Treatment barriers for Māori with social anxiety : a Māori perspective : a thesis submitted in partial fulfilment of the requirements for the degree of Doctor of Clinical Psychology at Massey University -- Te Kunenga ki Pūrehuroa, Albany, Aotearoa New Zealand

dc.contributor.authorArmstrong-Barrington, Pixie
dc.date.accessioned2020-03-16T23:12:46Z
dc.date.available2020-03-16T23:12:46Z
dc.date.issued2018
dc.description.abstractSocial anxiety is a common and debilitating mental health difficulty, however many individuals who suffer from it do not seek help. Research has found social anxiety to be prevalent among Māori and overall treatment rates disproportionately lower. This suggests that a large proportion of Māori with social anxiety in New Zealand are not seeking treatment, highlighting the need for research that explores a Māori perspective of social anxiety and its treatment barriers. In New Zealand there is limited literature pertaining to Māori experiences of treatment-seeking for social anxiety. Utilising a Māori-centred framework, this study aimed to address this through qualitative methods to describe how adult Māori with social anxiety understand their symptoms, treatment barriers, and how treatment barriers could be reduced. The study had the objective of giving validation to the unique perspective of Māori with social anxiety and contributing to the development of culturally appropriate mental health services in New Zealand. Eleven semi-structured interviews were carried out with adult Māori clients who had experienced social anxiety. A brief purpose-built questionnaire exploring six treatment barriers related to social anxiety identified in the literature was also utilised during the interviews. Participants’ interview responses were analysed through thematic analysis to identify themes from the descriptions of their lived experience. Themes highlighted social anxiety as understood as complex and influenced by a number of factors. The questionnaire data supported the thematic analysis findings and together showed treatment barriers as relating to unrecognised social anxiety, social attitudes, psychological symptoms, and cultural disconnection. An increased awareness of social anxiety and its treatment barriers will likely benefit Māori clients and their whānau in managing social anxiety and accessing treatment. The implementation of group programmes and additional information in the community will likely help to increase this awareness and help-seeking behaviours. The research makes a small but unique contribution to literature and clinical practice pertaining to Māori with social anxiety.en_US
dc.identifier.urihttp://hdl.handle.net/10179/15283
dc.language.isoenen_US
dc.publisherMassey Universityen_US
dc.rightsThe Authoren_US
dc.subjectSocial phobiaen_US
dc.subjectTreatmenten_US
dc.subjectNew Zealanden_US
dc.subjectMaori (New Zealand people)en_US
dc.subjectMental healthen_US
dc.subjectMental health servicesen_US
dc.subjectMānatunatuen_US
dc.subjectTāngata whenuaen_US
dc.subjectMātauranga mate hinengaroen_US
dc.subjectMāori Doctoral Thesisen
dc.titleTreatment barriers for Māori with social anxiety : a Māori perspective : a thesis submitted in partial fulfilment of the requirements for the degree of Doctor of Clinical Psychology at Massey University -- Te Kunenga ki Pūrehuroa, Albany, Aotearoa New Zealanden_US
dc.typeThesisen_US
massey.contributor.authorArmstrong-Barrington, Pixie
thesis.degree.disciplineClinical Psychologyen_US
thesis.degree.levelDoctoralen_US
thesis.degree.nameDoctor of Clinical Psychology (DClinPsych)en_US
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