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As psychiatry has developed it has proved to be susceptible to the
influence of contemporary social and political mores. With its
origins in nineteenth-century Europe, psychiatry evolved as an
ethnocentric body of knowledge, the vehicle of implicit and overt
racism. Originally published in 1988 this author, however, saw no
reason why the contemporary psychiatrist should not challenge this
ethnocentrism. He provides a critical account of the development of
psychiatry in relation to its cultural context and then examined
contemporary practice of the time in the light of this development.
Throughout, the book is informed by an awareness of issues of race
and culture and of their difficult interactions, the author
emphasising both the frequency of racist attitudes and the very
real cultural distinctions in our society, distinctions that can be
used to mask what are actually racist sentiments. What emerges is
not just a plea for an anti-racist, culture sensitive psychiatry,
but a blueprint for how this can be brought about. He argued that
the shift towards community work and social psychiatry could
reorientate the profession by confronting it with its social
setting and responsibilities. This book represented a significant
contribution to this literature for all mental health professionals
and social scientists with an interest in this field at the time;
the author has gone on to write many more.
This new edition of Mental Health in a Multi-Ethnic Society is an
authoritative, comprehensive guide on issues around race, culture
and mental health service provision. It has been updated to reflect
the changes in the UK over the last ten years and features entirely
new chapters by over twenty authors, expanding the range of topics
by including issues of particular concern for women, family
therapy, and mental health of refugees and asylum seekers. Divided
into four sections the book covers: issues around mental health
service provision for black and minority ethnic (BME) communities
including refugees and asylum seekers critical accounts of how
these issues may be confronted, with examples of projects that
attempt to do just that programs and innovative services that
appear to meet some of the needs of BME communities a critical but
constructive account of lessons to be drawn from earlier sections
and discussion of the way ahead. With chapters on training, service
user involvement, policy development and service provision Mental
Health in a Multi-Ethnic Society will appeal to academics,
professionals, trainers and managers, as well as providing
up-to-date information for a general readership.
According to the National Service Framework for mental health published by the Department of Health in 1999 black and minority ethnic communities have little confidence in mental health services. Cultural Diversity, Mental Health and Psychiatry examines how and why this situation has come about, and makes specific practical, often surprising, suggestions for changing the status quo. In his latest and most critical analysis, Suman Fernando reflects on the current situation in light of his own personal experience, academic research and anecdotal reports. He weaves together themes of immense importance for the future of psychiatry and mental health services in a multi-cultural setting, exploring: · the nature of racism and its permeation into mental health services · the inside story of the struggle against racism in statutory and voluntary sectors of the mental health system · the history of psychiatry and the role of spirituality, holistic thinking, psychotherapy and Asian traditions of medicine. Trainees, practitioners, and managers of mental health services will profit from the practical application of Fernando's ideas, and students and academics will benefit from his theoretical guidance.
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Forensic psychiatry is the discipline which distinguishes the 'mad'
from the 'bad', but are its values inherently racist? Why are
individuals from non-Western backgrounds over-represented
statistically in those diagnosed with schizophrenia and other
serious illnesses? The authors argue that the values on which
psychiatry is based are firmly rooted in ethnocentric Western
culture, with profound implications for individual diagnosis and
systems of care.
Through detailed exploration of the history of psychiatry, current
clinical issues and present public policy, this powerful book
traces the growth of a system in which non-conformity to the
prevailing cultural norms risks alienation and diagnosis of mental
disorder.
As psychiatry has developed it has proved to be susceptible to the
influence of contemporary social and political mores. With its
origins in nineteenth-century Europe, psychiatry evolved as an
ethnocentric body of knowledge, the vehicle of implicit and overt
racism. Originally published in 1988 this author, however, saw no
reason why the contemporary psychiatrist should not challenge this
ethnocentrism. He provides a critical account of the development of
psychiatry in relation to its cultural context and then examined
contemporary practice of the time in the light of this development.
