Cultural Assessment In Clinical Psychiatry

Author : Group for the Advancement of Psychiatry
Publisher : American Psychiatric Pub
Page : 202 pages
File Size : 43,6 Mb
Release : 2008-08-13
Category : Medical
ISBN : 9781585627677

Get Book

Cultural Assessment in Clinical Psychiatry by Group for the Advancement of Psychiatry Pdf

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.

Author : Russell F. Lim
Publisher : American Psychiatric Pub
Page : 632 pages
File Size : 42,5 Mb
Release : 2015-04-01
Category : Medical
ISBN : 9781585625444

Get Book

Clinical Manual of Cultural Psychiatry by Russell F. Lim Pdf

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.

Author : Anonim
Publisher : Unknown
Page : 0 pages
File Size : 44,8 Mb
Release : 2001
Category : Cross-cultural studies
ISBN : 2001027931

Get Book

Cultural Assessment in Clinical Psychiatry by Anonim Pdf

Author : Juan E. Mezzich,Giovanni Caracci
Publisher : Jason Aronson
Page : 304 pages
File Size : 49,9 Mb
Release : 2008
Category : Psychology
ISBN : 0765704897

Get Book

Cultural Formulation by Juan E. Mezzich,Giovanni Caracci Pdf

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.

Author : Rahul Bhattacharya,Sean Cross,Dinesh Bhugra
Publisher : RCPsych Publications
Page : 452 pages
File Size : 51,6 Mb
Release : 2010-05
Category : Medical
ISBN : 1904671829

Get Book

Clinical Topics in Cultural Psychiatry by Rahul Bhattacharya,Sean Cross,Dinesh Bhugra Pdf

This book offers practical advice on the role that cultural factors play in the way psychiatric symptoms are presented to clinicians.

Author : Wen-Shing Tseng,Jon Streltzer
Publisher : American Psychiatric Pub
Page : 217 pages
File Size : 54,6 Mb
Release : 2008-05-20
Category : Medical
ISBN : 9781585627288

Get Book

Cultural Competence in Clinical Psychiatry by Wen-Shing Tseng,Jon Streltzer Pdf

Building on their previous works about cultural competency in clinical areas and in psychotherapy, the editors have created in this volume an exceptional and entirely new approach to understanding and acquiring cultural competency. Instead of examining populations of different ethnic groups, particularly minority groups (as is typical in the literature), this illuminating volume examines cultural issues as applied to the practice of virtually every psychiatric service (e.g., inpatient, outpatient, consultation-liaison, pain management, and emergency) and specialty (e.g., child and adolescent, geriatric, addiction, and forensic psychiatry). Concluding chapters discuss cultural factors in psychopharmacology and psychotherapy. Thirteen distinguished contributors bring these issues to life with numerous case vignettes in all 11 chapters. The foundation for this breakthrough approach rests on Culture -- The unique behavior patterns and lifestyle that encompass a set of views, beliefs, values, and attitudes shared by a group of people that distinguish it from other groups. Culture and people influence each other reciprocally and interactionally -- on a conscious or unconscious level. Cultural competence -- Clinicians need to master cultural sensitivity, knowledge, and empathy; they need to be flexible, and they need to be skilled in culturally relevant doctor-patient relationships and interactions and to know how to use these elements therapeutically. The critical importance of cultural competence -- Clinicians typically work in multiethnic-cultural societies, providing care for patients of diverse backgrounds. For this reason, virtually all clinical practice can be seen as transcultural. Even when clinicians treat patients who share cultural backgrounds similar to their own, it is inevitable that some differences exist. Further, in the medical setting, three types of culture are present: the culture of the patient, the culture of the physician, and the medical culture in which the clinical work is practiced. Understanding these three cultural dimensions is essential to comprehending and carrying out culturally competent clinical work. This practical and innovative guide -- designed to help mental health care professionals meet the new requirements for cultural competence in clinical work -- will find a welcoming audience among students, residents, educators, and clinicians everywhere.

Author : Roberto Lewis-Fernández,Neil K. Aggarwal,Ladson Hinton,Devon E. Hinton,Laurence J. Kirmayer
Publisher : American Psychiatric Pub
Page : 361 pages
File Size : 55,7 Mb
Release : 2015-05-06
Category : Medical
ISBN : 9781615370245

Get Book

DSM-5® Handbook on the Cultural Formulation Interview by Roberto Lewis-Fernández,Neil K. Aggarwal,Ladson Hinton,Devon E. Hinton,Laurence J. Kirmayer Pdf

