By Professor of Psychiatry Wen-Shing Tseng M.D., Dr Jon Streltzer M.D.
Development on their earlier works approximately cultural competency in scientific parts and in psychotherapy, the editors have created during this quantity a very good and fully new method of figuring out and buying cultural competency. rather than interpreting populations of alternative ethnic teams, fairly minority teams (as is regular within the literature), this illuminating quantity examines cultural concerns as utilized to the perform of almost each psychiatric carrier (e.g., inpatient, outpatient, consultation-liaison, discomfort administration, and emergency) and distinctiveness (e.g., baby and adolescent, geriatric, dependancy, and forensic psychiatry). Concluding chapters talk about cultural elements in psychopharmacology and psychotherapy. 13 unusual individuals convey those matters to lifestyles with a variety of case vignettes in all eleven chapters. the basis for this step forward method rests on -CultureAThe precise habit styles and way of life that surround a collection of perspectives, ideals, values, and attitudes shared via a gaggle of people who distinguish it from different teams. tradition and folks impact one another reciprocally and interactionallyAon a unsleeping or subconscious point. -Cultural competenceAClinicians have to grasp cultural sensitivity, wisdom, and empathy; they should be versatile, and so they must be expert in culturally proper doctor-patient relationships and interactions and to grasp how one can use those components therapeutically. -The severe value of cultural competenceAClinicians usually paintings in multiethnic-cultural societies, delivering deal with sufferers of various backgrounds. for that reason, nearly all medical perform may be visible as transcultural. even if clinicians deal with sufferers who proportion cultural backgrounds just like their very own, it really is inevitable that a few modifications exist. extra, within the scientific atmosphere, 3 forms of tradition are current: the tradition of the sufferer, the tradition of the doctor, and the scientific tradition within which the medical paintings is practiced. realizing those 3 cultural dimensions is key to comprehending and accomplishing culturally efficient medical paintings. This functional and cutting edge guideAdesigned to aid psychological well-being care execs meet the hot necessities for cultural competence in scientific workAwill discover a welcoming viewers between scholars, citizens, educators, and clinicians all over the place.
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Additional info for Cultural Competence in Clinical Psychiatry (Core Competencies in Psychotherapy)
Culture and Outpatient Psychiatry 41 Case 1: A Counselor Reacts to a Patient’s Traumatic Story Mr. Seng, a young Cambodian, joined the program as a counselor trainee. On one occasion he was observing the psychiatrist and his supervisor evaluating a Cambodian woman. The evaluation was proceeding normally, and this type of interview had been performed many times by the treatment team. The woman was telling her story about the torture she had experienced at the hands of the Khmer Rouge camp guards and how she had witnessed the executions of campmates who had stolen food from others.
The interpreters find it hard to be just a conduit for information and often feel the need to explain the patient or the doctor or to distance themselves from either. Another recurring issue is that a patient may bring up very disturbing material that resonates with the interpreter’s own life. Reliving personal traumas occasionally makes it difficult to perform the role effectively—or sometimes even at all. Culture and Outpatient Psychiatry 41 Case 1: A Counselor Reacts to a Patient’s Traumatic Story Mr.
Conceptual Distinction Between Disease and Illness To facilitate the understanding of transcultural medical practice, it has been proposed that a distinction be made between disease and illness (Eisenberg 1977). The term disease refers to a pathological condition or malfunction that is diagnosed by a doctor or folk healer. It is the clinician’s conceptualization of the patient’s problem, which derives from the paradigm of disease in which the clinician was trained. For example, a biomedically oriented psychiatrist is trained to diagnose brain disease; a psychoanalyst is trained to diagnose psychodynamic problems; and a folk healer might be trained to conceptualize and interpret such things as spirit possession or sorcery.