Cultural Competence in Clinical Psychiatry (Core Competencies in Psychotherapy)

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

Author(s): Wen-Shing Tseng, Jon, M.D. Streltzer
Edition: 1
Year: 2004

Language: English
Pages: 202

Contents......Page 6
Contributors......Page 12
Preface......Page 14
1 Introduction: Culture and Psychiatry......Page 16
2 Culture and Inpatient Psychiatry......Page 36
3 Culture and Outpatient Psychiatry......Page 52
4 Culture and the Psychiatric Emergency Service......Page 68
5 Culture and Consultation–Liaison Psychiatry......Page 82
6 Culture and Addiction Psychiatry......Page 100
7 Culture and Forensic Psychiatry......Page 122
8 Culture and Child and Adolescent Psychiatry......Page 140
9 Culture and Geriatric Psychiatry......Page 162
10 Culture and Drug Therapy......Page 178
11 Culture and Psychotherapy......Page 196
C......Page 214
I......Page 216
T......Page 217