The Experts below are selected from a list of 10108911 Experts worldwide ranked by ideXlab platform
Eunjung Lee - One of the best experts on this subject based on the ideXlab platform.
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How a Therapist Responds to Cultural Versus Noncultural Dialogue in Cross-Cultural Clinical Practice
Journal of Social Work Practice, 2013Co-Authors: Eunjung Lee, Adam O. HorvathAbstract:A therapist's capacity to respond appropriately to a client is crucial in fostering positive therapeutic relationships and outcomes in general but it is even more important in cross-cultural therapy. Given the clinical significance of the dyad-specific and dynamic nature of the therapist's responsiveness, our study explores one white female therapist's responsiveness with three racial/ethnic minority clients in the beginning phase of therapy sessions. Using the structural analysis of social behavior and conversation analysis, the turn-by-turn intensive analysis of culturally relevant and nonrelevant talk in therapy illustrates how a therapist, who is appropriately and positively responsive to clients in other contexts, becomes disengaged and even negatively oriented during culturally relevant talk. This finding illustrates the challenges involved in maintaining positive engagement and responsiveness in cross-cultural therapeutic communication. Our findings also highlight the usefulness of focusing on mome...
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Early Cultural Dialogues in Cross-Cultural Clinical Practice
Smith College Studies in Social Work, 2013Co-Authors: Eunjung Lee, Adam O. HorvathAbstract:This article examines the quality of cultural dialogues between clients and therapists when they initiate and integrate verbal references to culture in the beginning process of therapy. Six cross-cultural dyads in short-term–oriented community mental health services participated in the study. The initial three sessions of actual clinical encounters were taped, and conversation analysis was used for an intensive analysis of the treatment sessions. Despite the presence of a wide range of affectively charged cultural content raised by the clients, the therapists showed only minimal responses to these topics. The potential of therapeutically germane cultural dialogue was lost, and the discussion of material involving cultural differences regressed to monologues expressed by clients. In this sample, there was little talk that focused on cultural differences or similarities between clients and therapists. Implications and limitations of the study in cross-cultural clinical practice are discussed.
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Negotiating within Whiteness in Cross-Cultural Clinical Encounters
Social Service Review, 2013Co-Authors: Eunjung Lee, Rupaleem BhuyanAbstract:Abstract Despite awareness in social work and related literatures that sociocultural power dynamics are reproduced in practice, there is little research on how whiteness manifests as an oppressive discourse in clinical settings. This article analyzes audio-recorded therapy sessions between white therapists and racialized immigrant clients from an urban community mental health center in Canada to explore the ways in which whiteness shapes clinical encounters. Using poststructural theories of discourse and conversation analysis, the authors examine how discursive strategies that therapists and clients use in therapy sessions produce and reify whiteness as a prominent feature of cross-cultural communication. The findings illustrate how therapists maintain whiteness as an unmarked norm in their assessment of individual development and the family life cycle and how clients respond to, negotiate with, and resist whiteness, which positions them as subordinate others in Canada. The authors conclude with a discuss...
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A Working Model of Cross-Cultural Clinical Practice (CCCP)
Clinical Social Work Journal, 2012Co-Authors: Eunjung LeeAbstract:A long-standing gap between clinical and cultural practice can lead clinicians to feel overwhelmed by the task of integrating clinical practice with a culturally sensitive approach, while working toward changes in clients’ lives. This article attempts to assist clinicians in their efforts to achieve this task. Using a Task-Analysis approach in the alliance research (Safran et al. 1994 ), this article discusses the development of Cross-Cultural Clinical Practice and proposes a detailed working model for its possible application. A case example is presented to highlight key components of the model. Limitations and implications of the model in clinical social work practice are also described.
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Clinical significance of cross-cultural competencies (CCC) in social work practice
Journal of Social Work Practice, 2011Co-Authors: Eunjung LeeAbstract:Although culturally competent practice is ethically sound and sociopolitically valued, the ways in which cultural competencies affect clients' change processes have been little explored in either clinical or cultural literatures. With few theoretical guidelines, social workers in their daily practice are faced with significant challenges to integrate both clinically grounded and culturally competent practice in fostering clients' changes. This article proposes a theoretical integration of clinically significant cultural practice in social work. Drawing from the therapeutic alliance research, this article proposes relationally focused cultural competencies to promote the construct of cross-cultural competencies (CCC). CCC has three roles that can promote changes in clinical social work practice. It can (1) mediate the working alliance; (2) serve as a pathway to a client's internal working model of self and other; and (3) provide corrective emotional experience. The implications for cross-cultural psychothe...
Renato D. Alarcón - One of the best experts on this subject based on the ideXlab platform.
