“Guide or conversation?” The experience of Second-Generation Pakistani Muslim men receiving CBT in the UK

Tarabi, S. A.; Loulopoulou, Angela Ioanna; Henton, Isabel

doi:10.1080/09515070.2018.1471587

Cited by 4 publications

(5 citation statements)

References 39 publications

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“…It may only be after their diagnosis that other relatives or friends who have also had the condition are recognised in retrospect. Clearly, some concepts used by professionals are not only “difficult to understand” [ 65 ], but they clash with worldviews prevalent in lay networks. For example, the Western approach of focusing on individual and internal sources of distress, rather than how social relations and structures cause distress, can make little sense.…”

Section: Resultsmentioning

confidence: 99%

“…Matching (e.g. for Muslim religion) can promote a “closer fit in understandings” [ 65 ] (p. 13), but is not always acceptable, for example if taboo subjects like sex need to be discussed [ 65 ]. Additionally, a practitioner who is able to connect affectively with patients can cut through the need for matching either culturally or religiously [ 60 , 67 ].…”

Section: Resultsmentioning

confidence: 99%

“…Additionally, a practitioner who is able to connect affectively with patients can cut through the need for matching either culturally or religiously [ 60 , 67 ]. The ways in which agency among racialised minority participants plays out in patient-professional interactions is important [ 63 , 65 , 66 , 76 , 77 ]. While some participants can exert their preferences, this was not always a widespread practice [ 75 ] (C) [ 33 ] (C).…”

Section: Resultsmentioning

confidence: 99%

“…Thus, even the whiff of psychological approach in health care (e.g. cognitive behavioural therapy) could be “quite intimidating, quite scary, quite daunting” [ 65 ] (participant, second generation Pakistani Muslim man, p. 12). Mental illness in some communities continues to be an off-limits topic: “Stuff like that is never talked about” [ 63 ] (participant from Africa, p. 4), contributing to isolation and a lack of language for mental health [ 77 ].…”

Section: Resultsmentioning

confidence: 99%

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A meta-ethnography investigating relational influences on mental health and cancer-related health care interventions for racially minoritised people in the UK

et al. 2023

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Objective Despite calls to increase the ‘cultural competence’ of health care providers, racially minoritised people continue to experience a range of problems when it comes to health care, including discrimination. While relevant qualitative meta-syntheses have suggested better ways forward for health care for racialised minorities, many have lacked conceptual depth, and none have specifically investigated the relational dimensions involved in care. We set out to investigate the social and cultural influences on health care interventions, focusing on psychological approaches and/or cancer care to inform the trial of a new psychological therapy for those living with or beyond cancer. Method A meta-ethnography approach was used to examine the relevant qualitative studies, following Noblit and Hare, and guided by patient involvement throughout. Papers were analysed between September 2018 and February 2023, with some interruptions caused by the Covid pandemic. The following databases were searched: Ovid MEDLINE, EBSCO CINAHL, Ovid Embase, EBSCO PsycINFO, Proquest Sociology Collection (including Applied Social Sciences Index & Abstracts (ASSIA), Sociological Abstracts and Sociology Database), EBSCO SocINDEX, Ovid AMED, and Web of Science. The systematic review protocol was registered with the International Prospective Register of Systematic Reviews (PROSPERO) (ID: CRD42018107695), and reporting follows the eMERGe Reporting Guidance for meta-ethnographies (France et al. 2019). Results Twenty-nine journal papers were included in the final review. Themes (third-order constructs) developed in the paper include the centrality of the patient-practitioner relationship; how participants give meaning to their illness in connection to others; how families (rather than individuals) may make health decisions; how links with a higher power and spiritual/religious others can play a role in coping; and the ways in which a hierarchy of help-seeking develops, frequently with the first port of call being the resources of oneself. Participants in studies had a need to avoid being ‘othered’ in their care, valuing practitioners that connected with them, and who were able to recognise them as whole and complex (sometimes described in relational languages like ‘love’). Complex family-based health decision-making and/or the importance of relations with non-human interactants (e.g. God, spiritual beings) were frequently uncovered, not to mention the profoundly emergent nature of stigma, whereby families could be relatively safe havens for containing and dealing with health challenges. A conceptual framework of ‘animated via (frequently hidden) affective relationality’ emerged in the final synthesis, bringing all themes together, and drawing attention to the emergent nature of the salient issues facing minoritised patients in health care interactions. Conclusion Our analysis is important because it sheds light on the hitherto buried relational forces animating and producing the specific issues facing racially minoritised patients, which study participants thought were largely overlooked, but to which professionals can readily relate (given the universal nature of human relations). Thus, training around the affective relationality of consultations could be a fruitful avenue to explore to improve care of diverse patients.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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A meta-ethnography investigating relational influences on mental health and cancer-related health care interventions for racially minoritised people in the UK

