Cultural Conceptions Of Mental Health And Therapy

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.

It is only in the past 20 years that the concept of 'recovery' from mental health has been more widely considered and researched. This book is unique in addressing philosophical issues - including conceptual challenges and opportunities - raised by the notion of recovery of people with mental illness.

Cultural psychiatry has been the portal through which advances in the social sciences have found their way into medical practice and health policy. Diverse issues and activities in research and practice of cultural and transcultural psychiatry are collected in this timely volume. The contributions can be summarized in three main topics: interdisciplinary settings for practice and research; migration, trauma and the context of migrant mental health, and cultural lessons for treatment. This book provides essential reading for health professionals and social scientists who would like to understand how culture influences mental health as well as the treatment and prevention of mental illness. It will be of special interest to medical anthropologists concerned with the relationship between culture theory and psychiatry, mental health care providers and policy makers in an international environment.

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.

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

Cultural diversity has always been a fact of life, nowhere more so than in the unique melting pot of U.S. society. Respecting and understanding that diversity is an important -- and challenging -- goals. Culture and Psychotherapy: A Guide to Clinical Practice brings us closer to that goal by offering a fresh perspective on how to bring an understanding of cultural diversity to the practice of psychotherapy to improve treatment outcomes. This remarkable work presents the nuts and bolts of incorporating culture into therapy, in a way that is immediately useful and practical. Illustrated by numerous case studies that demonstrate issues, techniques, and recommendations, the topics in this wide-ranging volume focus not on specific race or ethnicity but instead on culture. Introduction -- Summarizes the influence of culture (an abstract concept defined as an entity apart from race, ethnicity, or minority) on the practice and process of psychotherapy while offering a broadened definition of psychotherapy as a special practice involving a designated healer (or therapist) and identified client (or patient) to solve a client's problem or promote a client's mental health Case Presentations and Analysis -- Illustrates distinctive cultural issues and overtones within psychotherapy, such as the traditional Japanese respect for authority figures, the Native American concept of spirit songs, the clash of modern values with traditional Islamic codes, and the effects of the conflict between Eastern values of dependence and group harmony and Western values of independence and autonomy Specific Issues in Therapy -- Discusses lessons from folk healing, the cultural aspects of the therapist-patient relationship, and the giving and receiving of medication as part of therapy Treating Special Populations -- Presents issues and trauma faced by African Americans, Hispanic veterans, Southeast Asian refugees, adolescents, and the ethnic minority elderly Special Models of Therapy -- Shows the interplay between cultural issues and specific models of therapy, including marital therapy for intercultural couples and group therapy with multiethnic members The relevance of cultural diversity will only grow stronger in the coming years as our definition of community expands to embrace global -- not just local -- issues. With its balanced combination of clinical guidance and conceptual discussion highlighted by fascinating case studies, this volume, authored by national and international experts, offers psychotherapists, psychiatrists, psychologists, psychiatric residents, psychiatric nurses, and mental health social workers -- both in the U.S. and abroad -- an expansive focus and richness of content unmatched elsewhere in the literature.