Clinical Topics in Cultural Psychiatry

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, and 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.

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Contents

Frontmatter
pp i-iv
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Dedication
pp v-vi
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Contents
pp vii-ix
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List of tables
pp x-x
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List of boxes
pp xi-xiv
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List of figures
pp xv-xv
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List of contributors
pp xvi-xviii
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Preface
pp xix-xx
- By Rahul Bhattacharya, Consultant Psychiatrist, Consultant Psychiatrist, Consultant Psychiatrist, East London NHS Foundation Trust, London, UK, UK, UK, Dinesh Bhugra, Professor of Mental Health and Cultural Diversity and Head of the Section of Cultural Psychiatry, Health Services Research Department, Institute of Psychiatry, King's College London, UK
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Part 1 - Theoretical and general issues
pp 1-2
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1 - Globalisation, psychiatry and human rights: new challenges for the 21st century
pp 3-14
- By Brendan D. Kelly, Senior Lecturer in Psychiatry, University College Dublin and Mater Misericordiae University Hospital, Dublin, Ireland
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2 - Migration and mental illness
pp 15-26
- By Dinesh Bhugra, Professor of Mental Health and Cultural Diversity and Head of the Section of Cultural Psychiatry, Health Services Research Department, Institute of Psychiatry, King's College London, UK, Peter Jones, Professor of Psychiatry, University of Cambridge, Cambridge, UK
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3 - Mental health of refugees and asylum seekers
pp 27-38
- By Rachel Tribe, Professor of Psychology, School of Psychology, University of East London, London, UK
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4 - Racism, racial life events and mental ill health
pp 39-51
- By Dinesh Bhugra, Professor of Mental Health and Cultural Diversity and Head of the Section of Cultural Psychiatry, Health Services Research Department, Institute of Psychiatry, King's College London, UK, Oyedeji Ayonrinde, Consultant Psychiatrist, South London and Maudsley NHS Trust, London, UK
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5 - Expressed emotion across cultures
pp 52-67
- By Dinesh Bhugra, Professor of Mental Health and Cultural Diversity and Head of the Section of Cultural Psychiatry, Health Services Research Department, Institute of Psychiatry, King's College London, UK, Kwame McKenzie, Senior Scientist, Social Equity and Health Research, Centre for Addiction and Mental Health, Toronto, and Professor of Psychiatry, Social Equity and Health Research, University of Toronto, Canada
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6 - Mental illness in Black and Asian ethnic minorities: care pathways and outcomes
pp 68-83
- By Kamaldeep Bhui, Professor of Cultural Psychiatry and Epidemiology, Bart's and The Royal London School of Medicine and Dentistry, Queen Mary and Westfied College, London, UKProfessor of Cultural Psychiatry and Epidemiology, Bart's and The Royal London School of Medicine and Dentistry, Queen Mary and Westfied College, London, UK, Dinesh Bhugra, Professor of Mental Health and Cultural Diversity and Head of the Section of Cultural Psychiatry, Health Services Research Department, Institute of Psychiatry, King's College London, UK
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7 - Poverty, social inequality and mental health
pp 84-100
- By Vijaya Murali, Consultant Psychiatrist, Birmingham and Solihull Mental Health Foundation Trust, UK, Femi Oyebode, Professor of Psychiatry, Queen Elizabeth Psychiatric Hospital, Birmingham, UK
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Part 2 - Specific mental health conditions across cultures
pp 101-102
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8 - Schizophrenia in African–Caribbeans: contributing factors
pp 103-118
- By Dinesh Bhugra, Professor of Mental Health and Cultural Diversity and Head of the Section of Cultural Psychiatry, Health Services Research Department, Institute of Psychiatry, King's College London, UK, Kamaldeep Bhui, Professor of Cultural Psychiatry and Epidemiology, Bart's and The Royal London School of Medicine and Dentistry, Queen Mary and Westfied College, London, UK
