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Chapter 10 - Transcultural Aspects of Mental Health Care

Published online by Cambridge University Press:  02 January 2025

By
Syed Shahzeb Ayaz  and
Ali Abbas Asghar-Ali
Edited by
Marsal Sanches  and
Jair C. Soares
Marsal Sanches
Affiliation:
McGovern Medical School, Texas
Jair C. Soares
Affiliation:
McGovern Medical School, Texas
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Summary

Culture is the unique customs, values, norms, and language of a society or community. It is constantly evolving to accommodate for changes in the social, political, economic, and environmental atmosphere. It also plays a critical role in how individuals interpret and respond to illness. Transcultural psychiatry has been developed to address the role of understanding and incorporating the role of culture in psychiatry. As the United States becomes more diverse, the application of transcultural psychiatry in clinical practice becomes even more important. There are several tools that clinicians can use to implement transcultural practices, including the Cultural Formulation Interview, CRASH model, HUMBLE model, and LEARN model. However, it is understood that barriers in implementation exist, such as language barriers, training, stereotypes, implicit discrimination, and time. To bridge these obstacles, clinicians should educate themselves about the different models of transcultural care and dedicate attention to adopting these in their personal practices and in their individual clinical teams.

Keywords

transcultural psychiatrycultural formulationculturepsychiatric practice
Type
Chapter
Information
Fundamentals of Clinical Psychiatry
A Practical Handbook
 , pp. 78 - 85
Publisher: Cambridge University Press
Print publication year: 2025

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References

APA Dictionary of Psychology. American Psychological Association, 2023. Available at https://dictionary.apa.org/. Last accessed April 7, 2023.Google Scholar
Hays, P. A.. Addressing the complexities of culture and gender in counseling. J Couns Dev. 1996;74(4):332–338.CrossRefGoogle Scholar
Wright, J. B., Wolfe, D., P.Krishnakumar, C., et al. Census release shows America is more diverse and more multiracial than ever. CNN Politics [Internet]. CNN. 2021. Available from: https://www.cnn.com/2021/08/12/politics/us-census-2020-data/index.html. Last accessed April 11, 2023.Google Scholar
Lewis-Fernández, R., ed. DSM-5 Handbook on the Cultural Formulation Interview. American Psychiatric Publications; 2016.Google Scholar
Alarcón, R. D., Bell, C. C., Kirmayer LJ, L. J., et al. Beyond the funhouse mirrors: research agenda on culture and psychiatric diagnosis. In A Research Agenda for DSM-V. American Psychiatric Association; 2002:219–281.CrossRefGoogle Scholar
Delille, E.. Eric Wittkower, and the foundation of Montréal’s Transcultural Psychiatry Research Unit after World War II. Hist Psychiatry. 2018;29(3):282–296.CrossRefGoogle Scholar
Bhui, K., Bhhugra, D.. Textbook of Cultural Psychiatry (2nd ed.). Cambridge University Press; 2018.Google Scholar
Kleinman, A.. Triumph or pyrrhic victory? The inclusion of culture in DSM-IV. Harv Rev Psychiatry. 1997;4(6):343–344.CrossRefGoogle ScholarPubMed
Transcultural Psychiatry. World Psychiatric Association – Transcultural Psychiatry Section. https://www.wpa-tps.org/about-wpa-tps/transcultural-psychiatry/. Accessed April 6, 2023.Google Scholar
American Psychiatric Association. Diagnostic and Statistical Manual of Mental disorders (5th ed., text rev.). 2022. https://doi.org/10.1176/appi.books.9780890425787.CrossRefGoogle Scholar
Yeager, K. A., Bauer-Wu, S.. Cultural humility: essential foundation for clinical researchers. Appl Nurs Res. 2013;26(4):251–256.CrossRefGoogle ScholarPubMed
Padela, A. I., del Pozo, P. R.. Muslim patients and cross-gender interactions in medicine: an Islamic bioethical perspective J Med Ethics. 2011;37:40–44.CrossRefGoogle Scholar
Rust, G., Kondwani, K., Martinez, R., et al. A crash-course in cultural competence. Ethn Dis. 2006;16(2 Suppl 3):S29–S36.Google ScholarPubMed
Wylie, L., Van Meyel, R., Harder, H., et al. Assessing trauma in a transcultural context: challenges in mental health care with immigrants and refugees. Public Health Rev. 2018;39(1):22.CrossRefGoogle Scholar
Budiman, A.. Key findings about U.S. immigrants. Pew Research Center, August 20, 2020. https://www.pewresearch.org/fact-tank/2020/08/20/key-findings-about-u-s-immigrants. Accessed April 9, 2023.Google Scholar
Al Shamsi, H., Almutairi, A. G., Al Mashrafi, S., Al Kalbani, T.. Implications of language barriers for healthcare: a systematic review. Oman Medl J. 2020;35(2):e122.CrossRefGoogle ScholarPubMed
Goenka, P. K.. Lost in translation: impact of language barriers on children’s healthcare. Currt Opin Pediatr. 2016;28(5):659–666.CrossRefGoogle ScholarPubMed
Lekas, H.-M., Pahl, K., Fuller Lewis, C.. Rethinking cultural competence: shifting to cultural humility. Health Serv Insights. 2020; 13:1178632920970580.CrossRefGoogle ScholarPubMed
Taylor, R. A., Alfred, M. V.. Nurses’ perceptions of the organizational supports needed for the delivery of culturally competent care. West J Nurs Res. 2010;32(5):591–609.CrossRefGoogle ScholarPubMed
Boi, S.. Nurses’ experiences in caring for patients from different cultural backgrounds. NT Research. 2000;5(5):382–389.CrossRefGoogle Scholar
Kirkham, S. R.. Nurses’ descriptions of caring for culturally diverse clients. Clin Nurs Res. 1998;7(2):125–146.Google ScholarPubMed

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