What cultural limitations have to be taken into consideration?
Jan 04, 2014 · Cultural limitations have to be taken into consideration in order for the treatment to be design in a way that would be most beneficial for the patient, generalizing everyone into one category will not be an effective way to treat people and would be a misuse of assessment instruments. In your response , discuss the use or misuse of assessment instruments , therapy …
What is the Cultural Formulation of diagnosis and treatment?
Aug 09, 2016 · Cultural values and cultural beliefs are cultural limitations associated with assessments and treatments . For instance , in Western cultural beliefs in regard to killings of domesticated animals , such behavior is seen as possible signs of psychological and behavioral disorders and problems .
What should be included in a response to a culture-specific questionnaire?
Aug 17, 2015 · Cultural values and cultural beliefs are cultural limitations associated with assessments and treatments . In the event the psychologist does not gain understanding of cultural differences , it may cause the psychologist to misuse therapy methods and assessments tools , also falsify the research as the way of gaining biased results on his or her own beliefs .
How do you assess culturally diverse individuals in clinical practice?
May 20, 2009 · cultural injustice is unfair treatment or access because of a persons cultural practices or ideas What is most closely associated with cultural anthropology? social sciences
In what ways does culture might affect psychological testing and assessment?
How do multicultural issues impact psychological testing?
How does culture affect assessment?
What are some culturally sensitive considerations in assessment?
Why are there many components to a patient's cultural identity that go beyond the concepts of ethnicity and race?
There are many components to a patient’s cultural identity that go beyond the concepts of ethnicity and race, because a person may have several cultural reference groups. For example, two Hispanic persons may come from Mexico but may have different cultural identities depending on what socioeconomic status and geographical region from which they originated. Multiple factors affect an individual’s cultural identity (Table 18—1).
What are cultural elements in diagnosis?
Cultural elements of the relationship between the individual and the clinician. Indicate differences in culture and social status between the individual and the clinician and problems that these differences may cause in diagnosis and treatment (e.g., difficulty in communicating in the individual’s first language, in eliciting symptoms or understanding their cultural significance, in negotiating an appropriate relationship or level of intimacy, in determining whether a behavior is normative or pathological).Overall cultural assessment for diagnosis and care. The formulation concludes with a discussion of how cultural considerations specifically influence comprehensive diagnosis and care. (American Psychiatric Association 1994a, pp. 843—844)
How does understanding the patient's perspective of his or her illness help determine our assessment and treatment plan?
From a clinical point of view, understanding the patient’s view of his or her illness helps determine our assessment and our treatment plan. Different cultures express their symptoms differently (Kleinman 1988), and concepts of illness also vary with culture. For example, for the Chinese in Hong Kong, Cheung (1987) found that patients had three explanatory models for mental disorders. They could explain their illness as based on psychological, somatic, or mixed factors. Their explanation of the illness influenced how they went about getting help. The patients who had purely psychological explanations were the least likely to seek help. Because of this, Cheung recommended that clinicians specifically inquire about psychological symptoms, because these patients were not likely to volunteer them.
How does social history affect a patient's mental health?
A patient with a history of downward mobility in his or her occupational status could develop lowered self-esteem and insecurity, which might precipitate a mental disorder. The social history can also help determine how much support the patient can rely on from family or an extended network, such as family organizations or churches. Living in an ethnic community can also buffer the acculturation process. The patient’s proficiency in English and contact with others outside of the cultural enclave are useful measures of acculturation. Of note is that DSM-IV has a new category for “acculturation problem” in the section titled “Other Conditions That May Be a Focus of Clinical Attention,” indicating that distressing acculturation experiences can occur without necessarily labeling them as symptoms of a mental disorder.
How to assess ethnicity?
