Racial Trauma: A Palliative Care Perspective

Makoff, Eve

doi:10.1089/jpm.2019.0484

Cited by 7 publications

(1 citation statement)

References 4 publications

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“…The pervasive but implicit euro-centric cultural bias in therapy (Bayetti & Jain, 2017;Gopalkrishnan, 2018;Heyer, 2016;Taylor, 2003) justified the client's fear for Heyer since it influenced the definition of health in therapy. Due to institutional threats like deportation or medical discrimination, negotiation of safety with cultural minorities might necessitate going beyond the usual therapeutic boundaries and explicitly addressing socio-political events (LiVecchi & Obasaju, 2018) or counter threat-inducing organisational protocols (Makoff, 2020).…”

Section: Trauma and Cultural Differencementioning

confidence: 99%

Negotiation of Safety in Inter-cultural Trauma Therapy: A Meta-ethnography of Qualitative Studies

Ray,

Karadzhov,

Macgregor

2023

Preprint

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Establishing psychological safety by increasing control and connectedness is often the first step in addressing traumatic distress in trauma therapy. Qualitative research suggests cultural differences between providers and clients may pose unique challenges to this process. The aim of this meta-ethnography was to understand how safety is negotiated within the therapeutic alliance in inter-cultural trauma therapy. Five databases were searched (MEDLINE, CINAHL, EMBASE, PsycINFO, and ASSIA) using a pre-planned search strategy in June 2021; this was further updated in June 2022. Sixteen studies were included in the review. The synthesis highlighted that safety is negotiated in a web of relationships that go beyond just the therapeutic dyad. Personal connection, non-verbal communication, tolerating discomfort, and sharing the role of an educator with the client were some of the strategies used by therapists to bridge cultural differences. These strategies created various cultural and role conflicts, which were managed by addressing stigma, clarifying roles (including interpreters’), and creating a work-life balance. Structural factors such as organisational protocols, lack of institutional support, cultural stigma, and the asylum-seeking process hindered the negotiation of safety. Based on this meta-ethnography, a framework was developed to help mental health professionals negotiate safety in inter-cultural trauma therapy.

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Section: Trauma and Cultural Differencementioning

confidence: 99%

Negotiation of Safety in Inter-cultural Trauma Therapy: A Meta-ethnography of Qualitative Studies

Ray,

Karadzhov,

Macgregor

2023

Preprint

View full text Add to dashboard Cite

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Racism is Life-Threatening and Continues the Cycle of Racial Trauma: What Can Clinicians do to Interrupt This Cycle?

Mathew

2024

Clin Soc Work J

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COVID-19 Lessons: The Alignment of Palliative Medicine and Trauma-Informed Care

Brown

Peck

Humphreys

et al. 2020

Journal of Pain and Symptom Management

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As the COVID-19 pandemic wears on, its psychological, emotional, and existential toll continues to grow and indeed may now rival the physical suffering caused by the illness. Patients, caregivers, and health-care workers are particularly at risk for trauma responses and would be well served by trauma-informed care practices to minimize both immediate and long-term psychological distress. Given the significant overlap between the core tenets of trauma-informed care and accepted guidelines for the provision of quality palliative care (PC), PC teams are particularly well poised to both incorporate such practices into routine care and to argue for their integration across health systems. We outline this intersection to highlight the uniquely powerful role PC teams can play to reduce the long-term psychological impact of the COVID-19 pandemic.

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Racial Trauma: A Palliative Care Perspective

Cited by 7 publications

References 4 publications

Negotiation of Safety in Inter-cultural Trauma Therapy: A Meta-ethnography of Qualitative Studies

Negotiation of Safety in Inter-cultural Trauma Therapy: A Meta-ethnography of Qualitative Studies

Racism is Life-Threatening and Continues the Cycle of Racial Trauma: What Can Clinicians do to Interrupt This Cycle?

COVID-19 Lessons: The Alignment of Palliative Medicine and Trauma-Informed Care

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