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A ‘Cultural Models’ Approach to Psychotherapy for Refugees and Asylum Seekers: A Case Study from the UK

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  • Mohaddeseh Ziyachi

    (Department of Sociology, Durham University, Stockton Road, Durham DH1 3LE, UK
    Wolfson Research Institute for Health and Wellbeing, Durham University, Stockton Road, Durham DH1 3LE, UK)

  • Brian Castellani

    (Department of Sociology, Durham University, Stockton Road, Durham DH1 3LE, UK
    Wolfson Research Institute for Health and Wellbeing, Durham University, Stockton Road, Durham DH1 3LE, UK
    Durham Research Methods Centre, Durham University, Stockton Road, Durham DH1 3LE, UK
    Centre for the Evaluation of Complexity Across the Nexus, University of Surrey, Guildford GU2 7XH, UK)

Abstract

Despite the existence of significant research on the mental health care challenges of migrants, particularly refugees and asylum seekers, less attention has been paid to treatment approaches. We used a case study from the UK to look at the topic from a cultural models approach (which comes from cognitive anthropology) to analyse migrants’ experiences with mental health care. Twenty-five refugees and asylum seekers living in North East England and Northern Ireland were interviewed who had used at least six sessions of talking therapy during the last three years. Our results suggested that adopting a ‘cultural models’ approach, which offers a new conceptual and methodological framework of migrants’ experiences and their underlying schemas and expectations, would significantly contribute to building therapeutic alliances and provide relevant and appropriate treatments for migrant clients, particularly for unrecognised pre- and post-migration traumatic experiences.

Suggested Citation

  • Mohaddeseh Ziyachi & Brian Castellani, 2024. "A ‘Cultural Models’ Approach to Psychotherapy for Refugees and Asylum Seekers: A Case Study from the UK," IJERPH, MDPI, vol. 21(5), pages 1-20, May.
  • Handle: RePEc:gam:jijerp:v:21:y:2024:i:5:p:650-:d:1398219
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    References listed on IDEAS

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    1. Garro, Linda C., 1994. "Narrative representations of chronic illness experience: cultural models of illness, mind, and body in stories concerning the Temporomandibular Joint (TMJ)," Social Science & Medicine, Elsevier, vol. 38(6), pages 775-788, March.
    2. Carl Stempel & Nilofar Sami & Patrick Marius Koga & Qais Alemi & Valerie Smith & Aida Shirazi, 2016. "Gendered Sources of Distress and Resilience among Afghan Refugees in Northern California: A Cross-Sectional Study," IJERPH, MDPI, vol. 14(1), pages 1-22, December.
    3. Douglas Gruner & Olivia Magwood & Lissa Bair & Liezl Duff & Shiva Adel & Kevin Pottie, 2020. "Understanding Supporting and Hindering Factors in Community-Based Psychotherapy for Refugees: A Realist-Informed Systematic Review," IJERPH, MDPI, vol. 17(13), pages 1-27, June.
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