Handbook of Multicultural Mental Health

Handbook of Multicultural Mental Health

Assessment and Treatment of Diverse Populations

2nd Edition - July 19, 2013

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  • Editors: Freddy Paniagua, Ann-Marie Yamada
  • eBook ISBN: 9780123978127
  • Hardcover ISBN: 9780123944207

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The Handbook of Multicultural Mental Health, Second Edition, discusses the impact of cultural, ethnic, and racial variables for the assessment, diagnosis, treatment, service delivery, and development of skills for working with culturally diverse populations. Intended for the mental health practitioner, the book translates research findings into information to be applied in practice. The new edition contains more than 50% new material and includes contributions from established leaders in the field as well as voices from rising stars in the area. It recognizes diversity as extending beyond race and ethnicity to reflect characteristics or experiences related to gender, age, religion, disability, and socioeconomic status. Individuals are viewed as complex and shaped by different intersections and saliencies of multiple elements of diversity. Chapters have been wholly revised and updated, and new coverage includes indigenous approaches to assessment, diagnosis, and treatment of mental and physical disorders; spirituality; the therapeutic needs of culturally diverse clients with intellectual, developmental, and physical disabilities; suicide among racial and ethnic groups; multicultural considerations for treatment of military personnel and multicultural curriculum and training.

Key Features

  • Foundations-overview of theory and models
  • Specialized assessment in a multicultural context
  • Assessing and treating four major culturally diverse groups in clinical settings
  • Assessing and treating other culturally diverse groups in clinical settings
  • Specific conditions/presenting problems in a cultural context
  • Multicultural competence in clinical settings


Practicing clinicians and counselors, and researchers in clinical psychology and sociology. Psychologists, social workers, licensed professional counselors, psychiatrists and cross-cultural researchers

Table of Contents

  • Dedication

    In Memoriam


    List of Contributors



    Domain I: Foundations-Overview of Theory and Models

    Chapter 1. The Study of Culture and Psychopathology: Fundamental Concepts and Historic Forces

    I Introduction

    II Key Concepts in the Study of Culture and Psychopathology

    III Historic Forces in the Study of Culture and Psychopathology

    IV Promising Directions to Advance the Study of Culture and Psychopathology

    V Conclusion


    Chapter 2. Culture-Bound Syndromes, Cultural Variations, and Psychopathology

    I Introduction

    II Adjustment Disorders

    III Anxiety Disorders

    IV Attention Deficit and Disruptive Disorders

    V Delusional Disorders

    VI Dissociative Disorders

    VII Eating Disorders

    VIII Impulsive–Control Disorders not Elsewhere Classified

    IX Mental Retardation and Learning Disorders

    X Mood Disorders

    XI Personality Disorders

    XII Pica and Selective Mutism

    XIII Schizophrenia and other Psychotic Disorders

    XIV Sexual Dysfunction and Paraphilias

    XV Sleep Disorders

    XVI Somatoform Disorders

    XVII Substance-Related Disorders

    XVIII Difficulties in Distinguishing Psychopathology from Culture-Related Conditions

    XIX Guidelines to Distinguish Psychopathology from Culture-Related Conditions

    XX DSM-IV-TR CulturalLY Sensitive V-Codes

    XXI DSM-IV Outline for the Cultural Formulation

    XXII Final Thoughts


    Chapter 3. Cultural Models of Health and Illness

    I Introduction

    II The Measurement of Health in the Cultural and Social Context of Illness

    III Culture and Meaning

    IV Social Differentiation and Culture

    V Objectivity and Subjectivity in the Context of Health and Illness

    VI The Role of Culture in Health and Illness

    VII Schemata and Cognitive Processes

    VIII Psyche and Soma: The Mind–Body Distinction in Western Medicine

    IX Culture, Emotion, and Health

    X Cultural Versus Psychological Determinism

    XI A Cultural Public Health


    Chapter 4. Indigenous Approaches to Assessment, Diagnosis, and Treatment of Mental Disorders

    I What is Indigenous Psychology?

    II Indigenous Psychology and Critical Health Psychology: Shared Agendas

    III Indigenous Psychology Approaches to Assessment and Diagnosis

    IV Indigenous Psychology Approaches to Treatment and Health

    V Reprise: Culture, Self, and Health in Ayurveda

    VI Potential Contributions to Health Psychology in the Globalizing ERA

    VII Future Directions



    Chapter 5. Race, Ethnicity, and the Epidemiology of Mental Disorders in Adults

    I Introduction

    II Historical Studies of the Mental Health of European Immigrants

    III Early Studies of Treatment-Based and Community Survey-Based Rates of Mental Illness

    IV Diagnostic Community Surveys

    V Conclusion: Issues Likely to Influence Ethnic Comparisons


    Further Reading

    Chapter 6. The Role of the Social Class Worldview Model in the Assessment, Diagnosis, and Treatment of Mental and Physical Health

