Abstract:
:We examine whether patient variables (geographic origin, gender, Spanish language proficiency) and subjective clinician aspects in emergency department psychiatric encounters (diagnostic certainty, clinician's comfort level with patient) are associated with diagnosis and the use of coercive measures. Using a descriptive cross-sectional design, we recorded 467 visits (400 foreign-born and 67 native-born patients) in hospital psychiatry emergency rooms (ERs) in Barcelona between 2007 and 2015. We first assessed the association of patient variables and subjective clinician aspects of psychiatric encounters with service use outcomes and with mental illness diagnosis. Fitted logistic models predicted the likelihood of service use outcomes and estimated the propensity of receiving each diagnosis. The null model evaluated the role of patient's geographical origin, while the full model evaluated the additional roles of patient's gender and language, the clinician's assessment of the influence of culture in diagnosis, and clinician comfort with two outcomes: patient's diagnosis and use of coercive measures in the ER. Women were less likely to receive coercive measures or intramuscular medications compared to men. Significant ethnic/racial and gender differences were found in receiving certain diagnoses. Additionally, a patient's lower Spanish proficiency was correlated with a higher probability of receiving a psychosis diagnosis. The clinician's level of diagnostic certainty was also positively correlated with increasing clinician-reported comfort with patient. Overall, ethnic factors and the subjective aspects of psychiatric encounters were found to influence diagnosis and the use of coercive measures. Cultural competency programs and interpreter services within psychiatric ER settings should thus be required.
journal_name
Transcult Psychiatryjournal_title
Transcultural psychiatryauthors
Collazos F,Malagón-Amor Á,Falgas-Bague I,Qureshi A,Gines JM,Del Mar Ramos M,McPeck S,Hussain I,Wang Y,Alegría Mdoi
10.1177/1363461520916697subject
Has Abstractpub_date
2020-04-11 00:00:00pages
1363461520916697eissn
1363-4615issn
1461-7471pub_type
杂志文章abstract::As the failings of neo-liberalism have recently been revealed through the collapse of much of the banking and financial services sector, it seems an opportune time to think about the impact this economic, political, and social value system has had on the well-being of children. After analyzing how our beliefs and prac...
journal_title:Transcultural psychiatry
pub_type: 杂志文章
doi:10.1177/1363461510381158
更新日期:2010-11-01 00:00:00
abstract::People with severe mental illness (SMI) in Ethiopia chew khat despite advice from their physicians to desist. We wanted to better understand their reasons for khat chewing, including any benefits that they might gain. A qualitative study was conducted involving patients with SMI and their caregivers in Butajira. Reaso...
journal_title:Transcultural psychiatry
pub_type: 杂志文章
doi:10.1177/1363461511408494
更新日期:2011-09-01 00:00:00
abstract::Drawing on a salutogenic perspective, we explored sense of coherence (SOC) in a group of Palestinian mental health care providers living and working in Israel and the occupied Palestinian territories (West Bank). Specifically, we conducted a qualitative exploration of the cultural characteristics of SOC and its compon...
journal_title:Transcultural psychiatry
pub_type: 杂志文章
doi:10.1177/1363461520941386
更新日期:2020-08-26 00:00:00
abstract::The current study investigated the lived experience of 12 parents of children with an Autism Spectrum Disorder in everyday cultural contexts in Goa, India. Narratives from parents collected between 2009 and 2010 were analyzed using the procedures of phenomenological psychology. Four temporal phases of parents' experie...
journal_title:Transcultural psychiatry
pub_type: 杂志文章
doi:10.1177/1363461512447139
更新日期:2012-07-01 00:00:00
abstract::Global Mental Health's (GMH) proposition to "scale up" evidence-based mental health care worldwide has sparked a heated debate among transcultural psychiatrists, anthropologists, and GMH proponents; a debate characterized by the polarization of "global" and "local" approaches to the treatment of mental health problems...
journal_title:Transcultural psychiatry
pub_type: 杂志文章,评审
doi:10.1177/1363461514539830
更新日期:2014-12-01 00:00:00
abstract::Defined by psychologist Tamaki Saito as a period of social isolation in the absence of any other clear mental health issues for a period of six months or longer, hikikomori (social withdrawal) emerged as a condition among Japanese youth in the late 1980s. Used as both a noun to identify those afflicted, as well as des...
journal_title:Transcultural psychiatry
pub_type: 杂志文章
doi:10.1177/1363461520958337
更新日期:2020-10-01 00:00:00
abstract::The study of the relationship between psychiatry and religion has become an issue of increasing importance for both research and clinical practice. This article presents the history of the R. M. Bucke Memorial Society for the Study of Religious Experience, established by Raymond Prince in Montréal in 1964 as one of th...
