Pilipino perceptions of mental health in Aotearoa/New Zealand: bridging the cultural divide in clinical practice = Haka-haka ng mga Pilipino tungkol sa mga taong nasiraan ng bait ditto sa New Zealand: pinupunan ang pagitan nang pagsasanay at pag-gawa

Abstract

New Zealand's status as a multicultural nation is not immediately evident when examining current mental health initiatives. Rather, there is a tendency for distinct cultural identities to be homogenised into one overarching group, neglecting the wide intra-group variance that exists within New Zealand's population. As a result, this research specifically examines the mental health perceptions of first and second generation Pilipinos in New Zealand, emphasising the importance and value of culturally specific research. Cultural and indigenous psychology provided the theoretical framework, with the qualitative methodology of grounded theory (Strauss & Corbin, 1990) being utilized to explore Pilipino perceptions of mental health in New Zealand. Eight focus groups comprising 13 males and 26 females constituted five first generation and three second generation Pilipino focus groups. The substantive grounded theory revealed six major categories: Pilipino Self, Unwellness, Mental Health, Causality, Dealing, and Barriers to utilising mental health services. The meaning of these categories facilitates an increased understanding of the specific mental health needs of Pilipinos in New Zealand, informing how Pilipinos conceptualise mental illness and their subsequent responses to managing it. Limitations stemming from the heterogeneity of existing Asian mental health research initiatives are discussed and suggestions provided for developing an understanding of cultural meaning specific to first and second generation Pilipinos residing in New Zealand. It is anticipated that this will assist in the enhancement of culturally appropriate mental health services for this population, and increase awareness of the utility of culture specific research. Future research directions are also discussed, acknowledging the current literature deficit for this population.