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Culture, cultural factors and psychiatric diagnosis: review and projections
World Psychiatry, 2009Co-Authors: Renato D. AlarcónAbstract:This paper aims to provide conceptual justifications for the inclusion of culture and cultural factors in psychiatric diagnosis, and logistic suggestions as to the content and use of this approach. A discussion of the scope and limitations of current diagnostic practice, criticisms from different quarters, and the role and relevance of culture in the diagnostic encounter, precede the examination of advantages and disadvantages of the approach. The cultural content of psychiatric diagnosis should include the main, well-recognized cultural variables, adequate family data, explanatory models, and strengths and weaknesses of every individual patient. The practical aspects include the acceptance of "cultural discordances" as a component of an updated definition of mental disorder, and the use of a refurbished cultural formulation. Clinical "telescoping" strategies to obtain relevant cultural data during the diagnostic interview, and areas of future research (including field trials on the cultural formulation and on "culture bound syndromes"), are outlined.
Andrew G. Ryder - One of the best experts on this subject based on the ideXlab platform.
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On Dynamic Contexts and Unstable Categories
Handbook of Advances in Culture and Psychology Volume 8, 2021Co-Authors: Andrew G. Ryder, Marina M. Doucerain, Biru Zhou, Jessica Dere, Tomas Jurcik, Xiaolu ZhouAbstract:This chapter discusses the lead author’s research program at the intersection of cultural psychology and clinical psychology from 1997 to 2017, emphasizing work conducted with one or more of the co-authors—former graduate students who are now independent researchers. After a brief consideration of formative research experiences, the chapter begins with research on the dynamic contexts of migrants undergoing acculturation. Much of this work challenges essentialized cultural groups, although it also tends to rely on standard measures of psychosocial adjustment. In contrast, the next part of the chapter covers research on the unstable categories of psychopathology observed when cultural variation is taken seriously. Much of this work challenges essentialized diagnostic categories, although it also tends to rely on standard group comparisons. The chapter’s final major section describes the development of Cultural-Clinical psychology, proposing a research agenda that would combine dynamic views of culture and psychopathology with implications for clinical practice.
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Handbook of Advances in Culture and Psychology, Volume 8 - On Dynamic Contexts and Unstable Categories: Steps Toward a Cultural-Clinical Psychology
Handbook of Advances in Culture and Psychology Volume 8, 2021Co-Authors: Andrew G. Ryder, Marina M. Doucerain, Biru Zhou, Jessica Dere, Tomas Jurcik, Xiaolu ZhouAbstract:This chapter discusses the lead author’s research program at the intersection of cultural psychology and clinical psychology from 1997 to 2017, emphasizing work conducted with one or more of the co-authors—former graduate students who are now independent researchers. After a brief consideration of formative research experiences, the chapter begins with research on the dynamic contexts of migrants undergoing acculturation. Much of this work challenges essentialized cultural groups, although it also tends to rely on standard measures of psychosocial adjustment. In contrast, the next part of the chapter covers research on the unstable categories of psychopathology observed when cultural variation is taken seriously. Much of this work challenges essentialized diagnostic categories, although it also tends to rely on standard group comparisons. The chapter’s final major section describes the development of Cultural-Clinical psychology, proposing a research agenda that would combine dynamic views of culture and psychopathology with implications for clinical practice.
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Cultural models of normalcy and deviancy
Asian Journal of Social Psychology, 2020Co-Authors: Yulia E. Chentsova-dutton, Andrew G. RyderAbstract:In this article, we argue that the cultural models approach provides a useful framework for cultural–clinical psychology. We begin with a brief review of this approach before presenting the distinction between cultural models for normalcy and deviancy. As well, we consider how both normalcy and deviancy can be culturally valorised or devalorised. Given that mental disorders do not always neatly fit with available cultural models, we offer evidence-based examples of unscripted as well as scripted distress. We conclude by considering key hypothesis–generating questions and some methodological approaches that could be used to improve and extend the evidence base underpinning the cultural models approach as applied to the study of culture and mental health.
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Cultural-Clinical psychology: An introduction
2019Co-Authors: Andrew G. Ryder, Marina Neibert, Valeska ZanelloAbstract:Bruna Fujimoto, 49 years old, the daughter of Japanese immigrants who arrived in Brazil in the late 1950s, grew up in a small town with a sizable Japanese minority, where she worked as a receptionist. She married a Brazilian of Italian origin at age 19 in order to please her parents, who wished for her to stay close to home. However, not marrying a Japanese and never having children disappointed her parents. In her early 40s she got divorced and has moved to Rio de Janeiro five years ago, where she says she is “catching up on lost time”. Ms. Fujimoto presents symptoms of fatigue, irritability, low appetite, and social withdrawal. She attributes her symptoms to worries about securing steady employment, lack of a support network in Rio de Janeiro, and guilt about her ailing mother who’s alone after her father’s recent death. As well, she has been facing difficulties in finding a stable romantic partner, expressing concern that her age and her ethnicity (“in between Japanese and Brazilian”) is making it difficult for her to find a match. She finds that she is increasingly keeping to herself and reports mounting anxiety over the past few weeks, particularly about her way of gazing at and being with others, which has become reserved (isolated).