journal_title:Transcultural psychiatry
pub_type: 传,历史文章,杂志文章
doi:10.1177/1363461506070786
更新日期:2006-12-01 00:00:00
abstract::Surveying 60 Vietnamese patients with either current or past post-traumatic stress disorder, this article aims to phenomenologically characterize the syndrome of 'hit by the wind' in a multidimensional manner. This includes determining the patient conceptualization of the disorder, profiling 'hit by the wind' episodes...
journal_title:Transcultural psychiatry
pub_type: 杂志文章,多中心研究
doi:10.1177/13634615030403003
更新日期:2003-09-01 00:00:00
abstract::This article explores how desire operates in the daily lives of women with disordered eating. Based on qualitative findings from a South Australian study investigating why women with disordered eating are reluctant to seek help, we trace the multiple "tipping points" and triggers that are central to participants' ever...
journal_title:Transcultural psychiatry
pub_type: 杂志文章
doi:10.1177/1363461518778669
更新日期:2018-08-01 00:00:00
abstract::One hundred Khmer refugees attending a psychiatric clinic were surveyed to determine the prevalence of olfactory-triggered panic attacks as well as certain characteristics of the episodes, including trigger (i.e. type of odor), frequency, length, somatic symptoms, and the rate of associated flashbacks and catastrophic...
journal_title:Transcultural psychiatry
pub_type: 杂志文章
doi:10.1177/1363461504043564
更新日期:2004-06-01 00:00:00
abstract::Over the last two decades, the reinforcement of security-related migration policies has resulted in the perception of the foreigner, and especially the irregular migrant, as a category outside the circle of legality. The rights of foreigners in host countries have deteriorated due to the connection made between immigr...
journal_title:Transcultural psychiatry
pub_type: 杂志文章
doi:10.1177/1363461507081634
更新日期:2007-09-01 00:00:00
abstract::The Global Mental Health (GMH) movement has raised questions of the translatability of psychiatric concepts and the challenges of community engagement. In Tonga, the local psychiatrist Dr Puloka successfully established a publicly accessible psychiatry that has improved admission rates for serious mental illnesses and...
journal_title:Transcultural psychiatry
pub_type: 历史文章,杂志文章
doi:10.1177/1363461516679072
更新日期:2016-12-01 00:00:00
abstract::The Cultural Formulation (CF) of the Diagnostic and Statistical Manual (DSM) provides a potential framework for improving the diagnostic assessment of Posttraumatic Stress Disorder (PTSD) in culturally diverse patients. We analyzed data from the Patient-Provider Encounter Study, a multi-site study that examines the pr...
journal_title:Transcultural psychiatry
pub_type: 杂志文章
doi:10.1177/1363461509342948
更新日期:2009-09-01 00:00:00
abstract::This introduction to the Special Issue Indigenous Youth Resilience in the Arctic reviews relevant resilience theory and research, with particular attention to Arctic Indigenous youth. Current perspectives on resilience, as well as the role of social determinants, and community resilience processes in understanding res...
journal_title:Transcultural psychiatry
pub_type:
doi:10.1177/1363461513497232
更新日期:2014-10-01 00:00:00
abstract::Transcultural psychiatry has increased awareness of alternative approaches to mental health and wellbeing, influencing developments in Western psychotherapeutic treatments. In this article, I look at the recent interest in alternative therapies by the U.S. military, which has explored the possibilities of lucid dreami...
journal_title:Transcultural psychiatry
pub_type: 杂志文章
doi:10.1177/1363461520901638
更新日期:2020-12-01 00:00:00
abstract::Ataque de nervios is a Latina/o idiom of distress that may occur as a culturally sanctioned response to acute stressful experiences, particularly relating to grief, threat, family conflict, and a breakdown in social networks. The contextual factors associated with ataque de nervios have received little attention in re...
journal_title:Transcultural psychiatry
pub_type: 杂志文章
doi:10.1177/1363461520935674
更新日期:2020-07-21 00:00:00
abstract::Although migration itself may not compromise the mental health of immigrants, the acculturative process can involve highly stressful factors that are specific to immigrant and minority status. Using structural equation modeling, this study examined the relations between acculturation orientations, perceived discrimina...
journal_title:Transcultural psychiatry
pub_type: 杂志文章
doi:10.1177/1363461515617873
更新日期:2016-02-01 00:00:00
abstract::The lack of culturally appropriate mental health assessment instruments is a major barrier to screening and evaluating efficacy of interventions. Simple translation of questionnaires produces misleading and inaccurate conclusions. Multiple alternate approaches have been proposed, and this study compared two approaches...
journal_title:Transcultural psychiatry
pub_type: 杂志文章
doi:10.1177/1363461513502697
更新日期:2013-08-01 00:00:00
abstract::This special section of Transcultural Psychiatry explores the local-global spaces of engagement being opened up by the Movement for Global Mental Health, with particular emphasis on the need for expanded engagement with local communities. Currently the Movement places its main emphasis on scaling up mental health serv...
