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Database of New Zealand mental health research

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Status
Completed 1 February 2009

Created
8 December 2009

Last updated
8 December 2009

The interface between cultural understandings: negotiating new spaces for Pacific mental health

Investigator(s) / AuthorsKarlo Mila-Schaaf & Maui Hudson

 
Principal contact
Name Ms Karlo Mila-Schaaf
Email karlodavid@xtra.co.nz
The research
Summary This theoretical paper introduces the concept of the “negotiated space”, a model developed by Linda Tuhiwai Smith, Maui Hudson and colleagues describing the interface between different worldviews and knowledge systems.
Objectives This is primarily a conceptual space of intersection in-between different ways of knowing and meaning making, such as, the Pacific indigenous reference and the dominant Western mental health paradigm of the bio-psycho-social.
Study design When developing Pacific models of care, the “negotiated space” provides room to explore the relationship between different (and often conflicting) cultural understandings of mental health and illness. The “negotiated space” is a place of purposive re-encounter, reconstructing and re-balancing of ideas and values in complementary realignments that have resonance for Pacific peoples living in Western oriented societies.
Methods Observational
Results This requires making explicit the competing epistemologies of the Pacific indigenous worldviews and references alongside the bio-psycho-social and identifying the assumptions implicit in the operating logic of each. This is a precursor to being empowered to negotiate, resolve and better comprehend the cultural conflict between the different understandings.
Conclusions This article theorises multiple patterns of possibility of resolutions and relationships within the negotiated space relevant to research, evaluation, model, service development and quality assurance within Pacific mental health.
Key Descriptors Service Development
Disciplines Multi disciplinary
Settings Community, Inpatient, Outpatient, DHB (District Health Board)
Diagnostic Categories Other
Populations General Population, Pacific
Other Keywords Negotiated space, worldview, Pacific models of care, cultural understandings of mental health and illness, research, evaluation, quality assurance
Ethics approval Yes
Academic led Yes
Service led No
How were service users involved No involvement
Publication in peer review journal Yes
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