Culture Bound Syndromes Ethnopsychiatry And Alternate Therapies

In the last few years there has been a great revival of interest in culture-bound psychiatric syndromes. A spate of new papers has been published on well known and less familiar syndromes, and there have been a number of attempts to put some order into the field of inquiry. In a review of the literature on culture-bound syndromes up to 1969 Yap made certain suggestions for organizing thinking about them which for the most part have not received general acceptance (see Carr, this volume, p. 199). Through the seventies new descriptive and conceptual work was scarce, but in the last few years books and papers discussing the field were authored or edited by Tseng and McDermott (1981), AI-Issa (1982), Friedman and Faguet (1982) and Murphy (1982). In 1983 Favazza summarized his understanding of the state of current thinking for the fourth edition of the Comprehensive Textbook of Psychiatry, and a symposium on culture-bound syndromes was organized by Kenny for the Eighth International Congress of Anthropology and Ethnology. The strong est impression to emerge from all this recent work is that there is no substantive consensus, and that the very concept, "culture-bound syndrome" could well use some serious reconsideration. As the role of culture-specific beliefs and prac tices in all affliction has come to be increasingly recognized it has become less and less clear what sets the culture-bound syndromes apart.

There is increasing interest in the scientific literature on immigrant health and its impact on disease transmission, disease prevention, health promotion, well-being on an individual and population level, health policy, and the cost of managing all these issues on an individual, institutional, national, and global level. The need for accurate and up-to-date information is particularly acute due to the increasing numbers of immigrants and refugees worldwide as the result of natural disasters, political turmoil, the growing numbers of immigrants to magnet countries, and the increasing costs of associated health care that are being felt by governments around the world. Format and Scope: The first portion of the encyclopedia contains chapters that are approximately 25 to 40 manuscript pages in length. Each overview chapter includes a list of references and suggested readings for cross referencing within the encyclopedia. The opening chapters are: Immigration in the Global Context, Immigration Processes and Health in the U.S.: A Brief History, Alternative and Complementary Medicine, Culture-Specific Diagnoses, Health Determinants, Occupational and Environmental Health, Methodological Issues in Immigrant Health Research, Ethical Issues in Research with Immigrants and Refugees, Ethical Issues in the Clinical Context. The second portion of the book consists of alphabetical entries that relate to the health of immigrants. Entries are interdisciplinary and are drawn from the following fields of study: anthropology, demographics, history, law, linguistics, medicine, population studies, psychology, religion, and sociology. Each entry is followed by a listing of suggested readings and suggested resources, and also links to related terms within the whole book. Outstanding Features The book adopts a biopsychosocial-historical approach to the topics covered in the chapters and the entries. Each entry includes suggested readings and suggested resources. The chapters and entries are written graduate level that is accessible to all academics, researchers, and professionals from diverse backgrounds. We consider the audience for the entries to be well educated, but a non expert in this area. The primary focus of the book is on the immigrant populations in and immigration to magnet countries. References are made to worldwide trends and issues arising globally. In addition to the comprehensive subject coverage the text also offers diverse perspectives. The editors themselves reflect the multidisciplinary nature of the topics, with expertise in psychiatry, law, epidemiology, anthropology, and social work. Authors similarly reflect diverse disciplines.

Cultural psychiatry is primarily concerned with the transcultural aspects of mental health related to human behavior, psychopathology and treatment. At a clinical level, cultural psychiatry aims to promote culturally relevant mental health care for patients of diverse ethnic or cultural backgrounds. From the standpoint of research, cultural psychiatry is interested in studying how ethnic or cultural factors may influence human behavior and psychopathology as well as the art of healing. On a theoretical level, cultural psychiatry aims to expand the knowledge and theories about mental health-related human behavior and mental problems by widening the sources of information and findings transculturally, and providing cross-cultural validation. This work represents the first comprehensive attempt to pull together the clinical, research and theoretical findings in a single volume. Key Features * Written by a nationally and internationally well-known author and scholar * The material focuses not only on the United States but also on various cultural settings around the world so that the subject matter can be examined broadly from universal as well as cross-cultural perspectives * Proper combination of clinical practicalities and conceptual discussion * Serves as a major source for use in the training of psychiatric residents and mental health personnel as well as students of behavior science in the areas of culture and mental health * A total of 50 chapters with detailed cross-referencing * Nearly 2000 references plus an appendix of almost 400 books * 130 tables and figures

