Cultural

Front 1

General cultural points to consider (9)

Back 1

1. Don't overgeneralize or overindividualize
2. Client's cultural identity
3. Client's cultural explanation for symptoms
4. Client's psychosocial environment
5. Cultural elements and power differentials of therapy relationship
6. Religion and culture as source of strength
7. Family systems in collectivistic culture
8. Sexual orientation
9. Therapy stigma

Front 2

Things to mention if patient is a minority

Back 2

• Minorities often want faster results
• Is the client comfortable with ethnicity mismatch?
• always assess RESPECTFUL dimensions
• assess for salience of identity and extent of "minority group experience"
• Multiple identities!

Front 3

RESPECTFUL

Back 3

• Religion/spirituality
• Economic class
• Sexual identity
• Psychological maturity
• Ethnic/racial identity
• Chronological/developmental challenges
• Trauma
• Family background/history
• Unique physical characteristics/disability
• Location of origin/residence/language

Front 4

Asian Americans

Lin Fan constantly studies DIE

Back 4

• L - lowest dropout
• F - formal
• C - collectivist
• S - shame and obligation
• D - direct / goal oriented
• I - intergenerational themes
• E - expert role

Front 5

African Americans

Back 5

• F - importance of family
• G - more parity btw genders
• H - healthy cultural paranoia
• H - highest drop out
• R - religion/church important
• C - community as source of strength

Front 6

Asian Americans part two

Back 6

H - High stigma

S - somatic symptoms presentation

A - alcohol risk high in asians

C - cognitive and physical idioms of distress

Front 7

Cultural points to hit generally

Back 7

Idioms of Distress

Psychosocial environment

Community support

Meaning of illness

Treatment expectations

Minority stress' impact on recovery

Front 8

American Indians

Back 8

• Prefer not to talk about feelings
• Affect expressed through interpersonal diff.
• Mind-body focus
• Community/cultural support
• Collaboration is important in therapy
• "here and now" focus
• Rarely return, important to be direct and fast
• deemphasize linear rx btw thoughts/feelings

Front 9

Hispanic clients

Back 9

• very collectivistic
• emphasis on family welfare
• connectedness and sharing
• intimate/personal details not always OK to share
• religion/spirituality
• gender roles are RIGID
• use family values to motivate

Front 10

LGBT

Back 10

• Internalized homophobia
• oppression

Front 11

First sentence for comp

Back 11

"The following framework is based on the DSM-5 cultural formulation framework"

Front 12

Comp outline for this section

Back 12

1. Personal cultural factors (RESPECTFUL)

2. Cultural Explanations of illness (idioms of distress, explanations for illness, meaning of illness ("I'm a failure"), expectations of therapy

3. Psychosocial environment

4. Client/therapist relationship

5. Application - how does this affect treatment?

Front 13

African Americans are paranoid about therapists because

Back 13

They are overdiagnosed with mental illness, especially schizophrenia

Front 14

Dynamic sizing

Back 14

Going from global to individual in terms of thinking about culture

Front 15

Treatment with American Indians

Back 15

Alliance buiding is important bc of hx of oppression

Front 16

LGBT

Back 16

stigma due to gay diagnosis from the past

discrimination and chronic stressors

lots of SI

double stigma: LGBT and MI

Front 17

Older adults

Back 17

increase structure and directedness

multiple formats, large print, binder

speak slowly and clearly