Download Cultural Diversity, Mental Health and Psychiatry: The by Dr Suman Fernando, Suman Fernando PDF

By Dr Suman Fernando, Suman Fernando

'Black and minority ethnic groups lack self belief in psychological future health services', based on the nationwide carrier Framework for psychological healthiness released by means of the dept of overall healthiness in 1999. Cultural variety, psychological well-being and Psychiatry examines how and why this example has turn up, and makes particular functional, usually miraculous, feedback for altering the established order. In his most recent and most important research, Suman Fernando displays at the present state of affairs in gentle of his personal own adventure, educational study and anecdotal experiences. He weaves jointly issues of mammoth significance for the way forward for psychiatry and psychological health and wellbeing prone in a multi-cultural environment, exploring:* the character of racism and its permeation into psychological well-being providers * the interior tale of the fight opposed to racism in statutory and voluntary sectors of the psychological health and wellbeing process* the background of psychiatry and the function of spirituality, holistic pondering, psychotherapy and Asian traditions of drugs. Trainees, practitioners, and executives of psychological healthiness prone will cash in on the sensible software of Fernando's most modern principles, and scholars and lecturers will reap the benefits of his theoretical advice.

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34) (although this study was grossly inadequate in merely touching the surface of a vast problem) there have been no studies published in professional journals that draw on the experience of black patients (from their viewpoints) or their views about diagnosis and treatment. Nor, of course, have there been any studies of racism in the psychiatric system except for the study (quoted on p. 35) by Lewis and colleagues (1990) that I have already pointed out was ¯awed. So what is wrong? Kuller (1999) has pointed out that good epidemiological studies `progress from descriptive to analytic to experimental epidemiology and then to studies of effectiveness leading to prevention ` (1999: 897).

Carothers (1953), writing in a monograph for the World Health Organisation, described (what he saw as) the African's `lack of personal integration' (1953: 106), attributed the alleged rarity of depression among Africans to their lack of `a sense of responsibility' (1953: 148) and postulated `frontal [lobe] idleness' among Africans (1953: 161) as an underlying psychological de®ciency. Also, an eminent psychiatrist and researcher, Leff (1973), hypothesised a theory of emotional differentiation which stated that `[people from] developed countries show a greater differentiation of emotional states than [do people from] developing countries' (1973: 305), except for African Americans who resemble the latter.

The issues are sometimes complex but on the whole similar to those underlying other race issues ± for example the over-representation of black people in prison and the excessive exclusion from school of black children. One of the central issues for the diagnostic system that psychiatry currently uses is the relatively high rate at which `schizophrenia' is diagnosed among black people in the UK. I believe that 32 Background this issue lies at the centre of the problems in the mental health services that present as ethnic issues.

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