Ebook Clinical manual of cultural psychiatry (2/E): Part 2
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Ebook Clinical manual of cultural psychiatry (2/E): Part 2
Cultural Issues in Women’sMental HealthLisa Andermann, M.Phil., M.D., FRCPCKenneth p. Fung, M.D., M.Sc., FRCPC11 is of key importance that a clinical Ebook Clinical manual of cultural psychiatry (2/E): Part 2 manual of cultural psychiatry include a chapter on women. As is emphasized throughout this volume with rhe DSM-5 Outline for Cultural Formulation (OCF) format, one’s cultural identity focuses on nor only ethnicity, race, and migration bur also both biologically determined sex and culturally determi Ebook Clinical manual of cultural psychiatry (2/E): Part 2ned gender roles (American Psychiatric Association 2013). Tseng (2003) writes that “even though the Earths population is composed half of men and halfEbook Clinical manual of cultural psychiatry (2/E): Part 2
of women, differences in treatment between men and women have perhaps existed from rhe beginning of the history of humankind” (p. 382). Of course, ifCultural Issues in Women’sMental HealthLisa Andermann, M.Phil., M.D., FRCPCKenneth p. Fung, M.D., M.Sc., FRCPC11 is of key importance that a clinical Ebook Clinical manual of cultural psychiatry (2/E): Part 2nequal treatment, sociocultural discrimination, sexual harassment, and gender-based violence are all im-288 Clinical Manual of Cultural Psychiatry, Second Editionporcant factors in the social determinants of women's mental health (Andermann 2006, 2010; Blehar 2006; Vigod and Stewart 2009; World Heal Ebook Clinical manual of cultural psychiatry (2/E): Part 2th Organization 2000, 2009).Women’s mental health has come into its own over the years as a subspecialty in psychiatry. In this chapter, we rake a lifEbook Clinical manual of cultural psychiatry (2/E): Part 2
e cycle approach to explore some of rhe cultural issues related to women's mental health across rhe life span: from birth through childhood and adolesCultural Issues in Women’sMental HealthLisa Andermann, M.Phil., M.D., FRCPCKenneth p. Fung, M.D., M.Sc., FRCPC11 is of key importance that a clinical Ebook Clinical manual of cultural psychiatry (2/E): Part 2d internationally and how these have shaped the field of womens mental health. Finally, we present two cases, one with video vignettes using the OCF and information obtained by use of the Cultural Formulation Interview (CFI), to illustrate how taking womens cultural identity and biology into account Ebook Clinical manual of cultural psychiatry (2/E): Part 2 can shape assessment and treatment recommendations. The use of a trauma-informed approach is also an important component of this work.Women’s MentalEbook Clinical manual of cultural psychiatry (2/E): Part 2
Health and the Women’s Movement: A Brief HistoryFrom rhe earliest days of the history of medicine, Hippocrates' theory of the "wandering uterus'' linkCultural Issues in Women’sMental HealthLisa Andermann, M.Phil., M.D., FRCPCKenneth p. Fung, M.D., M.Sc., FRCPC11 is of key importance that a clinical Ebook Clinical manual of cultural psychiatry (2/E): Part 2to other organs such as the heart (causing chest pain) or the stomach (causing gastrointestinal problems) and leading women to become "hysterical" (Meyer 1997). The treatment was therefore to “anchor" the uterus through pregnancy or through keeping the uterus moist via intercourse so that it would r Ebook Clinical manual of cultural psychiatry (2/E): Part 2emain in place. Many other explanations and cures can be found in writings throughout the Mediterranean world over rhe following centuries (Allison anEbook Clinical manual of cultural psychiatry (2/E): Part 2
d Roberts 1994; Rodin 1992). Theories around women’s emotional instability survived up to rhe late 1800s and have had a great influence over rhe develCultural Issues in Women’sMental HealthLisa Andermann, M.Phil., M.D., FRCPCKenneth p. Fung, M.D., M.Sc., FRCPC11 is of key importance that a clinical Ebook Clinical manual of cultural psychiatry (2/E): Part 2escribe somatization and medically unexplained symptoms, and falls under the realm of psychosomatic medicine, at the borderland between medicine and psychiatry. Histrionic personality disorder would be the equivalent de-Women’s Mental Health 289rhologies, with close links to the other Cluster B diso Ebook Clinical manual of cultural psychiatry (2/E): Part 2rders, including borderline personality disorder, and it is maintained in DSM-5, although without the mukiaxial system (American Psychiatric AssociatiEbook Clinical manual of cultural psychiatry (2/E): Part 2
on 2013). Interestingly, the term hysterical has remained in use as a colloquial, often pejorative, word used to describe a state of emotional excess Cultural Issues in Women’sMental HealthLisa Andermann, M.Phil., M.D., FRCPCKenneth p. Fung, M.D., M.Sc., FRCPC11 is of key importance that a clinical Ebook Clinical manual of cultural psychiatry (2/E): Part 2frage (rhe right to vote), second-wave feminism of the 1960s and 1970s addressed a broader range of issues, including legal and workplace inequalities, family norms, sexual rights, and reproductive rights (Wood 2010). The development of an oral contraceptive pill, as championed by Margaret Sanger, l Ebook Clinical manual of cultural psychiatry (2/E): Part 2ed women to experience their sexuality without risk of becoming pregnant. In Boston, Massachusetts, the Women’s Health Collective would go on to publiEbook Clinical manual of cultural psychiatry (2/E): Part 2
