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Cross-cultural psychiatry

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684:. Other organizations are devoted to cross-cultural adaptation of research and clinical methods. In 1993 the Transcultural Psychosocial Organization (TPO) was founded. The TPO has developed a system of intervention aimed at countries with little or no mental health care. They train local people to become mental health workers, often using people who previously have provided mental health guidance of some kind. The TPO provides training material that is adapted to local culture, language and distinct traumatic events that might have occurred in the region where the organization is operating. Avoiding Western approaches to mental health, the TPO sets up what becomes a local non-governmental organization that is self-sustainable, as well as economically and politically independent of any state. The TPO projects have been successful in both 1737: 1747: 460:" with a set of terms covering cultural concepts of distress: cultural syndromes (which may not be bound to a specific culture but circulate across cultures); cultural idioms of distress (local modes of expressing suffering that may not be syndromes); causal explanations (that attribute symptoms or suffering to specific causal factors rooted in local ontologies); and folk diagnostic categories (which may be part of 656:, includes a Cultural Formulation Interview that aims to help clinicians contextualize diagnostic assessment. A related approach to cultural assessment involves cultural consultation which works with interpreters and cultural brokers to develop a cultural formulation and treatment plan that can assist clinicians. 664:
The main professional organizations devoted to the field are the WPA Section on Transcultural Psychiatry, the Society for the Study of Psychiatry and Culture, and the World Association for Cultural Psychiatry. Many other mental health organizations have interest groups or sections devoted to issues
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However, some scholars developing an anthropology of mental illness (Lézé, 2014) consider that attention to culture is not enough if it is decontextualized from historical events, and history in more general sense. An historical and politically informed perspective can counteract some of the risks
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As a named field within the larger discipline of psychiatry, cultural psychiatry has a relatively short history. In 1955, a program in transcultural psychiatry was established at McGill University in Montreal by Eric Wittkower from psychiatry and Jacob Fried from the department of anthropology.
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It is argued that a cultural perspective can help psychiatrists become aware of the hidden assumptions and limitations of current psychiatric theory and practice and can identify new approaches appropriate for treating the increasingly diverse populations seen in psychiatric services around the
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Cultural psychiatry looks at whether psychiatric classifications of disorders are appropriate to different cultures or ethnic groups. It often argues that psychiatric illnesses represent social constructs as well as genuine medical conditions, and as such have social uses peculiar to the social
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groups in which they are created and legitimized. It studies psychiatric classifications in different cultures, whether informal (e.g. category terms used in different languages) or formal (for example the World Health Organization's
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and psychiatry, is seen as having heralded a "new cross-cultural psychiatry". However, Kleinman later pointed out that culture often became incorporated in only superficial ways, and that for example 90% of
529:, Beneduce points to forms of historical consciousness and selfhood as well as history-related suffering as central dimensions of a 'critical ethnopsychiatry' or 'critical transcultural psychiatry'. 497:. It is said every city has a different culture and that the urban environment, and how people adapt or struggle to adapt to it, can play a crucial role in the onset or worsening of mental illness. 1166: 329: 668:
There are active research and training programs in cultural psychiatry at several academic centers around the world, notably the Division of Social and Transcultural Psychiatry at
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and with observations by asylum psychiatrists or anthropologists who tended to assume the universal applicability of Western psychiatric diagnostic categories. A seminal paper by
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established a Committee on Transcultural Psychiatry in 1964, followed by the Canadian Psychiatric Association in 1967. H.B.M. Murphy of McGill founded the
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Kirmayer LJ (March 2006). "Beyond the 'new cross-cultural psychiatry': cultural biology, discursive psychology and the ironies of globalization".
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related to promoting universalized 'global mental health' programs as well as the increasing hegemony of diagnostic categories such as
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diversity in psychiatric services. It emerged as a coherent field from several strands of work, including surveys of the
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Section on Transcultural Psychiatry in 1970. By the mid-1970s there were active transcultural psychiatry societies in
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has published an important volume on psychocultural aspects of trauma and more recently landmark volumes entitled
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Lee S (September 2001). "From diversity to unity. The classification of mental disorders in 21st-century China".
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Kirmayer LJ (2007). "Cultural psychiatry in historical perspective". In Bhui, Kamaldeep; Bhugra, Dinesh (eds.).
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Kirmayer, Laurence J.; Worthman, Carol; Kitayama, Shinobu; Lemelson, Robert; Cummings, Constance, eds. (2020).
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populations and ethnic diversity within countries; and analysis of psychiatry itself as a cultural product.
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Kleinman AM (January 1977). "Depression, somatization and the "new cross-cultural psychiatry"".