Throughout, the book is informed by an awareness of issues of race
and culture and of their difficult interactions, the author
emphasising both the frequency of racist attitudes and the very
real cultural distinctions in our society, distinctions that can be
used to mask what are actually racist sentiments. What emerges is
not just a plea for an anti-racist, culture sensitive psychiatry,
but a blueprint for how this can be brought about. He argued that
the shift towards community work and social psychiatry could
reorientate the profession by confronting it with its social
setting and responsibilities. This book represented a significant
contribution to this literature for all mental health professionals
and social scientists with an interest in this field at the time;
the author has gone on to write many more.
What is multicultural psychotherapy?
How do we integrate issues of gender, class and sexual orientation
in multicultural psychotherapy?
"Race, Culture and Psychotherapy" provides a thorough critical
examination of contemporary multiculturalism and culturalism,
including discussion of the full range of issues, debates and
controversies that are emerging in the field of multicultural
psychotherapy.
Beginning with a general critique of race, culture and ethnicity,
the book explores issues such as the notion of interiority and
exteriority in psychotherapy, racism in the clinical room, race and
countertransference conflicts, spirituality and traditional healing
issues. Contributors from the United States, Britain and Canada
draw on their professional experience to provide comprehensive and
balanced coverage of the following subjects:
Critical Perspectives in Race and Culture in Psychotherapy
Governing Race in the Transference
Racism, Ethnicity and Countertransference
Intersecting Gender, Race, Class and Sexual orientation
Spirituality, Cultural Healing and Psychotherapy
Future Directions
"Race, Culture and Psychotherapy" will be of interest not only to
practicing psychotherapists, but also to students and researchers
in the field of mental health and anyone interested in gaining a
better understanding of psychotherapy in a multicultural society.
This book critiques our reliance on Eurocentric knowledge in the
education and training of psychology and psychiatry. Chapters
explore the diversity of 'constructions of the self' in non-Western
cultures, examining traditional psychologies from Africa, Asia,
Australasia, and Pre-Columbian America. The authors discuss
liberation psychologies and contemporary movements in healing and
psychological therapy that draw on both Western and non-Western
sources of knowledge. A central theme confronted is the importance,
in a rapidly shrinking world, for knowledge systems derived from
diverse cultures to be explored and disseminated equally. The
authors contend that for this to happen, academia as a whole must
lead in promoting cross-national and cross-cultural understanding
that is free of colonial misconceptions and prejudices. This unique
collection will be of value to all levels of study and practice
across psychology and psychiatry and to anyone interested in
looking beyond Western definitions and understandings.
This book critiques our reliance on Eurocentric knowledge in the
education and training of psychology and psychiatry. Chapters
explore the diversity of 'constructions of the self' in non-Western
cultures, examining traditional psychologies from Africa, Asia,
Australasia, and Pre-Columbian America. The authors discuss
liberation psychologies and contemporary movements in healing and
psychological therapy that draw on both Western and non-Western
sources of knowledge. A central theme confronted is the importance,
in a rapidly shrinking world, for knowledge systems derived from
diverse cultures to be explored and disseminated equally. The
authors contend that for this to happen, academia as a whole must
lead in promoting cross-national and cross-cultural understanding
that is free of colonial misconceptions and prejudices. This unique
collection will be of value to all levels of study and practice
across psychology and psychiatry and to anyone interested in
looking beyond Western definitions and understandings.
This book examines the deep roots of racism in the mental health
system. Suman Fernando weaves the histories of racial discourse and
clinical practice into a narrative of power, knowledge, and black
suffering in an ostensibly progressive and scientifically grounded
system. Drawing on a lifetime of experience as a practicing
psychiatrist, he examines how the system has shifted in response to
new forms of racism which have emerged since the 1960s,
highlighting the widespread pathologization of black people, the
impact of Islamophobia on clinical practice after 9/11, and various
struggles to reform. Engaging and accessible, this book makes a
compelling case for the entrenchment of racism across all aspects
of psychiatry and clinical psychology, and calls for a paradigm
shift in both theory and practice.