DSM-5® Handbook of the Cultural Formulation Interview provides the background, context, and detailed guidance necessary to train clinicians in the use of the Cultural Formulation Interview (CFI), which was created as part of the 2007-2013 DSM revision process. The purpose of the CFI -- and this unique handbook -- is to make it easier for providers to account for the influence of culture in their clinical work to enhance patient-clinician communication and improve outcomes. Cultural psychiatry as a field has evolved enormously from the days when it was principally concerned with epidemiological and clinical studies of disease prevalence; it now examines a multitude of issues, primary among them the differing patient, family, and practitioner models of illness and treatment experiences within and across cultures. The editors, all of whom have been intimately involved in the evolution of the field, have designed the book and accompanying videos for maximum instructional and clinical utility. The Handbook boasts many strengths and useful features, including: A detailed description of each of the three CFI components: a core 16-item questionnaire, which can be applied in any clinical setting with any patient by any mental health clinician; an informant version of the core CFI used to obtain information from caregivers; and 12 supplementary modules that expand on these basic assessments. This material facilitates implementation of the CFI by clinicians. Over a dozen clinical vignettes are included to illustrate use of the three components, and the Handbook also includes multiple videos that demonstrate the application of portions of the core CFI, and several supplementary modules. Strategies for incorporating the CFI into clinical training are identified and discussed, furthering the objective of developing culturally-sensitive and astute practitioners. The theoretical bases of the CFI are explored, raising questions for discussion and identifying areas for further research. The CFI is a valuable tool for all patients, not just those judged to be culturally different. The CFI has been called the single most practically useful contribution of cultural psychiatry and medical anthropology to clinical psychiatry, primary care, and medicine in general. DSM-5® Handbook on the Cultural Formulation Interview is the only book on the market that equips readers with the skills and insight to incorporate the CFI into practice, making it a critically important addition to the clinical literature.

Author : Lena Andary,Yvonne Stolk,Steven Klimidis
Publisher : Australian Academic Press
Page : 205 pages
File Size : 54,6 Mb
Release : 2003
Category : Medical
ISBN : 9781875378401

Get Book

Assessing Mental Health Across Cultures by Lena Andary,Yvonne Stolk,Steven Klimidis Pdf

We live in a multicultural society, yet how well do we understand the differences that exist across cultures and how they may impact on mental health and mental health assessment? Assessing Mental Health Across Cultures provides a framework for mental health professionals and students to obtain an in-depth understanding of a client whose cultural background is different to their own. The book uses a combination of theoretical discussion and case examples set in the context of Australia's multicultural society. Chapter titles include: Issues and Dilemmas in Diagnosis Across Cultures Cultural Values, the Sense of Self and Psychiatric Assessment Expression and Communication of Distress Across Cultures Issues in Translating Mental Health Terms Across Cultures Crosscultural Beliefs about Illness Negotiating Explanatory Models

Author : Edited by Roberto Lewis-Fernández M.D. M.T.S.,Neil Krishan Aggarwal M.D. M.B.A. M.A.,Ladson Hinton M.D.,Devon E. Hinton M.D. Ph.D.,Laurence J. Kirmayer M.D. F.R.C.P.C.
Publisher : American Psychiatric Pub
Page : 366 pages
File Size : 55,5 Mb
Release : 2015-05-06
Category : Medical
ISBN : 9781585624928

Get Book

DSM-5® Handbook on the Cultural Formulation Interview by Edited by Roberto Lewis-Fernández M.D. M.T.S.,Neil Krishan Aggarwal M.D. M.B.A. M.A.,Ladson Hinton M.D.,Devon E. Hinton M.D. Ph.D.,Laurence J. Kirmayer M.D. F.R.C.P.C. Pdf

The Cultural Formulation Interview (CFI) is a product of the arduous process that resulted in publication of the DSM-5, and only one book—DSM-5 Handbook of the Cultural Formulation Interview—provides clinicians with the background and guidance they need to implement the CFI. The Handbook teaches the reader how to conduct a cultural assessment using the CFI, which consists of three types of semistructured interviews. Although the CFI was not designed to be the sole basis for making a clinical diagnosis, it can be used in research and clinical settings to enhance clinical understanding and decision making. The volume presents techniques to help providers situate their work within the context of a patient's culture to enhance communication—not only with those of different cultures but across all clinical encounters. Especially instructive are the supplemental videos that demonstrate application of the CFI components through the use of clinical vignettes. Clinicians will, of course, find the DSM-5® Handbook of the Cultural Formulation Interview indispensable, but administrators, policy makers, advocates, and other practitioners who work collaboratively to engage patients in the mental health care process will also value its clarity and comprehensiveness.

Author : Kamaldeep Bhui
Publisher : RCPsych Publications
Page : 108 pages
File Size : 47,8 Mb
Release : 2013
Category : Medical
ISBN : 1908020490

Get Book

Elements of Culture and Mental Health by Kamaldeep Bhui Pdf

A guide for mental health professionals to working with people from diverse cultural backgrounds.

