Acknowledging Post-Traumatic Stress Disorder: Treatment Utilisation Amongst Israeli Bedouin and Jewish Combat Veterans
Abstract Many veterans coping with combat-post-traumatic stress disorder (PTSD) refrain from seeking psychological treatment. We explored the nature of illness recognition and treatment utilisation in two different cultural groups of Israeli veterans—Bedouin and Jewish. Using qualitative research me...
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Veröffentlicht in: | The British journal of social work 2021-03, Vol.51 (2), p.389-407 |
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creator | Shorer, Shai Caspi, Yael Goldblatt, Hadass Azaiza, Faisal |
description | Abstract
Many veterans coping with combat-post-traumatic stress disorder (PTSD) refrain from seeking psychological treatment. We explored the nature of illness recognition and treatment utilisation in two different cultural groups of Israeli veterans—Bedouin and Jewish. Using qualitative research methods, we interviewed twenty veterans dealing with PTSD (ten Bedouin and ten Jewish) and ten mental health professionals. Participants shared their experiences of symptoms, the ways they coped, and their perception of the costs and benefits of psychological treatment. Two main themes emerged: (i) ‘Veterans’ Perceptions of Their Mental Injury’. In stark contrast to their Jewish counterparts, Bedouin participants described extreme lack of understanding regarding the relationship between their exposure to combat trauma and their distress; (ii) ‘Veterans’ Perceptions of the Mental Health Services’. Bedouin veterans expressed fear of the stigma associated with PTSD and its detrimental social implications, for them and their families. Jewish veterans emphasised the beneficial and informative role of therapy. The findings underscore the impact of different cultural codes on help-seeking behaviours and on the ability to benefit from psychological treatment. It is recommended that mental health practitioners consider cultural backgrounds and individual differences when implementing trauma interventions, to fine-tune their suitability to veterans facing excessive barriers to care. |
doi_str_mv | 10.1093/bjsw/bcaa152 |
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Many veterans coping with combat-post-traumatic stress disorder (PTSD) refrain from seeking psychological treatment. We explored the nature of illness recognition and treatment utilisation in two different cultural groups of Israeli veterans—Bedouin and Jewish. Using qualitative research methods, we interviewed twenty veterans dealing with PTSD (ten Bedouin and ten Jewish) and ten mental health professionals. Participants shared their experiences of symptoms, the ways they coped, and their perception of the costs and benefits of psychological treatment. Two main themes emerged: (i) ‘Veterans’ Perceptions of Their Mental Injury’. In stark contrast to their Jewish counterparts, Bedouin participants described extreme lack of understanding regarding the relationship between their exposure to combat trauma and their distress; (ii) ‘Veterans’ Perceptions of the Mental Health Services’. Bedouin veterans expressed fear of the stigma associated with PTSD and its detrimental social implications, for them and their families. Jewish veterans emphasised the beneficial and informative role of therapy. The findings underscore the impact of different cultural codes on help-seeking behaviours and on the ability to benefit from psychological treatment. It is recommended that mental health practitioners consider cultural backgrounds and individual differences when implementing trauma interventions, to fine-tune their suitability to veterans facing excessive barriers to care.</description><identifier>ISSN: 0045-3102</identifier><identifier>EISSN: 1468-263X</identifier><identifier>DOI: 10.1093/bjsw/bcaa152</identifier><language>eng</language><publisher>Oxford: Oxford University Press</publisher><subject>Bedouins ; Combat experience ; Coping ; Cultural differences ; Cultural groups ; Health services utilization ; Help seeking behavior ; Individual differences ; Injuries ; Medical personnel ; Mental health ; Mental health professionals ; Mental health services ; Perceptions ; Post traumatic stress disorder ; Psychological distress ; Psychological intervention ; Psychological trauma ; Qualitative research ; Research methodology ; Stigma ; Suitability ; Trauma ; Veterans</subject><ispartof>The British journal of social work, 2021-03, Vol.51 (2), p.389-407</ispartof><rights>The Author(s) 2020. Published by Oxford University Press on behalf of The British Association of Social Workers. All rights reserved. 