journal_title:Transcultural psychiatry
pub_type:
doi:10.1177/1363461512454643
更新日期:2012-07-01 00:00:00
abstract::This article considers some of the main features of so-called truth and reconciliation commissions, their history and structure and their characteristic concerns with respect to their central dilemmas, including: how they grapple with notions of truth, justice, liability, reconciliation, apology and forgiveness, and h...
journal_title:Transcultural psychiatry
pub_type: 杂志文章
doi:10.1177/1363461510362043
更新日期:2010-02-01 00:00:00
abstract::This article examines Fischl Schneersohn's (1887-1958) "science of man" as a psychotherapeutic approach situated between modern psychology and Chassidic mysticism. While almost forgotten today, Schneersohn was a prolific writer, well-known in Yiddish-speaking circles as a psychologist, educationalist, novelist, and ps...
journal_title:Transcultural psychiatry
pub_type: 杂志文章
doi:10.1177/1363461520952625
更新日期:2020-12-01 00:00:00
abstract::In the psychological sciences, mindfulness practices are increasingly being used, studied, and theorized, but their indigenous theoretical foundations in Buddhist accounts of the dynamics and psychology of personal identity tend to be overlooked. This situation is mirrored in the discipline of philosophy: here, Buddhi...
journal_title:Transcultural psychiatry
pub_type: 杂志文章
doi:10.1177/1363461515573106
更新日期:2015-08-01 00:00:00
abstract::Interviews conducted with young women of Maghrebine origin in France show that norms of virginity represent a central means by which women negotiate Maghrebine-French identity and handle intergenerational relations. From the legacy of the colonial era to the current interethnic context, notions of virginity have playe...
journal_title:Transcultural psychiatry
pub_type: 杂志文章
doi:10.1177/1363461510368920
更新日期:2010-04-01 00:00:00
abstract::China is experiencing rapid cultural change and new forms of sociability that are accompanied by social problems and novel humanitarian interventions that have been formulated to address those problems. The pressure related to the rapid transformation of the countryside into mid-level cities has led to recreational dr...
journal_title:Transcultural psychiatry
pub_type: 历史文章,杂志文章
doi:10.1177/1363461518764488
更新日期:2019-06-01 00:00:00
abstract::A prototypical feature of schizophrenic consciousness is that it undergoes a solidification of the imaginary space in which mental events take place. The bipartition between images and 'real' things is jeopardized and imagination is transformed into 'physical' forms. Parallel to this solidification of imaginary space ...
journal_title:Transcultural psychiatry
pub_type: 杂志文章
doi:10.1177/1363461505058919
更新日期:2005-12-01 00:00:00
abstract::Career paths in cultural psychiatry and other areas of medicine often are influenced by a combination of developmental, academic and training experiences. One of the satisfactions for the cultural psychiatrist is the opportunity to integrate lifelong interests that are not central to medical training, such as anthropo...
journal_title:Transcultural psychiatry
pub_type: 杂志文章
doi:10.1177/1363461510383186
更新日期:2011-04-01 00:00:00
abstract::Rates of death by suicide among North Korean refugees are three times higher than those among their host-country counterparts in South Korea. However, social and cultural factors predicting suicidality among North Korean refugees are not well known. Thus, we explored how social networks affect suicidal ideation in a s...
journal_title:Transcultural psychiatry
pub_type: 杂志文章
doi:10.1177/1363461520935314
更新日期:2020-07-21 00:00:00
abstract::In My Name Is Legion (Leighton, 1959), the basic assumption of Alexander H. Leighton's theory of sentiment is as follows: 'A given personality exists more or less continuously throughout life in the act of striving, and interference with that striving has consequences which in turn often lead to psychiatric disorder' ...
journal_title:Transcultural psychiatry
pub_type: 杂志文章
doi:10.1177/1363461506066991
更新日期:2006-09-01 00:00:00
abstract::Indigenous communities across the Alaskan Arctic have experienced profound revisions of livelihood, culture, and autonomy over the past century of colonization, creating radical discontinuities between the lives of young people and those of their parents and Elders. The disrupted processes of identity development, acc...
journal_title:Transcultural psychiatry
pub_type: 杂志文章
doi:10.1177/1363461518786991
更新日期:2018-12-01 00:00:00
abstract::The manifestations of externalizing and internalizing behaviors among minority adolescents might best be understood by examining their relation to culturally specific factors, such as cultural identity, as well as to factors that seem to be relevant across cultures, such as age and gender. In this study, we examined t...
journal_title:Transcultural psychiatry
pub_type: 杂志文章
doi:10.1177/1363461519847299
更新日期:2020-04-01 00:00:00