    I Introduction

    II Inequality, Poverty, Wealth, and Affluence

    III The Social Class Worldview Model

    IV Physical and Mental Health and Social Class

    V The Impact of Social Class on Mental Health Diagnosis and Assessment

    VI Social Class in Treatment and Interventions

    VII Conclusion


    Chapter 7. Gender Role Conflict and Intersecting Identities in the Assessment and Treatment of Culturally Diverse Populations

    I Gender Role Conflict among Ethnically Diverse Populations

    II Implications of Gender Role Conflict for the Psychological Assessment and Treatment of Culturally Diverse Populations

    III Summary of Recommendations for Assessment and Treatment of GRC with Culturally Diverse Populations

    IV Recommendations for Future Gender Role Conflict Research with Culturally Diverse Populations


    Chapter 8. Spirituality and Culture: Implications for Mental Health Service Delivery to Diverse Populations

    I Introduction

    II Spirituality, Culture, and Mental Health

    III Spirituality, Culture, and Psychotherapy

    IV Spirituality, Culture, and Indigenous Approaches to Healing

    V Concluding Observations


    Chapter 9. Nativity and Migration: Considering Acculturation in the Assessment and Treatment of Mental Disorders

    I Introduction

    II Acculturation Frameworks

    III Assessment of Acculturation

    IV Acculturation and Mental Health

    V Acculturation, Service Utilization, and Mental Health Treatment

    VI Future Directions


    Domain II: Specialized Assessment in a Multicultural Context

    Chapter 10. Conducting the Cross-Cultural Clinical Interview

    I Introduction

    II Warm-Up and Screening

    III Follow-Up on Preliminary Impressions

    IV Sociocultural Factors Impinging the Interview

    V Diagnosis and Feedback

    VI Prognosis and Treatment

    VII Conclusion


    Chapter 11. Culture and Methodology in Personality Assessment

    I Introduction

    II Eurocentric Bias: Reality Construction and a Belief System Undergirding Research

    III Bias in Standard Psychological Tests

    IV Discussion


    Chapter 12. Neuropsychological Assessment of Culturally and Educationally Dissimilar Individuals

    I Introduction

    II Objectives and Development of a Culturally Sensitive Clinical Neuropsychology

    III Neuropsychological Evaluation of Culturally and Educationally Dissimilar Individuals

    IV Future Perspectives on the Assessment of Culturally Dissimilar Patients

    V Conclusion


    Chapter 13. Methodologies for Test Translation and Cultural Equivalence

    I Introduction

    II 2010 Guidelines of the International Test Commission

    III Linguistic Equivalence

    IV Item and Scale Equivalence

    V Normative Equivalence

    VI Technical Equivalence

    VII Clinical Equivalence

    VIII Reliability and Validity of Translated Tests

    IX Adapted Test Illustrations

    X Emerging Technologies and Cultural Equivalency Issues

    XI Clinician Selection of Adapted Tests

    XII Conclusion


    Domain III: Assessing and Treating Four Major Culturally Diverse Groups in Clinical Settings

    Chapter 14. Mental Health Assessment and Treatment of African Americans in Cultural Context

    I Sociodemographic Description

    II Mental and Physical Health Needs

    III Assessment and Treatment in Cultural Context for African Americans

    IV Future Directions in Treatment with African Americans


    Chapter 15. Assessing and Treating American Indian and Alaska Native People

    I General Factors Impacting Assessment and Treatment History

    II Specific Assessment and Treatment Suggestions

    III Conclusion


    Chapter 16. Assessing and Treating Asian Americans: Recent Advances in Mental Health Research

    I Introduction

    II Demographics

    III Assessment

    IV Treatment

    V Future Directions and Conclusion


    Chapter 17. Assessing and Treating Latinos: Overview of Mental Health Research

    I Introduction

    II Culture, Labels, and Moving Beyond Generalizations

    III Ethnic Labels

    IV Theories of Acculturation

    V New Advances in Strengths-Based and Resilience Theories

    VI Discrimination and Identity

    VII Contexts of Familism, Health, and Help-Seeking

    VIII Modern Immigration Policy Context and Civic Engagement

    IX Illness Manifestation

    X Service Utilization

    XI Conclusion: Where Do we Go from Here?


