At the feet of storytellers: Implications for practicing early relational health conversations.

Publisher: Human Sciences Press] Country of Publication: United States NLM ID: 8007859 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1097-0355 (Electronic) Linking ISSN: 01639641 NLM ISO Abbreviation: Infant Ment Health J Subsets: MEDLINE

Original Publication: [New York, Human Sciences Press]

Communication* ; Health Promotion*; Humans ; Infant

A family- and culturally-centered approach to conversations about early relational health (ERH) can open up opportunities for universal family engagement. The appraisal of family-baby relational health is more trustworthy and useful when there is attunement to family voice and facilitator bias. Early Relational Health Conversations (ERH-C) is a model for ERH promotion and intervention. This model has eight components: preparing and entering the ERH-C space, accessing strength and knowledge in a healing-centered space, pausing and co-creating, storytelling, witnessing, mutual reflection, affirming, and claiming their relationship narrative, and mutual insight. It is a paradigm shift in working with African American families and possibly other historically marginalized families who are also impacted by structural racism. The eight components are explained, and examples are given from the perspective of an Africentric worldview. The importance of cultural humility, attuning to and honoring family culture is emphasized. Insights for implementation in primary care and other settings are provided. Healing-centered engagement practices embedded in ERH-C have the potential to move ERH work into the social justice arena. The ERH-C is a family reflection model. Ideas for future directions for ERH-C are discussed.
(© 2022 Michigan Association for Infant Mental Health.)

