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Today there is an overall greater awareness and acceptance of ethnic diversity in American society and a clearer definition of the United States as a pluralistic nation. The last U.S. census showed that well over 100 million Americans, white and non white, identify with an ethnic group. Ethnicity is indicative of more than the personal distinc tiveness derived from race, religion, national origin, or ge ography. It denotes the culture of people-that powerful yet subtle factor that shapes values, attitudes, perceptions, needs, modes of expression, patterns of behavior, and identity. From a clinical perspective ethnicity involves conscious and uncon scious processes that fulfill deep psychological needs for se curity, a sense of one's own proper dignity, and a sense of historical continuity as well. These functional aspects of eth nicity reinforce the notion that culture is of significant value to the quality of life and the mental health of all individuals. In the preventive and therapeutic sense, ethnicity sustains a capacity for coping with stress by providing communal support systems which serve to buffer the excessive indi vidualism, alienation, and anomie of modem mass culture. Hence, to ensure appropriate delivery of mental health ser vices to a particular ethnic population, mental health profes sionals must first become cognizant of the positive aspects vii FOREWORD viii and strengths to be drawn from a particular group identity and then incorporate these elements into their treatment strat egies or techniques.
In this classic text the authors examine the links between racism, psychological ill health and inadequate treatment of ethnic minorities. Through a series of case studies they discuss: * the psychological legacy of colonialism and slavery * the racist bias in psychiatric and psychological theory * diagnostic bias * the role of religion in mental health or illness * the value of anthropological and pschoanalytic insights. The concluding chapter in this edition reviews the development of 'transcultural psychiatry' and summarises changes in administration of the Mental Health Act.
Mental health has long been perceived as a taboo subject in the UK, so much so that mental health services have been marginalised within health and social care. There is even more serious neglect of the specific issues faced by different ethnic minorities. This book uses the rich narratives of the recovery journeys of Chinese mental health service users in the UK – a perceived ‘hard-to-reach group’ and largely invisible in mental health literature – to illustrate the myriad ways that social inequalities such as class, ethnicity and gender contribute to service users' distress and mental ill-health, as well as shape their subsequent recovery journeys. Recovery, Mental Health and Inequality contributes to the debate about the implementation of ‘recovery approach’ in mental health services and demonstrates the importance of tackling structural inequalities in facilitating meaningful recovery. This timely book would benefit practitioners and students in various fields, such as nurses, social workers and mental health postgraduate trainees.
A thought-provoking handbook for practitioners, students and trainers in the mental health field. Addresses controversial issues and offers revealing insights and intelligent suggestions for all those involved with mental health.
This pioneering reader is a collection of fundamental writings on the influence of culture and ethnicity on human social behavior. An overview of current psychological knowledge about African Americans, Asian Americans, American Indians, and Hispanics/Latinos in the United States, Readings in Ethnic Psychology addresses basic concepts in the field--race, ethnic identity, acculturation and biculturalism. In addition, psychosocial conditions such as risk behaviors, adaptive health behaviors, psychological distress, and culturally appropriate interventions are also explored.
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.
This book examines the deep roots of racism in the mental health system. Suman Fernando weaves the histories of racial discourse and clinical practice into a narrative of power, knowledge, and black suffering in an ostensibly progressive and scientifically grounded system. Drawing on a lifetime of experience as a practicing psychiatrist, he examines how the system has shifted in response to new forms of racism which have emerged since the 1960s, highlighting the widespread pathologization of black people, the impact of Islamophobia on clinical practice after 9/11, and various struggles to reform. Engaging and accessible, this book makes a compelling case for the entrenchment of racism across all aspects of psychiatry and clinical psychology, and calls for a paradigm shift in both theory and practice.
Mental health practitioners are most effective when their services respond to the client's lifestyle, cultural and linguistic heritage, and life circumstances. Thus, an essential component of evidence-based psychological practice (EBPP) is attending to the ethnocultural background of the client. A significant challenge in using EBPP to guide treatment interventions with ethnic minority clients is that relatively little applicable research has been conducted, especially research that satisfies rigorous methodological criteria. In this book, experts in the field of ethnic minority mental health treatment discuss why research on culturally informed EBPP has not made more progress and suggest tangible strategies for conducting more meaningful and impactful studies in this area. The chapters address measurement issues such as test translation and adaptation, and research design issues such as meta-analytic strategies and mixed-method approaches. Inspiring examples show how EBPP can be tailored to meet the specific needs of ethnic minorities. This volume is an important step in reducing disparities and promoting effective mental health treatment for underserved populations.