The Efficacy and Self‐Efficacy of Treatment

Poltorak, Mike

doi:10.1111/maq.12027

Cited by 5 publications

(3 citation statements)

References 23 publications

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“…Bloomfield (2002) and Poltorak (2007, 2010, Poltorak 2012). A notable gap in the literature exists with regard to understanding the cultural meaning and experiences of mental distress that highlights Tongan people’s personalized interpretations, and how culture plays an integral role in defining mental distress and associated health‐seeking behaviours.…”

Section: Introductionmentioning

confidence: 99%

An ethnic interpretation of mental distress from the perspective of Tongan men and community leaders

Vaka

Neville

Holroyd

2020

Int J Mental Health Nurs

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Tongan people living in New Zealand have a high prevalence of mental illness and low uptake of mental health services. Rates of mental illnesses also differ between those born in Tonga and those born in New Zealand. However, little is known about the personalized and culturally shaped meaning and experience of mental distress in this population. Therefore, this research explored the meaning of mental distress for Tongan men and community leaders living in Auckland, New Zealand. The Tongan cultural framework, talanoa (talking, to tell), enabled a culturally congruent and collective approach to examining mental health-related ideologies and ensuing distress. Two talanoa groups were held (one with men and one with community leaders), with a total of 18 participants. The primary research questions focused on tufunga faka-Tonga (Tongan constructions of mental distress). Four themes emerged: fa'unga (reality), hu'unga (directionality), ta'anga (temporality), and tu'unga (positionality). The analytic lens used to define reality was fa'unga, because this concept encompasses the creation/preservation of sino (body), me'a (thing, something), and mo'oni (truth, real). The findings suggested that it is necessary to incorporate tufunga faka-Tonga into all aspects of service delivery to improve mental health services for the Tongan population. The Tongan community will benefit from increased awareness of tufunga faka-pai osaikos osiolo (biopsychosocial constructions of mental distress) and tufunga fepaki mo e fetaulaki he vaha'a 'o e tufunga faka-pai osaikos osiolo mo e tufunga faka-Tonga (intersections between biopsychosocial and Tongan constructions of mental distress) to support identification of health risks and health service seeking behaviours.

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Section: Introductionmentioning

confidence: 99%

An ethnic interpretation of mental distress from the perspective of Tongan men and community leaders

Vaka

Neville

Holroyd

2020

Int J Mental Health Nurs

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“…The relationship between doctors and patients is often marred by mistrust and poor communication [30]. Doctors are offended when patients ask questions or seek a second opinion [31–33], and do not sufficiently encourage clients to be tested for HIV after their initial decline [7]. Rather, they keep patients uninformed about a provisional diagnosis, particularly in the case of stigmatized diseases.…”

Section: Discussionmentioning

confidence: 99%

How patients navigate the diagnostic ecosystem in a fragmented health system: a qualitative study from India

Yellapa

Devadasan

Krumeich

et al. 2017

Global Health Action

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Background: Depending on a country’s diagnostic infrastructure, patients and providers play different roles in ensuring that correct and timely diagnosis is made. However, little is known about the work done by patients in accessing diagnostic services and completing the ‘test and treat’ loop. Objective: To address this knowledge gap, we traced the diagnostic journeys of patients with tuberculosis, diabetes, hypertension and typhoid, and examined the work they had to do to arrive at a diagnosis. Methods: This paper draws on a qualitative study, which included 78 semi-structured interviews and 13 focus group discussions with patients, public and private healthcare providers, community health workers, test manufacturers, laboratory technicians, program managers and policymakers. Data were collected between January and June 2013 in rural and urban Karnataka, South India, as part of a larger project on barriers to point-of-care testing. We reconstructed patient diagnostic processes retrospectively and analyzed emerging themes and patterns. Results: The journey to access diagnostic services requires a high level of involvement and immense work from patients and/or their caretakers. This process entails overcoming cost and distance, negotiating social relations, continuously making sense of their illness and diagnosis, producing and transporting samples, dealing with the social consequences of diagnosis, and returning results to the treating provider. The quality and content of interactions with providers were crucial for completion of test and treat loops. If the tasks became overwhelming, patients opted out, delayed being tested, switched providers and/or reverted to self-testing or self-treatment practices. Conclusion: Our study demonstrated how difficult it can be for patients to complete diagnostic journeys and how the health system works as far as diagnostics are concerned. If new point-of-care tests are to be implemented successfully, policymakers, program officers and test developers need to find ways to ease patient navigation through diagnostic services.

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“…En este contexto nos parece legítimo interrogar: ¿qué sentido tiene que una partera practique las maniobras propias del Saber Biomédico? O ¿qué podría enseñar un especialista biomédico sobre las maniobras que son propias del Saber Andino?Así, las iniciativas de articulación producen una transformación de las prácticas(Piñones Rivera, 2015), conduciendo a una "biomedicalización de la medicina tradicional" (Poltorak, 2013;Tantipidoke, 2017;Waldram, 2000). En esta línea, se ha identificado a la alienación como uno de los principales peligros de las relaciones supuestamente interculturales, que ocurre cuando "un grupo (o miembros de él) se asimila y deja absorber en otro grupo más poderoso con pérdida de la propia identidad" (Albó, 2011).…”

Section: Capacitarunclassified

La subordinación ideológica del saber médico andino en la salud intercultural chilena

Rivera

Concha

Quenaya

2019

Polis

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Existen pocos estudios que aborden los procesos ideológicos presentes en las relaciones interculturales propiciadas por las iniciativas de Salud Pueblos Indígenas en Chile. Nuestro objetivo es mostrar cómo los elementos ideológicos del Saber Biomédico contribuyen a la subordinación del Saber Andino al interior de dichos programas. Para esto, expondremos material etnográfico producido entre 2011 y 2012 en la comunidad de Camiña, Tarapacá. Posicionados desde la Antropología Médica Crítica, analizamos la ideología biomédica sobre el Saber Andino, así como las propuestas para la interculturalidad que surgen desde el personal biomédico. Concluimos reflexionando cómo la negación del carácter ideológico de la racionalidad biomédica, refuerza la subordinación del Saber Andino, produciendo un efecto opuesto al mentado en la política pública.

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The Efficacy and Self‐Efficacy of Treatment

Cited by 5 publications

References 23 publications

An ethnic interpretation of mental distress from the perspective of Tongan men and community leaders

An ethnic interpretation of mental distress from the perspective of Tongan men and community leaders

How patients navigate the diagnostic ecosystem in a fragmented health system: a qualitative study from India

La subordinación ideológica del saber médico andino en la salud intercultural chilena

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