Mental Health (L1, L2) Flashcards

1
Q

What is positionality (describe it)

A

involves knowing your position depending on your context (place and time) - and knowing if you are in the right position to speak about something

Refers to understanding how the social, cultural and personal background influences perspective, behaviour and interpretation of info (chatgpt)

As a psychologist we need to recognise our place and realise that we can’t speak on behalf of all other psychologists or about issues that we aren’t experienced with

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2
Q

What are some factors that can lead to mental health problems

A

pandemics

Natural disasters

Financial distress

Ongoing colonisation (specific for Indigenous Australians)

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3
Q

What is the overall trend in mental health

A

It has deteriorated lately, with the rates of mental health issues increasing

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4
Q

What are some stats on mental health

A

22% of Aussies aged 16-85 have had mental helath conditions

17% of Aussies experience an anxiety disorder

1/7 children between 4-17 have experienced mental illness

Estimated 24% of Indigenous Australians reported a mental illness

Estimated 31% of Indigenous Australians reported high or very high psychological distress in past 4 weeks

People with disability experience higher psychological distress than those without a disability

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5
Q

What should gov do to address mental health

A

Needs to allocate more funding to support mental health needs in Aus.

Costs to address mental health is high

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6
Q

Understand the knowledge systems from which psychology was derived

A

Psych was a largely western science and drew ideas from western knowledge systems, however recently, we acknowledge that knowledge systems such as Indigenous knowledge systems can also play a part in psychology

Some knowledge systems from psych might not be applicable to Indigenous psych - we must be wary of this, in order to not cause harm

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7
Q

Why did the APS 2016 apology occur

A

2 years backstory - mainly happened because some health professionals were harming ATSI people because work was done in a western application of medicine –> not culturally appropriate care

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8
Q

What did the APS 2016 apology include? What did they apologise for?

A

Use of diagnostic systems tht didn’t honour cultural belief systems and world views

Inappropriate use of assessment techniques and procedures that have conveyed misleading issues about capabilities of ATSI people

Not respecting the skills of ATSI people and their unique wisdom developed for this

Conducting research which benefitted careers of researchers rather than the lives of ATSI people

Developing and applying treatments that have ignored ATSI approaches to healing and that both implicitly and explicitly dismissed the importance of culture and wellbeing

Our lack of advocacy on important policy matters such as the stolen generation

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9
Q

What does the APS apology strive to do in the future

A

Listen more
Follow ore
Advocate more
Include more
Collaborate more

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10
Q

What was the UN declaration of rights of Indigenous peoples

A

Indigenous peoples have the right to determine and develop priorities and strategies for exercising their right to development. In particular, indigenous peoples have the right to be involved in developing and determining health, housing and other economic and social programmes affecting them, and as far as possible, to adminster such programs through their onw institutitions

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11
Q

What is Indigenous Psychology

A

Intellctual movement across globe based on:

A reaction against colonisation/hegemony of western psychology

Need for non-western culture to recognise the constructs of psych

Need to use indigenous philosophies and concepts to generate theories of global discourse

ATSI people’s right to extend sovreignty with respect to Indigenous ways of being (ontology), knowing (epistemology), and doing (axiology)

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12
Q

What is the standpoint for ATSI wellness

A

They view wellness/health as holistic

“The Aboriginal concept of health is holistic, encompassing mental, physical, cultural and spiritual health. This holisitc concept doesn’t just refer to the whole body but is in fact steeped in harmonious interrealtions which constitute cultural wellbeing. these interrelated factors can be categorised loosely into spiritual, environmental, ideological, political, social, economic, mental and physical health

Crucially, it must be understood that when the harmony of these interrelations is disrupted, Aboriginal ill health will persist”

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13
Q

What is the Indigenous standpoint theory

A

Tries to oppose hegemony of Western epistemology which aim to transform power so Indigenous knowledge is given an epistemological equivalence

Indigenous standpoint theory recognizes some of the distinct perspectives of Indigenous peoples.

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14
Q

What is decolonisation

A

Involves adding to and complementing the western knowledge base we have on psychology with Indigenous knowledge

Ultimately involves ‘Indigenising the system’ and preventing systematic racism in the system

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15
Q

What does decolonisation invovle?

A

Involves undoing the impact of colonialism by dismantling the systems which were perpetuated by colonial powers

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16
Q

WHat is cultural safety

A

Making sure to provide an environment where individuals feel respected, understood and supported in their cultural identity in consultations with a health professional

Typically judged by the recipient of the care

17
Q

What is cultural awareness

A

Refers to the recognition and understanding of cultural differences and similarities between healthcare and patients. Involves being mindful of how cultural factors can influence patients’ health beliefs, behaviours etc

Involves knowing and understanding what is considered culturally appropriate with the patient

18
Q

What is cultural competency

A

Being able to provide care which meets the social, cultural and lignuistic needs of patients –> coes beyond mere advocacy of cultural differences

19
Q

Describe and understand the social and emotional wellbeing framework (VERY IMPORTANT)`

A

Recognises the social and emotional wellbeing framework and recognises the importance of connection to land, culture, spirituality, ancestors, family and community and how these affect the individual

Adopts a holistic approach, which integrates mental, physical and emotional health. Also acknowledges the role of spiritual and cultural wellbeing including connection to land, culture, spirituality etc

Proposes a model with 7 overlapping domains with a connection to: body, mind and emotions, family and kin, community, culture, country, spirituality and ancestors

See internal notes to see what I mean fully

20
Q

WHat is reflexivity

A

Process of crtiical self reflection to examine our beliefs, values, biases and how they influence their work

“it critically examiens one’s own attitudes, values and biases, with a view to engaging wiht people in a manner that is culturally safe, free of racism and attitudes of superiority”

Thus, involves being aware of power and privilege in their own practice

21
Q

What would reflexivity involve

A

Involves asking questions like:

Who am I in this space
How am i seeing myself
What is being evoked in me
Where is my discomfort, resistance, avoidance?
How is power showing up in the room
How much am I listening, being attentive
Who’s voice is being privileged
What am I assuming
Where are my knowledge gaps
What learning do I need to do