Explore the vast range of titles available.

Winner of the NCA Health Communication 2021 Distinguished Book Award. This book examines interpreter-mediated medical encounters and focuses primarily on the phenomenon of bilingual health care. It highlights the interactive and coordinated nature of interpreter-mediated interactions. Elaine Hsieh has put together over 15 hours of interpreter-mediated medical encounters, interview data with 26 interpreters from 17 different cultures/languages, 39 health care providers from 5 clinical specialties, and surveys of 293 providers from 5 clinical specialties. The depth and richness of the data allows for the presentation of a theoretical framework that is not restricted by language combination or clinical contexts. This will be the first book of its kind that includes not only interpreters' perspectives but also the needs and perspectives of providers from various clinical specialties. Bilingual Health Communication presents an opportunity to lay out a new theoretical framework related to bilingual health care and connects the latest findings from multiple disciplines. This volume presents future research directions that promise development for both theory and practice in the field.

Incorporating cultural sensitivity into healthcare settings is important to deliver high-quality and equitable care, particularly for marginalized communities who are non-White, non-English speaking, or immigrants. The Clinicians’ Cultural Sensitivity Survey (CCSS) was developed as a patient‐reported survey assessing clinicians’ recognition of cultural factors affecting care quality for older Latino patients; however, this instrument has not been adapted for use in pediatric primary care. Our objective was to examine the validity and reliability of a modified CCSS that was adapted for use with parents of pediatric patients. A convenience sampling approach was used to identify eligible parents during well-child visits at an urban pediatric primary care clinic. Parents were administered the CCSS via electronic tablet in a private location. We first conducted exploratory factor analyses (EFAs) to explore the dimensionality of survey responses in the adapted CCSS, and then conducted a series of confirmatory factor analyses (CFAs) using maximum likelihood estimation based on the results of the EFAs. Exploratory and confirmatory factor analyses (N = 212 parent surveys) supported a three-factor structure assessing racial discrimination (α=0.96), culturally-affirming practices (α=0.86), and causal attribution of health problems (α=0.85). In CFAs, the three-factor model also outperformed other potential factor structures in terms of fit statistics including scaled root mean square error approximation (0.098), Tucker-Lewis Index (0.936), Comparative Fit Index (0.950), and demonstrated adequate fit according to the standardized root mean square residual (0.061). Our findings support the internal consistency, reliability, and construct validity of the adapted CCSS for use in a pediatric population.

Since the 1970s, understanding of the effects of trauma, including flashbacks and withdrawal, has become widespread in the United States. As a result Americans can now claim that the phrase posttraumatic stress disorder (PTSD) is familiar even if the American Psychiatric Association's criteria for diagnosis are not. As embedded as these ideas now are in the American mindset, however, they are more widely applicable, this volume attempts to show, than is generally recognized. The essays inCulture and PTSDtrace how trauma and its effects vary across historical and cultural contexts. Culture and PTSDexamines the applicability of PTSD to other cultural contexts and details local responses to trauma and the extent they vary from PTSD as defined in the American Psychiatric Association'sDiagnostic and Statistical Manual. Investigating responses in Peru, Indonesia, Haiti, and Native American communities as well as among combat veterans, domestic abuse victims, and adolescents, contributors attempt to address whether PTSD symptoms are present and, if so, whether they are a salient part of local responses to trauma. Moreover, the authors explore other important aspects of the local presentation and experience of trauma-related disorder, whether the Western concept of PTSD is known to lay members of society, and how the introduction of PTSD shapes local understandings and the course of trauma-related disorders. By attempting to determine whether treatments developed for those suffering PTSD in American and European contexts are effective in global settings of violence or disaster,Culture and PTSDquestions the efficacy of international responses that focus on trauma. Contributors:Carmela Alcántara, Tom Ball, James K. Boehnlein, Naomi Breslau, Whitney Duncan, Byron J. Good, Mary-Jo DelVecchio Good, Jesse H. Grayman, Bridget M. Haas, Devon E. Hinton, Erica James, Janis H. Jenkins, Hanna Kienzler, Brandon Kohrt, Roberto Lewis-Fernández, Richard J. McNally, Theresa D. O'Nell, Duncan Pedersen, Nawaraj Upadhaya, Carol M. Worthman, Allan Young

