title: Beyond the frontstage: trust, access, and the relational context in research with refugee communities.
abstract: This paper examines the role of trust and the concept of access as they affect the relational context in which community research, and research with refugee communities in particular, is conducted. Sociologist Irving Goffman's metaphor of frontstage and backstage behavior is used to illustrate the complexity and importance of developing of relations of trust, and thereby gaining "backstage" access, in communities that are generally closed to outsiders. It is argued that gaining authentic ("backstage") access to refugee communities, as well as other communities that have developed a self-protective insularity, is essential if we are to gather data that accurately reflect the actual beliefs, feelings, and experiences of community members. The paper then examines the puzzling lack of discussion regarding issues of trust, access, and the relational context in the literature on refugee mental health. Explanations for this apparent inattention are sought in the influence of the prevailing scientific paradigm that guides most research with refugees, and that shapes the values of the field's "gatekeepers," the editors and reviewers of scholarly journals. Throughout the paper, key points are illustrated with examples drawn from the author's research with refugees from Guatemala, Bosnia, and Afghanistan.
authors.affiliation: Psychology Department, San Francisco State University, San Francisco, California 94132, USA. kemiller@sfsu.edu
authors.forename: Kenneth E
authors.initials: KE
authors.lastname: Miller
mesh_terms: D003906:Developing Countries; D006302:Health Services Research / Q000458:organization & administration*; D006801:Humans; D012036:Refugees; D012111:Residence Characteristics; D035502:Trust; D014481:United States