2020</rights><rights>The Author(s) 2020. Published by Oxford University Press on behalf of The British Association of Social Workers. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c252t-c81d7ec4e44a92d0545cea978cb875653640d08f58e20ec665d4c62c4d09257a3</cites><orcidid>0000-0003-1554-5348 ; 0000-0002-1436-1013</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,1578,27903,27904,30978,33753</link.rule.ids></links><search><creatorcontrib>Shorer, Shai</creatorcontrib><creatorcontrib>Caspi, Yael</creatorcontrib><creatorcontrib>Goldblatt, Hadass</creatorcontrib><creatorcontrib>Azaiza, Faisal</creatorcontrib><title>Acknowledging Post-Traumatic Stress Disorder: Treatment Utilisation Amongst Israeli Bedouin and Jewish Combat Veterans</title><title>The British journal of social work</title><description>Abstract
Many veterans coping with combat-post-traumatic stress disorder (PTSD) refrain from seeking psychological treatment. We explored the nature of illness recognition and treatment utilisation in two different cultural groups of Israeli veterans—Bedouin and Jewish. Using qualitative research methods, we interviewed twenty veterans dealing with PTSD (ten Bedouin and ten Jewish) and ten mental health professionals. Participants shared their experiences of symptoms, the ways they coped, and their perception of the costs and benefits of psychological treatment. Two main themes emerged: (i) ‘Veterans’ Perceptions of Their Mental Injury’. In stark contrast to their Jewish counterparts, Bedouin participants described extreme lack of understanding regarding the relationship between their exposure to combat trauma and their distress; (ii) ‘Veterans’ Perceptions of the Mental Health Services’. Bedouin veterans expressed fear of the stigma associated with PTSD and its detrimental social implications, for them and their families. Jewish veterans emphasised the beneficial and informative role of therapy. The findings underscore the impact of different cultural codes on help-seeking behaviours and on the ability to benefit from psychological treatment. It is recommended that mental health practitioners consider cultural backgrounds and individual differences when implementing trauma interventions, to fine-tune their suitability to veterans facing excessive barriers to care.</description><subject>Bedouins</subject><subject>Combat experience</subject><subject>Coping</subject><subject>Cultural differences</subject><subject>Cultural groups</subject><subject>Health services utilization</subject><subject>Help seeking behavior</subject><subject>Individual differences</subject><subject>Injuries</subject><subject>Medical personnel</subject><subject>Mental health</subject><subject>Mental health professionals</subject><subject>Mental health services</subject><subject>Perceptions</subject><subject>Post traumatic stress disorder</subject><subject>Psychological distress</subject><subject>Psychological intervention</subject><subject>Psychological trauma</subject><subject>Qualitative research</subject><subject>Research methodology</subject><subject>Stigma</subject><subject>Suitability</subject><subject>Trauma</subject><subject>Veterans</subject><issn>0045-3102</issn><issn>1468-263X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><sourceid>BHHNA</sourceid><recordid>eNp90M1OAjEUhuHGaCKiOy-giQs3jrSdtjO4Q_zDkGgiGHeT0h6wyLTYdiTevUNg7epsnpwveRE6p-Sakn7emy3jpjfTSlHBDlCHcllmTOYfh6hDCBdZTgk7RicxLgkhhSC0g34G-sv5zQrMwroFfvUxZZOgmlolq_FbChAjvrPRBwPhBk8CqFSDS3ia7MrGVnmHB7V3i5jwKAYFK4tvwfjGOqycwc-wsfETD309Uwm_Q4KgXDxFR3O1inC2v100fbifDJ-y8cvjaDgYZ5oJljJdUlOA5sC56jNDBBcaVL8o9awshBS55MSQci5KYAS0lMJwLZnmhvSZKFTeRRe7v-vgvxuIqVr6Jrh2smKCllKWQohWXe2UDj7GAPNqHWytwm9FSbUtW23LVvuyLb_ccd-s_5d_IwZ8XA</recordid><startdate>20210301</startdate><enddate>20210301</enddate><creator>Shorer, Shai</creator><creator>Caspi, Yael</creator><creator>Goldblatt, Hadass</creator><creator>Azaiza, Faisal</creator><general>Oxford University Press</general><general>Oxford Publishing Limited (England)</general><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7U3</scope><scope>8BJ</scope><scope>BHHNA</scope><scope>FQK</scope><scope>JBE</scope><scope>NAPCQ</scope><orcidid>https://orcid.org/0000-0003-1554-5348</orcidid><orcidid>https://orcid.org/0000-0002-1436-1013</orcidid></search><sort><creationdate>20210301</creationdate><title>Acknowledging Post-Traumatic Stress Disorder: Treatment Utilisation Amongst Israeli Bedouin and Jewish Combat Veterans</title><author>Shorer, Shai ; Caspi, Yael ; Goldblatt, Hadass ; Azaiza, Faisal</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c252t-c81d7ec4e44a92d0545cea978cb875653640d08f58e20ec665d4c62c4d09257a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Bedouins</topic><topic>Combat experience</topic><topic>Coping</topic><topic>Cultural differences</topic><topic>Cultural groups</topic><topic>Health services utilization</topic><topic>Help seeking behavior</topic><topic>Individual differences</topic><topic>Injuries</topic><topic>Medical personnel</topic><topic>Mental health</topic><topic>Mental health professionals</topic><topic>Mental health services</topic><topic>Perceptions</topic><topic>Post traumatic stress disorder</topic><topic>Psychological distress</topic><topic>Psychological intervention</topic><topic>Psychological trauma</topic><topic>Qualitative research</topic><topic>Research methodology</topic><topic>Stigma</topic><topic>Suitability</topic><topic>Trauma</topic><topic>Veterans</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Shorer, Shai</creatorcontrib><creatorcontrib>Caspi, Yael</creatorcontrib><creatorcontrib>Goldblatt, Hadass</creatorcontrib><creatorcontrib>Azaiza, Faisal</creatorcontrib><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Social Services Abstracts</collection><collection>International Bibliography of the Social Sciences (IBSS)</collection><collection>Sociological Abstracts</collection><collection>International Bibliography of the Social Sciences</collection><collection>International Bibliography of the Social Sciences</collection><collection>Nursing & Allied Health Premium</collection><jtitle>The British journal of social work</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Shorer, Shai</au><au>Caspi, Yael</au><au>Goldblatt, Hadass</au><au>Azaiza, Faisal</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Acknowledging Post-Traumatic Stress Disorder: Treatment Utilisation Amongst Israeli Bedouin and Jewish Combat Veterans</atitle><jtitle>The British journal of social work</jtitle><date>2021-03-01</date><risdate>2021</risdate><volume>51</volume><issue>2</issue><spage>389</spage><epage>407</epage><pages>389-407</pages><issn>0045-3102</issn><eissn>1468-263X</eissn><abstract>Abstract
Many veterans coping with combat-post-traumatic stress disorder (PTSD) refrain from seeking psychological treatment. We explored the nature of illness recognition and treatment utilisation in two different cultural groups of Israeli veterans—Bedouin and Jewish. Using qualitative research methods, we interviewed twenty veterans dealing with PTSD (ten Bedouin and ten Jewish) and ten mental health professionals. Participants shared their experiences of symptoms, the ways they coped, and their perception of the costs and benefits of psychological treatment. Two main themes emerged: (i) ‘Veterans’ Perceptions of Their Mental Injury’. In stark contrast to their Jewish counterparts, Bedouin participants described extreme lack of understanding regarding the relationship between their exposure to combat trauma and their distress; (ii) ‘Veterans’ Perceptions of the Mental Health Services’. Bedouin veterans expressed fear of the stigma associated with PTSD and its detrimental social implications, for them and their families. Jewish veterans emphasised the beneficial and informative role of therapy. The findings underscore the impact of different cultural codes on help-seeking behaviours and on the ability to benefit from psychological treatment. It is recommended that mental health practitioners consider cultural backgrounds and individual differences when implementing trauma interventions, to fine-tune their suitability to veterans facing excessive barriers to care.</abstract><cop>Oxford</cop><pub>Oxford University Press</pub><doi>10.1093/bjsw/bcaa152</doi><tpages>19</tpages><orcidid>https://orcid.org/0000-0003-1554-5348</orcidid><orcidid>https://orcid.org/0000-0002-1436-1013</orcidid></addata></record> |
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source | Sociological Abstracts; Applied Social Sciences Index & Abstracts (ASSIA); Oxford University Press Journals All Titles (1996-Current) |
subjects | Bedouins Combat experience Coping Cultural differences Cultural groups Health services utilization Help seeking behavior Individual differences Injuries Medical personnel Mental health Mental health professionals Mental health services Perceptions Post traumatic stress disorder Psychological distress Psychological intervention Psychological trauma Qualitative research Research methodology Stigma Suitability Trauma Veterans |
title | Acknowledging Post-Traumatic Stress Disorder: Treatment Utilisation Amongst Israeli Bedouin and Jewish Combat Veterans |
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