The ethnicity of a patient can be assessed by taking a careful history of the patient’s development and family. Clinicians can ask patients to describe their grandparents’ and parents’ country of origin, religion, primary language, traditional roles, and traditional skills. Patients should be asked about their socialization experiences (such as their proficiency with their culture’s native language), their role in their family constellation, special rituals during certain ages (rites of passage), religious practices, holiday observances, or preparation of ethnic food that they have observed with their families. Finally, patients should be asked to what extent they are following the ceremonies, rituals, customs, and hobbies of their ancestors and the level of contact they have with their relatives or ethnic organizations.
Why is it important to consider culture?
A consideration of culture is essential in the process of the interview, case formulation, diagnosis, and treatment of culturally diverse individuals. The evaluation of these individuals raises many issues that clinicians need to address to formulate an accurate diagnosis and treatment plan that will be acceptable to the patient.
How to make culturally appropriate formulations?
The first step is to show empathy during the interview and then to elicit the patient’s perspective on the illness. Next, the patient’s experience can be assessed in the context of the patient’s family, workplace, health care systems, and community. Finally, the patient’s illness can be diagnosed both through DSM-IV categories and through the patient’s cultural idioms of distress. Hinton and Kleinman’s overall schema is similar to the one developed by the National Institute of Mental Health (NIMH) Culture and Diagnosis Group (Mezzich et al. 1993). The DSM-IV outline for cultural formulation includes the following: Cultural identity of the individual. Note the individual’s ethnic or cultural reference groups. For immigrants and ethnic minorities, note separately the degree of involvement with both the culture of origin and the host culture (where applicable). Also note language abilities, use, and preferences (including multilingualism).
What are the differences between cultures?
One of the main differences seen across cultures is the way anxiety and depression is expressed . Someone from a culture where it is common to know psychological terms, could easily describe anxiety and depression using those specific words. In other cultures, other words might be more common.
Does culture affect anxiety?
May 15, 2019. Influences of Cultural Differences in the Diagnosis and Treatment of Anxiety and Depression. Share. No. Culture affects the way we express our thoughts, behaviors and emotions. It is therefore not surprising that there are cultural differences in the way anxiety and depression is manifested and treated.
What is the chapter of cultural competence?
Using Sue's (2001) multidimensional model for developing cultural competence, this chapter focuses on clinical and programmatic decisions and skills that are important in evaluation and treatment planning processes. The chapter is organized around nine steps to be incorporated by clinicians, supported in clinical supervision, and endorsed by administrators.
Why is culturally responsive evaluation important?
To provide culturally responsive evaluation and treatment planning, counselors and programs must understand and incorporate relevant cultural factors into the process while avoiding a stereotypical or “one-size-fits-all” approach to treatment. Cultural responsiveness in planning and evaluation entails being open minded, asking the right questions, selecting appropriate screening and assessment instruments, and choosing effective treatment providers and modalities for each client. Moreover, it involves identifying culturally relevant concerns and issues that should be addressed to improve the client's recovery process.
What is a culturagram?
The culturagram is an assessment tool that helps clinicians understand culturally diverse clients and their families ( Congress 1994, 2004; Congress and Kung 2005 ). It examines 10 areas of inquiry, which should include not only questions specific to clients' life experiences, but also questions specific to their family histories. This diagram can guide an interview, counseling, or clinical supervision session to elicit culturally relevant multigenerational information unique to the client and the client's family. Give a copy of the diagram to the client or family for use as an interactive tool in the session. Throughout the interview, the client, family members, and/or the counselor can write brief responses in each box to highlight the unique attributes of the client's history in the family context. This diagram has been adapted for clients with co-occurring mental and substance use disorders; sample questions follow.
How to evaluate immigration history?
By contrast, others may be isolated, living apart from family, friends, and the support systems extant in their countries of origin. Culturally competent evaluation should always include questions about the client's country of origin, immigration status, length of time in the United States, and connections to his or her country of origin. Ask American-born clients about their parents' country of origin, the language (s) spoken at home, and affiliation with their parents' culture (s). Questions like these give the counselor important clues about the client's degree of acculturation in early life and at present, cultural identity, ties to culture of origin, potential cultural conflicts, and resources. Specific questions should elicit information about:
What is treatment planning?
