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In Medicalizing Ethnicity, Vilma Santiago-Irizarry shows how commendable intentions can produce unintended consequences. Santiago-Irizarry conducted ethnographic fieldwork in three bilingual, bicultural psychiatric programs for Latino patients at public mental health facilities in New York City. The introduction of "cultural sensitivity" in mental health clinics, she concludes, led doctors to construct essentialized, composite versions of Latino ethnicity in their drive to treat mental illness with sensitivity. The author demonstrates that stressing Latino differences when dealing with patients resulted not in empowerment, as intended, but in the reassertion of Anglo-American standards of behavior in the guise of psychiatric categories by which Latino culture was negatively defined. For instance, doctors routinely translated their patients' beliefs in the Latino religious traditions of espiritismo and Santería into psychiatric terms, thus treating these beliefs as pathologies.Interpreting mental health care through the framework of culture and politics has potent effects on the understanding of "normality" toward which such care aspires. At the core of Medicalizing Ethnicity is the very definition of multiculturalism used by a variety of institutional settings in an attempt to mandate equality.
This state-of-the-art, multi-disciplinary reference is the first to assess the empirical research and conceptual frameworks for understanding the mental health needs and services use of the ethnic elderly. Leading scholars, researchers, and clinicians in gerontology, epidemiology, psychiatry, psychology, sociology, anthropology, nursing, and social work appraise varying approaches, the demographics, the mental health status and service use of the ethnic elderly, and issues in the diagnosis, treatment, and mental health service delivery for the ethnic aged: for African Americans, American Indians, Asian and Pacific Islander Americans, and Hispanic/Latino Americans. This unique handbook is a valuable resource and text for students, teachers, and professionals in a broad array of fields and settings. The handbook considers such problems as Alzheimer's Disease, depression and problems of coping, culturally specific psychosocial nursing care programs, the role of culture and class in mental and physical co-morbidity among the elderly, and important life-course perspectives for specific groups. Students, teachers, and professionals in many fields and settings will find this unique handbook a valuable resource and text.
This powerful text offers a unique analysis of the impact of race and culture on contemporary issues in mental health. Drawing on extensive international experience, Fernando challenges the traditional ideas that inform practice in clinical psychology and psychiatry in order to promote new and alternative ways of thinking. Covering both theoretical perspectives and practical implications, this insightful text discusses perceptions of ethnicity and identity, compares practices around the world and looks at racism in mental health services. This fully revised, expanded and updated edition of a seminal text offers students and practitioners alike a comprehensive and reliable study of both western and non-western psychiatry and mental health practices. New to this Edition: - Covers trauma and psychosocial support - Looks at the new discourses in mental health of recovery, spirituality and well-being - Examines the mental health of refugees - Refers to specific developments in low-income countries, including Asia and Africa
Since the problems of race relations are worldwide, the international origins and perspectives of this excellent and timely book are especially advantageous. More research has been done in the United States than elsewhere on the psychology of race relations, so it is appropriate that a plurality of the chapters of this book are by American authors--a stellar group that includes leading contributors to our contemporary knowledge of the topic. Contributors from the English-speaking Commonwealth countries are next in number, followed by authors from the United Kingdom, where race-related issues have only recently become a salient concern of politics and social ethics. The editor has assigned topics to his carefully chosen author-experts not by country or region, but by matching the expertise of each author against a need for coherent analysis of the important aspects of aepsychology and race.'Psychology and Race is divided into two major parts. The first half of the book looks at the interracial situation itself. The first section concentrates on the majority or dominant group, and describes the development and measurement of racial awareness and prejudice and techniques for reducing prejudice; the second section focuses on the reactions of subordinate or minority groups; and the third deals with specific aspects of interpersonal interaction-attitudes, behavior, and performance--when the people concerned are of different races. The book also looks at those areas of life where race is relevant and where psychology can help in an understanding of the situation.The scope of this volume, the distinction of its authors, and the hardheaded sense of reality it brings to the discussion of these extremely complex issues will make it an invaluable resource not only for teachers and students but also for everyone concerned in any way with this most pressing issue of our times.
