MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'Transcultural Psychiatry' source. Sun, 22 Jan 2012 10:57:43 +0100 http://www.medworm.com/index.php?rid=5455278&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Freprint%2F48%2F5%2F707%3Frss%3D1 (Source: Transcultural Psychiatry) Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=5455278 Wed, 23 Nov 2011 05:00:00 +0100 5455278 http://www.medworm.com/index.php?rid=5455277&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Freprint%2F48%2F5%2F704%3Frss%3D1 (Source: Transcultural Psychiatry) Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=5455277 Wed, 23 Nov 2011 05:00:00 +0100 5455277 http://www.medworm.com/index.php?rid=5455276&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Freprint%2F48%2F5%2F701%3Frss%3D1 (Source: Transcultural Psychiatry) Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=5455276 Wed, 23 Nov 2011 05:00:00 +0100 5455276 http://www.medworm.com/index.php?rid=5455275&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Freprint%2F48%2F5%2F699%3Frss%3D1 (Source: Transcultural Psychiatry) Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=5455275 Wed, 23 Nov 2011 05:00:00 +0100 5455275 http://www.medworm.com/index.php?rid=5455274&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Freprint%2F48%2F5%2F695%3Frss%3D1 (Source: Transcultural Psychiatry) Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=5455274 Wed, 23 Nov 2011 05:00:00 +0100 5455274 http://www.medworm.com/index.php?rid=5455273&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Freprint%2F48%2F5%2F693%3Frss%3D1 (Source: Transcultural Psychiatry) Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=5455273 Wed, 23 Nov 2011 05:00:00 +0100 5455273 http://www.medworm.com/index.php?rid=5455272&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F48%2F5%2F684%3Frss%3D1 This study illustrates the role of cultural and religious factors in folie à deux. (Source: Transcultural Psychiatry) Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=5455272 Wed, 23 Nov 2011 05:00:00 +0100 5455272 http://www.medworm.com/index.php?rid=5455271&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F48%2F5%2F675%3Frss%3D1 Buddhist practices have been increasingly influencing psychotherapy. For over 20 centuries, Buddhism has been the religion of a majority of Sri Lankans. However, there is little documentation of the use of Buddhist practices in psychotherapy in Sri Lanka. This paper presents a case study in which Theravadan Buddhist mindfulness meditation and cognitive therapy practices were used in the treatment of a client with depressive disorder. The paper also summarizes the influence of Buddhist concepts and mindfulness meditation on psychotherapy and illustrate how Buddhist doctrine and practices can be considered a psychotherapeutic method. (Source: Transcultural Psychiatry) Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=5455271 Wed, 23 Nov 2011 05:00:00 +0100 5455271 http://www.medworm.com/index.php?rid=5455270&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F48%2F5%2F660%3Frss%3D1 The provision of mental health services to immigrants in the Netherlands is hampered by difficulty in establishing valid diagnoses of psychiatric disorders. To improve the process of diagnosing depressive disorder among Turkish women in Dutch mental healthcare, we conducted a qualitative study of women with depression in Rotterdam. A bilingual Turkish–Dutch diagnostic interview was developed to explore Turkish women's idioms of distress. Interviews were conducted with 20 women with a disputed diagnosis of depression. Results showed that distress among the Turkish women was characterized by a wide range of somatic complaints, with anxiety and agitation occurring as frequently as depressive complaints. Because the range of complaints is so varied, major depression may be underdiagnosed... Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=5455270 Wed, 23 Nov 2011 05:00:00 +0100 5455270 http://www.medworm.com/index.php?rid=5455269&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F48%2F5%2F643%3Frss%3D1 The objective of this study was to examine psychology students' attitudes toward suicidal behaviour and the meanings they assign to the act. In-depth interviews were conducted with 15 final year psychology students at a university in Ghana. Interpretative Phenomenological Analysis (IPA) was used to analyze the data. The results indicated that the students had a generalized negative attitude toward suicide. Religious beliefs and family harmony are cultural contexts influencing the interpretation of suicidal behaviour as breach of divine and communal moralities. The implications of these meanings of suicidal behaviour for suicide prevention in Ghana are discussed. (Source: Transcultural Psychiatry) Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=5455269 Wed, 23 Nov 2011 05:00:00 +0100 5455269 http://www.medworm.com/index.php?rid=5455268&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F48%2F5%2F624%3Frss%3D1 This qualitative study investigated attitudes and cultural responses to suicide among the Baganda in Uganda using both focus group discussions and key-informant interviews. Interviews indicate that suicide is perceived as dangerous to the whole family and the entire community. Communities and family members adopt various ritual practices to distance themselves both symbolically and socially from the suicide. These rituals are characterized by broad themes: the regulation of affect and the attempt to secure future generations. (Source: Transcultural Psychiatry) Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=5455268 Wed, 23 Nov 2011 05:00:00 +0100 5455268 http://www.medworm.com/index.php?rid=5455267&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F48%2F5%2F604%3Frss%3D1 The Mini Mental State Examination (MMSE) is a popular screening instrument for dementia. Drawing on ethnographic data from India, three vignettes are presented to examine how the MMSE is operationalised by interviewers and respondents. Using the concept of ‘fluidity’ from Science and Technology Studies, it will be demonstrated that the MMSE is fluid and changes according to individual norms, institutional resources, and cultural settings. In some environments, the scores are discounted in order to count; in others, the scale is perceived as an invitation to talk; and finally, the MMSE can also operate as an entry-point to seek treatment for other psychological concerns. (Source: Transcultural Psychiatry) Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=5455267 Wed, 23 Nov 2011 05:00:00 +0100 5455267 http://www.medworm.com/index.php?rid=5455266&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F48%2F5%2F585%3Frss%3D1 This paper examines narratives of women from the Indian subcontinent, including Canadian refugee claimants, emerging from the conflict regions of Pakistan, Punjab, Bangladesh, and Sri Lanka, who have presented suicidal ideation or attempts or died by suicide. The focus is on the relationship of suicide and suicide behavior to particular systemic stressors related to familial, social, and group agendas. The vulnerability of individual women is presented in the context of gender issues, deeply embedded group trauma, historical legacies, and intragenerational dynamics, as well as acute stressors that contribute to the underlying distress of these women. (Source: Transcultural Psychiatry) Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=5455266 Wed, 23 Nov 2011 05:00:00 +0100 5455266 http://www.medworm.com/index.php?rid=5455265&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F48%2F5%2F569%3Frss%3D1 This study explores gender issues from a sociocultural perspective related to stigma among people suffering from schizophrenia in India. Stigma experiences were assessed by conducting semistructured interviews with 200 patients attending urban or rural psychiatry clinics. The resulting narratives were examined by thematic content analysis. Men with schizophrenia reported being unmarried, hid their illness in job applications and from others, and experienced ridicule and shame. They reported that their experience of stigma was most acute at their places of employment. Women reported experiences of stigma in relation to marriage, pregnancy, and childbirth. Both men and women revealed specific cultural myths about their illnesses and described how these had negatively affected their lives. In... Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=5455265 Wed, 23 Nov 2011 05:00:00 +0100 5455265 http://www.medworm.com/index.php?rid=5455264&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F48%2F5%2F539%3Frss%3D1 Depression is a major health concern in India, yet indigenous Indian perspectives on depression have often been disregarded in favor of Western conceptualizations. The present study used quantitative and qualitative measures modeled on the Explanatory Model Interview Catalogue (EMIC) to elicit beliefs about the symptoms, causes, treatments, and stigma associated with depression. Data were collected from 92 students at a university in the Himalayan region of Northern India and from 97 students at a university in the Rocky Mountain region of the United States. U.S. participants in this study were included primarily to approximate a "Western baseline" (in which professional conceptions of depression are predominantly rooted) from which to elucidate Indian perspectives. Compared to U.S. partic... Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=5455264 Wed, 23 Nov 2011 05:00:00 +0100 5455264 http://www.medworm.com/index.php?rid=5455263&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F48%2F5%2F519%3Frss%3D1 The importance of appraisal in the stress process is unquestioned. Experience in the social environment that impacts outcomes such as depression are thought to have these effects because they are appraised as a threat to the individual and overwhelm the individual's capacity to cope. In terms of the nature of social experience that is associated with depression, several recent studies have examined the impact of cultural consonance. Cultural consonance is the degree to which individuals, in their own beliefs and behaviors, approximate the prototypes for belief and behavior encoded in shared cultural models. Low cultural consonance is associated with more depressive symptoms both cross-sectionally and longitudinally. In this paper we ask the question: does perceived stress mediate the effec... Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=5455263 Wed, 23 Nov 2011 05:00:00 +0100 5455263 http://www.medworm.com/index.php?rid=5220895&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Freprint%2F48%2F4%2F514%3Frss%3D1 (Source: Transcultural Psychiatry) Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=5220895 Mon, 12 Sep 2011 04:00:00 +0100 5220895 http://www.medworm.com/index.php?rid=5220894&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Freprint%2F48%2F4%2F511%3Frss%3D1 (Source: Transcultural Psychiatry) Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=5220894 Mon, 12 Sep 2011 04:00:00 +0100 5220894 http://www.medworm.com/index.php?rid=5220893&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Freprint%2F48%2F4%2F508%3Frss%3D1 (Source: Transcultural Psychiatry) Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=5220893 Mon, 12 Sep 2011 04:00:00 +0100 5220893 http://www.medworm.com/index.php?rid=5220892&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Freprint%2F48%2F4%2F505%3Frss%3D1 (Source: Transcultural Psychiatry) Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=5220892 Mon, 12 Sep 2011 04:00:00 +0100 5220892 http://www.medworm.com/index.php?rid=5220891&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Freprint%2F48%2F4%2F503%3Frss%3D1 (Source: Transcultural Psychiatry) Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=5220891 Mon, 12 Sep 2011 04:00:00 +0100 5220891 http://www.medworm.com/index.php?rid=5220890&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Freprint%2F48%2F4%2F501%3Frss%3D1 (Source: Transcultural Psychiatry) Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=5220890 Mon, 12 Sep 2011 04:00:00 +0100 5220890 http://www.medworm.com/index.php?rid=5220889&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Freprint%2F48%2F4%2F498%3Frss%3D1 (Source: Transcultural Psychiatry) Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=5220889 Mon, 12 Sep 2011 04:00:00 +0100 5220889 http://www.medworm.com/index.php?rid=5220888&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Freprint%2F48%2F4%2F496%3Frss%3D1 (Source: Transcultural Psychiatry) Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=5220888 Mon, 12 Sep 2011 04:00:00 +0100 5220888 http://www.medworm.com/index.php?rid=5220887&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F48%2F4%2F484%3Frss%3D1 We describe the translation process and the principles that guided our work. The translation process consisted of preparation, forward-translation, external translation, synthesis, focus group discussions with laypersons to clarify terminology, and review by mental health professionals and laypersons. Translation also included a wider consultation process in which the final version was sent to Pakistani mental health professionals in Pakistan and abroad. (Source: Transcultural Psychiatry) Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=5220887 Mon, 12 Sep 2011 04:00:00 +0100 5220887 http://www.medworm.com/index.php?rid=5220886&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F48%2F4%2F473%3Frss%3D1 The aim of the study was to assess the outcome of an educational effort by two North American experts in dissociative disorders to teach Chinese psychiatrists to make reliable dissociative disorder diagnoses. In the final phase of the educational effort, 569 patients at Shanghai Mental Health Center completed the Chinese version of the Dissociative Experiences Scale (DES). Patients were then randomly selected in different proportions according to their DES scores: 96 selected patients were then assessed with the Dissociative Disorders Interview Schedule (DDIS) and clinical diagnostic interviews based on DSM-IV criteria. According to the clinical diagnostic interviews, 28 (4.9%) patients were diagnosed as having dissociative disorders. Agreement between the American experts and Chinese psyc... Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=5220886 Mon, 12 Sep 2011 04:00:00 +0100 5220886 http://www.medworm.com/index.php?rid=5220885&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F48%2F4%2F455%3Frss%3D1 People with severe mental illness (SMI) in Ethiopia chew khat despite advice from their physicians to desist. We wanted to better understand their reasons for khat chewing, including any benefits that they might gain. A qualitative study was conducted involving patients with SMI and their caregivers in Butajira. Reasons given by patients as well as caregivers were more or less congruent: social pressure, a means for survival by improving function, combating medication side effects, to experience pleasure and curbing appetite. These findings will be of value to health workers, caregivers and policymakers alike in improving care and understanding for this patient group. Furthermore, our study indicates a role for future research to explore potentially beneficial effects of khat in this popul... Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=5220885 Mon, 12 Sep 2011 04:00:00 +0100 5220885 http://www.medworm.com/index.php?rid=5220884&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F48%2F4%2F437%3Frss%3D1 In conclusion, adaptation to mainstream culture daily behaviors as well as the wish to integrate with individuals from the mainstream culture and settle permanently in the new country could be seen as part of an adaptive mechanism that protects the individual from experiencing depressive symptomatology. (Source: Transcultural Psychiatry) Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=5220884 Mon, 12 Sep 2011 04:00:00 +0100 5220884 http://www.medworm.com/index.php?rid=5220883&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F48%2F4%2F416%3Frss%3D1 Since its establishment in 1998, NATAL, "The Israel Trauma Center for Victims of Terror and War," has been propagating the notion of national trauma as a comprehensive category of suffering related to the Israeli-Palestinian conflict. Against the shifting perceptions of PTSD in Israel, we explore recent undertakings of NATAL's experts to naturalize trauma among "pre-clinical" populations of Israeli Defense Force (IDF) veterans. The experts’ attempts to de-politicize the suffering of the veterans are constrained by the fact that in their clinical ideology, the apolitical language of the therapeutic is aligned with a somber national pathos that strikes a collective cord of common Jewish fate and identity. This alignment may account for the Israeli public's acceptance of NATAL's agenda,... Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=5220883 Mon, 12 Sep 2011 04:00:00 +0100 5220883 http://www.medworm.com/index.php?rid=5220882&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F48%2F4%2F392%3Frss%3D1 Although psychosocial programming is seen as essential to the humanitarian response to the Darfur conflict, aid groups lack culturally-appropriate assessment instruments for monitoring and evaluation. The current study used an emic-etic integrated approach to: (i) create a culturally-appropriate measure of distress (Study 1), and (ii) test the measure in structured interviews of 848 Darfuris living in two refugee camps in Chad (Study 2). Traditional healers identified two trauma-related idioms, hozun and majnun, which shared features with but were not identical to posttraumatic stress disorder and depression. Measures of these constructs were reliable and correlated with trauma, loss, and functional impairment. Exploratory factor analysis resulted in empirical symptom clusters conceptually... Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=5220882 Mon, 12 Sep 2011 04:00:00 +0100 5220882 http://www.medworm.com/index.php?rid=5220881&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F48%2F4%2F367%3Frss%3D1 From 1863 to 1996, many Aboriginal children in Canada were forced to attend Indian Residential Schools (IRSs), where many experienced neglect, abuse, and the trauma of separation from their families and culture. The present study examined the intergenerational impact of IRS exposure on depressive symptomatology in a convenience sample of 143 First Nations adults. IRS experiences had adverse intergenerational effects in that First Nations adults who had a parent attend IRS (n = 67) reported greater depressive symptoms compared to individuals whose parents did not attend (n = 76). Parental IRS attendance moderated the relations between stressor experiences (adverse childhood experiences, adult traumas, and perceived discrimination) and depressive symptoms, such that second generation Survivo... Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=5220881 Mon, 12 Sep 2011 04:00:00 +0100 5220881 http://www.medworm.com/index.php?rid=5019096&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Freprint%2F48%2F3%2F362%3Frss%3D1 (Source: Transcultural Psychiatry) Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=5019096 Thu, 07 Jul 2011 23:00:00 +0100 5019096 http://www.medworm.com/index.php?rid=5019095&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Freprint%2F48%2F3%2F360%3Frss%3D1 (Source: Transcultural Psychiatry) Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=5019095 Thu, 07 Jul 2011 23:00:00 +0100 5019095 http://www.medworm.com/index.php?rid=5019094&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Freprint%2F48%2F3%2F357%3Frss%3D1 (Source: Transcultural Psychiatry) Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=5019094 Thu, 07 Jul 2011 23:00:00 +0100 5019094 http://www.medworm.com/index.php?rid=5019093&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Freprint%2F48%2F3%2F355%3Frss%3D1 (Source: Transcultural Psychiatry) Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=5019093 Thu, 07 Jul 2011 23:00:00 +0100 5019093 http://www.medworm.com/index.php?rid=5019092&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Freprint%2F48%2F3%2F352%3Frss%3D1 (Source: Transcultural Psychiatry) Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=5019092 Thu, 07 Jul 2011 23:00:00 +0100 5019092 http://www.medworm.com/index.php?rid=5019091&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Freprint%2F48%2F3%2F350%3Frss%3D1 (Source: Transcultural Psychiatry) Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=5019091 Thu, 07 Jul 2011 23:00:00 +0100 5019091 http://www.medworm.com/index.php?rid=5019090&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Freprint%2F48%2F3%2F347%3Frss%3D1 (Source: Transcultural Psychiatry) Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=5019090 Thu, 07 Jul 2011 23:00:00 +0100 5019090 http://www.medworm.com/index.php?rid=5019089&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Freprint%2F48%2F3%2F345%3Frss%3D1 (Source: Transcultural Psychiatry) Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=5019089 Thu, 07 Jul 2011 23:00:00 +0100 5019089 http://www.medworm.com/index.php?rid=5019088&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Freprint%2F48%2F3%2F341%3Frss%3D1 (Source: Transcultural Psychiatry) Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=5019088 Thu, 07 Jul 2011 23:00:00 +0100 5019088 http://www.medworm.com/index.php?rid=5019087&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Freprint%2F48%2F3%2F339%3Frss%3D1 (Source: Transcultural Psychiatry) Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=5019087 Thu, 07 Jul 2011 23:00:00 +0100 5019087 http://www.medworm.com/index.php?rid=5019086&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Freprint%2F48%2F3%2F336%3Frss%3D1 (Source: Transcultural Psychiatry) Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=5019086 Thu, 07 Jul 2011 23:00:00 +0100 5019086 http://www.medworm.com/index.php?rid=5019085&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F48%2F3%2F318%3Frss%3D1 In this article we propose that schizophrenia and religious cognition engage cognate mental modules in the over-attribution of agency and the overextension of theory of mind. We argue similarities and differences between assumptions of ultrahuman agents with omniscient minds and certain ‘‘pathological’’ forms of thinking in schizophrenia: thought insertion, withdrawal and broadcasting, and delusions of reference. In everyday religious cognition agency detection and theory of mind modules function ‘‘normally,’’ whereas in schizophrenia both modules are impaired. It is suggested that religion and schizophrenia have perhaps had a related evolutionary trajectory. (Source: Transcultur... Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=5019085 Thu, 07 Jul 2011 23:00:00 +0100 5019085 http://www.medworm.com/index.php?rid=5019084&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F48%2F3%2F299%3Frss%3D1 There are significant points of similarity between considerations of self-harm and suicide in Buddhist and non-Buddhist traditions, including qualified acceptance of certain forms of self-harm, altruism as a motivation for suicide, and self-immolation as a form of political protest. Differences include specific contexts in which certain forms of self-harm are accepted and the predominant frameworks used to interpret such acts. The integration of Buddhist concepts of dukkha (unsatisfactoriness or suffering) and sati (mindfulness) into Western psychotherapeutic paradigms represents a significant point of convergence between the two traditions, and suggests the possibility of greater dialogue and therapeutic benefit in th... Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=5019084 Thu, 07 Jul 2011 23:00:00 +0100 5019084 http://www.medworm.com/index.php?rid=5019083&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F48%2F3%2F284%3Frss%3D1 This article discusses the social organization of psychiatric work in the psychiatric emergency department of a public general hospital located in New York City, based on ethnographic research conducted from 1999 to 2001. Case studies of the care of two patients with ambiguous symptoms are discussed. The analysis applies the ‘‘differences approach’’ developed by Mol and colleagues which focuses on the way different professions provide divergent explanations and ontologies for symptoms and illness. The cases illustrate the ways in which social structural constraints are compelling psychiatry to become a multidisciplinary specialty. (Source: Transcultural Psychiatry) Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=5019083 Thu, 07 Jul 2011 23:00:00 +0100 5019083 http://www.medworm.com/index.php?rid=5019082&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F48%2F3%2F257%3Frss%3D1 Disorders emphasizing symptoms of fatigue and/or weakness, collectively termed Neurasthenia Spectrum Disorders (NSDs), typically emphasize a biological basis in the West and social origins in East Asia. In India, explanatory concepts are diverse. To clarify, 352 outpatients in Psychiatry, Medicine, Dermatology, and Ayurved clinics of an urban hospital were interviewed with a version of the Explanatory Model Interview Catalogue. Comparisons of categories and narratives of illness experience and meaning across clinics indicated both shared and distinctive features. Explanatory models of NSDs highlighted social distress, ‘‘tensions,’’ and both general and clinic-specific physical, psychological, and cultur... Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=5019082 Thu, 07 Jul 2011 23:00:00 +0100 5019082 http://www.medworm.com/index.php?rid=5019081&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F48%2F3%2F228%3Frss%3D1 Based on two years of ethnographic fieldwork at the Centro Frantz Fanon, an ethnopsychiatric clinic in Northern Italy, this article traces the theoretical and clinical genealogy of Italian ethnopsychiatry as it is conceived and practiced at this clinic. The clinic draws explicitly from the work of Fanon and French ethnopsychologist Tobie Nathan. This genealogy provides a basis for reflection on the ways in which current ethnopsychiatry re-articulates older questions about difference and healing, culture and suffering, and the political dimensions of psychiatry. Although ethnopsychiatry is currently focused on the care of migrants, key issues related to the impact of colonialism on mental illness and the recognition of ... Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=5019081 Thu, 07 Jul 2011 23:00:00 +0100 5019081 http://www.medworm.com/index.php?rid=5019080&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F48%2F3%2F205%3Frss%3D1 This article presents extracts from a qualitative study of ethnopsychoanalytic therapies with immigrant families. The authors argue that the ethnopsychoanalytic approach helps to open new ways of considering cultural hybridity and create a third space where experiences ‘‘from the margins’’ may be verbalized. (Source: Transcultural Psychiatry) Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=5019080 Thu, 07 Jul 2011 23:00:00 +0100 5019080 http://www.medworm.com/index.php?rid=5019079&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F48%2F3%2F187%3Frss%3D1 This article focuses on recent developments in clinical ethnopsychiatry theorized by the French psychologist Tobie Nathan, as understood and practised by a member of his clinical research team. Alongside Western psychological theories, Nathan’s approach sets out to include, within its clinical research setting, cultural and religious theories and healing practices related to unhappiness and disease. All such theories, regardless of the culture or civilization they belong to, are regarded as potentially valid and also as possible therapeutic tools. In this perspective, Nathan criticizes the concepts of representation or belief and prefers to talk about objects and theories. To illustrate his unique approach to therapy, th... Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=5019079 Thu, 07 Jul 2011 23:00:00 +0100 5019079 http://www.medworm.com/index.php?rid=4733741&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Freprint%2F48%2F1-2%2F182%3Frss%3D1 (Source: Transcultural Psychiatry) Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=4733741 Wed, 20 Apr 2011 23:00:00 +0100 4733741 http://www.medworm.com/index.php?rid=4733740&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Freprint%2F48%2F1-2%2F177%3Frss%3D1 (Source: Transcultural Psychiatry) Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=4733740 Wed, 20 Apr 2011 23:00:00 +0100 4733740 http://www.medworm.com/index.php?rid=4733739&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F48%2F1-2%2F160%3Frss%3D1 The author grew up in Goa, a unique bicultural setting on the western coast of India. Goa came under Portuguese rule in 1510 AD and remained under the Portuguese until 1961 when it became part of India. The Indian and Portuguese cultures interacted in Goa and led the Goans to create an interesting blend in which elements of both cultures were made to reconcile. The author reviews his experiences in this setting and describes how his family background, his search for roots, and his exposure to two religions, two languages, and two cultures fostered his decision to study medicine, his passion for transcultural psychiatry, and eventual pursuit of an academic career in this field in the United States. Research and reflections are presented on the impact of colonization, migration, and accultur... Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=4733739 Wed, 20 Apr 2011 23:00:00 +0100 4733739 http://www.medworm.com/index.php?rid=4733738&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F48%2F1-2%2F146%3Frss%3D1 This article presents one woman’s odyssey, which began with a career in linguistics and later incorporated cultural psychiatry. While engaged in fieldwork as a linguist, studying the syntactic structure of Havyaka Kannada and dialectal accommodation among the castes in a South India village, I developed language skills and rapport with the village residents. Then I transferred my community-wide rapport to research on depression as a cultural psychiatrist. The articles I wrote on depression and its relationship to socialized passivity and endorsed assertiveness in progressive generations of South Indian women, illustrate the impact of change on mental health. The cultural background from my community-based longitudinal study of more than forty-five years has contributed to my understa... Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=4733738 Wed, 20 Apr 2011 23:00:00 +0100 4733738 http://www.medworm.com/index.php?rid=4733737&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F48%2F1-2%2F127%3Frss%3D1 The two primary audiences for this article are psychiatrists interested in a cultural psychiatry career and academic as well as healthcare leaders who are in a position to support cultural psychiatry training. In addition to describing my own personal journey through cultural psychiatry, this report includes strategic recommendations for becoming a cultural psychiatrist as well as rationales for supporting a cadre of cultural psychiatrists in the coming decades. A World Health Organization (WHO) sponsored program for training clinicians in addictions is described. Finally, the account summarizes those clinical, research, educational, consultative, and leadership roles that cultural training influenced during my career. (Source: Transcultural Psychiatry) Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=4733737 Wed, 20 Apr 2011 23:00:00 +0100 4733737 http://www.medworm.com/index.php?rid=4733736&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F48%2F1-2%2F115%3Frss%3D1 In this article I discuss my career in cultural psychiatry. I begin by examining the influence of my personal background on my interests in cultural psychiatry and religion and health. I then discuss my research, which has focused upon two areas: the cognitive and phenomenological parallels between religious experiences and psychopathological states, and relationships between biomedicine and religious healing in diverse cultural contexts. Finally, I discuss plans for future research and teaching. (Source: Transcultural Psychiatry) Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=4733736 Wed, 20 Apr 2011 23:00:00 +0100 4733736 http://www.medworm.com/index.php?rid=4733735&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F48%2F1-2%2F104%3Frss%3D1 This article traces the development of my career in academic cultural psychiatry and illustrates the way my clinical and academic interests were influenced both by early developmental and educational experiences and by positive career experiences as a clinician, teacher and researcher in the context of effective mentorship and professional peer relationships. The future of cultural psychiatry is exciting and its continued growth will be dependent on effective nurturance of young physicians who have a broad vision of the important place of cultural psychiatry and how it influences medicine, mental health, and society at large. (Source: Transcultural Psychiatry) Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=4733735 Wed, 20 Apr 2011 23:00:00 +0100 4733735 http://www.medworm.com/index.php?rid=4733734&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F48%2F1-2%2F90%3Frss%3D1 This article describes my developing interest in cultural psychiatry. This is both a challenging and yet a privileged opportunity to reflect on my research and clinical work over the last 25 years. I describe cultural and interpersonal influences on my thinking and interests, and the development of my research career moving from health services research of specialist services, to primary care research to public mental health research. Specifically, social and cultural influences on risks and responses to mental illness are discussed, as are pathways to care, the recognition of mental illness, and public health and cultural psychiatry research. (Source: Transcultural Psychiatry) Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=4733734 Wed, 20 Apr 2011 23:00:00 +0100 4733734 http://www.medworm.com/index.php?rid=4733733&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F48%2F1-2%2F79%3Frss%3D1 The reasons why I became a transcultural psychiatrist in a country considered to be culturally homogeneous are presented. Efforts to nurture cultural psychiatry in Japan through the activities of the Japanese Society of Transcultural Psychiatry are described. Experiences in Vancouver, Canada in the 1980s formed the basis of my cultural psychiatric research. Research on the mental health of Japanese community in Vancouver and on ethnic minorities in Japan is discussed. Specific examples are included to explain how unique Japanese cultural traits can affect diagnosis and treatment. The future of Japanese cultural psychiatry in a global context is considered. (Source: Transcultural Psychiatry) Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=4733733 Wed, 20 Apr 2011 23:00:00 +0100 4733733 http://www.medworm.com/index.php?rid=4733732&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F48%2F1-2%2F66%3Frss%3D1 The three issues of gender equality, human rights and cultural diversity have dominated my organizational commitments, research, and clinical practice in transcultural psychiatry. These issues are intertwined in many ways and have broad implications for transcultural psychiatry. With increasing globalization, psychiatrists in many countries are likely to be treating patients who have migrated from different cultures and who may have been exposed to a variety of traumatic experiences that have a profound impact on their mental health. Of particular concern is the group of torture survivors and the elucidation of their symptom manifestations, as well as effective therapeutic interventions, which clearly show how human rights issues are linked to research and clinical psychiatry. The analyses... Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=4733732 Wed, 20 Apr 2011 23:00:00 +0100 4733732 http://www.medworm.com/index.php?rid=4733731&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F48%2F1-2%2F53%3Frss%3D1 This article highlights examples from the author’s own research examining cross-national comparisons, trauma, and mental health service delivery. Research is vital to enable the field of cultural psychiatry to be a vibrant, evidence-based discipline within psychiatry. (Source: Transcultural Psychiatry) Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=4733731 Wed, 20 Apr 2011 23:00:00 +0100 4733731 http://www.medworm.com/index.php?rid=4733730&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F48%2F1-2%2F37%3Frss%3D1 This article contributes to the Transcultural Psychiatry special issue of autobiographical articles on: ‘‘The Personal and the Professional: Lives and Careers of Cultural Psychiatrists.’’ The author describes influences and themes in her professional development as a cross-cultural psychiatrist and academic. Growing up as a part-Chinese, part-white child in rural Midwestern America resulted in frequently being asked: ‘‘What are you?’’ This abrupt, bald, but essential question eventually became a useful tool in the productive, repeated re-working of identity, values, and goals throughout her personal and professional life. Experiences of being an outsider, family histories, and early observations of racism are linked to later interests in cros... Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=4733730 Wed, 20 Apr 2011 23:00:00 +0100 4733730 http://www.medworm.com/index.php?rid=4733729&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F48%2F1-2%2F24%3Frss%3D1 Mental health services in New Zealand have been significantly altered by Maori cultural values. Since 1980, a monocultural approach has given way to the incorporation of Maori language, Maori health perspectives, and Maori psychological frameworks in the assessment, treatment, and care of patients. Maori provider organizations, an expanded Maori health workforce, and Maori leadership have been crucial catalysts for the transformation. The shifts have paralleled similar changes in other sectors, reflecting a broader societal movement within which indigeneity has received greater acknowledgement. The author’s bicultural background, psychiatric training, and inclusion in Maori networks were important for promoting the transformation. (Source: Transcultural Psychiatry) Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=4733729 Wed, 20 Apr 2011 23:00:00 +0100 4733729 http://www.medworm.com/index.php?rid=4733728&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F48%2F1-2%2F6%3Frss%3D1 The report chronicles a 44-year career in cultural psychiatry spent at Duke, Cornell, Harvard, the University of British Columbia, the University of Toronto, and Ryerson Universities. It describes my studies in a rural community in Nova Scotia, in traditional villages in Senegal, West Africa, on Canadian First Nations reserves and American Indian reservations, in refugee camps in Southeast Asia, among immigrant and refugee communities in Canada, in Ethiopia, and in Israel. The report summarizes major findings resulting from these research efforts, and discusses contributions to theory as well as potential implications for practice as well as policy. The article concludes with reflections about the present state of cultural psychiatry, raises concerns about where the field seems to be in da... Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=4733728 Wed, 20 Apr 2011 23:00:00 +0100 4733728 http://www.medworm.com/index.php?rid=4733727&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Freprint%2F48%2F1-2%2F3%3Frss%3D1 (Source: Transcultural Psychiatry) Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=4733727 Wed, 20 Apr 2011 23:00:00 +0100 4733727 http://www.medworm.com/index.php?rid=4179116&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F47%2F5%2F812%3Frss%3D1 This study explored the contributions of sociocultural and psychopathological factors to suicidal ideation among adolescents. A sample of 292 French high school students with an immigrant background completed a questionnaire assessing suicidal ideation, borderline personality traits, depressive symptoms, parental attachment, life events, acculturation orientations, ethnic identity, cannabis and alcohol consumption, socioeconomic status and academic failure. Although stressful life events, depressive symptoms, and individualism were risk factors, and attachment to parents a protective factor for both boys and girls, some gender differences emerged. Borderline traits (risk factor), assimilation and marginalization (both protective factors) were significant predictors only among girls. (Sourc... Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=4179116 Thu, 18 Nov 2010 00:00:00 +0100 4179116 http://www.medworm.com/index.php?rid=4179115&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F47%2F5%2F789%3Frss%3D1 This mixed-method study examines the utility of the Gateway Provider Model (GPM) in understanding service utilization and pathways to help for Somali refugee adolescents. Somali adolescents living in the Northeastern United States, and their caregivers, were interviewed. Results revealed low rates of use of mental health services. However other sources of help, such as religious and school personnel, were accessed more frequently. The GPM provides a helpful model for understanding refugee youth access to services, and an elaborated model is presented showing how existing pathways to help could be built upon to improve refugee youth access to services. (Source: Transcultural Psychiatry) Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=4179115 Thu, 18 Nov 2010 00:00:00 +0100 4179115 http://www.medworm.com/index.php?rid=4179114&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F47%2F5%2F754%3Frss%3D1 Acculturation has been examined as a risk factor for eating disorders, but interpretation of findings has been limited by inconsistent operationalization of this construct across studies. The study aim was to develop and evaluate a population-specific measure of acculturation for ethnic Fijian adolescent schoolgirls, to use in future analyses related to eating disorders. Our findings suggest that acculturation is a multidimensional construct characterized by distinct, though related, dimensions of orientation to ethnic Fijian and/or western/global culture with respect to a range of behaviors and attitudes. In contrast to theoretical models positing uni-dimensional, orthogonal, or oblique relations between cultural identities in individuals undergoing acculturation, our study findings suppo... Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=4179114 Thu, 18 Nov 2010 00:00:00 +0100 4179114 http://www.medworm.com/index.php?rid=4179113&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F47%2F5%2F727%3Frss%3D1 This study employed a social ecology framework to evaluate psychosocial well-being in a cross-sectional sample of 142 former child soldiers in Nepal. Outcome measures included the Depression Self Rating Scale (DSRS), Child Posttraumatic Stress Disorder Symptom Scale (CPSS), and locally developed measures of functional impairment and reintegration. Hierarchical linear modeling was used to examine the contribution of factors at multiple levels. At the child level, traumatic exposures, especially torture, predicted poor outcomes, while education improved outcomes. At the family level, conflict-related death of a relative, physical abuse in the household, and loss of wealth during the conflict predicted poor outcomes. At the community level, living in high caste Hindu communities predicted lac... Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=4179113 Thu, 18 Nov 2010 00:00:00 +0100 4179113 http://www.medworm.com/index.php?rid=4179112&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F47%2F5%2F707%3Frss%3D1 This article presents multicultural ways to advance knowledge of children’s problems, to fashion conceptual and practical mental health tools, and to use these tools to help children. Diagnostically based scales and statistically derived syndromes are scored from parallel forms completed by population samples of parents, caregivers, teachers, and youths in many societies. The scores are incorporated into multicultural norms for evaluating individual children, as rated by different respondents in relation to relevant norms, such as norms for host societies where immigrant children reside and norms for their families’ home societies. Syndrome structures have been supported in 44 societies. Certain age, gender, and SES effects are consistent across many societies. As reported in o... Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=4179112 Thu, 18 Nov 2010 00:00:00 +0100 4179112 http://www.medworm.com/index.php?rid=4179111&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F47%2F5%2F686%3Frss%3D1 As the failings of neo-liberalism have recently been revealed through the collapse of much of the banking and financial services sector, it seems an opportune time to think about the impact this economic, political, and social value system has had on the well-being of children. After analyzing how our beliefs and practices around children and families are shaped by a variety of economic, political, and cultural pressures, I discuss how policies that promote a particular form of aggressive capitalism lead to a narcissistic value system that permeates social institutions, including those that deal with children. Not only does this impact children’s emotional well-being, but it also shapes the way we conceptualize children and their problems. These dynamics facilitate the rapid growth o... Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=4179111 Thu, 18 Nov 2010 00:00:00 +0100 4179111 http://www.medworm.com/index.php?rid=4179110&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Freprint%2F47%2F5%2F683%3Frss%3D1 (No abstract is available for this citation) (Source: Transcultural Psychiatry) Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=4179110 Thu, 18 Nov 2010 00:00:00 +0100 4179110 http://www.medworm.com/index.php?rid=4060389&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Freprint%2F47%2F4%2F679%3Frss%3D1 (No abstract is available for this citation) (Source: Transcultural Psychiatry) Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=4060389 Tue, 12 Oct 2010 13:37:54 +0100 4060389 http://www.medworm.com/index.php?rid=4060388&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Freprint%2F47%2F4%2F676%3Frss%3D1 (No abstract is available for this citation) (Source: Transcultural Psychiatry) Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=4060388 Tue, 12 Oct 2010 13:37:54 +0100 4060388 http://www.medworm.com/index.php?rid=4060387&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Freprint%2F47%2F4%2F675%3Frss%3D1 (No abstract is available for this citation) (Source: Transcultural Psychiatry) Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=4060387 Tue, 12 Oct 2010 13:37:54 +0100 4060387 http://www.medworm.com/index.php?rid=4060386&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Freprint%2F47%2F4%2F673%3Frss%3D1 (No abstract is available for this citation) (Source: Transcultural Psychiatry) Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=4060386 Tue, 12 Oct 2010 13:37:54 +0100 4060386 http://www.medworm.com/index.php?rid=4060385&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F47%2F4%2F647%3Frss%3D1 This article reviews the literature regarding psychiatric care of ultra-orthodox Jewish patients. The discussion describes common areas of difficulty working with members of this population in an in-patient setting, including ritual observance, gender dynamics, and countertransference. It provides guidelines for mental health professionals to distinguish between culturally-appropriate and pathological behavior in an effort to avoid misdiagnosis, and offers strategies for overcoming these challenges. It suggests possible adjustments to standard treatment plans which may prove effective in this population and recommends further resources, including the involvement of trained chaplains, for especially complicated situations. (Source: Transcultural Psychiatry) Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=4060385 Tue, 12 Oct 2010 13:37:54 +0100 4060385 http://www.medworm.com/index.php?rid=4060384&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F47%2F4%2F629%3Frss%3D1 Psychiatric rehabilitation contains value-laden concepts that may be unacceptable to certain cultures and many individuals. The concepts of independence and work are examined in a clash between mental health professionals in charge of national policies in psychiatric rehabilitation in Israel and a rehabilitation center for the severely mentally ill within the ultra-orthodox Jewish community. The government professionals considered that having the living quarters and work site in the same building deemed it unsuitable for rehabilitation, and too few progressed to independent living and working. As such, they ordered the center to be closed. Clients’ families turned to the Supreme Court and the claims and counter claims reveal value-laden positions. The bases for misunderstanding and l... Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=4060384 Tue, 12 Oct 2010 13:37:54 +0100 4060384 http://www.medworm.com/index.php?rid=4060383&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F47%2F4%2F610%3Frss%3D1 The majority of the black African population in South Africa utilize both traditional and public sector Western systems of healing for mental health care. There is a need to develop models of collaboration that promote a workable relationship between the two healing systems. The aim of this study was to explore perceptions of service users and providers of current interactions between the two systems of care and ways in which collaboration could be improved in the provision of community mental health services. Qualitative individual and focus group interviews were conducted with key health care providers and service users in one typical rural South African health sub-district. The majority of service users held traditional explanatory models of illness and used dual systems of care, with s... Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=4060383 Tue, 12 Oct 2010 13:37:54 +0100 4060383 http://www.medworm.com/index.php?rid=4060382&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F47%2F4%2F591%3Frss%3D1 Drawing on data collected from 3 focus groups with 24 traditional healers, the aim of this qualitative study was to use the constructs of the Theory of Planned Behaviour (TPB) to gain an understanding of traditional healer referral practices of their patients with a mental illness. Results indicated that traditional healers possess a concept of mental illness, mainly referring to a patient behaving abnormally. They often report regularly treating patients with these behaviours. Traditional healer referral to Western care is considered a temporary measure or a last resort. A majority of healers feel that allopathic physicians do not treat them with the respect that they feel their contribution to the health of the community warrants. Recommendations include the need for traditional healers ... Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=4060382 Tue, 12 Oct 2010 13:37:54 +0100 4060382 http://www.medworm.com/index.php?rid=4060381&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F47%2F4%2F571%3Frss%3D1 Clergy in the UK continue to provide health and social care services. However, collaboration between mental health services and clergy may be problematic, particularly in the resolution of conflicting beliefs and therapeutic modalities. For example, belief in demonic possession and other supernatural causes of mental illness, which are contentious among secular medical practitioners, remain prevalent in many ethnoreligious communities. Thus, interpretations of illness by clergy within health systems may be crucial to appropriate intervention for people with mental illness. However, clergy conceptualizations of suffering also reveal something about the secularization within religious institutions through the despiritualization of particular phenomena. This paper on Christian clergy beliefs ... Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=4060381 Tue, 12 Oct 2010 13:37:54 +0100 4060381 http://www.medworm.com/index.php?rid=4060380&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F47%2F4%2F548%3Frss%3D1 An ethnographic study was conducted in the Spanish Monastery of Santa Mónica whose community consists of ten contemplative Augustinian nuns. Through participant observation and interviews the stresses encountered by the nuns and the coping strategies they deployed are explored in depth. It was found that symptoms that otherwise might have been described as evidence of a depressive episode were understood by the nuns within the framework of the so-called Dark Night of the Soul narrative: an active process of transforming emotional distress into a process of self-reflection, attribution of religious meaning and spiritual growth. We conclude by discussing the clinical implications of this religious narrative, highlighting the importance of incorporating existential issues into clinical... Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=4060380 Tue, 12 Oct 2010 13:37:54 +0100 4060380 http://www.medworm.com/index.php?rid=4060379&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F47%2F4%2F523%3Frss%3D1 This article examines the relationship between Judeo-Christian religious experience and psychopathology. It builds on William James’s Varieties of Religious Experience and more specifically his discussions of self, agency and the subliminal. Contemporary research on Christian conversion, mysticism, and its relationship to psychosis and mental health and healing are discussed. Future themes for research are proposed. (Source: Transcultural Psychiatry) Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=4060379 Tue, 12 Oct 2010 13:37:54 +0100 4060379 http://www.medworm.com/index.php?rid=3826865&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Freprint%2F47%2F3%2F519%3Frss%3D1 (Source: Transcultural Psychiatry) Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=3826865 Thu, 05 Aug 2010 09:48:51 +0100 3826865 http://www.medworm.com/index.php?rid=3826864&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Freprint%2F47%2F3%2F515%3Frss%3D1 (Source: Transcultural Psychiatry) Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=3826864 Thu, 05 Aug 2010 09:48:51 +0100 3826864 http://www.medworm.com/index.php?rid=3826863&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Freprint%2F47%2F3%2F513%3Frss%3D1 (Source: Transcultural Psychiatry) Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=3826863 Thu, 05 Aug 2010 09:48:51 +0100 3826863 http://www.medworm.com/index.php?rid=3826862&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Freprint%2F47%2F3%2F511%3Frss%3D1 (Source: Transcultural Psychiatry) Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=3826862 Thu, 05 Aug 2010 09:48:51 +0100 3826862 http://www.medworm.com/index.php?rid=3826861&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Freprint%2F47%2F3%2F506%3Frss%3D1 (Source: Transcultural Psychiatry) Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=3826861 Thu, 05 Aug 2010 09:48:51 +0100 3826861 http://www.medworm.com/index.php?rid=3826860&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Freprint%2F47%2F3%2F502%3Frss%3D1 (Source: Transcultural Psychiatry) Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=3826860 Thu, 05 Aug 2010 09:48:51 +0100 3826860 http://www.medworm.com/index.php?rid=3826859&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F47%2F3%2F491%3Frss%3D1 This paper reflects the intersection of three cultures: the rave (all night dance party and use of the drug, Ecstasy) culture; the ward culture of an inpatient psychiatric program for First Episode Psychosis; the spirit healing culture of the Philippines. All three intersected in Toronto, Canada in the mid 1990s, as illustrated by the clinical case of a 19-year-old university student who was hospitalized with symptoms of drug-induced psychosis. Her initial treatment was not successful and presented dilemmas for the treating staff. Transfer to a second psychiatric facility that permitted attendance at a traditional Filipino healing ceremony resulted in a cure, with no recurrence 10 years later. According to James Dow’s 1986 formulation, the components of the key spiritual healing sess... Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=3826859 Thu, 05 Aug 2010 09:48:51 +0100 3826859 http://www.medworm.com/index.php?rid=3826858&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F47%2F3%2F473%3Frss%3D1 This article presents the results of a large efficacy study comparing different forms of therapy for major depressive disorder (MDD), including interpersonal psychotherapy (IPT) and pharmacotherapy. Patients were randomized to either IPT, IPT in combination with anti-depressant medication, IPT in combination with pill-placebo or medication only. The primary outcome measure was the Hamilton Rating Scale for Depression (HAMD). Patients were treated for 12 to 16 weeks. Ratings were performed at baseline, after 6 weeks of treatment and at the end of treatment. Ethnic minority patients (EMP) had higher scores on the HAMD than non-EMP for every rating period. However, the rate of improvement was the same for EMP and non-EMP. The higher mean scores of EMP on the HAMD could not be explained as sol... Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=3826858 Thu, 05 Aug 2010 09:48:51 +0100 3826858 http://www.medworm.com/index.php?rid=3826857&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F47%2F3%2F452%3Frss%3D1 The Harvard Trauma Questionnaire, Hopkins Symptom Checklist-25, and the Self-reporting Questionnaire-24 were used to evaluate distress among 22 Dinka and Nuer refugees to the US before and after complete restoration of four to six lower front teeth that had been extracted during childhood in Sudan. Participants reported significant improvement in levels of distress following full restoration of missing teeth, including symptoms of PTSD. These results illustrate the value of incorporating community perspectives into the selection of health treatment options for newly arriving populations. But they also emphasize the unique situation faced by each refugee population as they embark on a wholly new cultural learning process. (Source: Transcultural Psychiatry) Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=3826857 Thu, 05 Aug 2010 09:48:51 +0100 3826857 http://www.medworm.com/index.php?rid=3826856&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F47%2F3%2F419%3Frss%3D1 This article examines the transformation of mental health care in Tajikistan from the time of Russian colonization of Central Asia until the most recent years of post-independence. It incorporates a review of published literature into the analysis of locally available reports, focus group discussions, interviews and oral histories collected between 2005 and 2008. Traditional healers play a significant role in contemporary Tajikistan, where mental health care provision is influenced by the legacy of Soviet psychiatry. Tajik mental health care may now be in a "dormant" phase, characterized by a widespread neglect of people with mental illnesses. (Source: Transcultural Psychiatry) Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=3826856 Thu, 05 Aug 2010 09:48:51 +0100 3826856 http://www.medworm.com/index.php?rid=3826855&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F47%2F3%2F392%3Frss%3D1 Existing models for understanding suicide fail to account for the distinctiveness of Internet group suicide, a recent phenomenon in Japan. Drawing from an ethnography of Internet suicide websites, two social commentaries in Japanese popular culture, and the work of developmental psychologist Philippe Rochat, I argue that participation in Internet suicide forums and even the act of Internet group suicide result from both a need for social connectedness and the fear of social rejection and isolation that this need engenders. These needs and fears are especially strong in the case of Japan, where the dominant cultural rhetoric ties selfhood closely to the social self that is the object of perception and experience by others. I show how such an understanding of Internet group suicide helps us ... Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=3826855 Thu, 05 Aug 2010 09:48:51 +0100 3826855 http://www.medworm.com/index.php?rid=3826854&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F47%2F3%2F363%3Frss%3D1 This article discusses one cultural representation in which those transitions are brought into relief: a 2002 television series entitled PsychoDoctor that portrayed the clinical practice of a psychiatrist. The article analyzes the messages inherent in the series about the nature of mental illness, the everyday-ness of sufferers, and the expanded repertoire of treatments now available. In so doing, the article suggests that the efforts of progressive clinicians, pharmaceutical companies, and mental health activists to put forth new images of mental illness and mental health care are now having a degree of success in the arena of popular culture. (Source: Transcultural Psychiatry) Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=3826854 Thu, 05 Aug 2010 09:48:51 +0100 3826854 http://www.medworm.com/index.php?rid=3726508&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Freprint%2F47%2F2%2F358%3Frss%3D1 (Source: Transcultural Psychiatry) Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=3726508 Mon, 05 Jul 2010 15:24:52 +0100 3726508 http://www.medworm.com/index.php?rid=3726507&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Freprint%2F47%2F2%2F357%3Frss%3D1 (Source: Transcultural Psychiatry) Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=3726507 Mon, 05 Jul 2010 15:24:52 +0100 3726507 http://www.medworm.com/index.php?rid=3726506&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Freprint%2F47%2F2%2F354%3Frss%3D1 (Source: Transcultural Psychiatry) Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=3726506 Mon, 05 Jul 2010 15:24:52 +0100 3726506 http://www.medworm.com/index.php?rid=3726505&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Freprint%2F47%2F2%2F352%3Frss%3D1 (Source: Transcultural Psychiatry) Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=3726505 Mon, 05 Jul 2010 15:24:52 +0100 3726505 http://www.medworm.com/index.php?rid=3726504&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Freprint%2F47%2F2%2F350%3Frss%3D1 (Source: Transcultural Psychiatry) Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=3726504 Mon, 05 Jul 2010 15:24:52 +0100 3726504 http://www.medworm.com/index.php?rid=3726503&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Freprint%2F47%2F2%2F335%3Frss%3D1 (Source: Transcultural Psychiatry) Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=3726503 Mon, 05 Jul 2010 15:24:52 +0100 3726503 http://www.medworm.com/index.php?rid=3726502&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F47%2F2%2F322%3Frss%3D1 Gold and Olin (2009) claim that the widespread use of antidepressants is a problem and that neither philosophy nor psychiatry are in a position to provide the conceptual and scientific tools to understand, characterize and, ultimately, solve it. While we agree with their analysis of the problem and the shortcomings of psychiatry to address it, we disagree with their pessimistic assessment of the actual standing of analytical philosophy to do so: we think that the prospects for conceptual help from mainstream Anglo-American philosophy are much more promising than they allow in their paper and we aim to show how this is so. (Source: Transcultural Psychiatry) Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=3726502 Mon, 05 Jul 2010 15:24:52 +0100 3726502 http://www.medworm.com/index.php?rid=3726501&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F47%2F2%2F314%3Frss%3D1 The present study examined the association between ethnicity and clinical characteristics of patients admitted to a psychiatric inpatient unit in Portugal. The only ethnicity-related terms routinely recorded in the medical records were "Black" (mainly from the African Portuguese-speaking countries of Cape Verde, Angola, Guinea, Sao Tome and Mozambique) and "White." Black immigrants appeared to be over-represented, comprising 19.6% of inpatients; and were younger and more frequently male when compared with White inpatients. They were more frequently diagnosed with schizophrenia and acute or transient psychosis, and less frequently diagnosed with delusional and personality disorders than White inpatients. These results are consistent with previous studies in the US and UK, and highlight the ... Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=3726501 Mon, 05 Jul 2010 15:24:52 +0100 3726501 http://www.medworm.com/index.php?rid=3726500&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F47%2F2%2F301%3Frss%3D1 Interviews conducted with young women of Maghrebine origin in France show that norms of virginity represent a central means by which women negotiate Maghrebine-French identity and handle intergenerational relations. From the legacy of the colonial era to the current interethnic context, notions of virginity have played a significant role, in both official French discourse, and in the parental transmission of social values across generations. Standards of virginity stand as symbolic markers of women’s identity positioning. Yet, women also reinterpret, transform and appropriate codes of virginity according to life experience and situational context. (Source: Transcultural Psychiatry) Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=3726500 Mon, 05 Jul 2010 15:24:52 +0100 3726500 http://www.medworm.com/index.php?rid=3726499&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F47%2F2%2F276%3Frss%3D1 This article examines how the conceptions, expressions and treatment of mental distress are changing among Somalis living in Finland. The data derive from two focus group interviews with Somali seniors and two individual interviews with Islamic healers. Conditions conceptualized by the Finnish biomedical system as mental disorders, are seen by most Somalis as spiritual and/or social problems. Somali migrants face new sources of suffering and new ways of interpreting them. Consequently, traditional conceptions of mental distress both persist and change. Islamic understandings of healing, including notions of jinn spirits and treatment, continue to be important in exile. (Source: Transcultural Psychiatry) Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=3726499 Mon, 05 Jul 2010 15:24:52 +0100 3726499 http://www.medworm.com/index.php?rid=3726498&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F47%2F2%2F252%3Frss%3D1 Stigma may be an important factor in mental health service seeking and utilization. However, little work on stigma has been conducted in developing nations in the Caribbean, including Jamaica. We explored mental illness stigma in Jamaica by conducting focus groups with 16 community samples. Four overarching conceptual themes are discussed: (1) community members’ definitions of stigma; (2) emotional responses towards those with mental illness, such as fear and love; (3) behavioral responses towards those with mental illness, including avoidance and cautious approach; and (4) perceptions of and beliefs about mental illness, including a distinction between "madness" and "mental illness." (Source: Transcultural Psychiatry) Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=3726498 Mon, 05 Jul 2010 15:24:52 +0100 3726498 http://www.medworm.com/index.php?rid=3726497&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F47%2F2%2F224%3Frss%3D1 We conducted a study to investigate how understandings of mental illness and responses to mental health services vary along ethno-racial lines. Participants were 25 African American, Latino, and Euro-American inner-city residents in Hartford Connecticut diagnosed with severe mental illness and currently enrolled in a larger study of a community mental health center. Data were collected through 18 months of ethnographic work in the community. Overall, Euro-Americans participants were most aligned with professional disease-oriented perspectives on severe mental illness and sought the advice and counsel of mental health professionals. African-American and Latino participants emphasized non-biomedical interpretations of behavioral, emotional, and cognitive problems and were critical of mental ... Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=3726497 Mon, 05 Jul 2010 15:24:52 +0100 3726497 http://www.medworm.com/index.php?rid=3726496&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F47%2F2%2F203%3Frss%3D1 This article presents a theoretical framework for better understanding such clinical cases, developed from examples of psychiatric practice in different cultures. The theory is based on two meanings of the concept of culture, an elaboration of the universality-relativity dichotomy, and a view of the work of mental health care providers as involving three components: (1) building a trusting relationship with the patient; (2) making a diagnosis and treatment plan; and (3) carrying out treatment that is acceptable and meaningful to the patient. The article argues that all psychiatry is transcultural psychiatry, because a cultural gap always exists between the psychiatrist and the patient. (Source: Transcultural Psychiatry) Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=3726496 Mon, 05 Jul 2010 15:24:52 +0100 3726496 http://www.medworm.com/index.php?rid=3607360&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Freprint%2F47%2F1%2F193%3Frss%3D1 (Source: Transcultural Psychiatry) Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=3607360 Fri, 28 May 2010 07:53:45 +0100 3607360 http://www.medworm.com/index.php?rid=3607359&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Freprint%2F47%2F1%2F191%3Frss%3D1 (Source: Transcultural Psychiatry) Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=3607359 Fri, 28 May 2010 07:53:45 +0100 3607359 http://www.medworm.com/index.php?rid=3607358&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Freprint%2F47%2F1%2F189%3Frss%3D1 (Source: Transcultural Psychiatry) Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=3607358 Fri, 28 May 2010 07:53:45 +0100 3607358 http://www.medworm.com/index.php?rid=3607357&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Freprint%2F47%2F1%2F187%3Frss%3D1 (Source: Transcultural Psychiatry) Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=3607357 Fri, 28 May 2010 07:53:45 +0100 3607357 http://www.medworm.com/index.php?rid=3607356&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Freprint%2F47%2F1%2F184%3Frss%3D1 (Source: Transcultural Psychiatry) Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=3607356 Fri, 28 May 2010 07:53:45 +0100 3607356 http://www.medworm.com/index.php?rid=3607355&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Freprint%2F47%2F1%2F181%3Frss%3D1 (Source: Transcultural Psychiatry) Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=3607355 Fri, 28 May 2010 07:53:45 +0100 3607355 http://www.medworm.com/index.php?rid=3607354&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F47%2F1%2F159%3Frss%3D1 This article reviews the life and work of Dr Ravi L. Kapur, a seminal figure in the fields of social and community psychiatry in India. Kapur made significant contributions to the understanding of the role of spirituality in psychology and psychotherapy and the psychological dynamics of sectarian violence. (Source: Transcultural Psychiatry) Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=3607354 Fri, 28 May 2010 07:53:45 +0100 3607354 http://www.medworm.com/index.php?rid=3607353&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F47%2F1%2F136%3Frss%3D1 The use of psychohistoriographic cultural therapy (PCT) developed in Jamaica is described in the context of two workshops in Montreal. PCT is a form of group intervention that seeks to elicit and clarify the "psychic centrality" of a group. Psychic centrality refers to a sense of psychological containment or organization of diverse individual points of view through creating a historical map of collective experience. In PCT, this collective map is constructed and techniques borrowed from creative arts therapies are used to develop a performance. This performance provides additional containment and fosters a group process that can contain collective conflicts. The performance can also be used to engage an audience, working to contain conflict while representing diverse perspectives within th... Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=3607353 Fri, 28 May 2010 07:53:45 +0100 3607353 http://www.medworm.com/index.php?rid=3607352&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F47%2F1%2F112%3Frss%3D1 This exploratory study examined the health care system in relation to communal violence-related psychosocial wellbeing in Poso, Indonesia, as preparation for conducting a cluster randomized trial of a psychosocial intervention. We employed focus groups with children (N = 9), parents (N = 11), and teachers (N = 8), as well as semi-structured interviews with families affected by communal violence (N = 42), and key informants (N = 33). An interrelated set of problems was found that included poverty, an indigenized trauma construct, morally inappropriate behavior, inter-religious tensions, and somatic problems. Participants emphasized social-ecological interactions between concerns at different systemic levels, although problems were mainly addressed through informal care by families. The prog... Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=3607352 Fri, 28 May 2010 07:53:45 +0100 3607352 http://www.medworm.com/index.php?rid=3607351&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F47%2F1%2F93%3Frss%3D1 We present a series of studies that illustrate the importance of cultural identity clarity for personal identity and for psychological well-being. Our theoretical model proposes that interventions aimed at clarifying cultural identity may play a constructive role in the promotion of the well-being of group members exposed to collective trauma. (Source: Transcultural Psychiatry) Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=3607351 Fri, 28 May 2010 07:53:45 +0100 3607351 http://www.medworm.com/index.php?rid=3607350&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F47%2F1%2F70%3Frss%3D1 This article analyses the emotional interactions surrounding refugee determination hearings, as reflected in the discourse of administrative judges and refugees. Our results show that the concepts of empathy and compassion are often used by judges to confirm the benevolent image that the administrative tribunal wants to project as a representative body of the host country. However, the very unequal power relations of the hearing setting structure the transmission of the refugee stories in a way that often prevents an emotional encounter between decision makers and refugees. Beyond the specific context of the refugee determination process, these results illustrate how prevalent psychological models of empathy and the transmission of trauma implicitly reveal a political dimension that valida... Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=3607350 Fri, 28 May 2010 07:53:45 +0100 3607350 http://www.medworm.com/index.php?rid=3607349&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F47%2F1%2F55%3Frss%3D1 A normative sequence of six stages is proposed to describe the process of evolution from open conflict to harmonious coexistence, as well at its devolution from the latter to the former. The stages may be termed Confrontation , Truce, Collaboration, Cooperation, Interdependence and Integration. Each of the six stages constitutes an amalgam of practices, narratives and prevalent emotions in a relational "game" that tends to resist change. At the stage of Confrontation, each party assumes that any act of the other is motivated by ill intent, and active hostility prevails. In Truce or Freeze, acts of hostility are curtailed by a real or virtual "neutral zone" controlled by powerful third parties. The dominant emotions are resentment, anger, and mistrust. Collaboration retains some assumptions... Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=3607349 Fri, 28 May 2010 07:53:45 +0100 3607349 http://www.medworm.com/index.php?rid=3607348&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Freprint%2F47%2F1%2F50%3Frss%3D1 (Source: Transcultural Psychiatry) Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=3607348 Fri, 28 May 2010 07:53:45 +0100 3607348 http://www.medworm.com/index.php?rid=3607347&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F47%2F1%2F33%3Frss%3D1 This article considers some of the main features of so-called truth and reconciliation commissions, their history and structure and their characteristic concerns with respect to their central dilemmas, including: how they grapple with notions of truth, justice, liability, reconciliation, apology and forgiveness, and how they address the need to support the "reconstruction" of selves and identities in the wake of massive trauma and collective violence. A particular concern is with how such commissions or related tribunals engender what can be called a "one-to-many" dynamic, in which they try to effect social reconciliation while focusing attention, via testimony and story-telling, on the traumas and suffering of individual victims. (Source: Transcultural Psychiatry) Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=3607347 Fri, 28 May 2010 07:53:45 +0100 3607347 http://www.medworm.com/index.php?rid=3607346&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F47%2F1%2F20%3Frss%3D1 Peace studies seeks to understand the negation of violence through conflict transformation, cooperation and harmony by drawing from many disciplines, including psychology, sociology and anthropology, political science, economics, international relations, international law and history. This raises the problem of the complementarity, coexistence and integration of different systems of knowledge. In fact, all of the human and social sciences are products of the post-Westphalian state system and so reify the state and its internal and international system and focus on this as the main source of political conflict. Conflicts, however, can arise from other distinctions involving gender, generation, race, class and so on. To contribute to peace building and conflict resolution, the social science... Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=3607346 Fri, 28 May 2010 07:53:45 +0100 3607346 http://www.medworm.com/index.php?rid=3607345&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Freprint%2F47%2F1%2F5%3Frss%3D1 (Source: Transcultural Psychiatry) Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=3607345 Fri, 28 May 2010 07:53:45 +0100 3607345 http://www.medworm.com/index.php?rid=3111135&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Freprint%2F46%2F4%2F704%3Frss%3D1 (Source: Transcultural Psychiatry) Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=3111135 Mon, 21 Dec 2009 14:16:27 +0100 3111135 http://www.medworm.com/index.php?rid=3111134&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Freprint%2F46%2F4%2F702%3Frss%3D1 (Source: Transcultural Psychiatry) Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=3111134 Mon, 21 Dec 2009 14:16:26 +0100 3111134 http://www.medworm.com/index.php?rid=3111133&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Freprint%2F46%2F4%2F701%3Frss%3D1 (Source: Transcultural Psychiatry) Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=3111133 Mon, 21 Dec 2009 14:16:26 +0100 3111133 http://www.medworm.com/index.php?rid=3111132&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Freprint%2F46%2F4%2F699%3Frss%3D1 (Source: Transcultural Psychiatry) Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=3111132 Mon, 21 Dec 2009 14:16:26 +0100 3111132 http://www.medworm.com/index.php?rid=3111131&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Freprint%2F46%2F4%2F697%3Frss%3D1 (Source: Transcultural Psychiatry) Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=3111131 Mon, 21 Dec 2009 14:16:26 +0100 3111131 http://www.medworm.com/index.php?rid=3111130&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Freprint%2F46%2F4%2F695%3Frss%3D1 (Source: Transcultural Psychiatry) Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=3111130 Mon, 21 Dec 2009 14:16:26 +0100 3111130 http://www.medworm.com/index.php?rid=3111129&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F46%2F4%2F672%3Frss%3D1 Egyptian society is engaged in a culture-wide debate over definitions of abnormality, local constructions of which are rooted in ideas about the body and the soul in relation to society as a whole. This is reflected in the continuing recourse to religious healers or texts, as well as in heated debates over the moral, social, religious and legal status of religious healers, in particular the relatively recent and more orthodox "Qur’anic healers." The present study used a primarily qualitative analysis of Egyptian newspaper articles to explore media portrayals of this debate with a focus on how these contradictory cultural themes are situated and contested. The results show that psychiatric hegemony is reflected in media language that gives primacy to certain discourses over others, bu... Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=3111129 Mon, 21 Dec 2009 14:16:26 +0100 3111129 http://www.medworm.com/index.php?rid=3111128&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F46%2F4%2F651%3Frss%3D1 This article describes obstacles to the rational use of psychiatric drugs in a 1000-bed institution for people with intellectual disability employing the WHO framework for rationality. Quantitative data were collected from 98 charts and qualitative data from 14 individuals in this case study. Eight-three percent of patients were taking psychiatric medications, even though 67% of these had no psychiatric diagnosis. Antipsychotics were the first-order treatment; antidepressants were rarely prescribed. These prescribing patterns are influenced by institutional culture, including an emic construct of retardation as a form of psychosis. Low staff-to-patient ratios, a lack of non-medical treatments, and the hospitalization of patients for social reasons also contribute to medication misuse. (Sou... Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=3111128 Mon, 21 Dec 2009 14:16:26 +0100 3111128 http://www.medworm.com/index.php?rid=3111127&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F46%2F4%2F642%3Frss%3D1 Facial expressions are significant to decipher information during a dialogue and more so in a clinical consultation. Veils (Niqab) worn by Muslim women may pose a clinical dilemma for the psychiatric assessment especially if clinicians are not aware of their religious significance. To investigate whether clinical judgment is affected if full facial expressions are not accessible, we conducted an email survey of psychiatrists and psychologists across the world who frequently work in these situations. Of 25 colleagues contacted 16 responded and 11 of them agreed for their comments to be included in the study. Nine out of 11 believed clinical assessment may be compromised, although respondents were aware of cultural sensitivity around the issue. Two out of 11 however, felt fully able to asses... Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=3111127 Mon, 21 Dec 2009 14:16:26 +0100 3111127 http://www.medworm.com/index.php?rid=3111126&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F46%2F4%2F623%3Frss%3D1 Data from the Canadian Community Health Survey Cycle 1.1 showed that Chinese immigrants to Canada and Chinese individuals born in Canada were less likely than other Canadians to have contacted a health professional for mental health reasons in the previous year in the province of British Columbia. The difference persisted among individuals at moderate to high risk for depressive episode. Both immigrant and Canadian-born Chinese showed similar characteristics of mental health service use. The demographic and health factors that significantly affected their likelihood to consult mental health services included Chinese language ability, restriction in daily activities, frequency of medical consultations, and depression score. Notwithstanding lower levels of mental illness in ethnic Chinese co... Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=3111126 Mon, 21 Dec 2009 14:16:26 +0100 3111126 http://www.medworm.com/index.php?rid=3111125&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F46%2F4%2F608%3Frss%3D1 Acculturation to U.S. culture by Latinos and Asian Americans has been associated with increased prevalence of substance abuse. However, little is known about the association between acculturation and substance use among Arab Americans, or more specifically, among Arab-American treatment clients. In 156 Arab-American male treatment clients, we found that higher levels of U.S. acculturation were positively associated with increased prevalence of polysubstance abuse. This first report on a large series of Arab-American clients also found considerable within-group variability. These results can be used to develop treatment plans and work-force training on the importance of U.S. acculturation and variability within Arab Americans. (Source: Transcultural Psychiatry) Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=3111125 Mon, 21 Dec 2009 14:16:26 +0100 3111125 http://www.medworm.com/index.php?rid=3111124&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F46%2F4%2F584%3Frss%3D1 The large and diverse bodies of literature on refugee child and adolescent mental health have not been matched by a commensurate interest in help-seeking. Most help-seeking research has centred on Western and, to a lesser extent, non-refugee ethnic minority adult populations. An emerging child and adolescent help-seeking literature consistently reports widespread underutilization of mental health services by children in the general population. Current research and opinion suggest a similar trend for refugee and other ethnic minority children. While service underutilization appears to be an issue for all children, those from refugee backgrounds may be at increased risk of mental health problems and have greater difficulty accessing mental health care. From a policy and practice perspective,... Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=3111124 Mon, 21 Dec 2009 14:16:26 +0100 3111124 http://www.medworm.com/index.php?rid=3111123&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F46%2F4%2F539%3Frss%3D1 The Ryerson University Refugee Resettlement Project (RRP), a decade-long study of 1348 Southeast Asian refugees who came to Canada between 1979 and 1981, is one of the largest, most comprehensive and longest-lived investigations of refugee resettlement ever carried out. Knowledge gleaned from the RRP about research methodology, about the resettlement experience, about the social costs of resettling refugees, about factors that promote or hinder integration, about risk and protective factors for refugee mental health, and about the refugees’ consumption of mental health and social services is summarized in the form of 18 "Lessons." The lessons are offered in order to encourage and stimulate further research, as well to suggest policy and practice innovations that could help make reset... Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=3111123 Mon, 21 Dec 2009 14:16:26 +0100 3111123 http://www.medworm.com/index.php?rid=2898769&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Freprint%2F46%2F3%2F531%3Frss%3D1 (Source: Transcultural Psychiatry) Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=2898769 Fri, 16 Oct 2009 14:19:02 +0100 2898769 http://www.medworm.com/index.php?rid=2898768&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Freprint%2F46%2F3%2F528%3Frss%3D1 (Source: Transcultural Psychiatry) Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=2898768 Fri, 16 Oct 2009 14:19:02 +0100 2898768 http://www.medworm.com/index.php?rid=2898767&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Freprint%2F46%2F3%2F526%3Frss%3D1 (Source: Transcultural Psychiatry) Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=2898767 Fri, 16 Oct 2009 14:19:02 +0100 2898767 http://www.medworm.com/index.php?rid=2898766&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Freprint%2F46%2F3%2F524%3Frss%3D1 (Source: Transcultural Psychiatry) Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=2898766 Fri, 16 Oct 2009 14:19:02 +0100 2898766 http://www.medworm.com/index.php?rid=2898765&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F46%2F3%2F506%3Frss%3D1 This article reviews some limitations of the current guideline for the DSM-IV-TR Cultural Formulation (CF) from the perspective of psychiatric practice that are based on the author’s experience conducting doctoral courses on cultural psychiatry from 1996 to 2007 in the Department of Psychiatry at the Universidad Autónoma de Madrid (Spain). Two proposals are presented for facilitating use of the CF by general clinicians. These proposals offer a procedure for embedding only the most relevant clinical information in a psychiatric history, followed by a brief cultural formulation. The approach is illustrated with a clinical case. Although the CF has considerable promise for revealing knowledge about patients, health practices, and health systems that is essential for clinical care... Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=2898765 Fri, 16 Oct 2009 14:19:02 +0100 2898765 http://www.medworm.com/index.php?rid=2898764&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F46%2F3%2F487%3Frss%3D1 This article discusses the experiences of mental health professionals who applied the Cultural Formulation (CF) of the DSM-IV for assessment of psychopathology and treatment needs of refugees in the Netherlands. The CF approach proved to be a useful tool in the assessment and diagnostic phase of clinical treatment. However, patients reported problems with defining their own culture and providing explanations of illness and therapists had difficulty identifying culturally-based difficulties in the clinical relationship. Additional information was needed about working with interpreters, therapists’ attitudes towards the culture of the patient and towards their own culture, patients’ previous experiences with discrimination and inaccessibility of care, gender issues, and specific ... Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=2898764 Fri, 16 Oct 2009 14:19:02 +0100 2898764 http://www.medworm.com/index.php?rid=2898763&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F46%2F3%2F463%3Frss%3D1 Ataque de nervios (attack of nerves) is an idiom of distress generally thought of in relation to Caribbean Hispanics. The following case study discusses the presentation of ataque de nervios in a Colombian female. This case study provides insight into a different presentation of ataque de nervios in a new population that clinicians should be aware of in order to ensure accurate diagnosis. Ataque de nervios is a distinct syndrome that does not fully correspond with any single DSM-IV diagnosis. However, there is overlap between symptoms in this condition and those in conventional clinical diagnoses. Common problems in deriving an accurate differential diagnosis are discussed. Implications for treatment are also reviewed, with an emphasis on a comprehensive approach to treatment that supports... Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=2898763 Fri, 16 Oct 2009 14:19:02 +0100 2898763 http://www.medworm.com/index.php?rid=2898762&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F46%2F3%2F451%3Frss%3D1 Although there are many ways to produce a cultural formulation that facilitates a culturally sensitive diagnosis and treatment for asylum seekers and refugees in mental health care, it is essential to gain trust and ‘recognize’ the patient. One way to achieve this recognition is through a cultural interview, in which cultural references of the health care provider and the patient are exchanged. This paper presents an example of such a process with a Somali migrant to the Netherlands, whose passivity and inactivity puzzled the psychiatrist. Gaining his trust and recognizing his cultural roots as a member of a Somali ethnic group revealed more about his motives, concepts and attitude. This example suggests the importance of cultural identity as a way to explore the meanings of th... Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=2898762 Fri, 16 Oct 2009 14:19:02 +0100 2898762 http://www.medworm.com/index.php?rid=2898761&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F46%2F3%2F429%3Frss%3D1 The Cultural Formulation (CF) of the Diagnostic and Statistical Manual (DSM) provides a potential framework for improving the diagnostic assessment of Posttraumatic Stress Disorder (PTSD) in culturally diverse patients. We analyzed data from the Patient-Provider Encounter Study, a multi-site study that examines the process of diagnosis and clinical decision-making during an initial clinical intake session, in order to examine use of CF for PTSD diagnosis. We find that while the CF is generally used inconsistently or underutilized in routine community settings, when employed appropriately it may assist the formulation and interpretation of traumatic experiences. We discuss the implications for improving the assessment of PTSD in the time-limited setting of the clinical intake encounter and ... Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=2898761 Fri, 16 Oct 2009 14:19:02 +0100 2898761 http://www.medworm.com/index.php?rid=2898760&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F46%2F3%2F406%3Frss%3D1 This article discusses the experience of adapting and applying the Outline for a Cultural Formulation in DSM-IV to the Swedish context. Findings from a research project on the Cultural Formulation highlight the value of combining psychiatric nosological categorization with an understanding of patients’ cultural life context in order to increase the validity of categorization and to formulate individualized treatment plans. In clinical care practitioners need models and tools that help them take into account patients’ cultural backgrounds, needs, and resources in psychiatric diagnostic practice. We present a summary of a Swedish manual for conducting a Cultural Formulation interview. The need for further development of the Cultural Formulation is also discussed. (Source: Transcu... Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=2898760 Fri, 16 Oct 2009 14:19:02 +0100 2898760 http://www.medworm.com/index.php?rid=2898759&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F46%2F3%2F383%3Frss%3D1 This article offers a practical approach to preparing a Cultural Formulation as a component of culturally competent clinical care. We summarize the rationale for the four sections of the CF, describe the process of conducting culturally focused clinical interviews, and present examples of questions or lines of inquiry that can be used to collect the information needed to construct the CF. An online supplement provides case examples of cultural formulations applied to patients seen in the US. (Source: Transcultural Psychiatry) Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=2898759 Fri, 16 Oct 2009 14:19:02 +0100 2898759 http://www.medworm.com/index.php?rid=2898758&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Freprint%2F46%2F3%2F379%3Frss%3D1 (Source: Transcultural Psychiatry) Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=2898758 Fri, 16 Oct 2009 14:19:02 +0100 2898758 http://www.medworm.com/index.php?rid=2509315&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Freprint%2F46%2F2%2F375%3Frss%3D1 (Source: Transcultural Psychiatry) Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=2509315 Wed, 17 Jun 2009 23:00:00 +0100 2509315 http://www.medworm.com/index.php?rid=2509314&cid=s_27170_172_f&fid=27170&url=http%3A%2F%2Ftps.sagepub.com%2Fcgi%2Freprint%2F46%2F2%2F372%3Frss%3D1 (Source: Transcultural Psychiatry) Transcultural Psychiatry journals http://www.medworm.com/rss/comments.php?id=2509314 Wed, 17 Jun 2009 23:00:00 +0100 2509314