While therapists are increasingly working with multi-ethnic client
groups, there is a paucity of material available for them to
develop approaches, which meet diverse cultural and racial needs.
Art Therapy, Race and Culture is a stimulating and inspiring
collection which explores the often contentious themes of race,
racism and culture in relation to the experience of art therapy, in
a positive and constructive way. Contributors examine the impact of
racial perceptions in their own experience, their clients' lives,
and on the interaction of therapist and client. The potential of
art therapy as a force of liberation, and art therapists as
cultural activists, is explored. Cultural differences in meanings
applied to 'colour' and to the nature of art are also discussed.
Illustrated with line drawings and photographs, the book presents
work, ideas and theories based on the practical experiences of
therapists from many different backgrounds and their work with
clients from equally diverse origins.
This is a book for practitioners - essentially a self-training book
but also one that could be used as a source of knowledge in a
complex and controversial field. The author knows about the
realities at the grass roots, how NHS mental health care is
currently set up, what types of approach are practicable and what
are not and more than all that he understands what busy
practitioners may look for in a book called a "handbook".' -
Extract from the Foreword by Dr Suman Fernando This book enables
front line practitioners to understand why it is important to
consider the specific needs of people from black and minority
ethnic (BME) backgrounds in mental health settings. It offers
practical guidance on how practitioners can take positive steps to
improve the quality of their work and their relationships with BME
service users, and ultimately how to improve their outcomes. By
advocating the practice of recognizing the individuality of each
service user, this book provides practitioners with the tools and
information they need to work fairly and effectively. Case examples
of organisations that have achieved a quality of delivery that is
valued by BME people are included, along with exercises that help
practitioners to make links between theory and their individual
practice. It is invaluable reading for all those working on the
front line in mental health.
What is multicultural psychotherapy?
How do we integrate issues of gender, class and sexual orientation
in multicultural psychotherapy?
"Race, Culture and Psychotherapy" provides a thorough critical
examination of contemporary multiculturalism and culturalism,
including discussion of the full range of issues, debates and
controversies that are emerging in the field of multicultural
psychotherapy.
Beginning with a general critique of race, culture and ethnicity,
the book explores issues such as the notion of interiority and
exteriority in psychotherapy, racism in the clinical room, race and
countertransference conflicts, spirituality and traditional healing
issues. Contributors from the United States, Britain and Canada
draw on their professional experience to provide comprehensive and
balanced coverage of the following subjects:
Critical Perspectives in Race and Culture in Psychotherapy
Governing Race in the Transference
Racism, Ethnicity and Countertransference
Intersecting Gender, Race, Class and Sexual orientation
Spirituality, Cultural Healing and Psychotherapy
Future Directions
"Race, Culture and Psychotherapy" will be of interest not only to
practicing psychotherapists, but also to students and researchers
in the field of mental health and anyone interested in gaining a
better understanding of psychotherapy in a multicultural society.
This new edition of Mental Health in a Multi-Ethnic Society is an
authoritative, comprehensive guide on issues around race, culture
and mental health service provision. It has been updated to reflect
the changes in the UK over the last ten years and features entirely
new chapters by over twenty authors, expanding the range of topics
by including issues of particular concern for women, family
therapy, and mental health of refugees and asylum seekers. Divided
into four sections the book covers: issues around mental health
service provision for black and minority ethnic (BME) communities
including refugees and asylum seekers critical accounts of how
these issues may be confronted, with examples of projects that
attempt to do just that programs and innovative services that
appear to meet some of the needs of BME communities a critical but
constructive account of lessons to be drawn from earlier sections
and discussion of the way ahead. With chapters on training, service
user involvement, policy development and service provision Mental
Health in a Multi-Ethnic Society will appeal to academics,
professionals, trainers and managers, as well as providing
up-to-date information for a general readership.
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