Trends in cultural psychiatry in the United kingdom.
Abstract Cultural psychiatry in the United Kingdom exhibits unique characteristics closely related to its history as a colonial power, its relationship with Commonwealth countries and the changing socio-demographic characteristics of its diverse population throughout the centuries. It is not surprising, therefore, that the emergence of this discipline was centred around issues of race and religion. After a brief historical review of the development of cultural psychiatry and the mention of pioneering intellectual and academic figures, as well as the evolvement of the field in organizations such as the Roya...
Source: Advances in Psychosomatic Medicine - July 4, 2013 Category: Psychiatry Authors: Bhui K Tags: Adv Psychosom Med Source Type: research

Opening up mental health service delivery to cultural diversity: current situation, development and examples from three northern European countries.
Abstract There are inequalities in health among migrants and local populations in Europe. Due to migration, Germany, Norway and Sweden have become ethnic culturally diverse nations. There are barriers to mental health care access for refugees, migrants and minorities, and problems with quality of culturally sensitive care in the three countries. This is despite tax-funded health care systems based on equity in service provision. There is a need to develop culturally sensitive mental health services that respond to the increasing diversity of the populations. In this chapter, we will take a closer look at c...
Source: Advances in Psychosomatic Medicine - July 4, 2013 Category: Psychiatry Authors: Bäärnhielm S, Jávo C, Mösko MO Tags: Adv Psychosom Med Source Type: research

Cultural psychiatry in the French-speaking world.
Abstract For the last five centuries, France's international influence has been constant. This has been particularly evident in the areas of general culture, history and science. In psychiatry, the role of Pinel during the French Revolution, and the discovery of the first psychotropic agent, chlorpromazine, by Delay and Deniker are two outstanding historical facts. This chapter examines the contributions of French social scientists in the understanding of the sequelae of colonial exploitation, racism and political oppression. The establishment of a multi-ethnic society in France and Francophile regions of ...
Source: Advances in Psychosomatic Medicine - July 4, 2013 Category: Psychiatry Authors: Westermeyer J Tags: Adv Psychosom Med Source Type: research

Transcultural aspects of somatic symptoms in the context of depressive disorders.
Abstract Somatic symptoms are a common presentation of mental disorders or psychological distress worldwide, and may often coexist with depressive and anxiety symptoms, thus accounting for what might be the most frequent psychiatric syndrome in primary care. Indeed, physical symptoms accompanying the clinical presentations of a variety of mental disorders may be considered as universal 'idioms of distress' that may vary across cultures, depending on attitudes and explanations embedded in each one of them. These variations in symptom presentations are the result of various interacting factors that ultimatel...
Source: Advances in Psychosomatic Medicine - July 4, 2013 Category: Psychiatry Authors: Bagayogo IP, Interian A, Escobar JI Tags: Adv Psychosom Med Source Type: research

Culture and demoralization in psychotherapy.
This article has three objectives: (1) to review the theoretical background leading to our current views on culture and demoralization in psychotherapy, (2) to discuss the methodological challenges faced in the cross-cultural study of demoralization and psychotherapy, and (3) to describe the clinical applications and research prospects of this area of inquiry. Demoralization follows a shattering of the individual's assumptive world and it is different from homeostatic responses to a stressful situation or from depressive disorders. Only a few comparative studies of this construct across cultures have been undertaken. The p...
Source: Advances in Psychosomatic Medicine - July 4, 2013 Category: Psychiatry Authors: de Figueiredo JM, Gostoli S Tags: Adv Psychosom Med Source Type: research

Ethnopsychopharmacology and pharmacogenomics.
Abstract Significant differences in response to psychotropic drugs are observed in various ethnic and cultural groups. Ethnopsychiatry is the study of how culture and genetic differences in human groups determine and influence the response to psychotropic agents. Meanwhile, pharmacogenomics studies the influence of genetic variations in the response of patients to different drugs. Pharmacogenetic tests are used to predict drug response and the potential for adverse effects. There are important genetic variations that influence the metabolism and action of psychotropic drugs in different ethnic groups. As e...
Source: Advances in Psychosomatic Medicine - July 4, 2013 Category: Psychiatry Authors: Silva H Tags: Adv Psychosom Med Source Type: research

Cultural psychiatry: research strategies and future directions.
Abstract This chapter reviews some key aspects of current research in cultural psychiatry and explores future prospects. The first section discusses the multiple meanings of culture in the contemporary world and their relevance for understanding mental health and illness. The next section considers methodological strategies for unpacking the concept of culture and studying the impact of cultural variables, processes and contexts. Multiple methods are needed to address the many different components or dimensions of cultural identity and experience that constitute local worlds, ways of life or systems of kno...
Source: Advances in Psychosomatic Medicine - July 4, 2013 Category: Psychiatry Authors: Kirmayer LJ, Ban L Tags: Adv Psychosom Med Source Type: research

Bioethical dimensions of cultural psychosomatics: the need for an ethical research approach.
This article presents the view that the dialogical principles on which bioethical discourse is based are more inclusive than professional ethics and philosophical reflection. The distinction is advanced between rule-guided behavior and norm-justifiable acts (substantiation and justification). The practical implications of good practices in the generation of valid, reliable, generalizable and applicable knowledge are emphasized. For practitioners and researchers, the need to reflect on the distinction between patient and research participant can avoid the therapeutic misunderstanding, a form of abuse of the doctor-patient r...
Source: Advances in Psychosomatic Medicine - July 4, 2013 Category: Psychiatry Authors: Lolas F Tags: Adv Psychosom Med Source Type: research

Epilogue.
PMID: 23816869 [PubMed - in process] (Source: Advances in Psychosomatic Medicine)
Source: Advances in Psychosomatic Medicine - July 4, 2013 Category: Psychiatry Authors: Alarcón RD Tags: Adv Psychosom Med Source Type: research

Author index.
Authors: PMID: 23816870 [PubMed - in process] (Source: Advances in Psychosomatic Medicine)
Source: Advances in Psychosomatic Medicine - July 4, 2013 Category: Psychiatry Tags: Adv Psychosom Med Source Type: research