CULTURAL PERSPECTIVES

Question 1

Psychiatrist learns during evaluation of 8 year old that the patients newly immigrated family uses corporal punishment (leaving bruises and welts) due to culture norms in their originating country. What should the psychiatrist do next? (2x)

Answer 1

Remain empathetic yet firm while

discusses U.S. societal and legal norms

Question 2

15 yo biracial pt feels they don’t fit in with anyone, therapist supports identity formation by? (2x)

Answer 2

Empathy and reminding them that a cultural identity is a personal choice that is fluid

Question 3

family structure of most children in the US?

Answer 3

Two parents in household

Question 4

Reason for “Immigration paradox” of 2nd and 3rd generation immigrants

Answer 4

Increased acculturation leads to less than optimal developmental outcomes compared to parents

Question 5

Process of acculturation in youth has shown to improve with what adaptation?

Answer 5

Bicultural identity

Question 6

Cross-cultural research on child
development, show children in
industrialized Western societies, compared to children in non-industrialized cultures, exhibit?

Answer 6

More self-centeredness and dependency

Question 7

Effect of higher socioeconomic status on language development in preschool age children?

Answer 7

Higher rates of parent-child direct verbal communication in higher SES families

Question 8

What is most strongly related to language proficiency in preschoolers in the US?

Answer 8

Socioeconomic status

Question 9

How do you improve the effectiveness of an early intervention program for at risk children?

Answer 9

Maintain intervention over time

Question 10

Child from immigrant family rejects dominant culture, loses respect for cultural heritage, and has a negative self-identity. What is this process?

Answer 10

Marginalization

Question 11

According to Longitudinal Study of Adolescent Health, it found the following results regarding adolescent living with same sex parents vs. those living with opposite sex parents?

Answer 11

No significant differences between the two groups

Question 12

The Great Smoky Mountain Study found that rates of externalizing problems in poor children could be?

Answer 12

Modified by shift in socioeconomic status

Question 13

Indian American brought in for

depression/anxiety, family are practicing Hindus. Best strategy to assess cultural influence on anxiety?

Answer 13

Explore the family’s belief in karma

Question 14

Psychiatrist is creating treatment plan with immigrant family and child. Family feels psychiatric treatment contradicts process of their traditional healers. Psychiatrist’s best response?

Answer 14

Request a consultation with their

traditional healer to better understand the sources of conflict for the family

Question 15

Single mother of young child returns to work. Child’s prognosis dependent on?

Answer 15

Quality of care child receives while mother is working

Question 16

Compared to child reared by parents, child experiencing high quality out-of-home care have?

Answer 16

Strong cognitive and language skills

Question 17

Best method to develop therapeutic alliance between psychiatrist and new immigrant patient/family?

Answer 17

Using an interpreter fluent in family’s language

Question 18

In populations with significant cultural and socioeconomic variation, accurate
description of mental health?

Answer 18

Treatment referrals from schools or court instead of from parents

Question 19

Obese adolescent feels that their depression is caused by immigrant parents who make comments about their weight. What is it called when parents justify that this is a common practice in their county?

Answer 19

Cultural Mask

Question 20

15 yo recently immigrated to US, mother speaks limited english, child talking back, keeping secrets by speaking English, running off with friends rather than staying home, otherwise normal. First step?

Answer 20

Ask mother how she explains child’s behavior