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Clinical Topics in Cultural Psychiatry
EDITED BY RAHUL BHATTACHARYA, SEAN CROSS AND DINESH BHUGRA
Cultural factors play a very important role in the way psychiatric symptoms are presented to
clinicians and how clinicians deal with them. This book offers practical advice on the topic for
the individual mental health practitioner. It provides an overview of cultural factors in the
causation and management of mental health problems and an introduction to cultural competency
training for healthcare professionals (now required for all National Health Service staff by the
Department of Health). Topics include:
• Cross-cultural psychiatric assessment.
• Intellectual disability and ethnicity.
• Cultural aspects of eating disorder.
• Black and minority ethnic issues in forensic psychiatry.
• Treatment of victims of trauma.
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• Ethnic and cultural factors in psychopharmacology.
Practising clinicians and other mental health professionals will find this introduction extremely
useful in ensuring that clinical teams work together effectively and provide optimal care for their
patients, irrespective of ethnicity, culture or religion.
Previous versions of 23 of the chapters have been published in the College’s journal Advances in
Psychiatric Treatment. These have now been extensively updated, plus six chapters have been
newly commissioned for this book.
Audience:
Of particular relevance for new psychiatric trainees, plus also
"Overall, this book stands out for
of interest to other disciplines such as nurses, psychologists or
its broad scope; sophisticated
occupational therapists.
About the editors:
approach to the topic of culture. ...I
Rahul Bhattacharya - Psychiatrist at Mile End Hospital,
expect that this book will be of
London.
great value and interest to mental
health practitioners across levels of
Sean Cross - Registrar in Liaison Psychiatry at St Thomas'
experience and expertise,
Hospital, London.
especially to those working among
Dinesh Bhugra - (Head of the Section of Cultural Diversity at
culturally diverse populations."
the Institute of Psychiatry, London and President of the Royal
- American Journal of Psychiatry
College of Psychiatrists (2008-2011).
"This well written, multi-authored book delivers everything that its title promises, and much
more! ...Having a culturally competent workforce must remain the top priority of all trusts’ chief
executives. ...This book is highly recommended to all professionals working with refugees,
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asylum seekers and people from Black and minority ethnic backgrounds. It will also be of
considerable value to anyone interested in how to incorporate cultural psychiatry issues into
clinical practice."
- British Journal of Psychiatry
Contents
Part 1: Theoretical and General Issues
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Globalisation, psychiatry and human rights: new challenges for the 21st century
2
Migration and mental illness
3
Mental Health of refugees and asylum seekers
4
Racism, racial life events and mental ill health
5
Expressed emotion across cultures
6
Mental illness in Black and Asian ethnic minorities
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Poverty, social inequality and mental health
Part 2: Specific Mental Health Conditions Across Cultures
8
Schizophrenia in African–Caribbeans: contributing factors
9
Depression in immigrants and ethnic minorities
10
Attempted suicide among South Asian women
11
Mental health of the ageing immigrant population
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12
Intellectual disability and ethnicity: achieving cultural competance
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Culture and liaison psychiatry
14
Addiction in ethnic minorities
15
Sex and culture
16
Culture in child and adolescent psychiatry
17
Black and minority ethnic issues in forensic psychiatry
18
Cultural perspectives on eating disorders
Part 3: Management Issues in the Cultural Context
19
Cross-cultural psychiatric assessment
20
Clinical management of patients across cultures
21
Ethnic and cultural factors in psychopharmacology
22
Communication with patients from other cultures: the place of explanatory models
23
Working with patients with religious beliefs
24
Interpreter-mediated psychiatric interviews
25
Treatment of victims of trauma
26
Effective psychotherapy in an ethnically and culturally diverse society
27
Diversity training for psychiatrists
28
Informing progress towards race equality in mental healthcare: is routine data collection adequate?
29
Towards social inclusion in mental health?
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