A young female client presents with anorexia nervosa and believes that her problem has its roots in magic; parents are helpless in the face of their son's substance abuse issues; an interracial couple cannot agree on how to discipline their children.How would you effectively help these clients while balancing appropriate interventions that are sensitive to religious, cultural, social, and gender differences? This handbook answers these difficult questions and helps behavioral health practitioners provide religio-culturally-competent care to Muslim clients living in territories such as North America, Australia, and Europe.The issues and interventions discussed in this book, by authoritative contributors, are diverse and multifaceted. Topics that have been ignored in previous literature are introduced, such as sex therapy, substance abuse counseling, university counseling, and community-based prevention. Chapters integrate tables, lists, and suggested phrasing for practitioners, along with case studies that are used by the authors to help illustrate concepts and potential interventions.Counseling Muslims is also unique in its broad scope, which reflects interventions ranging from the individual to community levels, and includes chapters that discuss persons born in the West, converts to Islam, and those from smaller ethnic minorities. It is the only guide practitioners need for information on effective service delivery for Muslims, who already bypass significant cultural stigma and shame to access mental health services.

Este estudio examina el desarrollo de la sensibilidad intercultural (CCS) de estudiantes de segundo idioma (L2) durante estancias cortas en el extranjero (STSA), y explora el papel del contacto lingüístico en el desarrollo de la CCS. Los participantes fueron 19 universitarios estadounidenses matriculados en un programa de 8 semanas en España. Antes de viajar cumplimentaron el Inventario de Sensibilidad Intercultural (ISI, Mahon & Cushner, 2014) de 4 subescalas: integración del comportamiento cultural, ansiedad cultural, flexibilidad cognitiva e inclusión cultural. En España, completaron 10 entradas semanales en sus diarios sobre sus experiencias. Al final volvieron a cumplimentar el ISI y un cuestionario de contacto sobre sus interacciones en español en situaciones diferentes. Los resultados revelaron que tras la estancia en España ganaron en desarrollo de la CCS, específicamente en integración del comportamiento cultural. Paradójicamente, los participantes experimentaron un descenso en flexibilidad cognitiva, lo que sugiere que tras su participación en el programa seguían sintiéndose como turistas y no desarrollaron una actitud positiva hacia la comunidad local. En cuanto al papel de la intensidad de interacción, se observó un efecto parcial en el desarrollo de la CCS, ya que sólo la subescala de ansiedad cultural se relacionaba con cantidad de interacción en español. En general, este estudio representa una contribución clave a los campos de la competencia intercultural y al contexto de los estudios en el extranjero, aportando datos relevantes a las decisiones que afectan a la planificación de programas y la preparación de estudiantes antes de realizar una experiencia internacional.

Written by leading plastic surgeons from five different continentsacross the globe, this facial plastic surgery reference gives readersthe tools they need to successfully perform surgical and non-surgicalprocedures on patients of various ethnicities.