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Keywords: Beziehungsgesundheit; Gerechtigkeit; HealthySteps; PasosSaludables; Santé relationnelle; centrado en la familia; centré sur la famille; engagement centré sur la guérison; equidad; equity; familienzentriert; family-centered; healing-centered engagement; heilungszentriertes Engagement; participación centrada en la sanación; relational health; salud de la relación; équité; الكلمات الرئيسية: الصحة العلائقية ، المشاركة المتمحورة حول الشفاء ، القائم على الأسرة ، المساواه ، الخطوات الصحية; キーワード: 関係性の健康度、癒し中心の関わり方、家族中心、公平性、ヘルシーステップ; 以家庭为中心; 以治疗为中心的参与; 健康发育; 公平; 关键词:关系健康
Local Abstract: [Publisher, Spanish; Castilian] Un acercamiento a conversaciones sobre la salud de la temprana relación (ERH) con base en la familia y en el medio cultural puede abrir oportunidades para la participación familiar universal. La evaluación de la salud de la relación familia-bebé es más confiable y útil cuando hay un ajuste a la voz de la familia y a los prejuicios del mediador. Las Conversaciones de la Salud de la Temprana Relación (ERH-C) es un modelo para la promoción e intervención ERH. Este modelo tiene ocho componentes: preparar y entrar en el espacio de ERH-C, evaluar la fortaleza y el conocimiento en un espacio centrado en la sanación, detenerse y co-crear, contar historias, ser testigo, reflexión mutua, afirmar y reclamar la narrativa de su relación, mutuo aporte de ideas. Se trata de un cambio de paradigma cuando se trabaja con familias afroamericanas y posiblemente con otras familias históricamente marginalizadas que también reciben el impacto del racismo estructural. Se explican los ocho componentes y se dan ejemplos desde la perspectiva de una vista mundial afro-céntrica. Se enfatiza la importancia de la humildad cultural, estar en sintonía con y honrar la cultura familiar. Se aportan ideas para la implementación en el cuidado primario y otros escenarios. Las prácticas de participación centradas en la sanación que son parte de ERH-C tienen la posibilidad de incorporar ERH dentro del campo de la justicia social. ERH-C es un modelo de reflexión de familia. Se discuten ideas para directrices futuras de ERH-C. [Publisher, French] Une approche aux conversations sur la Santé Relationnelle Précoce (SRP), centrée sur la famille et la culture, peut ouvrir de nouvelles portes pour l'engagement de la famille universel. L'appréciation de la santé relationnelle famille-bébé est plus digne de confiance et utile que lorsqu'il y a une harmonisation avec la voix de la famille et une partialité de la part du facilitateur. Les Conversations sur la Santé Relationnelle Précoce (C-SRP) est un modèle de promotion de ls SRP et d'intervention. Ce modèle comprend huit aspects: la préparation et l'entrée de l'espace C-SRP, l'accès aux forces et aux connaissances dans un espace centré sur la guérison, faire une pause et créer ensemble, la narration, le témoignage, la réflexion mutuelle, l'affirmation de la narration de la relation et sa revendication, et la perspicacité mutuelle. Ce modèle présente un changement de paradigme dans le travail avec les familles noires américaines et peut-être également d'autres familles marginalisées qui sont aussi impactées par le racisme structurel. Les huit composantes sont expliquées et des exemples sont données de la perspective d'une vision du monde africentrique. L'importance de l'humilité culturelle, d’être à l’écoute de la culture de la famille et d'honorer la culture familiale est également soulignée. Des idées pour la mise en pratique au sein des soins primaires et d'autres contextes sont offertes. Des pratiques d'engagement centrées sur la guérison encastrées dans la C-SRP peuvent faire progresser le travail de SRP vers le domaine de la justice sociale. La C-SRP est un modèle de réflexion de la famille. Des idées de directions futures pour la C-SRP sont discutées. [Publisher, German] Ein familien- und kulturzentrierter Ansatz für Gespräche über frühe Beziehungsgesundheit (early relational