark Triad, and prejudice. Personality and Individual Differences, 139, 313-316. https://doi.org/10.1016/j.paid.2018.11.038
Lewis-Fernández, R., & Kirmayer, L. J. (2019). Cultural concepts of distress and psychiatric disorders: Understanding symptom experience and expression in context. Transcultural Psychiatry, 56(4), 786-803. https://doi.org/10.1177/1363461519861795
Li, S. S. Y., Liddell, B. J., & Nickerson, A. (2016). The relationship between post-migration stress and psychological disorders in refugees and asylum seekers. Current Psychiatry Reports, 18(9), 82. https://doi.org/10.1007/s11920-016-0723-0
Nissen-Lie, H. A., Havik, O. E., Høglend, P. A., Monsen, J. T., & Rønnestad, M. H. (2013). The contribution of the quality of therapists' personal lives to the development of the working alliance. Journal of Counseling Psychology, 60(4), 483-495. https://doi.org/10.1037/a0033643
Nissen-Lie, H. A., Monsen, J. T., & Rønnestad, M. H. (2010). Therapist predictors of early patient-rated working alliance: A multilevel approach. Psychotherapy Research, 20(6), 627-646. https://doi.org/10.1080/10503307.2010.497633
Otto, L., & Bacherle, P. (2011). Politisches Interesse Kurzskala (PIKS)-Entwicklung und Validierung. Politische Psychologie, 1(1), 19-35.
Paluck, E. L., Green, S. A., & Green, D. P. (2018). The contact hypothesis re-evaluated. Behavioural Public Policy, 9, 1-10. https://doi.org/10.1017/bpp.2018.25
Peters, M., Jeschke, K., & Peters, L. (2013). Ältere Patienten in der psychotherapeutischen Praxis-Ergebnisse einer Befragung von Psychotherapeuten [Elderly patients in psychotherapy-Results of an inquiry of psychotherapists]. Psychotherapie, Psychosomatik, Medizinische Psychologie, 63(11), 439-444. https://doi.org/10.1055/s-0033-1345117
Pettigrew, T. F., & Tropp, L. R. (2006). A meta-analytic test of intergroup contact theory. Journal of Personality and Social Psychology, 90(5), 751-783. https://doi.org/10.1037/0022-3514.90.5.751
Pettigrew, T. F., & Tropp, L. R. (2008). How does intergroup contact reduce prejudice? Meta-analytic tests of three mediators. European Journal of Social Psychology, 38(6), 922-934. https://doi.org/10.1002/ejsp.504
R Core Team. (2019). R: A language and environment for statistical computing. Retrieved from https://www.R-project.org/
Richter, K., Lehfeld, H., & Niklewski, G. (2015). Warten auf Asyl: Psychiatrische Diagnosen in der zentralen Aufnahmeeinrichtung in Bayern [Waiting for asylum: Psychiatric diagnosis in Bavarian Admission Center]. Gesundheitswesen (Bundesverband der Arzte des Offentlichen Gesundheitsdienstes (Germany)), 77(11), 834-838. https://doi.org/10.1055/s-0035-1564075
Safran, J. D., & Muran, J. C. (2000). Resolving therapeutic alliance ruptures: Diversity and integration. Journal of Clinical Psychology, 56(2), 233-243. https://doi.org/10.1002/(SICI)1097-4679(200002)56:2<233::AID-JCLP9>3.0.CO;2-3
Salami, B., Salma, J., & Hegadoren, K. (2019). Access and utilization of mental health services for immigrants and refugees: Perspectives of immigrant service providers. International Journal of Mental Health Nursing, 28(1), 152-161. https://doi.org/10.1111/inm.12512
Sandell, R., Carlsson, J., Schubert, J., Broberg, J., Lazar, A., & Grant, J. (2004). Therapist attitudes and patient outcomes: I. Development and validation of the Therapeutic Attitudes Scales (TASC-2). Psychotherapy Research, 14(4), 469-484. https://doi.org/10.1093/ptr/kph039
Sandell, R., Lazar, A., Grant, J., Carlsson, J., Schubert, J., & Broberg, J. (2007). Therapist attitudes and patient outcomes: II. Therapist attitudes influence change during treatment. Psychotherapy Research, 17(2), 196-204. https://doi.org/10.1080/10503300600608439
Satinsky, E., Fuhr, D. C., Woodward, A., Sondorp, E., & Roberts, B. (2019). Mental health care utilisation and access among refugees and asylum seekers in Europe: A systematic review. Health Policy, 123(9), 851-863. https://doi.org/10.1016/j.healthpol.2019.02.007
Schick, M., Zumwald, A., Knöpfli, B., Nickerson, A., Bryant, R. A., Schnyder, U., … Morina, N. (2016). Challenging future, challenging past: The relationship of social integration and psychological impairment in traumatized refugees. European Journal of Psychotraumatology, 7, 28057. https://doi.org/10.3402/ejpt.v7.28057
Schlechter, P., Kamp, S., Wanninger, K., Knausenberger, J., Wagner, U., Wilkinson, P. O., … Hellmann, J. H. (in press). Help-seeking attitudes and distress disclosure among Syrian refugees in Germany and German residents. The Counseling Psychologist.