et al. 2023

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“…Consequently, Muslims with lower socioeconomic status suffer disproportionately poor mental health outcomes [ 8 , 9 ] and are further aggravated by higher health inequalities when compared to non‐Muslim communities [ 10 ]. Existing studies suggest that Muslims are less likely to seek treatment for mental health issues, a disparity linked to stigma, discrimination, cultural beliefs and financial constraints [ 9 , 11 , 12 ].…”

Section: Introductionmentioning

confidence: 99%

Consultations With Muslims From Minoritised Ethnic Communities Living in Deprived Areas: Identifying Inequities in Mental Health Care and Support

Tannerah,

Hazel,

Desson

et al. 2024

Health Expectations

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BackgroundLimited research concerning existing inequities in mental health care and support services in the United Kingdom captures perceptions and lived experiences of the significantly underrepresented Muslim population.MethodsUnderpinned by social constructivist theory, we used consultation to facilitate public and patient involvement and engagement (PPIE) to identify inequities in mental health care and support experienced by Muslims from minoritised ethnic communities living in deprived areas in Liverpool, UK. The rationale was to (a) better inform standards and policies in healthcare and (b) provide a psychologically safe space to members of the Muslim community to share perceptions and experiences of mental health care and support services. To ensure trustworthiness of the data, member checking was adopted. This paper describes the procedure to achieving this consultation, including our recruitment strategy, data collection and analysis as well as key findings.FindingsTwenty‐seven consultees attended the women's consultation and eight consultees attended the men's consultation. Consultees were from Yemeni, Somali, Sudanese, Egyptian, Algerian, Pakistani and Moroccan communities and share the Islamic faith. Four key interlinked themes were identified from consultees' narratives: (1) broken cycle of trust; (2) an overmedicalised model of care; (3) community mental health prevention initiatives; and (4) culturally conscious training and education.ConclusionsThe Muslim population has identified numerous barriers to accessing mental health support and there is a need to resource activities that would aid deeper understanding of mental health support needs through continuous and meaningful community initiatives. This would afford mental health practitioners and organisations opportunities for developing realistic anti‐racism strategies, effectively adopting social prescription, strengthening partnerships and collaborations aimed at supporting delivery of evidence‐based mental health care provisions to tackle mental health inequities.Patient and Public InvolvementThis paper reports on the involvement and engagement of Muslims from minoritised ethnic communities living in the Liverpool city region.

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Addressing inequalities in accessing mental health services for Muslim university students in the United Kingdom: implications for attainment and wellbeing

Mahmud

2024

Journal of Beliefs & Values

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“Guide or conversation?” The experience of Second-Generation Pakistani Muslim men receiving CBT in the UK

Cited by 4 publications

References 39 publications

A meta-ethnography investigating relational influences on mental health and cancer-related health care interventions for racially minoritised people in the UK

A meta-ethnography investigating relational influences on mental health and cancer-related health care interventions for racially minoritised people in the UK

Consultations With Muslims From Minoritised Ethnic Communities Living in Deprived Areas: Identifying Inequities in Mental Health Care and Support

Addressing inequalities in accessing mental health services for Muslim university students in the United Kingdom: implications for attainment and wellbeing

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