Introduction Disparities in treatment adherence based on race and ethnicity are well documented but poorly understood. Specifically, the causes of treatment nonadherence among Latino patients living in the USA are complex and include cultural and language barriers. Purpose The purpose of this study was to examine whether patients’ perceptions in patient-provider interactions (i.e., trust in provider, patient satisfaction, and patient sense of interpersonal control in patient-provider interactions) mediate any found association between patient-perceived provider cultural sensitivity (PCS) and treatment adherence among English-preferred Latino (EPL) and Spanish-preferred Latino (SPL) patients. Methods Data from 194 EPL patients and 361 SPL patients were obtained using questionnaires. A series of language-specific structural equation models were conducted to test the relationship between patient-perceived PCS and patient treatment adherence and the examined mediators of this relationship among the Latino patients. Results No significant direct effects of patient-perceived PCS on general treatment adherence were found. However, as hypothesized, several significant indirect effects emerged. Preferred language appeared to have moderating effects on the relationships between patient-perceived PCS and general treatment adherence. Conclusion These results suggest that interventions to promote treatment adherence among Latino patients should likely include provider training to foster patient-defined PCS, trust in provider, and patient satisfaction with care. Furthermore, this training needs to be customized to be suitable for providing care to Latino patients who prefer speaking Spanish and Latino patients who prefer speaking English.

\"This is a great addition to the literature on mental health, in particular the DSM collection. This book may become an essential resource for all practitioners in the field of mental health, as cultural competence is notably needed and practitioners need to become better equipped to serve culturally diverse populations. ...Score: 96 - 4 Stars!\" Laura Gonzalez-Conty, MD, Rush University Medical Center, Doody's Reviews \"In this revised edition of Strengthening the DSM, the authors use a comprehensive yet easy-to-grasp formulation of diversity and resilience to establish the most accurate diagnostic criteria for each psychiatric condition. Their readers will be edified by the clarity with which they describe the major changes that were introduced with the publication of the DSM-5. This is a very helpful adjunct text for mental health practitioners of all disciplines.\" óHani Raoul Khouzam, MD, MPH, Health Sciences Clinical Professor of Psychiatry, UCSF Fresno Praise for the First Edition: \"Garcia and PetrovichÖ provide a balanced overview of the strengths and weaknesses of the DSM, a comprehensive review of the nature, etiology, and treatment of major mental disorders, and most importantly, a perspective based on solid scholarship that makes clear how much we are missing by only looking at signs and symptoms in the diagnostic process. Their arguments leave no doubt that paying attention to cultural and resiliency factors can open up critical new pathways for understanding and help.\" óSharon Berlin, PhD, Helen Ross Professor Emerita, School of Social Service Administration, University of Chicago Mental health practitioners have long recognized the failure of the DSM to address important sources of strength and resiliency that can significantly affect diagnosis and treatment, a deficit that has become more pronounced with the DSM-5's elimination of the multiaxial format. The second edition of Strengthening the DSMÆ presents a new conceptual frameworkóthe Diversity/Resiliency Formulationó that encompasses the whole person in order to promote effective diagnosis and treatment. It considers patient strengths, sources of resilience, support, and cultural identity that are essential to the accurate understanding of an individual, and demonstrates how mental health practitioners can draw upon these resources during treatment. The second edition also addresses significant changes resulting from implementation of the Affordable Care Act (ACA) and features a completely new chapter on trauma and stressor-related disorders.

Cultural awareness training for health professionals is now commonplace across a variety of sectors. Its popularity has spawned several alternatives (i.e., cultural competence, cultural safety, cultural humility, cultural intelligence) and overlapping derivatives (diversity training, anti-racism training, micro-aggression training). The ever-increasing reach of cultural awareness initiatives in health settings has generally been well intentioned - to improve cross-cultural clinical encounters and patient outcomes with the broader expectation of reducing health disparities. Yet the capacity of cultural awareness training to accomplish or even impact such outcomes is seldom comprehensively scrutinized. In response, this paper applies a much needed critical lens to cultural awareness training and its derivatives by examining their underpinning philosophies, assumptions and most importantly, verification of their effectiveness. The paper finds cultural awareness approaches to be over-generalizing, simplistic and impractical. They may even induce unintended negative consequences. Decades of research point to their failure to realize meaningful outcomes in health care settings and beyond. Broader expectations of their capacity to reduce health disparities are almost certainly unachievable. Alternative suggestions for improving cross-cultural health care interactions and research are discussed within.