Based on a recently completed project of cultural consultation in Montreal, Cultural Consultation presents a model of multicultural and applicable health care. This model used clinicians and consultants to provide in-depth assessment, treatment planning, and limited interventions in consultation with frontline primary care and mental health practitioners working with immigrants, refugees, and members of indigenous and ethnocultural communities. Evaluation of the service has demonstrated that focused interventions by consultants familiar with patients' cultural backgrounds could improve the relationship between the patient and the primary clinician.

This volume presents models for intercultural work in psychiatry and psychology in primary care, general hospital and specialty mental health settings. The editors highlight crucial topics such as:

- Discussing the social context of intercultural mental health care, conceptual models of the role of culture in psychopathology and healing, and the development of a cultural consultation service and a specialized cultural psychiatric service

- Examining the process of intercultural work more closely with particular emphasis oto strategies of consultation, the identity of the clinician, the ways in which gender and culture position the clinician, and and interaction of the consultant with family systems and larger institutions

- Highlighting special situations that may place specific demands on the clinician: working with refugees and survivors of torture or political violence, with separated families, and with patients with psychotic episodes

This book is of valuable use to mental health practitioners who are working in multidisciplinary settings who seek to understand cultural difference in complex cases. Psychiatrists, psychologists, social workers, nurse practitioners, primary care providers and trainees in these disciplines will make thorough use of the material covered in this text.

Based on a recently completed project of cultural consultation in Montreal, Cultural Consultation presents a model of multicultural and applicable health care. This model used clinicians and consultants to provide in-depth assessment, treatment planning, and limited interventions in consultation with frontline primary care and mental health practitioners working with immigrants, refugees, and members of indigenous and ethnocultural communities. Evaluation of the service has demonstrated that focused interventions by consultants familiar with patients' cultural backgrounds could improve the relationship between the patient and the primary clinician. This volume presents models for intercultural work in psychiatry and psychology in primary care, general hospital and specialty mental health settings. The editors highlight crucial topics such as: - Discussing the social context of intercultural mental health care, conceptual models of the role of culture in psychopathology and healing, and the development of a cultural consultation service and a specialized cultural psychiatric service - Examining the process of intercultural work more closely with particular emphasis oto strategies of consultation, the identity of the clinician, the ways in which gender and culture position the clinician, and interaction of the consultant with family systems and larger institutions - Highlighting special situations that may place specific demands on the clinician: working with refugees and survivors of torture or political violence, with separated families, and with patients with psychotic episodes This book is of valuable use to mental health practitioners who are working in multidisciplinary settings who seek to understand cultural difference in complex cases. Psychiatrists, psychologists, social workers, nurse practitioners, primary care providers and trainees in these disciplines will make thorough use of the material covered in this text.

Death is a much avoided topic. Literature on mourning exists, but it focuses chiefly upon the death of others. The inevitable psychic impact of one's own mortality is not optimally covered either in this literature on mourning or elsewhere in psychiatry and psychoanalysis. The Wound of Mortality brings together contributions from distinguished psychoanalysts to fill this gap by addressing the issue of death in a comprehensive manner. Among questions the contributors raise and seek to answer are: Do children understand the idea of death? How is adolescent bravado related to deeper anxieties about death? Is it normal and even psychologically healthy to think about one's own death during middle age? Does culture-at-large play a role in how individuals conceptualize the role of death in human life? Is death "apart" from or "a part" of life? Enhanced understanding of such matters will help mental health clinicians treat patients struggling with death-related concerns with greater empathy.

For any country that has a large and diverse migrant population, it is a struggle to connect these people to the country’s institutions, including the healthcare system, which can be overwhelming in its complexity. Cultural and language barriers often make it difficult for doctors to fully understand the symptoms of their migrant patients, reach accurate diagnoses, or properly treat their suffering. Thus, medical practitioners must attempt new, innovative practices in order to reach patients where they are and convince them to accept treatment from doctors they don’t totally understand. In France, Serge Bouznah and Catherine Lewertowski have pioneered one such practice—that of transcultural mediation.    Drawn from two decades of their experience with transcultural mediation, Spirits in the Consulting Room tells the stories of eight patients—mainly migrants—and their families. Each chapter focuses on a different patient, and Christelle, Djibril, Moncef, Alhassane, Jacinthe, Amy, Cyril, Alice, and Pierre leap off the page as distinct people with unique situations. Together, these chapters reveal how patients’ comprehension of their symptoms is shaped by their cultural background, while recounting the challenges of translating that into terms the doctors can grasp.    The book shows how trained transcultural mediators can help to redress the power imbalance between doctors and the migrants they treat, providing patients with advocates who respect the authority of their background and experiences and don’t just take the side of the medical professionals. The groundbreaking insights modeled in this book can be applied to any medical situation where doctors and patients find themselves speaking different languages.