COVID-19 Update: We are currently shipping orders daily. However, due to transit disruptions in some geographies, deliveries may be delayed. To provide all customers with timely access to content, we are offering 50% off Science and Technology Print & eBook bundle options. Terms & conditions.
Handbook of Multicultural Mental Health - 2nd Edition - ISBN: 9780123944207, 9780123978127

Handbook of Multicultural Mental Health

2nd Edition

Assessment and Treatment of Diverse Populations

Editors: Freddy Paniagua Ann-Marie Yamada
eBook ISBN: 9780123978127
Hardcover ISBN: 9780123944207
Imprint: Academic Press
Published Date: 19th July 2013
Page Count: 660
Sales tax will be calculated at check-out Price includes VAT/GST
Price includes VAT/GST

Institutional Subscription

Secure Checkout

Personal information is secured with SSL technology.

Free Shipping

Free global shipping
No minimum order.


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


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




No. of pages:
© Academic Press 2013
19th July 2013
Academic Press
eBook ISBN:
Hardcover ISBN:

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


"This handbook lays the foundations for a more balanced therapeutic view after a half century of emphasis on brain-behavior relations, an emphasis that has largely overlooked the cultural forces that shape perceptions, attitudes, and actions…The second edition adds eight chapters on Jewish and Muslim communities, military service members, developmental and physical disabilities, suicide, and measurement of cultural competence.", February 2014

Ratings and Reviews