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36 - Child psychiatry across cultures

from Part V - Management with special groups

Published online by Cambridge University Press:  11 August 2009

By
Niranjan Karnik ,
Nisha Dogra  and
Panos Vostanis
Edited by
Dinesh Bhugra  and
Kamaldeep Bhui
Niranjan Karnik
Affiliation:
Division of Child and Adolescent Psychiatry Stanford University 401 Quarry Road Stanford CA 94305 USA
Nisha Dogra
Affiliation:
University of Leicester Greenwood Institute of Child Health Department of Psychiatry Division of Child Psychiatry Westcotes House, Westcotes Drive Leicester LE3 0QU UK
Panos Vostanis
Affiliation:
University of Leicester Greenwood Institute of Child Health Department of Psychiatry Division of Child Psychiatry Westcotes House, Westcotes Drive Leicester LE3 0QU UK
Dinesh Bhugra
Affiliation:
Institute of Psychiatry, London
Kamaldeep Bhui
Affiliation:
Barts & The London, Queen Mary School of Medicine and Dentistry
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Summary

EDITORS' INTRODUCTION

The practice of child psychiatry is influenced by cultural norms and processes, as are other specialties within psychiatry. The needs of children from different cultures vary and yet within each culture there are individual variations. The earlier chapter by Dogra and her colleagues set the scene in clinical matters related to child psychiatry across cultures. This chapter by Karnik and colleagues provides an overview on management. The childhood behaviours occur in the context of families and cultures and balancing respect for variation and the need for universality is a key challenge.

Karnik et al. point out that good clinical practice in the West would involve valuing the child's perspective and ensuring their views were heard and accommodated, but how far this would work in other cultures is debatable. Cultural values must be taken into account when planning any intervention and more so in the case of instituting pharmacotherapy. Using attachment theory as an example, they suggest that addressing the child's attachment may take different forms depending upon the context. Children's social networks will differ across cultures and the role of peers is significant in the development of a child's self-esteem and identity. The reduction of stigma is also important and particular attention must be paid to vulnerable and at risk children.

The management of children in cross-cultural context

Introduction

Practising child psychiatry across cultures is one of the most challenging and yet potentially gratifying areas of professional practice.

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Chapter
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Textbook of Cultural Psychiatry , pp. 471 - 483
Publisher: Cambridge University Press
Print publication year: 2007

