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Cultural Consultation in Context: A Comparison of the Framing of Identity During Intake at Services in Montreal, London, and Paris.
Culture, Medicine, and Psychiatry ( IF 1.5 ) Pub Date : 2020-09-01 , DOI: 10.1007/s11013-019-09666-1
G Eric Jarvis 1 , Stephanie Larchanché 2 , Rachid Bennegadi 2 , Micol Ascoli 3 , Kamaldeep S Bhui 4 , Laurence J Kirmayer 1
Affiliation  

Cultural diversity poses a challenge to mental Health care systems in many settings. Specialized cultural consultation services have been developed in a number of countries as a way to supplement existing services. The objective of this paper is to compare and contrast cultural consultation services in Montreal, London, and Paris to determine how culture and society have shaped the evolution of these services to meet local sensitivities and imperatives. Historical contexts of the sites, their descriptions and origins, how they categorize cultural, ethnic, and linguistic diversity, and their intake procedures are compared and contrasted according to a standardized template of themes. Data came from site visits and participant observation at each site. For historical, political, and cultural reasons, categorization of diversity and intake procedures differ markedly by site: Montreal focuses on language categories and language proficiency; London enumerates ethnic diversity according to officially mandated categories; and Paris does not gather ethnic data on its patients in any form. The process of cultural consultation, specifically its triage and intake procedures, is profoundly influenced by local histories and social norms that are maintained by professional cultures of psychiatry in each setting. To properly place their patients in context, cultural psychiatrists must not only aim to understand the culture of the other, but also must consider the culture of the mainstream society and how it shapes the delivery of services.

中文翻译:

语境中的文化咨询:蒙特利尔,伦敦和巴黎服务业入学期间身份框架的比较。

在许多情况下,文化多样性对精神卫生保健系统构成了挑战。许多国家已经开发了专门的文化咨询服务,作为对现有服务的补充。本文的目的是比较和对比蒙特利尔,伦敦和巴黎的文化咨询服务,以确定文化和社会如何塑造这些服务的发展以满足当地的敏感性和当务之急。根据标准主题模板,比较并对比了这些遗址的历史背景,它们的描述和起源,它们如何对文化,种族和语言多样性进行分类以及它们的摄入过程。数据来自现场访问和每个站点的参与者观察。由于历史,政治和文化原因,多样性的分类和录取程序因地点而异。蒙特利尔的重点是语言类别和语言水平;伦敦根据官方授权的类别列举了种族多样性;巴黎不会以任何形式收集其患者的种族数据。在每种情况下,文化咨询的过程,特别是其分类和获取程序,都受到当地历史和社会规范的深刻影响,这些历史和社会规范由精神病学专业文化维护。为了使患者能够恰当地适应环境,文化精神科医生不仅必须致力于了解他人的文化,而且还必须考虑主流社会的文化及其对服务提供方式的影响。伦敦根据官方授权的类别列举了种族多样性;巴黎不会以任何形式收集其患者的种族数据。在每种情况下,文化咨询的过程,特别是其分类和获取程序,都受到当地历史和社会规范的深刻影响,这些历史和社会规范由精神病学专业文化维护。为了使患者能够恰当地适应环境,文化精神科医生不仅必须致力于了解他人的文化,而且还必须考虑主流社会的文化及其对服务提供方式的影响。伦敦根据官方规定的类别列举了种族多样性;巴黎不会以任何形式收集其患者的种族数据。在每种情况下,文化咨询的过程,特别是其分类和获取程序,都受到当地历史和社会规范的深刻影响,这些历史和社会规范由精神病学专业文化维护。为了使患者能够恰当地适应环境,文化精神科医生不仅必须致力于了解他人的文化,而且还必须考虑主流社会的文化及其对服务提供方式的影响。在每种情况下,深受当地历史和社会规范的深刻影响,这些历史和社会规范由精神病学专业文化维护。为了使患者能够恰当地适应环境,文化精神科医生不仅必须致力于了解他人的文化,而且还必须考虑主流社会的文化及其对服务提供方式的影响。在每种情况下,深受当地历史和社会规范的深刻影响,这些历史和社会规范由精神病学专业文化维护。为了使患者能够恰当地适应环境,文化精神科医生不仅必须致力于了解他人的文化,而且还必须考虑主流社会的文化及其对服务提供方式的影响。
更新日期:2020-01-21
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