sh Our Bodies, Ourselves, a groundbreaking manual of womens health matters. The book is now celebrating its forty-first anniversary, and it details hoCultural Issues in Women’sMental HealthLisa Andermann, M.Phil., M.D., FRCPCKenneth p. Fung, M.D., M.Sc., FRCPC11 is of key importance that a clinical Ebook Clinical manual of cultural psychiatry (2/E): Part 2WWW. o u rbod ieso u rsel ves. o rg).In a chapter titled “Women’s Mental Health: From Hysteria to Human Rights,” Astbury (2006) links the recognition of gender, women's social position, and awareness of the effect of violence toward women arising from development of second-wave feminism as increasin Ebook Clinical manual of cultural psychiatry (2/E): Part 2gly important determinants of women's mental health. She argues that in order to explain higher rates of common mental disorders in women such as deprEbook Clinical manual of cultural psychiatry (2/E): Part 2
ession, anxiety, and post-traumatic stress disorder, “a model of women’s mental health is required that moves beyond brain chemistry and biologic factCultural Issues in Women’sMental HealthLisa Andermann, M.Phil., M.D., FRCPCKenneth p. Fung, M.D., M.Sc., FRCPC11 is of key importance that a clinical Ebook Clinical manual of cultural psychiatry (2/E): Part 2s that, in turn, potentiate poor mental health and damage self esteem” (p. 378). Research has shown that these childhood stressors, often related to psychological trauma and dysfunctional attachment relationships, may have lifelong effects not only on mental health but also on physical health (Bremn Ebook Clinical manual of cultural psychiatry (2/E): Part 2er et al. 2010; Bureau er al. 2010; Felitri er al. 1998).During the height of the women’s movement in the mid-1970s, Judith Herman (1992) began her caEbook Clinical manual of cultural psychiatry (2/E): Part 2
reer in rhe study of psychological trauma, leading290 Clinical Manual of Cultural Psychiatry, Second Edition[Clinicians know rhe privileged moment of Cultural Issues in Women’sMental HealthLisa Andermann, M.Phil., M.D., FRCPCKenneth p. Fung, M.D., M.Sc., FRCPC11 is of key importance that a clinical Ebook Clinical manual of cultural psychiatry (2/E): Part 2ory of individuals. In the 1970s, rhe speakours of rhe women’s liberation movement brought to public awareness the widespread crimes of violence towards women. Victims who had been silenced began to reveal their secrets... .We began to receive letters from women all over the country from women who n Ebook Clinical manual of cultural psychiatry (2/E): Part 2ever before told their stories. Through them, we realized the power of speaking rhe unspeakable and witnessed firsthand the creative energy that is reEbook Clinical manual of cultural psychiatry (2/E): Part 2
leased when rhe barriers of repression and denial are lifted, (p. 2)Through her work, Herman compares and contrasts the experiences of battered women,Cultural Issues in Women’sMental HealthLisa Andermann, M.Phil., M.D., FRCPCKenneth p. Fung, M.D., M.Sc., FRCPC11 is of key importance that a clinical Ebook Clinical manual of cultural psychiatry (2/E): Part 2ance of restoring connections between public and private worlds, individuals and communities, and men and women.We are currently in the midst of the third wave of feminism, which is more diffuse than previous movements and inclusive of women of color from a diversity of backgrounds and ethnicities, Ebook Clinical manual of cultural psychiatry (2/E): Part 2including a global emphasis that includes rhe developing world; sexual orientation; abilities and disabilities; class backgrounds; and appearance, incEbook Clinical manual of cultural psychiatry (2/E): Part 2
luding body types (Wood 2010). This is a welcome development that allows for discussion of heterogeneity of culture and identity differences between wCultural Issues in Women’sMental HealthLisa Andermann, M.Phil., M.D., FRCPCKenneth p. Fung, M.D., M.Sc., FRCPC11 is of key importance that a clinical Ebook Clinical manual of cultural psychiatry (2/E): Part 2cultural identity” (p. 488), with resulting implications for assessment and treatment. Issues of sexual orientation (lesbian, gay, and bisexual) also become important here but are more fully explored in Chapter 8, “Sexual Orientation.”Overall, the entire spectrum of the women’s movement is described Ebook Clinical manual of cultural psychiatry (2/E): Part 2 as “a collage of many movements that spans more than 170 years and include a range of political and social ideologies” (Wood 2010, p. 94). Many countEbook Clinical manual of cultural psychiatry (2/E): Part 2
ercurrents and backlash antifeminist responses are also made by women who may prefer a return to hearth and home or another destiny of their own makinCultural Issues in Women’sMental HealthLisa Andermann, M.Phil., M.D., FRCPCKenneth p. Fung, M.D., M.Sc., FRCPC11 is of key importance that a clinical Ebook Clinical manual of cultural psychiatry (2/E): Part 2e patient identifies with rhe women's movement shapes her cultural identity, ex-Women’s Mental Health 291pectations, and life choices, and eliciting this knowledge can entail a complex discussion that should be explored in treatment (see Table 7-1).The concepts of gender, social position, and human Ebook Clinical manual of cultural psychiatry (2/E): Part 2rights, and how they interrelate, are seen as an integral part of understanding the origins of, and possible solutions for, inequalities in women’s heEbook Clinical manual of cultural psychiatry (2/E): Part 2
alth. Level of education, income, legal protections and freedoms, and social and professional opportunities are important measures of a woman's rightsGọi ngay
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