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References

Ainsworth, M. (1967). Infancy in Uganda: Infant Care and the Growth of Love. Baltimore: Johns Hopkins Press.
Ainsworth, M. (1978). Patterns of Attachment: A Psychological Study of the Strange Situation. New York: Lawrence Erlbaum Associates; distributed by Halsted Press Division of Wiley.
Alegria, M., McGuire, T., Vera, M., Canino, G., Matias, L. and Calderon, J. (2001). Changes in access to mental health care among the poor and nonpoor results from the health care reform in Puerto Rico. American Journal of Public Health, 9, 1431–1434.CrossRefGoogle Scholar
Anderson, E. (1978). A Place on the Corner. Chicago: University of Chicago Press.
Anderson, E. (1990). Streetwise: Race, Class, and Change in an Urban Community. Chicago: University of Chicago Press.
Anglin, T., Naylor, K. and Kaplan, D. (1996). Comprehensive school-based health care: high school students' use of medical, mental health and substance abuse services. Pediatrics, 97, 318–330.Google Scholar
Becker, D. and Liddle, H. (2001). Family therapy with unmarried African American mothers and their adolescents. Family Process, 40, 413–427.CrossRefGoogle Scholar
Bird, H. and Canino, G. (1982). The Puerto Rico family: cultural factors and family intervention strategies. Journal of the American Academy of Psychoanalysis, 10, 257–268.CrossRefGoogle Scholar
Bowlby, J. (1979). The Making and Breaking of Affectional Bonds. London: Tavistock Publications.
Bowlby, J. (1988). A Secure Base: Parent–Child Attachment and Healthy Human Development. New York: Basic Books.
Bronfenbrenner, U. (1979). The Ecology of Human Development: Experiments by Nature and Design. Cambridge, MA.: Harvard University Press.
Burns, B., Phillips, S., Wagner, R.et al. (2004). Mental health need and access to mental health services by youths involved with child welfare: a national survey. Journal of the American Academy of Child and Adolescent Psychiatry, 43, 960–970.CrossRefGoogle Scholar
Canino, I. and Inclan, J. (2001). Culture and family therapy. Child and Adolescent Psychiatric Clinics of North America, 10, 601–612.CrossRefGoogle Scholar
Cauce, A., Domenech-Rodriguez, M., Paradise, M.et al. (2002). Cultural and contextual influences in mental health help seeking: a focus on ethnic minority youth. Journal of Consulting and Clinical Psychology, 70, 44–55.CrossRefGoogle Scholar
Chang, K., Steiner, H., Dienes, K., Adleman, N. and Ketter, T. (2003a). Bipolar offspring: a window into bipolar disorder evolution. Biological Psychiatry, 53, 945–951.Google Scholar
Chang, K., Steiner, H. and Ketter, T. (2003b). Studies of offspring of parents with bipolar disorder. American Journal of Medical Genetics, 123, 26–35.Google Scholar
Dogra, N. (2005). Cultural diversity teaching in the medical undergraduate curriculum. Diversity in Health and Social Care, 2(3), 233–245.Google Scholar
Dogra, N. and Karnik, N. (2003) First-year medical students' attitudes toward diversity and its teaching: an investigation at one US medical school. Academic Medicine, 78, 11, 1–10.CrossRefGoogle Scholar
Dogra, N., Frake, C., Bretherton, K., Dwivedi, K. and Sharma, I. (2005). Training CAMHS professionals in developing countries: an Indian case study. Child and Adolescent Mental Health, 10, 74–79.CrossRefGoogle Scholar
Dogra, N., Vostanis, P., Abuateya, H. and Jewson, N. (2005). Understanding of mental health and mental illness by Gujarati young people and their parents. Diversity in Health and Social Care, 2(2), 91–97.Google Scholar
Eapen, V. and Ghubash, R. (2004). Help-seeking for mental health problems of children: preferences and attitudes in the United Arab Emirates. Psychological Reports, 94, 663–667.CrossRefGoogle Scholar
Earls, F. (2001). Community factors supporting child mental health. Child and Adolescent Psychiatric Clinics of North America, 10, 693–709.CrossRefGoogle Scholar
Erikson, S. and Achilles, G. (2004). Cognitive behavioral therapy with children and adolescents. In Handbook of Mental Health Interventions in Children and Adolescents: An Integrated Developmental Perspective, ed. Steiner, H.. San Francisco: Jossey-Bass.
Flaherty, L., Weist, M. and Warner, B. (1996). School-based mental health services in the United States: history, current models and needs. Community Mental Health Journal, 32, 341–352.CrossRefGoogle Scholar
Fonagy, P. (1999). Transgenerational Consistencies of Attachment: A New Theory. Washington, DC: American Psychoanalytic Association Meeting.
Fonagy, P. (2004). Psychodynamic therapy with children. In Handbook of Mental Health Interventions in Children and Adolescents: an Integrated Developmental Perspective, ed. Steiner, H.. San Francisco: Jossey-Bass.
Garland, A., Lewczyk-Boxmeyer, C., Gabayan, E. and Hawley, K. (2004). Multiple stakeholder agreement on desired outcomes for adolescents' mental health services. Psychiatric Services, 55, 671–676.CrossRefGoogle Scholar
