The Impact Of Culture On Mental Health Essay

The DSM-5s' inclusion of the Cultural Formation Interview (CFI) has positive cultural care implications as it expanded cultural considerations and enabled greater provision of more individualised care by reducing racial and ethnic disparities in treatment (Halter, Rolin-Kenny, Dzurec, and Cox, 2013). “The CFI follows a person-centered approach to cultural assessment designed to avoid stereotyping, in that each individual’s cultural knowledge affects how he or she interprets illness experience and guides how he or she seeks help” (APA, 2013, p.

Cultural competency aids in closing the “disparities gap” in health care. ("OMH," 2012, para. 2) In doing so, health professionals and their clients are better able to discuss concerns without cultural differences getting in the way of effective communication and problem solving. Being respectful of and sensitive to the client’s health beliefs, culture, values, and diverse needs can bring positive outcomes within treatment and patient care. After all, is it not the main job of the health care provider to ensure patient trust? Open forms of communication when dealing with client issues can only be provided if the patient is comfortable with his provider and believes his

Duffey, T., & Somody, C. (2011). The Role of Relational-Cultural Theory in Mental Health Counseling. Journal of Mental Health Counseling, 33(3), 223-242. Retrieved August 13, 2015, from Proquest Central.

doi:10.1177/1363461512444673 Kleinman, A., Eisenberg, L., & Good, B. (1978). Culture, illness, and care: Clinical lessons from anthropologic and cross-cultural research. Annals of Internal Medicine, 88(2), 251. Lemieux-Charles, L., & McGuire, W. L. (2006).

The United States is a culturally diverse country that bring forth many differences in health care beliefs and practices. Culture plays an important role in healthcare because it can influence how patients understand their health, how certain illnesses are treated, and how patients can make decisions related to their health. Culture is defined as a “particular society’s entire way of living, encompassing shared patterns of belief, feeling, and knowledge that guide people’s conduct and are passed down from generation to generation” (Townsend, 2015a, p. 96). In other words, culture explains how people think, do, and respond to situations pertaining to their social, emotional, spiritual, and physical wellbeing. More importantly, cultural issues play a major role in patient compliance. Therefore, health care professionals must

“Health is influenced by culture and beliefs” (NRS-429V, 2011, p. 1). In order for the nurse to properly care for the patient, she must know and understand the patient’s culture. “Cultural care is a comprehensive model that includes the assessment of a client’s cultural needs, beliefs, and health care practices” (NRS-429V, 2011, p. 1). It is not enough to just know where the patient lives or where he came from. The nurse must embrace the concept of cultural competence and cultural awareness. This requires not only the awareness of the cultural beliefs and values of their patients, but also

In any case, providing competent care to a patient of a different culture must first start with an understanding of the culture itself (Potter & Perry, 2011). Culture is

Engaging into the importance of multicultural competence, awareness of such competency has become a significant necessity in the area of mental health, and various fields of psychology (Hayes, 2008). It is essential for a counselor to be multicultural competent in order to develop a therapeutic alliance with a client, while understanding their cultural identity. Therefore, culturally competent knowledge, attitudes, and skills of diverse culture, is necessary, in proper treatment and diagnosis. Nonetheless, the complexity of cultural diversity can contribute to challenges in assessment, diagnosis and or treatment. It is further understood; by understanding one’s social history, psychosocial history, presenting problems, along with other pertinent information regarding a cultural responsiveness in a diagnosis, and how it would be beneficial to individuals of various social, ethnic, and other minority groups in order to make a treatment plan based on the findings of a cultural assessment (Sue & Sue, 2013). Nonetheless, cultural influences, often neglected, are needed to incorporate the challenges cultural groups face when seeking treatment. Therefore, I have found it applicable to use “ADDRESSING,” framework in therapy as a resource for developing cultural and relevant assessments in addition to the onset symptoms presented in the client in the case study of Mrs. Hudson. The use of “ADDRESSING” acronym is designed to obtain age, developmental and physical disabilities

