Intercultural diversity & psychopathology Flashcards

You may prefer our related Brainscape-certified flashcards:
1
Q

What is abnormality? (4)

A
Statistical deviance (on tests)
Impairment (depression prevents doing x) 
Subjective distress (anxiety prevents doing x)
Social deviance (controversial e.g. short skirt)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

The revised outline for Cultural Formulation (DSM V) calls for systematic assessment of five categories:

A

› Cultural identity of the individual
› Cultural conceptualisations of distress
› Psychosocial stressors and cultural features of vulnerability and resilience
› Cultural features of the relationship between the individual and the clinician
› Overall cultural assessment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

How should the level of severity and meaning of distressing experiences be assessed?

A

In relation to the norms of the individual’s cultural reference groups.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

How do other cultures/ languages convey

psychological distress?

A

› Latino/Mediterranean: “nerves” headaches = depression
› Asian: weakness, tiredness, “imbalance” = depression
› Middle Eastern: Problems of the heart = depression
› Indigenous Australian: general unwellness rather than specific symptoms = depression
› Yoruba of Nigeria: “an expanded head and goose flesh” = schizophrenia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

The Native American populations tend to score higher on several of the MMPI-2 scales compared to MMPI-2 norms. What does this mean?

A

Less likely to indicate a true difference in
pathology levels and more likely to indicate differences in worldview, beliefs and behaviours.
OR as a reasonable response to an oppressive lifestyle (paranoia = real)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is an example of how clinicians see the world through cultural lenses?

A

Chinese American and European American therapists judged clients differently:

› Chinese therapist viewed Chinese client as adaptable, honest and friendly but American client as aggressive and rebellious

› Euro therapist viewed Euro client as sincere & easy-going but the Chinese client as awkward, confused and nervous

…. also another study showed a different diagnoses (of schizophrenia & personality disorder) for same clients

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is etiology?

A

is the study of causation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What model do Western psychologists tend to base psychological understandings upon?

A

Bio-psycho-social model

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What are some important cultural considerations/links when assessing minority cultures for psychopathology?

A
Effects and links to: 
› Migration
› Colonisation
› Marginalisation
› Discrimination: added stress 
› Spirituality

… some cultures are more exposed to negative experiences

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Children are 8 times more likely to develop what disease if they have grown up in poverty?

A

Schizophrenia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is the culturally bound syndrome of Amok?

A

‘Mad with uncontrollable rage’: sudden rage and aggression caused by stress, lack of sleep, loss, drug abuse

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is the culturally bound syndrome of Hwabyeong?

A

“Anger illness” / “fire illness”: neurotic symptoms

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

How does Anorexia Nervosa differ across cultural groups?

A

China: extreme distaste for food
Western: Fear of getting fat

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

The South African shaman would differentiate between two states…

A

Spirit possession that needs healing

Spirit possession that needs training (e.g. they have a gift)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What are the imitations of the current therapeutic approach to treating psychopathology?

A

Very individualistic - can cause uncomfortableness
Therapist presents own world view
Goals of therapy vary cross-culturally

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What are some barriers to seeking treatment?

A

Language
Stigma: shame or loss-of-face
Mistrust: white institutions
Social structures: expensive / geography

17
Q

What are some differences of Indigenous healing apposed to Western healing?

A
› Less separation of mind and body
› Stronger emphasis on religion/spirituality to
understand the problem
› Less use of biomedical knowledge
› Heavy reliance on family and community
networks
18
Q

When assessing a patient you will need to look at 4 things:

A

 Predisposing factors (vulnerabilities)
 Precipitating factors (triggers)
 Perpetuating factors (what maintains the problem)
 Protective factors (strengths)