{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T06:12:59Z","timestamp":1778825579151,"version":"3.51.4"},"reference-count":69,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T00:00:00Z","timestamp":1778803200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Psychiatry"],"abstract":"<jats:p>Ng\u0101 m\u0101uiui kai (eating disorders) are understood within a M\u0101ori worldview as a manifestation of imbalance across hinengaro (mind), tinana (body), wairua (spirit) and wh\u0101nau (family or support system). Prevailing Western treatment, which prioritise biopsychosocial interventions, do not address the cultural and spiritual determinants of health for M\u0101ori, creating a gap in culturally responsive care for M\u0101ori. This gap is rooted in and sustained by the enduring impacts of colonisation, which marginalised m\u0101tauranga M\u0101ori (M\u0101ori knowledge) and disrupted traditional healing systems. This paper proposes that Specialist Supportive Clinical Management, a flexible, patient-centred psychotherapy, provides a unique point of alignment for the integration of Rongo\u0101 M\u0101ori, the traditional M\u0101ori healing system. Rongo\u0101 M\u0101ori encompasses modalities such as rongo\u0101 r\u0101kau (herbal remedies), mirimiri\/romiromi (physical therapies), puku k\u014drero (talk therapy), and karakia (incantations\/prayer) and offers a framework embedded within M\u0101ori knowledge systems. We argue that rongo\u0101-informed Specialist Supportive Clinical Management, where puku k\u014drero aligns with Specialist Supportive Clinical Management patient-led dialogue, can synergistically support biopsychosocial goals while ensuring a holistic, culturally grounded approach. This conceptual analysis proposes a culturally adapted intervention to enhance therapeutic engagement, improve health outcomes, and honour the treatment aspirations of M\u0101ori by addressing the whole person within their cultural context.<\/jats:p>","DOI":"10.3389\/fpsyt.2026.1795945","type":"journal-article","created":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T05:44:09Z","timestamp":1778823849000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Shifting the Overton Window: enhancing therapeutic outcomes for M\u0101ori experiencing Ng\u0101 M\u0101uiui kai (eating disorders) through the integration of traditional M\u0101ori and Western healing systems in Aotearoa New Zealand"],"prefix":"10.3389","volume":"17","author":[{"given":"Mau te Rangimarie","family":"Clark","sequence":"first","affiliation":[{"name":"Department of Psychological Medicine, University of Otago","place":["Christchurch, New 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