Schlechter, P., Wilkinson, P. O., Knausenberger, J., Wanninger, K., Kamp, S., Morina, N., & Hellmann, J. H. (2020). Depressive and anxiety symptoms in refugees: Insights from classical test theory, item response theory, and network analysis. Clinical Psychology & Psychotherapy. https://doi.org/10.1002/cpp.2499
Schouler-Ocak, M., & Aichberger, M. C. (2017). Cultural influencing factors in psychotherapy: Special characteristics of patients with migration backgrounds. Psychotherapeut, 62(4), 277-284. https://doi.org/10.1007/s00278-017-0204-x
Schouler-Ocak, M., Graef-Calliess, I. T., Tarricone, I., Qureshi, A., Kastrup, M. C., & Bhugra, D. (2015). EPA guidance on cultural competence training. European Psychiatry: The Journal of the Association of European Psychiatrists, 30(3), 431-440. https://doi.org/10.1016/j.eurpsy.2015.01.012
Schupp, J., & Gerlitz, J.-Y. (2008). Big Five Inventory-SOEP (BFI-S): Zusammenstellung sozialwissenschaftlicher Items und Skalen.
Schweitzer, R., van Wyk, S., & Murray, K. (2015). Therapeutic practice with refugee clients: A qualitative study of therapist experience. Counselling and Psychotherapy Research, 15(2), 109-118. https://doi.org/10.1002/capr.12018
Sparkman, D. J., & Eidelman, S. (2016). “Putting myself in their shoes”: Ethnic perspective taking explains liberal-conservative differences in prejudice and stereotyping. Personality and Individual Differences, 98, 1-5. https://doi.org/10.1016/j.paid.2016.03.095
Steel, Z., Chey, T., Silove, D., Marnane, C., Bryant, R. A., & van Ommeren, M. (2009). Association of torture and other potentially traumatic events with mental health outcomes among populations exposed to mass conflict and displacement: A systematic review and meta-analysis. JAMA, 302(5), 537-549. https://doi.org/10.1001/jama.2009.1132
Storck, T., Schouler-Ocak, M., & Brakemeier, E.-L. (2016). Words don't come easy. Psychotherapeut, 61(6), 524-529. https://doi.org/10.1007/s00278-016-0149-5
Tribe, R., & Keefe, A. (2009). Issues in using interpreters in therapeutic work with refugees. What is not being expressed? European Journal of Psychotherapy & Counselling, 11(4), 409-424. https://doi.org/10.1080/13642530903444795
United Nations High Commissioner for Refugees. (2020). Forced displacement in 2019. Retrieved from https://www.unhcr.org/5ee200e37.pdf
van der Boor, C. F., & White, R. (2019). Barriers to accessing and negotiating mental health services in asylum seeking and refugee populations: The application of the candidacy framework. Journal of Immigrant and Minority Health, 22(1), 1-19.
Vollmer, S., Spada, H., Caspar, F., & Burri, S. (2013). Expertise in clinical psychology: The effects of university training and practical experience on expertise in clinical psychology. Frontiers in Psychology, 4, 141. https://doi.org/10.3389/fpsyg.2013.00141
Wampold, B. E. (2007). Psychotherapy: The humanistic (and effective) treatment. The American Psychologist, 62(8), 855-873. https://doi.org/10.1037/0003-066X.62.8.857
Wampold, B. E., Baldwin, S. A., Holtforth, M. g., & Imel, Z. E. (2017). What characterizes effective therapists? In L. G. Castonguay & C. E. Hill (Eds.), How and why are some therapists better than others?: Understanding therapist effects (pp. 37-53). American Psychological Association. https://doi.org/10.1037/0000034-003