Summary
Contents
Subject index
Why is it so difficult to provide quality mental health care for multicultural populations? How can quality care be achieved? Understanding Cultural Identity in Intervention and Assessment centers on this dilemma. This text for multicultural courses in counseling, psychotherapy, clinical psychology and social work begins with a description of the existing societal context for mental health services in the United States and the limitations of available services for multicultural populations. It documents the cultural competence a practitioner needs to provide adequate, credible, and potentially beneficial services to diverse clientele. It presents a model for effective culture-specific services that emphasizes the description and understanding of cultural/racial identity and the use of this information to develop cultural formulations to increase the accuracy of diagnoses. To provide examples of this model, the author devotes four chapters to a discussion of mental health services for a variety of domestic groups: African Americans, American Indians/Alaska Natives, Asian Americans, and Hispanic Americans. A valuable supplement to a variety of courses, Understanding Cultural Identity in Intervention and Assessment will enhance students' understanding of multicultural mental health issues in fields such as clinical/counseling psychology, multicultural psychology, educational psychology, social work, health services, and ethnic studies.
American Indians/Alaska Natives
American Indians/Alaska Natives
The major mental health problems experienced by American Indians/Alaska Natives have been described in epidemiological studies. These DSM-diagnosed disorders have, however, been reported primarily by non-Indian “outside” observers and omit the more frequently occurring culture-specific conditions and problems-in-living. Service use patterns suggest that these conditions and problems assume at least as much importance as psychiatric illnesses. Culture-specific conditions, or DSM-IV glossary designated culture-bound disorders, are generally not diagnosed. The syndromes described here include soul loss, spirit intrusion, taboo breaking, and ghost sickness or rootwork. Behavioral and symptomatic residues of these disorders still permeate everyday life, particularly on reservations, although their original descriptions have been altered by psychiatric terminology. Culture-specific problems-in-living include marginal cultural orientation status, damaged sense of self, relationship ...
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