Culture Formulation Flashcards
1
Q
SE(IEM)PRO
A
- Salient Cultural Identity
- Explanation of Illness (IEM)
- Idioms of Distress
- Explanatory of model of cultural group
- Meaning of illness, individual level
- Psychosocial Stressors and Cultural Features of Vulnerability/Resilience
- Relationship with Clinician
- Overall Cultural Assessment
2
Q
Salient Identity
A
- Salient Cultural Identity
- ADDRESSING framework
- Age
- Developmental disabilities (mental/physical)
- Disabilities (acquired - physical/cognitive)
- Religion/spiritually
- Ethnic/racial ethnicity
- Socioeconomic status
- Sexual orientation
- Indigenous heritage
- National origin
- Gender
- Consider power, privilege - minority stress (oppressed, discrimination, racism)
3
Q
Explanation of Illness (IEM)
A
- Idioms of Distress
- How symptoms are experienced, understood and, expressed
- e.g., nerves, somatic complaints
- Level of severity should be assessed in relation to norms of cultural reference groups
- How symptoms are experienced, understood and, expressed
- Explanatory Model of Cultural Group
- How cultural explains illness/perceived causes
- Understanding their POV = culturally competent
- Meaning of Illness, Individual Level
- Personal/social meaning attached to illness
- How do they view the psychological issue
- E.g., failure, weak, etc.
- Assess coping and health-seeking patterns
4
Q
Psychosocial Stressors and Cultural Features of Vulnerabilty/Resilience
A
- Social support
- Social stressors
- Financial resources
- Levels of functioning/disability
- Religion
- Occupation
- Education
- Housing
- Healthcare access
- War, crime, legal issues, trauma
- Resilience
5
Q
Relationship with Clinician
A
- Consider differences in client and therapist
- Experiences of racism/discrimination can influence trust/safety
- How does client view therapist
- Is client concerned about ethnicity mismatch
- Self-biases, countertransference, resistance, discomfort
- Expectations of tx
6
Q
Overall Cultural Assessment
A
- Summarize implication of components
- Consider appropriate management and treatment interventions