Treatment planning is a dynamic process that evolves along with an understanding of the clients' histories and treatment needs. Foremost, counselors should be mindful of each client's linguistic requirements and the availability of interpreters (for more detail on interpreters, see Chapter 4 ). Counselors should be flexible in designing treatment plans to meet client needs and, when appropriate, should draw upon the institutions and resources of clients' cultural communities. Culturally responsive treatment planning is achieved through active listening and should consider client values, beliefs, and expectations. Client health beliefs and treatment preferences (e.g., purification ceremonies for Native American clients) should be incorporated in addressing specific presenting problems. Some people seek help for psychological concerns and substance abuse from alternative sources (e.g., clergy, elders, social supports). Others prefer treatment programs that use principles and approaches specific to their cultures. Counselors can suggest appropriate traditional treatment resources to supplement clinical treatment activities.
What information is needed for behavioral health?
A client who needs behavioral health treatment services may be unwilling or unable to provide a full personal history from his or her own perspective and may not recall certain events or be aware of how his or her behavior affects his or her well-being and that of others. Collateral information—supplemental information obtained with the client's permission from sources other than the client—can be derived from family members , medical and court records, probation and parole officers, community members, and others. Collateral information should include culturally relevant information obtained from the family, such as the organizational memberships, beliefs, and practices that shape the client's cultural identity and understanding of the world.
Why do some clients resist the evaluation process?
Some clients may view the initial interview and evaluation as intrusive if too much information is requested or if the content is a source of family dishonor or shame. Other clients may resist or distrust the process based on a long history of racism and oppression. Still others feel inhibited from actively participating because they view the counselor as the authority or sole expert.
What is the term for the loss of a healthy ethnic or cultural identity?
Initiation into excessive substance use may occur during periods of rapid social change, often among cultural groups who have had little exposure to a drug and have not developed protective normative behavior. Anomie, or loss of a healthy ethnic or cultural identity, may occur among native populations whose cultures have been devastated by the extensive and sudden influx of outside influence. 7
How does culture affect substance abuse?
Culture plays a central role in forming the expectations of individuals about potential problems they may face with drug use. 1 For many social groups, this may provide a protective factor.
Why do people not seek treatment?
One study found that a particular ethnic group did not seek alcohol or drug treatment from a local program because the program did not have staff that included members of the same ethnic group. 20 Staff composition is critical in developing treatment programs, particularly with treatment initiation and retention. 21,22 Hiring qualified staff of the same ethnic background may dramatically increase patient access and initiation into treatment. In addition, if the treatment provider is not of the same ethnic background, it is best that he or she take on an inquisitive role and not make any ethnocentric assumptions based on his own cultural heritage. The goal of the clinician should be to uncover sociocultural issues that will affect acceptance, retention, and ultimately, treatment outcome.
What is culture in psychology?
Dwight Heath1 offers a simple definition: "It [culture] is a system of patterns of belief and behavior that shape the worldview of the member of a society. As such, it serves as a guide for action, a cognitive map, and a grammar for behavior.". There have been numerous definitions of culture.
How did cultural alienation affect Native Americans?
An example of cultural alientation was seen in previous generations of Native American children who were sent to boarding schools. The children were often hundreds of miles away from their families and would not see their families for months or even years. Their behavior was shaped primarily through punishment, and emotional and physical abuse was common. The schools' punitive model was perpetuated when these children became adults and had children of their own. This eventually led to an accelerated weakening of the culture that had previously guided Native American communities. Many Native Americans believe that this loss of culture is the primary cause of their existing social problems, which includes those associated with alcohol. However, more research is needed in this area. 18,19
Who was the social control of drinking among the Aztec Indians of Mesoamerica?
8. Paredes A. Social control of drinking among the Aztec Indians of Mesoamerica. J Stud Alcohol. 1975;36: 1139-1153.