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Re-Visioning Psychiatry: Cultural Phenomenology, Critical Neuroscience, and Global Mental Health
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Formative Experiences: the Interaction of Caregiving, Culture, and Developmental Psychobiology
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Worthman, Carol; Plotsky, Paul; Schechter, Daniel; Cummings, Constance, eds. (2010).
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Kleinman A (1997). "Triumph or pyrrhic victory? The inclusion of culture in DSM-IV".
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categories are culture-bound to North America and Western Europe, and yet the "
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Working Commission to Investigate the Use of Psychiatry for Political Purposes
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Etnopsichiatria. Sofferenza mentale e alterità fra Storia, dominio e cultura
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Kirmayer, Laurence J.; Lemelson, Robert; Cummings, Constance, eds. (2017).
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Caracci G, Mezzich JE (September 2001). "Culture and urban mental health".
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There are several scientific journals devoted to cross-cultural issues:
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and form of disorders in different cultures or countries; the study of
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Culture, Mind, and Brain: Emerging Concepts, Models, and Applications
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Culture, Mind, and Brain: Emerging Concepts, Models, and Applications
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Cultural Consultation: Encountering the Other in Mental Health Care
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Kirmayer, Laurence J.; Lemelson, Robert; Barad, Mark, eds. (2007).
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The Empire of Trauma: An Inquiry into the Condition of Victimhood
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Kirmayer, Laurence; Guzder, Jaswant; Rousseau, Cécile (2014).
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Cultural Sociology of Mental Illness : an A-to-Z Guide
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Royal Australian and New Zealand College of Psychiatrists
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Archeologie del Trauma. Un'antropologia del sottosuolo
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In 1957, at the International Psychiatric Congress in
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and Richard Rechtman analyze this issue in their book
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Taiwanese Society of Child and Adolescent Psychiatry
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American Academy of Child and Adolescent Psychiatry
648:world. The recent revision of the nosology of the 614:The Foundation for Psychocultural Research at UCLA 1267:"Division of Social and Transcultural Psychiatry" 1763: 439:in 1977 followed by a renewed dialogue between 952: 896: 1507:Independent Psychiatric Association of Russia 1306: 1191: 644:, Robert Lemelson and Constance A. Cummings. 370: 853: 740: 707: 1462:American Board of Psychiatry and Neurology 1313: 1299: 953:Fassin, Didier; Rechtman, Richard (2009). 775: 377: 363: 1209: 1033:"Transcultural Psychiatry: SAGE Journals" 610:World Cultural Psychiatry Research Review 592:Transcultural Psychiatric Research Review 557:(Peru) and Pow-Meng Yap (Hong Kong). The 431:The early literature was associated with 1006: 981: 620:edited by Carol Worthman, Paul Plotsky, 1764: 703: 701: 1696:Neurological conditions and disorders 1467:American Neuropsychiatric Association 1294: 818: 899:Psychiatric Clinics of North America 821:Psychiatric Clinics of North America 1517:National Institute of Mental Health 698: 13: 1502:Hong Kong College of Psychiatrists 1477:Campaign Against Psychiatric Abuse 1192:Kirmayer LJ, Minas H (June 2000). 549:(Taiwan), Thomas Lambo (Nigeria), 14: 1793: 601:Culture Medicine & Psychiatry 416:and the challenges of addressing 1745: 1735: 1492:European Psychiatric Association 1472:American Psychiatric Association 659: 650:American Psychiatric Association 628:edited by Laurence J. Kirmayer, 559:American Psychiatric Association 479:American Psychiatric Association 464:systems and healing practices). 