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9 - Depression in immigrants and ethnic minorities
pp 119-127
- By Dinesh Bhugra, Professor of Mental Health and Cultural Diversity and Head of the Section of Cultural Psychiatry, Health Services Research Department, Institute of Psychiatry, King's College London, UK, Oyedeji Ayonrinde, Consultant Psychiatrist, South London and Maudsley NHS Trust, London, UK
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10 - Attempted suicide among South Asian women
pp 128-139
- By Dinesh Bhugra, Professor of Mental Health and Cultural Diversity and Head of the Section of Cultural Psychiatry, Health Services Research Department, Institute of Psychiatry, King's College London, UK, Manisha Desai, Consultant Psychiatrist, West London NHS Trust, London, UK
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11 - Mental health of the ageing immigrant population
pp 140-155
- By Gill Livingston, Professor of Psychiatry of Old Age, Department of Mental Health Sciences, University College London, and Honorary Consultant in Mental Health Care of Older People, Camden and Islington NHS Foundation Trust, London, UK, Sati Sembhi, Consultant Psychiatrist, Suffolk Mental Health Partnership Trust, St Clement's Hospital, Ipswich, Suffolk, UK, Rahul Bhattacharya, Consultant Psychiatrist, Consultant Psychiatrist, Consultant Psychiatrist, East London NHS Foundation Trust, London, UK, UK, UK
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12 - Intellectual disability and ethnicity: achieving cultural competence
pp 156-170
- By Jean O'hara, Consultant in the Psychiatry of Intellectual Disability, and Clinical Director, South London and Maudsley NHS Foundation Trust and the Estia Centre, Institute of Psychiatry, King's College London, UK
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13 - Culture and liaison psychiatry
pp 171-181
- By Gopinath Ranjith, Consultant Liaison Psychiatrist, St Thomas’ Hospital, London, and Honorary Lecturer, Institute of Psychiatry, King's College London, UK
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14 - Addiction in ethnic minorities
pp 182-195
- By Bhaskar Punukollu, Consultant in Addiction Psychiatry, South West London and St George's NHS Trust, London, UK, Zarrar A. Chowdary, Consultant in General Adult Psychiatry, Park House, North Manchester General Hospital, Manchester, UK, Gideon Felton, Year 6 (ST6) Specialist Training in Psychiatry, Ealing Hospital, London, UK
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15 - Sex and culture
pp 196-208
- By Sheraz Ahmad, Specialist Registrar in General Adult Psychiatry, Charing Cross Higher Training Scheme, London, and Psychosexual Therapist, Dinesh Bhugra, Professor of Mental Health and Cultural Diversity and Head of the Section of Cultural Psychiatry, Health Services Research Department, Institute of Psychiatry, King's College London, UK
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16 - Culture in child and adolescent psychiatry
pp 209-221
- By Nisha Dogra, Senior Lecturer and Honorary Consultant in Child and Adolescent Psychiatry, Greenwood Institute of Child Health, University of Leicester, UK
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17 - Black and minority ethnic issues in forensic psychiatry
pp 222-231
- By David Ndegwa, Consultant Forensic Psychiatrist, South London and Maudsley NHS Foundation Trust, London, UK
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18 - Cultural perspectives on eating disorders
pp 232-244
- By Rahul Bhattacharya, Consultant Psychiatrist, Consultant Psychiatrist, Consultant Psychiatrist, East London NHS Foundation Trust, London, UK, UK, UK, Anish Unadkat, Specialist Registrar in Psychiatry, Charing Cross Psychiatric Training Scheme, London, UK, Frances Connan, Consultant Psychiatrist, Vincent Square Eating Disorders Service, London, UK
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Part 3 - Management issues in the cultural context
pp 245-246
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19 - Cross-cultural psychiatric assessment
pp 247-260
- By Dinesh Bhugra, Professor of Mental Health and Cultural Diversity and Head of the Section of Cultural Psychiatry, Health Services Research Department, Institute of Psychiatry, King's College London, UK, Kamaldeep Bhui, Professor of Cultural Psychiatry and Epidemiology, Bart's and The Royal London School of Medicine and Dentistry, Queen Mary and Westfied College, London, UK
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