[PDF] Clinical Guidelines In Cross Cultural Mental Health eBook
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Presents insightful, practical guidelines to the mental health practitioner who provides mental health care for clients of differing ethnocultural backgrounds. Focuses on the clinical implications of assessment, evaluation for treatment, and mental health care for culturally different populations. Emphasizes care of the patient in the framework of that person's culture rather than the framework of the therapist, indicating specific clinical approaches most appropriate to clients from these minority groups. Examines ethnosociocultural factors such as ethnicity, family values, language, religion, race, political ideology, cultural expectations, etc., which are relevant to cross-cultural mental health. Discusses treatment approaches for six major groups of minorities in the U.S., offering especially thorough consideration of Black American and Caribbean cultural issues.
Presents insightful, practical guidelines to the mental health practitioner who provides mental health care for clients of differing ethnocultural backgrounds. Focuses on the clinical implications of assessment, evaluation for treatment, and mental health care for culturally different populations. Emphasizes care of the patient in the framework of that person's culture rather than the framework of the therapist, indicating specific clinical approaches most appropriate to clients from these minority groups. Examines ethnosociocultural factors such as ethnicity, family values, language, religion, race, political ideology, cultural expectations, etc., which are relevant to cross-cultural mental health. Discusses treatment approaches for six major groups of minorities in the U.S., offering especially thorough consideration of Black American and Caribbean cultural issues.
Diagnosis in a Multicultural Context provides mental health professionals with materials to practice the application of cross-cultural variations on standard diagnostic guidelines. Freddy A. Paniagua offers clinical case examples to illustrate the cross-cultural variations applicable in the assessment, diagnosis and treatment of clients from four major cultural groups: African Americans, American Indians, Asians, and Hispanics.
The interaction of culture and mental illness is the focus of the Clinical Manual of Cultural Psychiatry, which is designed to help mental health clinicians become culturally competent and skilled in the treatment of patients from diverse backgrounds. The product of nearly two decades of seminar experience, the book teaches clinicians when it is appropriate to ask "Is what I am seeing in this patient typical behavior in his or her culture?" The ability to see someone else's worldview is essential for working with ethnic minority and culturally diverse patients, and the author, who designed the course that was this handbook's precursor, has expanded the second edition to take into account shifting demographics and the changing culture of mental health treatment. The content of the new edition has been completely updated, expanded to include new material, and enhanced by innovative features that will prove helpful for mental health clinicians as they encounter diverse patient populations. The new chapter on women reflects the fact that mental health disparities extend beyond ethnic minorities. Women have significantly higher rates of posttraumatic stress disorder and affective disorders, for example, yet research on women has been limited largely to the relationship between reproductive functioning and mental health. Two new chapters address the alarming number of unmet mental health needs that lesbian, gay, bisexual, and transgender patients suffer from. These chapters emphasize the need for mental health providers and policy makers to remedy these disparities. A new chapter has been added to help clinicians determine the role religious and spiritual beliefs play in psychological functioning, because religious and spiritual beliefs have been found to have both positive and negative effects on mental health. The newly introduced DSM-5® Cultural Formulation Interview (CFI) is addressed in the book's introduction and is included in its entirety, along with an informant module, 12 supplementary modules, and guidelines for their use in a psychiatric assessment. In addition, the reader has access to videotaped examples using simulated patients to illustrate practical application of the DSM-5® Outline for Cultural Formulation and CFI. Extensive information on ethnopsychopharmacology, reviewing clinical reports of ethnic variation with several different classes of psychotropic medications and examining the relationship of pharmacogenetics, ethnicity, and environmental factors to pharmacologic treatment of minorities. The book updates coverage of African American, Asian American, Latino/Hispanic, and Native American/Alaskan Native cultures as they relate to mental health issues while retaining the nuanced approach that was so effective in the first edition. Course-tested and DSM-5® compatible throughout, the Clinical Manual of Cultural Psychiatry is a must-read for clinicians in our diverse era.
The Handbook of Multicultural Mental Health, Second Edition, discusses the impact of cultural, ethnic, and racial variables for the assessment, diagnosis, treatment, service delivery, and development of skills for working with culturally diverse populations. Intended for the mental health practitioner, the book translates research findings into information to be applied in practice. The new edition contains more than 50% new material and includes contributions from established leaders in the field as well as voices from rising stars in the area. It recognizes diversity as extending beyond race and ethnicity to reflect characteristics or experiences related to gender, age, religion, disability, and socioeconomic status. Individuals are viewed as complex and shaped by different intersections and saliencies of multiple elements of diversity. Chapters have been wholly revised and updated, and new coverage includes indigenous approaches to assessment, diagnosis, and treatment of mental and physical disorders; spirituality; the therapeutic needs of culturally diverse clients with intellectual, developmental, and physical disabilities; suicide among racial and ethnic groups; multicultural considerations for treatment of military personnel and multicultural curriculum and training. Foundations-overview of theory and models Specialized assessment in a multicultural context Assessing and treating four major culturally diverse groups in clinical settings Assessing and treating other culturally diverse groups in clinical settings Specific conditions/presenting problems in a cultural context Multicultural competence in clinical settings
This chapter describes basic principles and processes in the clinical mental health interview of a person from any cultural group. Because of the author’s own background and the characteristics of his clinical work, the emphasis of the chapter is on the Hispanic/Latino group, specifically Mexican Americans. The principles outlined can apply to many types of interviews: diagnostic, psychotherapeutic, emergency, and so on. The approach can best be described as dynamic but also available to gathering information for formal DSM diagnoses and formulations. Nuances of the cross-cultural dynamic process in the areas of language, intrapersonal attitudes/feelings, communication patterns, and other areas are covered. Specific psychotherapy techniques and explicit details about diagnostic formulation are beyond the scope of this chapter and are not examined.
