Lecture 4: Diversity in mental health care

Question 1

Mental health inequity

Answer 1

• Psychotherapy seems less effective among minorities
• Minority patients have a higher risk of dropout
• Treatments are less intensive among minorities

Question 2

Clinical case formulation

Answer 2

Using the available contextual and diagnostic information in developing a comprehensive treatment plan that is informed by the individual’s cultural and social context.

Question 3

Cultural norms, views, values and concepts that influence our perception of mental disorders

Answer 3

• Collectivism-individualism
• Interdependent-independent self-concept
• Traditional-non-traditional gender roles
• Emotional expressiveness-inhibition
• Supernatural-material

Question 4

Drapetomania

Answer 4

Obsessive need among slaves to flee

Question 5

Frigidity

Answer 5

Women who can’t orgasm during penetration

Question 6

Culture’s impact on distress

Answer 6

Culture norms and values affect pathogenesis.
Cultural beliefs on health emphasize certain symptoms.
Cultural beliefs determine the boundary between normal and abnormal.

Question 7

Idioms of distress (IOD)

Answer 7

Culturally constituted experiences and expressions of distress, which are associated with culturally pervasive values, norms and health concerns, and initiate particular types of interaction

Question 8

Explanatory models of illness

Answer 8

• Causes
• Timing
• Psychophysiology
• Course (nature, severity)
• Preference for treatment