This book outlines a "new ethnopsychiatry," one that considers popular or folk ethnomedicines and professional psychiatric systems in the same discourse, effacing the traditional distinction between psychiatry and ethnopsychiatry. The essays in this volume are from a diverse, interdisciplinary group representing history, psychology, sociology, and medicine, as well as anthropology. The author view both ethnomedical practices and illness as local cultural constructions. They consider ideologies and institutions from both professional and popular ethnopsychiatric systems in America, Western Europe, South Africa, the Caribbean, Japan, and India. The book demonstrates that professional and popular psychiatric medicines lie along the same local cultural continua, that professional, "scientific" psychiatries and less formalized systems of local popular psychology are epistemological relatives, aspects of common cultural discourses on normality and abnormality. The essays reject the notion of a universal, uniform reality of psychopathology beyond cultural boundaries, but the data strongly support the cultural and historically constructed nature of ethnopsychiatry, in its illness, ideologies, and institutions. Contributors to this volume include Amy V. Blue, Thomas Csordas, Ellen Dwyer, Paul E. Farmer, M.D., Atwood D. Gaines, Helena Jia Hershel, Janis Jenkins, Pearl Katz, Thomas Maretzki, Naoki Nomura, Charles Nuckolls, Kathryn Oths, Lorna Amarasingham Rhodes, and Leslie Swartz.

The problems of a family are often conditioned by the cultural issues its members face, regardless of their socioeconomic background. However, most therapeutic models ignore this important factor. Ariel's book offers a model for diagnosis and therapy that incorporates cultural issues. It provides clinicians and trainees with readily applicable concepts, methods, and techniques for helping families and their members overcome difficulties related to intermarriage, immigration, acculturation, socioeconomic inequality, prejudice, and ecological or demographic change. This approach enables therapists to analyze and describe a family as a cultural system, explain its culture-related difficulties, and design and carry out culturally sensitive strategies for solving these difficulties. The model introduced in this book integrates theories in family therapy in general and culturally oriented family therapy in particular with ideas drawn from many other fields, such as cross-cultural psychology, psychiatry, anthropology and linguistics. The form of therapy presented in this book is integrative, drawing from traditional curing and healing techniques employed in folk psychotherapy and medicine, in addition to more conventional therapeutic models. Every technique is modified to be adapted to the cultural character of the family in question. This book is designed to be a handbook for clinicians and a textbook for students, trainees and researchers. It can be used as a guide for a complete independent method of family therapy and also as a source of ideas and techniques that can be incorporated selectively into other forms of therapy.

Increasingly, psychologists are becoming aware of sensitivity needs with respect to treating patients from differing cultures. Culture can play an important role both in what a patient discloses about themselves, how likely they are to follow a therapist's advice, and whether specific therapies are likely to be effective for them. Following on the heels of Tseng's "Handbook of Cultural Psychiatry" comes this "Clinical Application of Cultural Psychiatry." This more concise book focuses on information most relevant to treating patients. The book discusses how culture plays a role in specific disorders (depression, anxiety, eating and sexual disorders, substance abuse, schizophrenia, etc.). relevant sensitivities to keep in mind in treating specific patient populations (age groups, differing religions, and differing ethnicity's). * Written by a nationally and internationally recognized scholar, clinician, and author * Has the proper combination of knowledge, skill, and conceptual discussion for clinical practicalities * Provides comprehensive and systematic coverage of major topics for clinical application * Enhanced by more than 120 tables and figures and nearly 30 case illustrations * Will serve as a major textbook in the training of psychiatric residents and clinical psychologists

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.