Migrant adolescents are at a higher risk than their native-born counterparts of psychiatric disorders, and their care is a public health issue. In France, transcultural psychotherapy is a treatment provided by a group of therapists designed to meet the specific needs of these patients when usual care appears ineffective. The objective of this study was to explore the therapeutic elements at work in transcultural psychotherapy. We conducted a qualitative study crossing the perspectives of adolescents receiving transcultural psychotherapy, their parents, their first-line therapist (FLT), and the transcultural therapists. The families were chosen by purposive sampling. Data were collected during semi-structured individual (for FLTs) and group (families and transcultural therapists) interviews that explored the therapeutic elements involved and effective in transcultural psychotherapy. We used interpretative phenomenological analysis (IPA) to examine the data. In all, 44 participants were questioned: three adolescents (2 girls and 1 boy, all aged 18 to 21 years) and their parents (3 mothers and 1 father), three FLTs (2 child psychiatrists and 1 psychologist), and the 34 therapists participating in the three transcultural psychotherapy groups. The analysis uncovered three themes: (1) the perceived effectiveness of the group’s functioning; (2) the recounting of the individual, family, and cultural history to allow for complexity and nuance; and (3) the personal investment by therapists, made possible by the group. Our results show some therapeutic elements at work in transcultural psychotherapy that enable it to meet the particular needs of some migrant adolescents that are unmet in standard therapy. Continuing to study transcultural psychotherapy and assess its effectiveness is essential for promoting and optimizing psychiatric care for migrant adolescents.

中文翻译：

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对跨文化心理治疗中对移民青少年有效的定性探索：青少年、他们的父母和治疗师的看法


流动青少年比本地出生的青少年面临更高的精神疾病风险，他们的护理是一个公共卫生问题。在法国，跨文化心理治疗是由一组治疗师提供的一种治疗方法，旨在满足这些患者在常规护理无效时的特定需求。本研究的目的是探索跨文化心理治疗中的治疗要素。我们进行了一项定性研究，涵盖了接受跨文化心理治疗的青少年、他们的父母、他们的一线治疗师（FLT）和跨文化治疗师的观点。这些家庭是通过有目的的抽样来选择的。数据是在半结构化个人（针对 FLT）和团体（家庭和跨文化治疗师）访谈中收集的，这些访谈探讨了跨文化心理治疗中涉及和有效的治疗要素。我们使用解释现象学分析（IPA）来检查数据。总共有 44 名参与者接受了询问：三名青少年（2 名女孩和 1 名男孩，年龄均在 18 至 21 岁）及其父母（3 名母亲和 1 名父亲）、三名 FLT（2 名儿童精神科医生和 1 名心理学家）以及 34 名治疗师参加三个跨文化心理治疗小组。分析揭示了三个主题：（1）团队运作的感知有效性； (2) 叙述个人、家庭和文化历史，考虑到复杂性和细微差别； (3) 治疗师的个人投资，由团体促成。我们的研究结果表明，跨文化心理治疗中的一些治疗要素使其能够满足标准治疗中无法满足的一些流动青少年的特殊需求。 继续研究跨文化心理治疗并评估其有效性对于促进和优化流动青少年的精神护理至关重要。