330:Journal of Cognition and Culture 302:Culture, Medicine and Psychiatry 145:Society for Medical Anthropology 1746: 1497:Global Initiative on Psychiatry 1346:Child and adolescent psychiatry 1259: 1234: 1185: 1158: 1131: 1104: 1073: 1049: 1025: 1000: 712:Textbook of cultural psychiatry 1713:Psychiatric survivors movement 1603:Psychiatric survivors movement 1573:Controversies about psychiatry 1532:Royal College of Psychiatrists 1320: 1171:. Cambridge University Press. 1144:. Cambridge University Press. 1117:. Cambridge University Press. 975: 946: 933:Anthropology of mental illness 925: 890: 847: 812: 769: 734: 665:of culture and mental health. 316:Medical Anthropology Quarterly 1: 1598:Political abuse of psychiatry 1547:World Psychiatric Association 1482:Chinese Society of Psychiatry 911:10.1016/S0193-953X(05)70249-5 833:10.1016/S0193-953X(05)70238-0 691: 632:and Constance Cummings, and 563:World Psychiatric Association 487:Chinese Society of Psychiatry 467: 337:Anthropology of Consciousness 130:Critical medical anthropology 755:10.1016/0037-7856(77)90138-X 7: 140:Person-centered ethnography 10: 1798: 1512:Indian Psychiatric Society 1211:10.1177/070674370004500503 1088:Cambridge University Press 1007:Beneduce, Roberto (2010). 982:Beneduce, Roberto (2007). 959:Princeton University Press 596:Psychopathologie Africaine 590:(est. 1956, originally as 532: 150:National character studies 115:Transpersonal anthropology 105:Psychological anthropology 1777:Cross-cultural psychology 1731: 1683: 1588:Electroconvulsive therapy 1583:Biopsychiatry controversy 1555: 1449: 1356:Cross-cultural psychiatry 1351:Cognitive neuropsychiatry 1328: 790:10.3109/10673229709030563 682:University College London 390:Cross-cultural psychiatry 135:Cross-cultural psychiatry 1772:Psychiatric specialities 1635:Psychiatric epidemiology 1630:Philosophy of psychiatry 1522:Philadelphia Association 1361:Developmental disability 868:10.1177/1363461506061761 624:and Constance Cummings, 587:Transcultural Psychiatry 398:transcultural psychiatry 323:Transcultural Psychiatry 100:Nutritional anthropology 1701:Psychiatric medications 1141:Re-Visioning Psychiatry 931:* Lézé, Samuel (2014) " 1670:Psychosomatic medicine 1406:Nutritional psychiatry 1366:Descriptive psychiatry 1245:. New York: Springer. 1011:. Rome-Bari: Laterza. 458:culture-bound syndrome 450:culture-bound syndrome 110:Cognitive anthropology 59:Culture-bound syndrome 16:Subfield of psychiatry 1782:Cultural anthropology 1593:Insulin shock therapy 1568:Clinical neuroscience 1487:Democratic Psychiatry 1341:Biological psychiatry 1114:Formative Experiences 678:University of Toronto 555:Carlos Alberto Seguin 353:cultural anthropology 208:Michael M. J. Fischer 1706:by condition treated 1645:Psychiatric hospital 1640:Psychiatric genetics 1386:Geriatric psychiatry 1376:Emergency psychiatry 1336:Addiction psychiatry 1083:Understanding Trauma 856:Transcult Psychiatry 638:Laurence J. Kirmayer 511:The Empire of Trauma 253:Nancy Scheper-Hughes 125:Clinical ethnography 1563:Behavioral medicine 1421:Palliative medicine 1401:Military psychiatry 1381:Forensic psychiatry 778:Harv Rev Psychiatry 456:replaced the term " 408:concerned with the 402:cultural psychiatry 1665:Psychopharmacology 1396:Liaison psychiatry 674:Harvard University 640:, Carol Worthman, 1759: 1758: 1691:Counseling topics 1625:Pentylenetetrazol 1391:Immuno-psychiatry 1275:McGill University 1252:978-1-4614-7614-6 1097:978-0-5218-5428-3 1018:978-88-420-9249-0 986:. Rome: Carocci. 943:, Sage, pp. 31-32 727:978-0-521-85653-9 670:McGill University 404:) is a branch of 387: 386: 183:Charles L. Briggs 1789: 1749: 1748: 1739: 1610:Imaging genetics 1315: 1308: 1301: 1292: 1291: 1285: 1284: 1282: 1281: 1263: 1257: 1256: 1238: 1232: 1231: 1213: 1198:Can J Psychiatry 1189: 1183: 1182: 1162: 1156: 1155: 1135: 1129: 1128: 1108: 1102: 1101: 1077: 1071: 1070: 1068: 1067: 1053: 1047: 1046: 1044: 1043: 1029: 1023: 1022: 1004: 998: 997: 979: 973: 972: 950: 944: 929: 923: 922: 894: 888: 887: 851: 845: 844: 816: 810: 809: 773: 767: 766: 738: 732: 731: 715: 705: 642:Shinobu Kitayama 622:Daniel Schechter 551:Morris Carstairs 414:mental disorders 379: 372: 365: 278:Beatrice Whiting 248:Michelle Rosaldo 223:E. 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Index

a series
Medical
psychological
anthropology

Health
Culture-bound syndrome
Double bind
Navajo medicine
Nutritional anthropology
Psychological anthropology
Cognitive anthropology
Transpersonal anthropology
Ethnomedicine
Clinical ethnography
Critical medical anthropology
Cross-cultural psychiatry
Person-centered ethnography
Society for Medical Anthropology
National character studies
Syndemic
Gregory Bateson
Maurice Bloch
Charles L. Briggs
Veena Das
George Devereux
Cora Du Bois
Paul Farmer
Michael M. J. Fischer
Arthur Kleinman
Charles Laughlin
E. Thomas Lawson

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