Grossman, A., Churchill, J., McKinney, B., Kodish, I., Otte, S. and Greenough, W. (2003). Experience effects on brain development: possible contributions to psychopathology. Journal of Child Psychology and Psychiatry, 44, 33–63.CrossRefGoogle Scholar
Gureje, O., Omigbodun, R., Gater, R., Acha, R., Ikuesan, B. and Morris, J. (1994). Psychiatric disorders in a paediatric primary care clinic. British Journal of Psychiatry, 165, 527–530.CrossRefGoogle Scholar
Hampson, R. and Beavers, W. (1996). Measuring family therapy outcome in a clinical setting: families that do better or do worse in therapy. Family Process, 35, 347–361.CrossRefGoogle Scholar
Health Advisory Service (1995). Child and Adolescent Mental Health Services: Together We Stand. London: HMSO.
Joshi, S. V. (2004). School consultation and intervention. In Handbook of Mental Health Interventions in Children and Adolescents: An Integrated Developmental Perspective, ed. Steiner, H.. San Francisco: Jossey-Bass.
Jung, M. (1984). Structural family therapy: its applications to Chinese families. Family Process, 23, 365–374.CrossRefGoogle Scholar
Kaplan, D., Brindis, C., Phibbs, S., Melinkovich, P., Naylor, K. and Ahlstraud, K. (1999). A comparison study of an elementary school-based health center: effects on health care access and use. Archives of Pediatrics and Adolescent Medicine, 153, 235–243.CrossRefGoogle Scholar
Karnik, N. S. (2004). The social environment. In Handbook of Mental Health Interventions in Children and Adolescents: An Integrated Developmental Perspective, ed. Steiner, H.. San Francisco: Jossey-Bass.
Kelvin, R. (2005). Capacity of tier 2/3 CAMH and service specification: a model to enable evidence-based service development. Child and Adolescent Mental Health, 10, 63–73.CrossRefGoogle Scholar
Kisker, E. and Brown, R. (1996). Do school-based health centers improve adolescents' access to health care, health status, and risk-taking behavior? Journal of Adolescent Health, 18, 335–343.Google Scholar
Kumpfer, K., Alvarado, R., Smith, P. and Bellamy, N. (2002). Cultural sensitivity and adaptation in family-based interventions. Preventive Sciences, 3, 241–246.CrossRefGoogle Scholar
Lieberman, J., Stroup, T., McEvoy, J.et al. and The Clinical Antipsychotic Trials of Intervention Effectiveness (2005). Effectiveness of antipsychotic drugs in patients with chronic schizophrenia. New England Journal of Medicine, 353, 1209–1223.CrossRefGoogle Scholar
Loughran, M. (2004). Psychodynamic therapy with adolescents. In Handbook of Mental Health Interventions in Children and Adolescents: An Integrated Developmental Perspective, ed. Steiner, H.. San Francisco: Jossey-Bass.
Mitrani, V., Santisteban, M. and Muir, J. (2004). Addressing immigration-related separations in Hispanic families with a behaviour-problem adolescent. American Journal of Orthopsychiatry, 74, 219–229.CrossRefGoogle Scholar
Mukherji, C. (1997). Monsters and muppets: the history of childhood and techniques of cultural analysis. In From Sociology to Cultural Studies, ed. Long, E.. Malden, MA: Blackwell Publishers.
Niemi, L., Suvisaari, J., Haukka, J. and Lonnqvist, J. (2005). Childhood predictors of future psychiatric morbidity in offspring of mothers with psychotic disorder: results from the Helsinki High-Risk Study. British Journal of Psychiatry, 186, 108–114.CrossRefGoogle Scholar
Owens, P., Hoagwood, K., Horwitz, S.et al. (2002). Barriers to children's mental health services. Journal of the American Academy of Child and Adolescent Psychiatry, 41, 731–738.CrossRefGoogle Scholar
Pinfold, V., Toulmin, H., Thornicroft, G., Huxley, P., Farmer, P. and Graham, T. (2003). Reducing stigma and discrimination: evaluation of educational interventions in UK secondary schools. British Journal of Psychiatry, 182, 342–346.CrossRefGoogle Scholar
Post, R. and Post, S. (2004). Molecular and cellular developmental vulnerabilities to the onset of affective disorders in children and adolescents: some implications for therapeutics. In Handbook of Mental Health Interventions in Children and Adolescents: An Integrated Developmental Perspective, ed. Steiner, H.. San Francisco: Jossey-Bass.
Pumariega, A., Glover, S., Holzer, C. and Nguyen, H. (1998). Utilization of mental health services in a tri-ethnic sample of adolescents. Community Mental Health Journal, 34, 145–156.CrossRefGoogle Scholar
Rahman, A., Mubbashar, M., Gater, R. and Goldberg, D. (1998). Randomised trial of impact of school mental health programme in rural Rawalphindi, Pakistan. The Lancet, 352, 1022–1025.CrossRefGoogle Scholar
Rapoport, J., Addington, A., Frangou, S. and Psych, M. (2005). The neurodevelopmental model of schizophrenia: update 2005. Molecular Psychiatry, 10, 434–449.CrossRefGoogle Scholar
Rousseau, C., Drapeau, A. and Platt, R. (2004). Family environment and emotional and behavioural symptoms in adolescent Cambodian refugees: influence of time, gender, and acculturation. Medical Conflict and Survival, 20, 151–165.CrossRefGoogle Scholar