Psychotherapy involves a deep ethical commitment to self-knowl edge, personal change, and mutual respect by both the therapist and the patient. Unfortunately, therapists have not always lived up to that commitment in understanding and treating low income and minority patients. Too often they lack the skills to understand and adjust to the patient's community and cultural experiences. The result has been ineffective and misguided treatment. Effective Psychotherapy for Low-Income and Minority Patients is a handbook for psychotherapists interested and committed to correct ing this situation and pursuing effective treatment strategies. This book is based on the author's ongoing innovative research project at the University of Southern California School of Medicine's Adult Psy chiatric Outpatient Clinic. Located in East Los Angeles, the clinic serves this nation's largest Hispanic American community and has service commitments to residents of the central Los Angeles region. Over the years the authors have noted not only a marked need to improve mental health services, but also a need to make them more accessible to minority and low income patients. Generally these pa tients have very negative ideas about treatment of emotional prob lems. They typically react to treatment with skepticism: no one has really listened to them or understood them before-why should this therapist do so now? In describing this pessimism the authors discuss the need to listen to and respect each other.
This title is part of UC Press's Voices Revived program, which commemorates University of California Press’s mission to seek out and cultivate the brightest minds and give them voice, reach, and impact. Drawing on a backlist dating to 1893, Voices Revived makes high-quality, peer-reviewed scholarship accessible once again using print-on-demand technology. This title was originally published in 1982. This title is part of UC Press's Voices Revived program, which commemorates University of California Press’s mission to seek out and cultivate the brightest minds and give them voice, reach, and impact. Drawing on a backlist dating to 1893, Voices Revived
Improve Service Delivery with New Evidence-Based Guidelines Geared to improve service delivery in the care of older adults, this new and more authoritative approach to practice and management is supported by the latest evidence-based guidelines from the leading experts in the field. For the first time, behavioral health care providers can gain access to a more reliable source for implementing and improving service delivery protocols and practices. This new guide applies evidence-based criteria to the following patient care and management needs to help you: Select an Evidence-Based Practice (EBP) Assess Feasibility Manage Quality Create a Culturally Grounded Practice Assess and Treat Depression, Anxiety, and Substance Use Disorders Assess and Treat Dementia and Schizophrenia Review by Service Delivery Process Review within Special Settings Create More Sustainable Services Written primarily for program administrators and clinical supervisors, health care professionals in mental health and geriatric services, and teachers and students in the field of geriatric health care, much of the timely information contained in this book can be used as a reference for evidence-based geriatric behavioral health by people who work with elderly clients with mental health needs.
Psychiatric Diagnosis: A Review of Research focuses on the heuristic value of psychiatric diagnoses. This book describes the purpose of a diagnosis that enables clinicians to make certain judgments regarding the life of the individual being diagnosed. Making a diagnosis should be identical to a shorthand way of saying certain things about the patient such as where he has been, where he is, and where he may be heading psychologically. This text determines what information is provided by a diagnostic statement in the matter of psychopathology. Other topics discussed include the diagnostic principle, psychotic and depressive reactions, schizophrenia, and neuroses. This publication is beneficial to psychiatrists and medical practitioners researching on the diagnosis of psychiatric disorders and mental or behavioral patterns that cause distress or disability.
The practice of curanderismo, or Mexican American folk medicine, is part of a historically and culturally important health care system deeply rooted in native Mexican healing techniques. This is the first book to describe the practice from an insider's point of view, based on the authors' three-year apprenticeships with curanderos (healers). Robert T. Trotter and Juan Antonio Chavira present an intimate view of not only how curanderismo is practiced but also how it is learned and passed on as a healing tradition. By providing a better understanding of why curanderos continue to be in demand despite the lifesaving capabilities of modern medicine, this text will serve as an indispensable resource to health professionals who work within Mexican American communities, to students of transcultural medicine, and to urban ethnologists and medical anthropologists.