health; ERH) kann neue Möglichkeiten für ein universelles Familienengagement eröffnen. Die Beurteilung der Beziehungsgesundheit von Familie und Kind ist valider und nützlicher, wenn die Ansichten der Familie und Versuchsleitereffekte berücksichtigt werden. Early Relational Health Conversations (ERH-C) ist ein Interventionsmodell für die Förderung von ERH. Es besteht aus acht Komponenten: Vorbereitung und Betreten des ERH-C-Raums, Zugang zu Stärke und Wissen in einem heilungszentrierten Raum, Innehalten und Mitgestalten, Erzählen von Geschichten, Zeugenschaft, gegenseitige Reflexion, das Beziehungsnarrativ bestätigen und geltend machen sowie gegenseitige Einsicht. Das Modell stellt einen Paradigmenwechsel in der Arbeit mit afroamerikanischen Familien und möglicherweise auch mit anderen historisch marginalisierten Familien dar, die ebenfalls von strukturellem Rassismus betroffen sind. In der vorliegenden Arbeit werden die acht Komponenten erläutert und es werden Beispiele aus der Perspektive einer afrikazentrischen Weltsicht gegeben. Die Bedeutung kultureller Bescheidenheit, die Abstimmung auf die Familienkultur und deren Wertschätzung werden hervorgehoben. Es werden Einblicke für die Umsetzung in der Primärversorgung und in anderen Bereichen gegeben. Die in die ERH-C eingebetteten Praktiken des heilungszentrierten Engagements haben das Potenzial, die ERH-Arbeit in den Bereich der sozialen Gerechtigkeit zu verlagern. Die ERH-C ist ein Modell zur Familienreflexion. Es werden Ideen für zukünftige Richtungen von ERH-C diskutiert. [Publisher, Japanese] 語り部の足元で:Early Relational Health Conversationsの実践への示唆 早期の (家族と赤ちゃんの) 関係性の健康度 (ERH) に関する会話に家族や文化を中心としたアプローチをとることで、家族の関与の機会を普遍的に広げることができる。家族の声やファシリテーターの先入観との調律があると、家族-赤ちゃんの関係性の健康度の評定はより信頼性が高く有用となる。Early Relational Health Conversations (ERH-C) は、ERHの推進と介入のための一つのモデルである。このモデルには8つの要素がある:準備をしてERH-Cのスペースへ入る、癒し中心のスペースで強みと知識にアクセスする、休止し共に創りだす、物語る、立ち会う、互いに反映する、彼らの関係性の物語を肯定したり主張したりする、相互に内省する。これは、アフリカ系アメリカ人の家族、そしておそらく構造的人種差別の影響を受けている他の歴史的に疎外された家族との協働におけるパラダイムシフトである。8つの構成要素が説明され、アフリカ中心の世界観の観点から例を挙げられている。文化的謙遜さ、調律、家族文化への敬意の重要性が強調されている。プライマリーケアやその他の現場での実用化のための洞察を述べている。ERH-Cに組み込まれた癒し中心の関わり方は、ERHの活動を社会正義の分野へ移行させる可能性を持っている。ERH-Cは、家族の内省モデルである。ERH-Cの将来の方向性についての構想が議論されている。. [Publisher, Chinese] 以家庭和文化为中心的早期关系健康 (ERH) 对话可以为广泛的家庭参与提供机会。当家庭的意见与引导者的倾向相协调时, 对家庭与婴儿关系健康的评估更值得信赖和实用。“早期关系健康对话” (ERH-C) 是促进和干预ERH的一种模型。该模型由八个部分组成:准备并进入ERH-C空间, 在以治疗为中心的空间中获得力量和知识, 暂停并共同创作, 讲故事, 见证, 相互反思, 肯定并主张他们的关系叙事, 以及相互了解。这是与非裔美国人家庭以及其他可能也受到结构性种族主义影响的、历史上被边缘化的家庭共事的范式转变。本文解释了这八个组成部分, 并从非洲中心世界观的角度给出了一些例子。强调了文化谦逊、适应并尊重家庭文化的重要性。提供了在初级保健和其他机构中实施的见解。在ERH-C中融入以治疗为中心的参与实践有可能将ERH工作推向社会正义领域。ERH-C是一个家庭反思模型。讨论了ERH-C未来的发展方向。. [Publisher, Arabic] من منظور رواة القصص: تطبيقات على ممارسة محادثات الصحة العلائقية المبكرة يمكن للنهج المرتكز على الأسرة والثقافة للمحادثات حول الصحة العلائقية المبكرة (ERH) أن يفتح فرصًا لمشاركة الأسرة الشاملة. يعتبر تقييم صحة العلاقات بين الأسرة والطفل أكثر جدارة بالثقة ومفيدًا عندما يكون هناك تناغماً مع صوت الأسرة. تعد محادثات الصحة العلائقية المبكرة (C-ERH) نموذجًا للتدخل والترويج. يحتوي هذا النموذج على ثمانية مكونات: الإعداد والدخول إلى مجال C-ERH ، والوصول إلى القوة والمعرفة في مساحة تتمحور حول الشفاء ، والتوقف المؤقت والمشاركة في إعادة الإنشاء ، ورواية القصص ، والشهادة ، والتأمل المتبادل ، والتأكيد على قصص علاقاتهم ، والبصيرة المتبادلة. ويعد هذا تحولاً في إطار العمل مع العائلات الأمريكية من أصل أفريقي وربما العائلات الأخرى المهمشة تاريخيًا والتي تتأثر أيضًا بالعنصرية الهيكلية. تم شرح المكونات الثمانية و إعطاء أمثلة من منظور أفريقي. ويتم التأكيد على أهمية التواضع الثقافي والتناغم مع ثقافة الأسرة وتكريمها. ويتم أيضاً تقديم رؤى للتطبيق في الرعاية الأولية وغيرها من الأماكن. إن ممارسات المشاركة المتمحورة حول العلاج والمضمنة في C-ERH لديها القدرة على نقل عمل الصحة العلائقية المبكرة إلى ساحة العدالة الاجتماعية. محادثات الصحة العلائقية المبكرة هو نموذج تأمل عائلي. تناقش الدراسة أفكاراً للاتجاهات المستقبلية في محادثات الصحة العلائقية.

Date Created: 20220517 Date Completed: 20220608 Latest Revision: 20220625

20240105

10.1002/imhj.21981

35579376