Rubenstein, J. and Puelles, L. (2004). Survey of brain development. In Handbook of Mental Health Interventions in Children and Adolescents: an Integrated Developmental Perspective, ed. Steiner, H.. San Francisco: Jossey-Bass.
Santelli, J., Kouzis, A. and Newcomer, S. (1996a). School-based health centers and adolescent use of primary care and hospital care. Journal of Adolescent Health, 19, 267–275.Google Scholar
Santelli, J., Kouzis, A. and Newcomer, S. (1996b). Student attitudes toward school-based health centers. Journal of Adolescent Health, 18, 349–356.Google Scholar
Santisteban, D., Coatsworth, J., Perez-Vidal, A.et al. (2003). Efficacy of brief strategies family therapy in modifying Hispanic adolescent behaviour problems and substance use. Journal of Family Psychology, 17, 121–133.CrossRefGoogle Scholar
Sinha, V., Kishore, T. and Thakur, A. (2003). A school mental health program in India. Journal of the American Academy of Child and Adolescent Psychiatry, 42, 624.CrossRefGoogle Scholar
Sourander, A., Santalahti, P., Haavisto, A., Piha, J. and Ikaheimo, K. (2004). Have there been changes in children's psychiatric symptoms and mental health service use? A 10-year comparison from Finland. Journal of the American Academy of Child and Adolescent Psychiatry, 43, 1134–1145.CrossRefGoogle Scholar
Steiner, H. (2004). The scientific basis of mental health interventions in children and adolescents: an overview. In Handbook of Mental Health Interventions in Children and Adolescents: An Integrated Developmental Perspective, ed. Steiner, H.. San Francisco: Jossey-Bass.
Stratton, P. (2005). Report on the Evidence Base of Systemic Family Therapy on Behalf of the Academic and Research Committee of the Association for Family Therapy. London: Association for Family Therapy.
Sue, D., Ivey, A. and Penderson, P. (1996). A Theory of Multicultural Counseling and Therapy. New York: Brooks/Cole Publishing.
Szapocznik, J. and Williams, R. (2000). Brief strategic therapy: 25 years of interplay among theory, research and practice in adolescent behaviour problems and drug abuse. Clinical Child Family Psychology Review, 3, 117–134.Google Scholar
Tamura, T. and Lau, A. (1992). Connectedness versus separateness: applicability of family therapy to Japanese families. Family Process, 31, 319–340.CrossRefGoogle Scholar
Thabet, A. A., Abed, Y. and Vostanis, P. (2002). Emotional problems in Palestinian children living in a war zone: a cross-sectional study. The Lancet, 359, 1801–1804.CrossRefGoogle Scholar
Thabet, A. A., Gammal, El H. and Vostanis, P. (2006). Palestinian mothers' perceptions of child mental health problems and services. World Psychiatry, 5(2), 108–112.Google Scholar
Tseng, W. S. and Streltzer, J. (2001). Culture and Psychotherapy: A Guide to Clinical Practice. Washington, DC: American Psychiatric Press.
Vitiello, B. and Swedo, S. (2004). Antidepressant medications in children. New England Journal of Medicine, 350, 1489–1491.CrossRefGoogle Scholar
Vostanis, P. (2004). Impact, psychological sequalae and management of trauma affecting children. Current Opinion in Psychiatry, 17, 269–273.CrossRefGoogle Scholar
Vostanis, P. (2005). National Service Framework: its principles are relevant to all countries. Child and Adolescent Mental Health, 10, 131–132.CrossRefGoogle Scholar
Vygotsky, L. (1978). Mind in Society: The Development of Higher Psychological Processes. Cambridge, MA.: Harvard University Press.
Walter, H., Vaughan, R., Armstrong, B., Krakoff, R., Tiezzi, L. and McCarty, J. (1995). School-based health care for urban minority junior high school students. Archives of Pediatrics and Adolescent Medicine, 149, 1221–1225.CrossRefGoogle Scholar
Weist, M., Paskewitz, D., Warner, S. and Flaherty, L. (1996). Treatment outcome of school-based mental health services for urban teenagers. Community Mental Health Journal, 32, 149–157.CrossRefGoogle Scholar
Wessely, S. and Kerwin, R. (2004). Suicide risk and the SSRIs. Journal of the American Medical Association, 292, 379–381.CrossRefGoogle Scholar
Wilson, C., Nairn, R., Coverdale, J. and Panapa, A. (2000). How mental illness is portrayed in children's television. British Journal of Psychiatry, 176, 440–443.CrossRefGoogle Scholar
World Health Organization (2005). WHO Model List of Essential Medicines, 14th edn. Geneva: World Health Organization.
Ziguras, S., Klimidis, S., Lambert, T. and Jackson, A. (2001). Determinants of anti-psychotic medication compliance in a multicultural population. Community Mental Health Journal, 37, 273.CrossRefGoogle Scholar
Zwaanswijk, M., Ende, J., Verhaak, P., Bensing, J. and Verhulst, F. (2003). Factors associated with adolescent mental health service need and utilization. Journal of the American Academy of Child and Adolescent Psychiatry, 42, 692–700.CrossRefGoogle Scholar