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Teaching and Learning Guide: Towards a Cultural–Clinical Psychology
Social and Personality Psychology Compass, 2014Co-Authors: Andrew G. Ryder, Yulia E. Chentsova-duttonAbstract:The study of culture and mental health is an interdisciplinary endeavor with a long history, but psychology has only been fitfully involved with the ongoing conversation. Cultural psychiatry, by contrast, represents a decades‐long interdisciplinary endeavor primarily involving psychiatrists and anthropologists. One problem is that the anthropological view of culture, not as independent variable but as deep context, has been unfamiliar to psychologists until relatively recently. Although anthropological views have influenced researchers in cultural psychology, at times profoundly, collaborations between cultural and clinical psychologists remain uncommon.
Roberto Lewis-fernández - One of the best experts on this subject based on the ideXlab platform.
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Assessing Cultural Psychiatry Milestones Through an Objective Structured Clinical Examination
Academic Psychiatry, 2016Co-Authors: Auralyd Padilla, Sheldon Benjamin, Roberto Lewis-fernándezAbstract:Objective Culturally appropriate tools for patient assessment are needed to train psychiatric residents. An objective structured clinical examination (OSCE) can be a helpful tool for evaluating trainees in the psychiatry milestones pertaining to cultural competency. Methods Seventeen psychiatry residents and fellows at the University of Massachusetts participated in two small-group OSCE exercises to learn cultural interviewing using the DSM-5 Cultural Formulation Interview. Trainee groups presented a cultural formulation and received feedback. Participants were surveyed about their comfort with cultural interviewing before and after the exercise. Results Paired t tests ( N = 16) showed that mean level of comfort with the Cultural Formulation Interview increased by a mean of 0.5 points after training ( t = 3.16, df = 15, p
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The Cultural Formulation: A Method for Assessing Cultural Factors Affecting the Clinical Encounter
Psychiatric Quarterly, 2002Co-Authors: Roberto Lewis-fernández, Naelys DíazAbstract:The growing cultural pluralism of US society requires clinicians to examine the impact of cultural factors on psychiatric illness, including on symptom presentation and help-seeking behavior. In order to render an accurate diagnosis across cultural boundaries and formulate treatment plans acceptable to the patient, clinicians need a systematic method for eliciting and evaluating cultural information in the clinical encounter. This article describes one such method, the Cultural Formulation model, expanding on the guidelines published in DSM-IV. It consists of five components, assessing cultural identity, cultural explanations of the illness, cultural factors related to the psychosocial environment and levels of functioning, cultural elements of the clinician–patient relationship, and the overall impact of culture on diagnosis and care. We present a brief historical overview of the model and use a case scenario to illustrate each of its components and the substantial effect on illness course and treatment outcome of implementing the model in clinical practice.
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Culture, personality, and psychopathology.
Journal of Abnormal Psychology, 1994Co-Authors: Roberto Lewis-fernández, Arthur KleinmanAbstract:Culture needs to be made more central to the understanding of personality and psychopathology. New anthropological views describe cultural influences on personality and psychopathology by focusing on the effect of social change in local contexts on sociosomatic and sociopsychological processes. This view discloses the cultural biases built into dominant North American professional models of diagnosis and contrasts with past uses of culture in cross-cultural research. Examples from Chinese and Puerto Rican societies illustrate how indigenous interpersonal models of personality and psychopathology that focus on social processes can augment the cross-cultural validity of clinical formulations
Lauren E. Gulbas - One of the best experts on this subject based on the ideXlab platform.
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a cultural idiom of distress?
2016Co-Authors: Luis H. Zayas, Lauren E. GulbasAbstract:The high rates of suicide attempts among adolescent Hispanic females in the United States have been well established by epidemiological and clinical studies. In this paper, we review the research history of Latina suicide attempts and their characteristics. Then we apply multi-faceted conceptual and empirical criteria found in the anthropological and psychiatric literature about cultural idioms of distress to the suicide attempts of young Latinas. We contrast the suicide-attempt phenomenon to the well-known ataque de nervios and propose that the phenomenon may reflect a developmental or cultural variant of the ataque. The attempt-as-idiom proposition is intended to invite discussion that can deepen our understanding of the cultural roots of the suicide attempts and their possible designation as cultural idiom. Establishing the meaning of suicide attempts within a cultural perspective can assist psychological and psychiatric research and clinical interventions
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Are suicide attempts by young Latinas a cultural idiom of distress
Transcultural psychiatry, 2012Co-Authors: Luis H. Zayas, Lauren E. GulbasAbstract:The high rates of suicide attempts among adolescent Hispanic females in the United States have been well established by epidemiological and clinical studies. In this paper, we review the research history of Latina suicide attempts and their characteristics. Then we apply multi-faceted conceptual and empirical criteria found in the anthropological and psychiatric literature about cultural idioms of distress to the suicide attempts of young Latinas. We contrast the suicide-attempt phenomenon to the well-known ataque de nervios and propose that the phenomenon may reflect a developmental or cultural variant of the ataque. The attempt-as-idiom proposition is intended to invite discussion that can deepen our understanding of the cultural roots of the suicide attempts and their possible designation as cultural idiom. Establishing the meaning of suicide attempts within a cultural perspective can assist psychological and psychiatric research and clinical interventions.
