Cultural Competence In Clinical Psychiatry

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Cultural Competence in Clinical Psychiatry

Author: Wen-Shing Tseng
language: en
Publisher: American Psychiatric Pub
Release Date: 2004
Rather than focus on a particular ethnic or minority group, this volume addresses the application of cultural psychiatry to various fields of psychiatric practice, including inpatient, outpatient, emergency, consultation-liason & pain management.
Cultural Competence in Clinical Psychiatry

Author: Wen-Shing Tseng
language: en
Publisher: American Psychiatric Pub
Release Date: 2008-05-20
Building on their previous works about cultural competency in clinical areas and in psychotherapy, the editors have created in this volume an exceptional and entirely new approach to understanding and acquiring cultural competency. Instead of examining populations of different ethnic groups, particularly minority groups (as is typical in the literature), this illuminating volume examines cultural issues as applied to the practice of virtually every psychiatric service (e.g., inpatient, outpatient, consultation-liaison, pain management, and emergency) and specialty (e.g., child and adolescent, geriatric, addiction, and forensic psychiatry). Concluding chapters discuss cultural factors in psychopharmacology and psychotherapy. Thirteen distinguished contributors bring these issues to life with numerous case vignettes in all 11 chapters. The foundation for this breakthrough approach rests on Culture -- The unique behavior patterns and lifestyle that encompass a set of views, beliefs, values, and attitudes shared by a group of people that distinguish it from other groups. Culture and people influence each other reciprocally and interactionally -- on a conscious or unconscious level. Cultural competence -- Clinicians need to master cultural sensitivity, knowledge, and empathy; they need to be flexible, and they need to be skilled in culturally relevant doctor-patient relationships and interactions and to know how to use these elements therapeutically. The critical importance of cultural competence -- Clinicians typically work in multiethnic-cultural societies, providing care for patients of diverse backgrounds. For this reason, virtually all clinical practice can be seen as transcultural. Even when clinicians treat patients who share cultural backgrounds similar to their own, it is inevitable that some differences exist. Further, in the medical setting, three types of culture are present: the culture of the patient, the culture of the physician, and the medical culture in which the clinical work is practiced. Understanding these three cultural dimensions is essential to comprehending and carrying out culturally competent clinical work. This practical and innovative guide -- designed to help mental health care professionals meet the new requirements for cultural competence in clinical work -- will find a welcoming audience among students, residents, educators, and clinicians everywhere.
Clinical Manual of Cultural Psychiatry

Author: Russell F. Lim
language: en
Publisher: American Psychiatric Pub
Release Date: 2015-04-01
The interaction of culture and mental illness is the focus of the Clinical Manual of Cultural Psychiatry, which is designed to help mental health clinicians become culturally competent and skilled in the treatment of patients from diverse backgrounds. The product of nearly two decades of seminar experience, the book teaches clinicians when it is appropriate to ask "Is what I am seeing in this patient typical behavior in his or her culture?" The ability to see someone else's worldview is essential for working with ethnic minority and culturally diverse patients, and the author, who designed the course that was this handbook's precursor, has expanded the second edition to take into account shifting demographics and the changing culture of mental health treatment. The content of the new edition has been completely updated, expanded to include new material, and enhanced by innovative features that will prove helpful for mental health clinicians as they encounter diverse patient populations. The new chapter on women reflects the fact that mental health disparities extend beyond ethnic minorities. Women have significantly higher rates of posttraumatic stress disorder and affective disorders, for example, yet research on women has been limited largely to the relationship between reproductive functioning and mental health. Two new chapters address the alarming number of unmet mental health needs that lesbian, gay, bisexual, and transgender patients suffer from. These chapters emphasize the need for mental health providers and policy makers to remedy these disparities. A new chapter has been added to help clinicians determine the role religious and spiritual beliefs play in psychological functioning, because religious and spiritual beliefs have been found to have both positive and negative effects on mental health. The newly introduced DSM-5® Cultural Formulation Interview (CFI) is addressed in the book's introduction and is included in its entirety, along with an informant module, 12 supplementary modules, and guidelines for their use in a psychiatric assessment. In addition, the reader has access to videotaped examples using simulated patients to illustrate practical application of the DSM-5® Outline for Cultural Formulation and CFI. Extensive information on ethnopsychopharmacology, reviewing clinical reports of ethnic variation with several different classes of psychotropic medications and examining the relationship of pharmacogenetics, ethnicity, and environmental factors to pharmacologic treatment of minorities. The book updates coverage of African American, Asian American, Latino/Hispanic, and Native American/Alaskan Native cultures as they relate to mental health issues while retaining the nuanced approach that was so effective in the first edition. Course-tested and DSM-5® compatible throughout, the Clinical Manual of Cultural Psychiatry is a must-read for clinicians in our diverse era.