“We are better and happier if we are inclusive.” Therapist perspectives on the importance of LGB cultural competence in a mental health setting

Lesbian, gay and bisexual people are more likely than their heterosexual counterparts to report dissatisfaction after accessing a counselling or psychological service. Greater dissatisfaction may result from therapists who focus on psychopathology without considering cultural context. Research has demonstrated therapists' cultural competence (attitudes, knowledge and skills) may influence effective service provision to LGB people. Counsellors and psychologists (N = 10) were interviewed to determine the sources of information influencing the cultural competence and LGB cultural competence practices used by therapists in their clinical practice. Three themes were developed from semistructured interviews: (1) the importance of multiple sources of cultural competence; (2) applying cultural competence improves the therapeutic process; and (3) ensuring visual cues of affirmation are affirming, not pathologising. Theme 1 highlighted that initial professional training, cultural competence training and lived experience could be triangulated to assist therapists in improving their cultural competence. Theme 2 highlighted that cultural competence improves the therapeutic process by ensuring therapists can demonstrate affirming attitudes, knowledge about LGB people and culturally affirming skills to work effectively with LGB clients. The final theme explored the need for therapists to create an inclusive space for LGB clients. Recommendations for improving clinical practices and tools to enhance cultural competence are discussed.     

医疗服务纵向整合的理论基础研究

为促进医疗服务纵向整合实践的开展, 矫正服务系统提供的碎片化服务, 结合医疗卫生服务的特点, 探讨了系统整合理论、供应链一体化管理理论、组织网络理论以及协同理论等与服务整合相关的理论基础, 着重分析了各理论的基本内涵、核心思想对医疗服务纵向整合的实践价值及其应用边界, 概括了各个服务整合相关理论内在逻辑上的关联, 最后构建了医疗服务系统纵向整合的理论模型, 以指导构建一个完整的服务连续体, 为居民提供整合的卫生服务。     

服务行业员工的人格特质、情绪劳动策略与心理健康的关系

研究采用问卷法, 抽取服务行业员工样本357份, 探讨人格特质(QZPS)、情绪劳动策略对心理健康的作用机制。结果显示：(1) 在QZPS中, 善良预测较少的表层动作, 较多的自动调节; 才干预测较多的深层加工; 行事风格预测较多自动调节; 情绪性预测较少的深层加工; 他人指向预测较少的表层调节, 较多的自动调节; 自我指向预测较多的深层调节; 事物指向预测较多的自动调节和深层加工, 较少的表层动作。(2) 表层劳动预测较差的心理健康, 深层劳动和自动调节预测较好的心理健康。(3) 表层动作在善良、他人指向与心理健康之间起显著中介作用, 深层加工在情绪性、才干、自我指向、事物指向与心理健康之间起显著中介作用。自动调节在善良、行事风格、事物指向与心理健康之间起显著的中介作用。(4) 外向性可直接作用于心理健康。研究显示, 外向性、善良、才干、行事风格、他人指向、自我指向、事物指向等QZPS特质高分者都比较容易适应服务行业, “情绪性”高分者从事服务行业工作将有较大的心理健康代价。另外, 从深层调节和自动调节角度开展心理健康培训、职业心理咨询及自我调节, 可增强员工对服务工作的适应性, 并促进心理健康。