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This innovative book provides therapists with a practical guide for treating patients from other cultures. Basing her material on extensive clinical work with patients from many ethnic backgrounds, Dr. Seeley shares insights on the problems of using a second language, recognizing cultural material presented in sessions, and making specific changes in clinical practice to accommodate cultural differences. This is a timely and well-conceived model of psychotherapy that enhances cross-cultural clinical work.
The foundational knowledge and practical actions you need to effectively address your patients’ emotions—and manage your own Emotions are ever-present in the context of illness and medical care and can have an enormous impact on the well-being of patients and healthcare providers alike. Despite this impact, emotions are often devalued in a medical culture that praises stoicism and analytical reasoning. Featuring the latest theories and research on emotion in healthcare, this much-needed resource will help you build the necessary skillset to navigate the extraordinary emotional demands of practicing medicine. Emotion in the Clinical Encounter will help you: Learn the science of emotion, as it relates to clinical care Understand the role of emotion in illness Recognize the connection between clinical response to patient emotions and care outcomes Develop effective strategies for emotion recognition Build strong emotional dialogue skills for medical encounters Identify biases that may shape clinical interactions and subsequent outcomes Understand emotion regulation in patients, providers, and in the clinical relationship Address challenges and opportunities for clinical emotional wellness Identify a new path forward for delivering emotion-based medical school curricula “How did we manage for this long in healthcare without this textbook? This is an essential guide to help both trainees and established clinicians sharpen their skills. Our patients will only benefit when we bring our full set of skills to the bedside." —Danielle Ofri MD, PhD, Clinical Professor of Medicine, New York University, Editor-in-Chief of Bellevue Literary Review, and author of What Doctors Feel: How Emotions Affect the Practice of Medicine “This is a unique contribution that deeply explores the role of emotions in clinical medicine, drawing on a wide range of disciplines and presenting both scholarly paradigms and practical applications. It should be essential reading for medical educators, clinicians and patient advocates who all aim to better navigate today’s frustrating healthcare system.” —Jerome Groopman MD, Recanati Professor Harvard Medical School, and author of How Doctors Think “Emotion in the Clinical Encounter is a must-read book for clinicians. It would be especially helpful if medical students start their careers by reading this invaluable volume to gain a deeper understanding of human emotion. The book is evidence-based and detailed enough to be perhaps the definitive guide to emotions for the clinician.” —William Branch, MD, MACP, FACH, The Carter Smith, Sr Professor of Medicine, Emory University
Following discussion of intercultural sensitivity and differences, the volume presents some 45 incidents of cross-cultural conflict or difficulty in a clinical context. The reader must choose the best of four possible explanations, then read the proposed solutions to gain additional knowledge about the 23 represented cultures. Annotation c. by Book
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.
The book provides a cultural framework in the psychiatric care of a variety of groups in the United States, including African Americans, American Indians, Alaska Natives, Asian Americans, Hispanics, women, elderly people, and gay men and lesbians. Eight glossaries of ethnic terms, including foreign language characters, are included.
Racial and ethnic disparities in health care are known to reflect access to care and other issues that arise from differing socioeconomic conditions. There is, however, increasing evidence that even after such differences are accounted for, race and ethnicity remain significant predictors of the quality of health care received. In Unequal Treatment, a panel of experts documents this evidence and explores how persons of color experience the health care environment. The book examines how disparities in treatment may arise in health care systems and looks at aspects of the clinical encounter that may contribute to such disparities. Patients' and providers' attitudes, expectations, and behavior are analyzed. How to intervene? Unequal Treatment offers recommendations for improvements in medical care financing, allocation of care, availability of language translation, community-based care, and other arenas. The committee highlights the potential of cross-cultural education to improve provider-patient communication and offers a detailed look at how to integrate cross-cultural learning within the health professions. The book concludes with recommendations for data collection and research initiatives. Unequal Treatment will be vitally important to health care policymakers, administrators, providers, educators, and students as well as advocates for people of color.
Defines and describes culture and its interaction with individual experience and personality in the development of beliefs, values, and actions. Information about cultural beliefs related to health and wellness are explored as they affect intervention strategies. Based on ethnographic methods, mechanisms for culturally sensitive assessment and intervention are considered. The text goes beyond traditional fact-centered approaches, taking the perspective that culture is emergent in individuals as they interact with the physical and social environment. The book fills a niche in the health professions programs because of its theoretical approach, its emphasis on strategies and methods for clinical interventions, and its importance of strategies for practice and self-assessment.
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.
The 17th Triannual Congress of the International Association for Analytical Psychology (I.A.A.P.) took place in Cape Town, South Africa from August 12‑17, 2007. The theme of Journeys, Encounters: Clinical, Communal, Cultural was reflected in events and presentations throughout the week. The plenary presentations are printed in this volume, and a CD with all of the Congress presentations and numerous illustrations is included inside the back cover. From the Contents: Preface by Pramila Bennett 13 Opening of Congress by Astrid Berg 17 Welcome Address by Hester Solomon 19 Journeys – Encounters. Clinical, Communal, Cultural by Joe Cambray 23 How Does One Speak of Social Psychology in a Nation in Transition? by Mamphela Ramphele 26 Forgiveness After Mass Atrocities in Cultural Context: Making Public Spaces Intimate by Pumla Gobodo-Madikizela 36 Shifting Shadows: Shaping Dynamics in the Cultural Unconscious by Catherine Kaplinsky 55 Jung and Otherings in South Africa by Renos K. Papadopoulos 74 Journey to the Centre: Images of Wilderness and the Origins of the Southern African Association of Jungian Analysts by Graham S. Saayman 84 Race, Racism and Inter-Racialism in Brazil: Clinical and Cultural Perspectives by Walter Boechat & Paula Pantoja Boechat 99 The Stranger in the Therapeutic Space by Uwe Langendorf 114 My Heart Is on My Tongue – The Untranslated Self in a Translated World by Antjie Krog 131 Panel: A Passage to Africa, Part II, Contemporary Perspectives on ‘Jung’s Journey to Africa’ moderated by John Beebe 146 Life and Soul by Karina Turok 151 The Sable Venus on the Middle Passage: Images of the Transatlantic Slave Trade by Michael Vannoy Adams 159 The Journey to Africa: Cultural Melancholia in Black and White by Samuel Kimbles 165 The Containing Function of the Transference by François Martin-Vallas 169 Encounter with a Traditional Healer: Western and African Therapeutic Approaches in Dialogue by Suzanne Maiello 185 Brain Mechanisms of Dreaming by Mark Solms 204 Response by Margaret Wilkinson 218 New Direction Home: African Oracles and Analytic Attitudes by Sherry Salman 225 Panel: The Idea of the Numinous moderated by Ann Casement 242 Jung, the Numinous, and a Surpassing Myth – The Inevitability of the Numinous by John Dourley 243 On the Importance of Numinous Experience in the Alchemy of Individuation by Murray Stein 250 Before We Were: Creating in Being Created – Encounter and Journey in Our Analytic Profession by Ann Belford Ulanov 255 Closing Remarks by Astrid Berg 265 The IAAP Looks Far Ahead – President’s Farewell Address by Christian Gaillard 266
DIVERSITY IS PART OF THE FABRIC of American life. This clinical guide highlights cultural practices related to daily life, transitions, and health/illness care for 32 cultures. All chapters were written by clinicians who are very familiar with the particular cultural group either by group membership or extensive study. We hope that the information contained here will assist with your clinical encounter by bringing awareness, sensitivity, and knowledge of your patient's heritage.