Elements of Culture and Mental Health: Critical Questions for Clinicians
It is not enough for mental health professionals to make best
use of the evidence base; they must also ensure that interventions
are culturally appropriate, acceptable and ethical. This is a very
complex task – to work with culturally diverse populations who may
not expect the same sort of treatments or interventions or even
assessment processes as the cultural majority. How can
professionals work confidently with people from diverse cultural
backgrounds, engage with the emotional and professional demands,
and be more creative about how to improve the quality of care and
the take up of care?
This short volume, developed by service users, practitioners,
teachers and researchers, aims to address this issue. Each chapter
is a concise, thought-provoking, engaging and creative essay about
a clinical scenario that is central to improving the quality of
care to culturally diverse populations. The scenarios are common,
and the essays set out beautifully some of the obstacles to
improving care, dilemmas facing the clinician, and how they might
- Covers common scenarios, faced by every
- Includes working with survivors of conflict;
working with interpreters
- Chapters are concise, but further reading is
Readership: All psychiatrists, especially those
with an interest in the affect of culture on mental health.
About the editor: Kamaldeep Bhui is Professor of
Psychiatry at Barts & The London School of Medicine, Queen
Mary, University of London.
Foreword - Desire and commitment: essential ingredients to
learn about cultural and mental illness
therapy helpful for survivors of war and conflict?
ethnopsychopharmacology lead to changes in clinical practice?
cognitive-behavioural therapy work in people with very different
cultural orientations and backgrounds?
Rathod, Farooq Naeem and David Kingdom
||Can you do
meaningful cognitive–behavioural therapy with an interpreter?
and Farooq Naeem
psychotherapeutic orientations indicated with specific ethnic
psychotherapeutic interventions overcome epistemic difference?
||The role of
culture and difference in evaluation, assessment, and
sufficient competencies for intercultural work
||The validity of
existing Eurocentric diagnostic categories
Revollo & Jorge Atala-Delgado
||What are the
limitations and benefits of the cultural formulation in
Collazos, Marcos González and Adil Qureshi
||Barriers to the
intercultural and interracial therapeutic relationship and how to
and Rachel Tribe
intercultural interpretation work in the mental health
||Do the power
relations inherent in medical systems help or hinder in
Fernando, Peter Ferns and Premila Trivedi
well-being: a paradigm for care
Trivedi, Suman Fernando and Peter Ferns
perspectives on diagnosis
and Peter Ferns
health and inequalities
work through an interpreter?
||Can race and
racism be recognised and acknowledged in the transference in the
therapeutic setting without it becoming a source of therapeutic
competence: models, measures and movements