    Domain IV: Assessing and Treating Other Culturally Diverse Groups in Clinical Settings

    Chapter 18. The Assessment, Diagnosis, and Treatment of Mental Disorders among American Jews

    I Introduction

    II Assessment Issues Related to American Jews

    III Diagnostic Issues Related to American Jews

    IV Treatment Issues with American Jews

    V Future Directions


    Chapter 19. The Assessment, Diagnosis, and Treatment of Mental Disorders among Muslims

    I Introduction

    II Demographics of Muslims in the United States

    III Ethnicity and Cultural Identity of Muslims

    IV Muslim Immigrants and Refugees

    V Challenges Associated with Multiple Cultural and Religious Identities

    VI Cultural Identity Development of Muslim Immigrants

    VII Cultural Assessment

    VIII Conclusion, Implications, and Recommendations for Future Research


    Chapter 20. Military Culture and Multicultural Diversity among Military Service Members: Implications for Mental Health Providers

    I Introduction

    II Understanding the Military as a Culture

    III Intersections of Diversity and Military Culture

    IV Addressing Mental Health in a Military Context

    V Special Assessment and Treatment Considerations

    VI Recommendations for Culturally Competent Treatment of Military Service Members


    Chapter 21. The Mental Health of Culturally Diverse Older Adults: Research and Clinical Issues

    I Diversity Among Older Adults

    II Factors Influencing the Mental Health of Older Adults

    III Factors Unique to Culturally Diverse Older Adults

    IV Special Problems for Research and Clinical Care

    V Critical Mental Disorders Among Older Adults

    VI Summary


    Chapter 22. Improving Treatment Engagement and Psychotherapy Outcomes for Culturally Diverse Youth and Families

    I Introduction

    II What Approaches Increase Treatment Engagement for Ethnically Diverse Youth?

    III What Psychosocial Interventions are Effective in Treating Ethnically Diverse Youth?

    IV How Effective are Psychosocial Treatments for Ethnically Diverse Youth?

    V Do Treatment Effects Differ by Ethnicity?

    VI Does Cultural Tailoring Enhance Treatment Effects?

    VII Summary


    Domain V: Specific Conditions/Presenting Problems in a Cultural Context

    Chapter 23. Racial and Ethnic Considerations in the Assessment, Diagnosis, and Treatment of Individuals with Intellectual and Developmental Disabilities

    I Introduction

    II Definitions

    III Epidemiology and Etiology

    IV Diagnosis and Assessment

    V Interventions

    VI Conclusions


    Chapter 24. The Therapeutic Needs of Culturally Diverse Individuals with Physical Disabilities

    I Scope of Disability

    II Understanding Disability

    III Current Models of Rehabilitation

    IV Integrating Cultural Issues into Rehabilitation

    V Application of Practice Guidelines

    VI Summary


    Chapter 25. Suicide among Racial and Ethnic Groups: Implications for Research and Practice

    I Introduction

    II African Americans

    III American Indian and Alaskan Natives

    IV Asian Americans

    V Latino/As

    VI Conclusion and Future Directions


    Chapter 26. Therapeutic Treatment Approaches for Ethnically Diverse Survivors of Interpersonal Trauma

    I Introduction

    II Interpersonal Violence

    III Sexual Assault

    IV Community Violence

    V Child Abuse Across Cultures

    VI Cultural Conceptions of Child Abuse

    VII Conclusion


    Domain VI: Multicultural Competence in Clinical Settings

    Chapter 27. Culture and Evidence-Based Prevention Programs

    I Introduction

    II Evidence-Based Prevention Programs

    III Culture and EBPP

    IV Cultural Adaptation of EBPPS

    V Culturally Grounded EBPP

    VI Empirical Support for Culturally Sensitive EBPP

    VII Implementation Challenges and Considerations

    VIII Conclusion


    Chapter 28. A Review and Critique of Multicultural Competence Measures: Toward a Social Justice-Oriented Health Service Delivery Model

    I Measurement of Multicultural Competence: A Component of Social Justice Practice

    II Psychometric Issues in Cultural Competence Measurement

    III Multicultural Competence Measures

    IV Cultural Competence Measurement Issues

    V Evaluation of Multicultural Competence Measures

    VI Social Justice and Cultural Competence Measurement

    VII Conclusion and Future Directions


    Chapter 29. Integrating Ethical Considerations in Multicultural Curriculum and Training: Expanding the Classroom to the Community

    I Introduction

    II Expanding our Understanding of Culture (However, Race Still Matters)

    III Cultural Competence Versus Cultural Responsiveness

    IV Multicultural Curriculum Development and Training Programs

    V Interpreting Ethical Considerations in Context and in Training

    VI Ethics, Multiculturalism and Social Justice: Integrating Critical Pedagogies

    VII Conclusion


    Chapter 30. Responding to the Challenge: Preparing Mental Health Professionals for the Changing US Demographics

    I Introduction

    II Demographic Trends of the United States

    III Etic and Emic Approaches to Multicultural Clinical Services

    IV Commonalities Among Diversities

    V Specific Multicultural Curriculum and Training Issues

    VI Concluding Remarks



Product details

  • No. of pages: 660
  • Language: English
  • Copyright: © Academic Press 2013
  • Published: July 19, 2013
  • Imprint: Academic Press
  • eBook ISBN: 9780123978127
  • Hardcover ISBN: 9780123944207

About the Editors

Freddy Paniagua

Affiliations and Expertise

University of Texas, Galveston, U.S.A.

Ann-Marie Yamada

Affiliations and Expertise

School of Social Work, University of Southern California, Los Angeles, CA, USA

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