cultural implications Flashcards
stigma
negative attidutes towards groups of people within cultures
minority status
minority status
Subset of people who think of themselves, and are thought of by others, as a differentiated group
- power dynamics within certain groups
- discriminated against
- stay together and dont mix some times
race
Can be defined biologically, anthropologically, or genetically
ethnicity
Common heritage and history
Share worldview for thinking
demographic shifts in the US
- In 2043, the U.S. population is projected for the first time to become a majority–minority nation.
- No one group will make up the majority or make-up 51% of the population.
- However, non-Hispanic whites will continue to remain the largest single group.
western tradition
- Identity found in individuality
Values
- Autonomy
- Independence
- Self-reliance
- Mind and body separate entities
- Disease has a cause, and treatment is aimed at the cause
- Time is linear
- Success is obtained in preparing for the future (we drive what our future looks like)
eastern tradition (asia)
- Family basis for identity (traditions)
- Body-mind-spirit one entity (treated as one no difference between them)
- Time is circular and recurring (reincarnation)
- Born into a fate; duty to comply (your fate)
- Disease caused by fluctuations in opposing forces (ying and yang)
indigeious culture (new zealand, native america, hawians)
- Places significance on place of humans in the natural world
- Basis of identity is the tribe (decisions together)
- Person is an entity only in relation to others
- Disease—lack of harmony between individual and environment
impact of culture on mental health
- Enculturation: beliefs and values are transmitted to people
- Deviance from cultural expectations can be defined as illness by other members of the group
- Ethnocentrism: belied what you believe in is the right way
- Cultural imposition 1 culture forces values or beliefs on another culture or subculture
cultural barriers to quality mental health services
- Communication barriers: interpreter available?
- Stigma of mental illness: mental illness is an illness, family being judged
- Misdiagnosis: black, Hispanics, misdiagnosed for schitsophrenia
- Cultural concepts of distress
- Genetic variations in pharmacodynamics
cultural concepts of distress
- Cultural, or culture-bound, syndromes: culture belive certain ill is
- Cultural idioms of distress: how a group understands certain problems
- Cultural explanations: ways of expressing stress “my nerves really bothering me”
Populations at Risk of Mental Illness and Inadequate Care
- Immigrants: coming into a new culture; learn to assimilate, adjust to whole new living, can cause stress anxiety
- Refugees: not leaving home by choice, depression, ptsd, anxiety, stress, adjust to new environment
- Cultural “minorities”: no accepted, “why don’t you speak English”, poverty: main reason someone deals with mental illness
Cultural Competence for Psychiatric Mental Health Nurses: five constructs
Cultural awareness Cultural knowledge Cultural encounters Cultural skill Cultural desire
cultural awarness
- Examine beliefs, values, and practices of own culture
- Recognize that during a cultural encounter, three cultures are intersecting
+ Culture of the patient, nurse, and setting - try not to push own beliefs on pt.
- advocate for pt. (allowing them to bring own food)