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DSM > Issues related to specific populations > Flashcards

Issues related to specific populations Flashcards

1
Q

African American Family Structure

A

high variability.

Both Flexible and hierarchical. Often run my mom and grandma is often important

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2
Q

African American Disapline

A

Strict and physical is common

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3
Q

Black Communication

A

Direct, somewhat offenseive to white culture.

Is often seen as caring by family members. Base judgment on effect of communication on others not on your perceptions.

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4
Q

Achievment/School

A

Although barriers exist in the schools parents encourage achievment.

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5
Q

Societal Challenges

A

poverty,crime, drugs, unemployment

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6
Q

Strengths

A

Strong family bonds. Care for elders. Flexibility. Spiritual/relgious ties.

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7
Q

Theraputic relationship

A

Mistrust for non black therapists may exist. Should openly discuss race relations.

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8
Q

Native American (NA) location

A

Great variability based on tribe. Majority of NA live in urban/suburban areas, not reservations

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9
Q

NA history

A

Opression = misturst of non NA agencies

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10
Q

Tribal Culture

A

Collectivistic.
Self as extension of tribe.
Cultural norms and relationship with tribe should be taken into account in theraputic decision making

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11
Q

NA law

A

Law = different on tribal land

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12
Q

NA Family Structure

A

Variable based on tribe.

Strong role for women high fertility out of wedlock. Close connections with extended family.

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13
Q

Tribal Therapy

A

Do not go against tribal beliefs. Involve family and tribal elders in treatment.

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14
Q

Non verbals NA

A

Learning occurs through listening. Direct eye contact/questions should be avoided especially with elders/authority figures

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15
Q

client centered NA

A

best approach in begining. Give time to finish statements/thoughts.

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16
Q

Traditional Healing

A

vision quest, sweat lodge = resoration of harmony between mind body and spirit

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17
Q

Values NA

A

Tribe and family come first over work and school.

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18
Q

Cooperation NA

A

Very strong value. may cause the avoidance of argument/disagreement

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19
Q

Violence NA

A

Domestic/sexual voilence = 4x rate of other populations

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20
Q

Substance abuse NA

A

Community focused programs have shown success

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21
Q

Asian

A

A ton of variability here. Between asian groups and within them regarding values, language etc

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22
Q

“model Minority” Asian

A

face signifcant discrimination

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23
Q

Pysical/Psycholgoical Asian

A

Large connection here. Pyschological states are caused by physical causes. Treating physical can cure psych

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24
Q

Asian Underutilizaiton

A

Shame, somatitization can cause Asian Americans to avoid psychiatric services

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25
Q

Asian Family Structure

A

Males = Higher Status
Authoritatiran, psycial verbal punishment.
Guilt and Shame used to control children behaviors. Males have strong allegiance to birth parents

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26
Q

Values Asian

A

Collectivism. Decisions need to be made based on family harmony. Family wishes should be considered.

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27
Q

Children Asian

A

expected to behave to preserve family honor.

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28
Q

Childhood Struggles Asian

A

Common issues: parental conflict, guild, stress over academics, identity issues, negative self image, struggle between independene and interdependence

29
Q

Vocational Values

A

Strong ephasis on school and vocational achivment.

30
Q

Emotions Asian

A

Displays of emotion are discouraged. Open verbalization of feelings may be uncomfortable. Should say something like “some people might feel sad to leave thier home land”

31
Q

Approach Asian

A

Should be problem focused. Active role should be taken by therapist, as well as checking in and getting client feedback.

32
Q

Latio Demogrphics

A

Much variability in background between and within Latino groups.

33
Q

Family structure LA

A

Hierachal, elders and male figures

34
Q

Extended Family LA

A

Family and friends are very important and are relied upon during psych stress.

35
Q

Gender roles LA

A

Machismo- male dominance and strength.

Marianismo- sefl sacrificing, nurturing and submissive.

36
Q

Genderal roles and american culture LA

A

Stress can occur when gender roles to not align with societal roles. Ie male not being able to get a high paying job.

