Russell F. LIM (Ed.) : « Clinical Manual of Cultural Psychiatry »

American Psychiatric Publishing, Inc., 2006. 336 p.

Russell F. LIM, M. D. is Associate Clinical Professor and Director of Diversity Education and Training in the Department of Psychiatry and Behavioral Sciences at the University of California, Davis, School of Medicine.

Representing the clinical state of the art in culturally competent assessment and treatment, and providing important information on the four main racial/ethnic minority groups (African Americans, Asian Americans, Latinos/Hispanics, and Native Americans and Alaska Natives), the Clinical Manual of Cultural Psychiatry the collected wisdom from the editor’s 10 years of teaching cultural psychiatry as a CME course with the professional experience of seven other contributors in using and teaching about DSM-IV-TR’s Outline for Cultural Formulation.

Following an initial chapter about how the influence of culture affects every level of the mental health system, and how clinicians can gain insight into the complex interplay between culture and mental illness to ultimately improve patient care, six subsequent chapters by 8 authors use numerous illustrations and clinical vignettes as they address :

- Issues for assessing and treating African Americans-Presents a framework and context for understanding African Americans and their attitudes, beliefs, and behaviors about mental health and mental illness.
Raises awareness of racism, underdiagnosis, and misdiagnosis as they affect assessment and treatment.
lncludes an appendix of assessment tips written by APA Minority Fellows.
- Issues for assessing and treating Asian Americans-Details the need for an empathic, non-confrontational approach in evaluation and therapy to understand the Asian American patient’s culture, health beliefs, and life philosophies and therefore improve the potential to engage them in treatment.
- Issues for assessing and treating Latinos/Hispanics-Discusses the need for direct personal relatedness, perceived clinician warmth, and active family engagement in treatment as key skills in promoting the therapeutic alliance and participation among patients from this diverse and yet culturally cohesive group.
- Issues for assessing and treating Native Americans-Provides social and historical information (e.g., context of past events such as massacres of entire villages, disease epidemics, and forced removal from ancestral lands ; present factors such as social stressors and level of involvement in tribal life) for clinicians to build their understanding of this most underserved ethnic group in the US.
- Issues in Ethnopsychopharmacology-Reviews clinical reports of ethnic variation with several different classes of psychotropic medications and examines the relationship of pharmacogenetics, ethnicity, and environmental factors (including the use of traditional herbal preparations) to pharmacologic treatment of minorities.
- Applying DSM-IV-TR’s Outline for Cultural Formulation-Uses cultural formulation to organize and present the general themes that emerge after reviewing the previous chapters.

Clinicians must now meet accreditation standards involving cultural competence, making this groundbreaking clinical manual, with its three appendixes and index, indispensable for mental health care educators, students, residents, and practitioners. The Clinicat Manual of Cultural Psychiatry will also prove invaluable for encouraging much-needed research, as we seek to better understand our increasingly diverse – and ever smaller – world.

CONTENTS : Contributors. Preface. Foreword. Part I : Culture and Psychiatric Assessment. The assessment of culturally diverse individuals. Part II : Cultural Issues in Assessment and Treatment. African American patients. Asian American patients. Latino patients. American Indian and Alaska native patients. Part III : Culture, Psychopharmacological Treatment, and Case Formulation. Ethnopsychopharmacology. Conclusions : applying the DSM-IV-TR outline for cultural formulation. Appendices. Index.

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