Author : Dinesh Bhugra,Antonio Ventriglio,Kamaldeep S. Bhui
Publisher : Oxford University Press
Page : 168 pages
File Size : 45,8 Mb
Release : 2018-09-13
Category : Medical
ISBN : 9780191034848

Get Book

Practical Cultural Psychiatry by Dinesh Bhugra,Antonio Ventriglio,Kamaldeep S. Bhui Pdf

Over the past decade, cultural psychiatry has become an increasingly important branch of psychiatric research. From the impact of cultural factors on causation, expression, and management of mental health disorders to the development and acceptance of cultural formulation in recent research, it is evident that cultures play a major role in both the genesis and management of psychiatric symptoms. Practical Cultural Psychiatry is a succinct, practical handbook focusing on the clinical impact culture has on mental health disorders worldwide. Covering key topics on migration, racism, self-identity, and social networks, this resource offers practical advice on assessing, investigating, and managing psychiatric conditions. The authors place particular focus on how clinicians can approach patients from different cultural backgrounds than their own to promote pathways to care and patient experience. Written by leading voices in this expanding field, Practical Cultural Psychiatry is a useful tool for all mental health clinicians wishing to improve their approach to multiculturalism and cultural identity in daily practice.

Author : Laurence J. Kirmayer,Jaswant Guzder,Cécile Rousseau
Publisher : Springer Science & Business Media
Page : 365 pages
File Size : 50,8 Mb
Release : 2013-08-15
Category : Psychology
ISBN : 9781461476153

Get Book

Cultural Consultation by Laurence J. Kirmayer,Jaswant Guzder,Cécile Rousseau Pdf

Based on a recently completed project of cultural consultation in Montreal, Cultural Consultation presents a model of multicultural and applicable health care. This model used clinicians and consultants to provide in-depth assessment, treatment planning, and limited interventions in consultation with frontline primary care and mental health practitioners working with immigrants, refugees, and members of indigenous and ethnocultural communities. Evaluation of the service has demonstrated that focused interventions by consultants familiar with patients’ cultural backgrounds could improve the relationship between the patient and the primary clinician. This volume presents models for intercultural work in psychiatry and psychology in primary care, general hospital and specialty mental health settings. The editors highlight crucial topics such as: - Discussing the social context of intercultural mental health care, conceptual models of the role of culture in psychopathology and healing, and the development of a cultural consultation service and a specialized cultural psychiatric service - Examining the process of intercultural work more closely with particular emphasis oto strategies of consultation, the identity of the clinician, the ways in which gender and culture position the clinician, and interaction of the consultant with family systems and larger institutions - Highlighting special situations that may place specific demands on the clinician: working with refugees and survivors of torture or political violence, with separated families, and with patients with psychotic episodes This book is of valuable use to mental health practitioners who are working in multidisciplinary settings who seek to understand cultural difference in complex cases. Psychiatrists, psychologists, social workers, nurse practitioners, primary care providers and trainees in these disciplines will make thorough use of the material covered in this text.

Author : Wen-Shing Tseng,Jon Streltzer
Publisher : Springer Science & Business Media
Page : 146 pages
File Size : 45,8 Mb
Release : 2008-01-14
Category : Medical
ISBN : 9780387721712

Get Book

Cultural Competence in Health Care by Wen-Shing Tseng,Jon Streltzer Pdf

Cultural competence in Health Care provides a balance between a theoretical foundation and clinical application. Because of the focus on basic principles, this book will be useful not only in the United States, but throughout the world as Cultural Competence is intending to fill the cultural competence gap for students and practitioners of medicine and related health sciences, by providing knowledge and describing the skills needed for culturally relevant medical care of patients of diverse ethnic and cultural backgrounds.

Author : American Psychiatric Association
Publisher : American Psychiatric Publishing
Page : 128 pages
File Size : 54,5 Mb
Release : 2021-09-24
Category : Electronic
ISBN : 1955245185

Get Book

Diagnostic and Statistical Manual of Mental Disorders (DSM-5) by American Psychiatric Association Pdf

Author : Richard H. Dana
Publisher : Routledge
Page : 738 pages
File Size : 53,6 Mb
Release : 2000-02
Category : Psychology
ISBN : 9781135682033

Get Book

Handbook of Cross-Cultural and Multicultural Personality Assessment by Richard H. Dana Pdf

Throughout the world as in the United States, psychologists are increasingly being called upon to evaluate clients whose backgrounds differ from their own. It has long been recognized that standard personality and psychopathology assessment instruments carry cultural biases, and in recent years, efforts to correct these biases have accelerated. The Handbook of Cross-Cultural and Multicultural Personality Assessment brings together researchers and practitioners from 12 countries with diverse ethnic and racial identities and training to present state-of-the-art knowledge about how best to minimize cultural biases in the assessment of personality and psychopathology. They consider research methodology, the design and construction of standard objective and projective tests, the use of measures of acculturation, racial identity, and culture-specific tests, the social etiquette of service delivery, and the interpretation of test data for clinical diagnosis. Ranging widely through all the relevant issues, they share a common collective vision of how culturally competent services should be delivered to clients. The Handbook offers the first comprehensive view of a consistent approach to cultural competence in assessment--a necessary precursor of effective intervention. It will become an indispensable reference for all those whose practice or research involves individuals with different ethnic and racial identities.