37
Q

Greeting/Therapist role LA

A

Warm and respectful. once trusted therapist become like a family member w/o dependency or boundary crossing

38
Q

Family Values LA

A

Similar to those above. Family over everything.

39
Q

Child expectation LA

A

Respect parents especially restriction on adolescent females. Teen pregnancy/marrige are high

40
Q

School LA

A

Testing is low drop out rates are high

41
Q

Acculturation LA

A

Transition can cause lack of social/personal resposbility and high gang membership in some areas where family support is less present.

42
Q

Religion LA

A

very strong often. catholic, fatalistic ie everything is predetermined.”even though this was meant to happen how can you deal with it now?

43
Q

Immigrants LA

A

ensure them that immigration status will not be communicated to the authorities.

44
Q

Acculturation/Stress LA

A

Have them share thier story/ background. These cultural changes can cause stress.

45
Q

Family Structure LA

A

can be damaged when kids acculturate faster and more willingly than parents.

46
Q

Barriers to service LA

A

Language, lack of understanding

47
Q

avialbility LA

A

hospitals local clinics for low income people will accept anyone regardless of immigration status.

48
Q

Refugees

A

At greater risk due to seriousness of leaving thier home. PTSD and lack of social support may be common.

49
Q

LGBT

A

Hetero language should be avoided to avoid making assumptions.
Ask about a “partner” make sure intake/interview procedures are also free of heterosexist language. Allow a place to indicate orienation.

50
Q

Hate crimes

A

PTSD/Depression

51
Q

assumptions

A

do not assume that problems are due to orenation, just keep your ears perked if these areas need to be addressed.

52
Q

Hetero does not = LGBT

A

ie do not give them books on hetero relationships

53
Q

Common Issues LGBT

A

Suicide, come out or not? distress due to harrassment, lack of social support etc.

54
Q

Come out?

A

Counselors can help the understand pros and cons. ie anger or rejection vs. isolation and low self-esteem

55
Q

Adolecents/Young Adults LGBT

A

Must also consider if they are reliant on family for $ and social support. Also personal safety issues and high risk sexual behaviors.

56
Q

Therapist bias LGBT

A

Examine your own bias and be aware of:

  • assuming all clients are hetero
  • failure to recognize/aknowledge impact of societal response to LGBT & effects on psychological symptoms
  • Thinking of LGBT as a mental illness and encouraging clients to change orientation
  • viewing LGBT as primarily sexuality based and not acknowledging long term relationships
  • failutre to understand the social and psych conseqnces of keeping the secret and coming out.
57
Q

Male Centered Counseling therories

A

Most are this way. Be aware of societal messages on the self eteem and mental health of women.

58
Q

Sexism

A

be aware of societal oppression and how this interacts with sexism

59
Q

Examine bias

A

ie many personality disorder focus on female gender characteristics.

60
Q

Sexism/Expectations

A

Do not make sexist assumptions. Sexism impacts expectatios for girls and women. Devaluation of women is common on the societal level. Many parents/educators subconsiously renfioce these gender restrictive roles and behavior for females.

61
Q

psychological/phsiolocical impact sexist

A

health and wellness, menstruation, birth contorl, pregnancy, miscarrige, infertility, childbirth, lacvatation, childcare, balancing multiple roles, pressure to be thin and other standards of beauty, discrimination in the work place and discriminationbased on age and gender.

62
Q

violence/sexual

A

Common and is associated with risk factors such as drinking, suicide, eating disorder and early sexual activity.

63
Q

glass cieling

A

women still earn less on average then men.

64
Q

Career sexism

A

Women often find it hard to break gender roles in career environments. Often they lack mentoring, and camaraderie.

65
Q

Depression female

A

high rates may be due to body image, socioeconomic stress, focus on relationships and equating relationship failure to personal failure.

66
Q

interventions

A

career counseling, connection with mentors, assertivness training, general role analysis and same gender support groups.

67
Q

Elderly

A

Assume competence. Pay close attention to medication/interactions. Also ask family members and health care providers regarding their issues.

68
Q

suicide/depression

A

elderly adults are at higher risk!

DSM (3 decks)

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