Author : Group for the Advancement of Psychiatry Publisher : American Psychiatric Pub Page : 202 pages File Size : 14,62 MB Release : 2008-08-13 Category : Medical ISBN : 1585627674
Culture permeates human activity the world over. In today's technological "global village," people from very different cultures are interacting more closely and more often than ever -- making it critical for clinicians to understand and incorporate cultural dimensions into their daily practices. This volume offers a contemporary pragmatic understanding of how culture is inextricably intertwined with mental health and mental illness. In Chapter 1, the 17-member GAP Committee on Cultural Psychiatry begins by discussing the history (particularly within the last two decades) and scope of culture in clinical psychiatry. In Chapter 2, the authors describe 11 selected cultural variables that strongly influence clinical work: ethnic identity, race, gender and sexual orientations, age, religion, migration and country of origin, socioeconomic status, acculturation and acculturative processes, language, dietary influences, and education. In Chapter 3, the authors present a brief history and detailed analysis of the Cultural Formulation, the newest instrument for ensuring thorough clinical assessments, explaining its clinical use based on DSM-IV guidelines. In Chapter 4, the authors integrate the 11 cultural variables described in Chapter 2 with the use of the Cultural Formulation described in Chapter 3, producing an extraordinary cross-section of case vignettes: How the son of Irish Catholic immigrants struggles to reconcile old-country traditions with life in modern American society The sometimes painful and always complex process and outcomes of acculturation for a Pakistani Muslim family who had come to the United States for only a temporary period but ended up staying permanently Diagnosing social phobia in an Asian American, whose traditional reticence must be viewed within the context of Asian culture Loss of country of origin and family ties as catalysts leading to significant behavioral changes and severe depressive symptoms in an African immigrant tribesman from Kenya and the cultural context of his recovery The interplay of gender, age, and religion with developmental issues, personality organization, and symptom development for a "good Catholic girl" The existential, interpersonal, and clinical experiences of a Protestant minister from predominantly Catholic Ecuador, who came to the United States as pastor of an Hispanic church in a predominantly white city In Chapter 5, the authors conclude with a summary and suggestions regarding the complex issues raised by a thorough cultural assessment. Enhanced by a detailed index, this powerful work meets the significant -- and rapidly growing -- need for psychiatrists and other mental health professionals to understand the role of culture in psychiatry and to integrate this knowledge into their practice so that they can provide the most comprehensive and useful care to their patients.
Within the past two decades, there has been an increased interest in the study of culture and mental health relationships. This interest has extended across many academic and professional disciplines, including anthropology, psychology, sociology, psychiatry, public health and social work, and has resulted in many books and scientific papers emphasizing the role of sociocultural factors in the etiology, epidemiology, manifestation and treatment of mental disorders. It is now evident that sociocultural variables are inextricably linked to all aspects of both normal and abnormal human behavior. But, in spite of the massive accumulation of data regarding culture and mental health relationships, sociocultural factors have still not been incorporated into existing biological and psychological perspectives on mental disorder and therapy. Psychiatry, the Western medical specialty concerned with mental disorders, has for the most part continued to ignore socio-cultural factors in its theoretical and applied approaches to the problem. The major reason for this is psychiatry's continued commitment to a disease conception of mental disorder which assumes that mental disorders are largely biologically-caused illnesses which are universally represented in etiology and manifestation. Within this perspective, mental disorders are regarded as caused by universal processes which lead to discrete and recognizable symptoms regardless of the culture in which they occur. However, this perspective is now the subject of growing criticism and debate.
This is the definitive textbook on global mental health, an emerging priority discipline within global health, which places priority on improving mental health and achieving equity in mental health for all people worldwide.
The publication of the Cultural Formulation Outline in the DSM-IV represented a significant event in the history of standard diagnostic systems. It was the first systematic attempt at placing cultural and contextual factors as an integral component of the diagnostic process. The year was 1994 and its coming was ripe since the multicultural explosion due to migration, refugees, and globalization on the ethnic composition of the U.S. population made it compelling to strive for culturally attuned psychiatric care. Understanding the limitations of a dry symptomatological approach in helping clinicians grasp the intricacies of the experience, presentation, and course of mental illness, the NIMH Group on Culture and Diagnosis proposed to appraise, in close collaboration with the patient, the cultural framework of the patient's identity, illness experience, contextual factors, and clinician-patient relationship, and to narrate this along the lines of five major domains. By articulating the patient's experience and the standard symptomatological description of a case, the clinician may be better able to arrive at a more useful understanding of the case for clinical care purposes. Furthermore, attending to the context of the illness and the person of the patient may additionally enhance understanding of the case and enrich the database from which effective treatment can be planned. This reader is a rich collection of chapters relevant to the DSM-IV Cultural Formulation that covers the Cultural Formulation's historical and conceptual background, development, and characteristics. In addition, the reader discusses the prospects of the Cultural Formulation and provides clinical case illustrations of its utility in diagnosis and treatment of mental disorders. Book jacket.