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LEADER 00000nmm a22001695a 4500 
008    180717s2018    vra       d   00   eeng d 
100 1  Lau, Kelvin Wing-Kei 
245 10 Understanding mental distress in young people from a 
       migrant background in Australia through photo-interviewing
264    |c2017 
300    1 online resource 
336    text|btxt|2rdacontent 
337    computer|bc|2rdamedia 
338    online resource|bcr|2rdacarrier 
502    |gThesis|b(PhD thesis)--|cGeneral Practice|d2017 
520 3  Young people from a culturally and linguistically diverse 
       (CALD) background in Australia are reluctant to engage 
       with formal support services when they experience mental 
       health problems, and are under-represented amongst the 
       users of such services. These discrepancies in service 
       engagement may be the result of differences in how they 
       identify and explain mental distress experiences in 
       comparison with the prevailing perspectives within the 
       Australian health system. Kleinman described this 
       conceptually as a conflict between "the cultural 
       construction of clinical realities".  I had the 
       following aims for this research project: to discover how 
       young people from a CALD migrant background identified and
       described their experiences of mental distress, to 
       identify the explanatory models and belief systems they 
       utilised to understand these experiences, and to explore 
       how their responses to these experiences  -  including any
       interactions with formal mental health services  -  were 
       influenced by these understandings. Knowledge of these 
       explanatory models and belief systems can inform the 
       enhancement of existing mental health services, as well as
       provide fresh opportunities for the development of new 
       services and programs with greater appeal and perceived 
       relevance for this population.  Fifteen participants 
       between 18-25 years of age from a CALD migrant background 
       and residing in Melbourne, Australia engaged with'photo-
       interviewing' to express personal mental distress 
       narratives. They each created up to 20 photographs that 
       represented their mental health and distress experiences, 
       and discussed the meaning of these photographs within the 
       setting of an open qualitative interview. This method 
       encouraged rich descriptions, reflective interpretation, 
       and a storied expression of their lived experiences. The 
       interview transcripts were analysed for themes that were 
       relevant to how they identified, explained, and responded 
       to these mental distress experiences.  A variety of 
       colloquial and psychological terms were used 
       interchangeably to identify mental distress, as well as 
       temporally situated accounts that did not utilise 
       signifying terminology. Mental distress was explained as 
       the result of disruptions to self-identity, social 
       identity, and established social connections.'Self-
       identity' referred to idealised concepts of the self that 
       participants had either lost, aspired to attain, or sought
       to escape; whilst'social identity' referred to their value
       and status amongst peers, family, and the broader 
       community. These notions of identity were influenced by 
       archetypal social roles and values embedded within their 
       cultural background, and were subject to challenges from 
       their interactions with Australian society. Separation 
       from trusted social connections due to their migration 
       journey resulted in disruptions to their informal support 
       networks and their established social identities. The 
       participants favoured self-directed actions and receiving 
       informal social support over the engagement of formal 
       support services. These actions were directed towards the 
       restoration of a spoiled identity and a sense of social 
       belonging.  These findings suggest that young people from 
       a CALD migrant background would benefit from 
       multidisciplinary support interventions that address 
       concerns related to disrupted identities, promote post-
       migration social inclusion, and build upon the capacity of
       informal social supports to facilitate their engagement 
       with formal mental health services. 
653    mental health,|amental distress,|amigration,|aculturally 
       and linguistically diverse,|ayoung person,|aphoto 
       interviewing,|aphoto elicitation,|avisual research 
856 40 |uhttp://hdl.handle.net/11343/212121|zConnect to thesis. 
990    Batch Thesis load from DSpace (thesis) - do not edit, 
       delete or attach any records. 
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