Culture permeates human activity the world over. In today's technological "global village," people from very different cultures are interacting more closely and more often than ever -- making it critical for clinicians to understand and incorporate cultural dimensions into their daily practices. This volume offers a contemporary pragmatic understanding of how culture is inextricably intertwined with mental health and mental illness. In Chapter 1, the 17-member GAP Committee on Cultural Psychiatry begins by discussing the history (particularly within the last two decades) and scope of culture in clinical psychiatry. In Chapter 2, the authors describe 11 selected cultural variables that strongly influence clinical work: ethnic identity, race, gender and sexual orientations, age, religion, migration and country of origin, socioeconomic status, acculturation and acculturative processes, language, dietary influences, and education. In Chapter 3, the authors present a brief history and detailed analysis of the Cultural Formulation, the newest instrument for ensuring thorough clinical assessments, explaining its clinical use based on DSM-IV guidelines. In Chapter 4, the authors integrate the 11 cultural variables described in Chapter 2 with the use of the Cultural Formulation described in Chapter 3, producing an extraordinary cross-section of case vignettes: How the son of Irish Catholic immigrants struggles to reconcile old-country traditions with life in modern American society The sometimes painful and always complex process and outcomes of acculturation for a Pakistani Muslim family who had come to the United States for only a temporary period but ended up staying permanently Diagnosing social phobia in an Asian American, whose traditional reticence must be viewed within the context of Asian culture Loss of country of origin and family ties as catalysts leading to significant behavioral changes and severe depressive symptoms in an African immigrant tribesman from Kenya and the cultural context of his recovery The interplay of gender, age, and religion with developmental issues, personality organization, and symptom development for a "good Catholic girl" The existential, interpersonal, and clinical experiences of a Protestant minister from predominantly Catholic Ecuador, who came to the United States as pastor of an Hispanic church in a predominantly white city In Chapter 5, the authors conclude with a summary and suggestions regarding the complex issues raised by a thorough cultural assessment. Enhanced by a detailed index, this powerful work meets the significant -- and rapidly growing -- need for psychiatrists and other mental health professionals to understand the role of culture in psychiatry and to integrate this knowledge into their practice so that they can provide the most comprehensive and useful care to their patients.
Integrating cutting edge psychological insights on both macro and micro levels with prior knowledge of workplace dynamics and functioning, this book considers the impact of the major potential disruptors of the 21st century workplace-technology, globalization, and litigation-and provides tools to repair, restore, and manage workplace relationships.
Even the most skilled therapist may underestimate suicide potential. Careful assessment and competent psychiatric intervention cannot always predict the suicidality of a particular person. Adolescent Suicide (GAP Report 140) presents techniques that allow psychiatrists and all those caring for the health and welfare of adolescents to respond to signals of distress with timely therapeutic intervention. It also suggests measures of anticipatory prevention. Adolescent Suicide presents an overview of adolescent suicidal behavior. It explores risk factors, the identification and evaluation of the suicidal adolescent, and approaches to therapy. It offers both historical and cross-cultural perspectives, the relevance of suicide to adolescent development, mental health training needs regarding suicidality, and related issues such as public health policies and medicolegal concerns. The risk of suicide presents a unique crisis in adolescent development. For this reason, all mental health professionals will find this report an indispensable tool in the treatment of adolescents at risk for suicide. Drawing from years of combined experience, this committee has applied its expertise on adolescent development to the sobering problem of suicide.
Written by a committee of the Group for the Advancement of Psychiatry, People With Mental Illness in the Criminal Justice System: Answering a Cry for Help represents the collective wisdom of leaders in community psychiatry and is the third in a series of successful publications that have used Dear Abby letters as source material. The letters, submitted by readers with experience with mental illness and the criminal justice system, constitute a rich, real-world repository for the case stories presented in this fascinating volume. Using the experiences shared in the letters, the authors employ the Sequential Intercept Model to present a series of chapters offering detailed recommendations for psychiatrists, group practices, and criminal justice entities on partnering with individuals who are at risk and their families, with the goal of improving outcomes. The book's many features and functions make it relevant to a diverse audience: The Dear Abby letters on which the book's stories are based are heartfelt and human, providing a depth of emotion and understanding that cannot be found elsewhere, and the down-to-earth writing style and real-world material are designed to be useful and compelling to both practitioner and layperson. The case-based recommendations for effective interventions are very specific and practical to promote and enhance clinical skill development. A robust set of appendices presents information for professionals on a variety of critically important topics, including principles for criminal justice and community psychiatry; sequential intercept mapping; stages of engagement with the criminal justice system; HIPAA regulations; screening and mental status/criminal justice history; essential systems of care; and the risk-need-responsivity model. An extensive section of criminal justice/mental health online resources addresses areas such as law enforcement, courts, corrections, evidence-based practices, veterans, organizations, and miscellaneous topics, providing avenues of information and assistance for individuals, families, and clinicians. This simple, evidence-based guide challenges psychiatrists to initiate changes in their clinical work; in the operation of their agencies, programs, and teams; and in their partnerships with local criminal justice and behavioral health providers to positively impact people with behavioral health conditions in the criminal justice system. Implementing the approaches described so eloquently in People With Mental Illness in the Criminal Justice System: Answering a Cry for Help can potentially reduce the overrepresentation of people with mental illnesses in justice settings, provide alternatives to incarceration, and divert individuals who do not pose a public safety risk from jail.
Psychiatrists are in a unique position to understand the personalities, needs, and motivations of cult leaders and followers. This report assumes that unique vantage point in its review of the cult phenomenon. What are the psychiatric attributes of cult leaders and followers? Why do individuals join cults? Can cults play a constructive role in an individual's life? And how can psychiatrists help family and friends deal with cult members? Supported by numerous references, this report presents statistics and colorful descriptions of American cults and their effect on those who embrace them.
Postpartum Mental Health Disorders: A Casebook offers brief, practical guidance on the recognition and management of postpartum mental health disorders, including depression, anxiety disorders, obsessive compulsive disorder (OCD), psychotic disorders, bipolar disorders, posttraumatic stress disorders, personality disorders and eating disorders.
What role does coercion play in psychiatric treatment? Does it increase or decrease the chances for successful outcome? Forced Into Treatment discusses various aspects of coercion ranging from the role of coercion in initiation psychiatric treatment to its effect on treatment process and outcome. The book demonstrated that a patient who is appropriately forced into treatment can more from initial defiance, through reluctant compliance, to a successful therapeutic alliance and a successful outcome. In addition, Forced Into Treatment addresses the role of coercion, power, and authority in socializing children the use of coercive social pressure as a motivation to seek help the effects of court-ordered treatment for people who have refused psychiatric help the historical and legal aspects regarding coercive treatment
The volume begins with the history and scope of culture in clinical psychiatry and continues by detailing 11 cultural variables that strongly influence clinical work (e.g., ethnic identity, race, gender, religion, migration, and country of origin).
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