Researchers have suggested that people with refugee status have heightened rates of western-defined psychiatric symptoms. Following this evidence, treatments have been adapted with the intent to foster culturally competent service provision for members of refugee communities. Absent in this research is attention to how clinicians address diverse beliefs about illness constructed within the cultures of refugee individuals. As such, even adapted treatments may not readily integrate beliefs about illness espoused in these communities into counseling. The purpose of this descriptive phenomenological study was to explore the meaning mental health care providers ascribe to integrating refugee individuals’ cultural beliefs about illness and treatment into counseling. Interviews (N = 8) were analyzed accordant with descriptive phenomenology. Four themes were identified: (a) Presenting Concerns, Stigma, and Expectations, (b) Centering Diverse Explanations of Distress, (c) Shifting the Work to Connect, and (d) Language as Barrier and Opportunity. The themes represent the meaning that participants ascribed to focusing on what their clients from refugee communities bring to treatment and the value of centering their explanations of distress. Further, they expressed the clinical value of changing how they work and the difficulty as well as benefit of language in treatment. The value of integrating diverse illness beliefs into counseling from a multiculturally oriented perspective is discussed.

研究人员认为，拥有难民身份的人出现西方定义的精神症状的几率更高。根据这一证据，对治疗方法进行了调整，旨在为难民社区成员提供文化上称职的服务。这项研究没有关注临床医生如何解决难民个人文化中构建的关于疾病的不同信念。因此，即使是经过调整的治疗方法，也可能无法将这些社区所支持的关于疾病的信念纳入咨询中。这项描述性现象学研究的目的是探索精神卫生保健提供者将难民个人关于疾病和治疗的文化信仰融入咨询中的意义。采访（N = 8) 根据描述性现象学进行分析。确定了四个主题：(a) 提出关切、污名和期望，(b) 集中对困境的各种解释，(c) 将工作转移到联系，以及 (d) 语言作为障碍和机会。这些主题代表了参与者所赋予的意义，即关注他们的难民社区的客户给治疗带来了什么，以及集中他们对痛苦的解释的价值。此外，他们表达了改变工作方式的临床价值以及语言在治疗中的难度和益处。讨论了从面向多元文化的角度将不同的疾病信念整合到咨询中的价值。