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  • Child psychiatry across cultures
    • By Niranjan Karnik, Division of Child and Adolescent Psychiatry Stanford University 401 Quarry Road Stanford CA 94305 USA, Nisha Dogra, University of Leicester Greenwood Institute of Child Health Department of Psychiatry Division of Child Psychiatry Westcotes House, Westcotes Drive Leicester LE3 0QU UK, Panos Vostanis, University of Leicester Greenwood Institute of Child Health Department of Psychiatry Division of Child Psychiatry Westcotes House, Westcotes Drive Leicester LE3 0QU UK
  • Edited by Dinesh Bhugra, Institute of Psychiatry, London, Kamaldeep Bhui
  • Book: Textbook of Cultural Psychiatry
  • Online publication: 11 August 2009
  • Chapter DOI: https://doi.org/10.1017/CBO9780511543609.038
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  • Child psychiatry across cultures
    • By Niranjan Karnik, Division of Child and Adolescent Psychiatry Stanford University 401 Quarry Road Stanford CA 94305 USA, Nisha Dogra, University of Leicester Greenwood Institute of Child Health Department of Psychiatry Division of Child Psychiatry Westcotes House, Westcotes Drive Leicester LE3 0QU UK, Panos Vostanis, University of Leicester Greenwood Institute of Child Health Department of Psychiatry Division of Child Psychiatry Westcotes House, Westcotes Drive Leicester LE3 0QU UK
  • Edited by Dinesh Bhugra, Institute of Psychiatry, London, Kamaldeep Bhui
  • Book: Textbook of Cultural Psychiatry
  • Online publication: 11 August 2009
  • Chapter DOI: https://doi.org/10.1017/CBO9780511543609.038
Available formats
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  • Child psychiatry across cultures
    • By Niranjan Karnik, Division of Child and Adolescent Psychiatry Stanford University 401 Quarry Road Stanford CA 94305 USA, Nisha Dogra, University of Leicester Greenwood Institute of Child Health Department of Psychiatry Division of Child Psychiatry Westcotes House, Westcotes Drive Leicester LE3 0QU UK, Panos Vostanis, University of Leicester Greenwood Institute of Child Health Department of Psychiatry Division of Child Psychiatry Westcotes House, Westcotes Drive Leicester LE3 0QU UK
  • Edited by Dinesh Bhugra, Institute of Psychiatry, London, Kamaldeep Bhui
  • Book: Textbook of Cultural Psychiatry
  • Online publication: 11 August 2009
  • Chapter DOI: https://doi.org/10.1017/CBO9780511543609.038
Available formats
×