Culture, Ethnicity, and Mental Illness
In recent years there has been a greater recognition of how cultural concepts, values, and beliefs influence the way mental symptoms are expressed, how individuals and their families respond to mental distresses and to psychiatric diagnosis and treatment, and how mental health care is delivered community-wide.
This comprehensive, clinically oriented volume examines the expression and treatment of mental illness in the context of culture. Written by 35 international experts in the field, Culture, Ethnicity, and Mental Illness covers the areas of the clinical encounter in which culture plays a prominent role, including psychiatric epidemiology, psychotherapy, culture-bound syndromes, and psychiatric assessment.
Culture, Ethnicity, and Mental Illness provides a cultural framework in the psychiatric care of a variety of groups in the United States, including African Americans, American Indians, Alaska Natives, Asian Americans, Hispanics, women, elderly people, and gay men and lesbians. There is also a chapter dealing with the impact of AIDS among minorities. Eight glossaries of ethnic terms, including foreign language characters, are included.
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The ECA design included two sets of interviews separated by 1 year: the first to
provide information on prevalence and the second to provide ... The survey
included a diagnostic instrument, the Diagnostic Interview Schedule (DIS; Robins
New York, Free Press, 1991 Endicott J, Spitzer RL: A diagnostic interview: the
Schedule for Affective Disorders and Schizophrenia. Arch Gen Psychiatry 35:837
-844, 1978 Escobar Jl, Burnam A, Karno M, et al: Use of the mini-mental state ...
Extra time should be allotted for the interview. Conducting an interview through
an interpreter takes twice as long. The clinician needs to plan ahead by allotting
this extra time. Overcoming the language barrier requires institutional support.
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