Being aware of culture in the field has many benefits. The main benefit would be that it would help in providing better therapy for the client in question. Understanding how culture affects a client’s life can help explain the clients various roles and identities in life. Apart from that, understanding socio cultural settings will help the psychologist be more aware of the needs of their clients. For example, Indians are less comfortable in seeing a psychologist and are less liable to tell their family and friends that they are in currently undergoing therapy (Zhang, Snowden, & Sue, 1998). The psychologist should use information about the clients’ culture to personalise the therapy in order to enhance the effectiveness of it as well as to not discourage the client as well as to understand how culture affects the client and the disorder. The involvement of culture would also make the psychologist more aware of their own personal biases and mind-sets that maybe prevent the therapy from being effective. Creation of guidelines to help psychologists in the assessment of clients from varied cultures are important.

All cultures have differnet beliefs about mental health and how they precieve what causes the disorders, how it can be cured or treated, and who should be involved in the process. Western coutries such as the United States, which see mental disorders as a result of natural scientific phenomena, advocate medical treatments that combat neurological imbalance and/or the use technology to diagnose and treat mental health disorders. Other countries believe that mental illness is the result of supernatural phenomena and promote prayer or other spiritual interventions that counter the presumed disfavor of powerful forces. Some cultures might ignore seeking professional medical help because they believe

Cultural competency is critical in psychology practice. In the United States, the groups, which considered as cultural and ethnic minorities, are growing in the population (APA, 2003). Culture often influences the content and quality of people’s experience, perception, and response. Thus, it is important for psychologists to be aware of cultural influences on client’s presenting experience(s) (Gardiner & Kosmitzki, 2010). Without a regard for cultural influence, there is a significant risk for the psychologist to misunderstand, misinterpret, and misguide his or her client. Such misunderstanding, misinterpretation, and misguidance are not only unhelpful but can be detrimental for the client (Corey, Corey, & Callanan, 2011; Pope, & Vasquez, 2011).

Culture has a great effect on attitudes toward therapy. According to the National Institution of Mental Health each individual or groups of people bring a variation of beliefs to the therapeutic setting such as communicating what issues to report, types of coping styles, social support, and cultural stigma towards mental health. More often it is culture that bears on whether or not an individual will seek help. For example there is a widespread tendency to stigmatize mental illness in Asian countries. People with mental illness are considered dangerous and create social distance and

While gender and ethnicity may be the more apparent cultural features other things are important also, which include sexual orientation, spiritual or religious practices, political aspects, and general philosophy of life are all cultural elements that need to be incorporated into interventions and treatment options” (Cummins et al., 2012, p.237). In addition, it is important for the social worker to have cultural knowledge because it is necessary for selecting the appropriate intervention and treatment methods for that client. Furthermore, the appropriate multidimensional assessment provides the social worker with the internal culture of the client such as cognitive abilities or limitations, emotional health, and emotional responses and

After diagnosis, cultured individuals may struggle to accept the idea of treatment that is familiar within western society, as, in some cases, illness is perceived as a course of nature rather than something that needs to be “cured” through treatment, medicines and technology. Cultural competence in healthcare has emerged partially as a strategy to address racial and ethnic disparities that may lead to health inequalities. Betancourt, Green and Carrillo (2002) determine that cultural competence in healthcare shows the ability for the system to provide care to patients with diverse values, beliefs, and behaviours, including meeting patients’ social and cultural needs. (Maier-Lorentz, M., Red Orbit, May 2008).

Having considered the importance of training and literature, it is also reasonable to look at the significance of culture, gender and diversity in working with clients. For example, research has asserted that the intersections of racial, ethnic, gender, sexual, socioeconomic, age, religious, spiritual, and disability identities have important influences on mental health outcomes and health disparities (Conron, Mimiaga, & Landers, 2010; Hankivsky et al., 2010; Institute of Medicine, 2011). Just like cultural differences can affect the therapeutic relationship – and therefore the therapeutic process – both directly and indirectly. Yet, different cultural perspectives on health and healing, human relationships, and world views can result in the therapist and patient ‘talking past’ one another as there is no shared basis for communication.