Academic Psychiatry

, Volume 32, Issue 4, pp 320–326

Training Researchers in Cultural Psychiatry: The McGill-CIHR Strategic Training Program

  • Laurence J. Kirmayer
  • Cécile Rousseau
  • Ellen Corin
  • Danielle Groleau
Original Article

Abstract

Objectives

The authors aim to summarize the pedagogical approaches and curriculum used in the training of researchers in cultural psychiatry at the Division of Social and Transcultural Psychiatry at McGill University.

Method

We reviewed available published and unpublished reports on the history and development of the McGill cultural psychiatry programs to identify the main orientations (conceptual and methodological), teaching methods, curriculum and course content. Student evaluations of teaching were reviewed. Follow-up data on research and other academic activities and employment of trainees who graduated from the program was obtained by e-mail questionnaire.

Results

The McGill program includes a Master of Science program, an intensive summer school, annual Advanced Study Institutes, and the McGill-CIHR Strategic Training Program in Culture and Mental Health Services Research. The interdisciplinary training setting emphasizes the cultural history and embedding of psychiatric knowledge and practice; the social construction of ethnicity, race, and cultural identity; the impact of globalization, migration, and ideologies of citizenship on individual identity and the configuration of cultural communities; and the integration of quantitative and qualitative ethnographic methods in basic and evaluative research.

Conclusion

This critical transdisciplinary approach provides researchers with conceptual tools to address the impact of the changing meanings of culture and ethnicity difference in the contemporary world on mental health services.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Alarcón RD, Bell CC, Kirmayer LJ, et al: Beyond the fun-house mirrors: research agenda on culture and psychiatric diagnosis, in A Research Agenda for DSM-V. Edited by Kupfer DJ, First MB, Regier DA. Arlington, Va, American Psychiatric Publishing, 2002, pp 219–289Google Scholar
  2. 2.
    Kirmayer LJ, Rousseau C, Guzder J, et al: Training clinicians in cultural psychiatry: a Canadian perspective. Acad Psychiatry 2008; 32: 313–319PubMedCrossRefGoogle Scholar
  3. 3.
    Galtung J: Structure, culture, and intellectual style: an essay comparing Saxonic, Teutonic, Gallic, and Nipponic approaches. Soc Science Information 1981; 20: 817–856CrossRefGoogle Scholar
  4. 4.
    Kirmayer LJ, Groleau D, Guzder J, et al: Cultural consultation: a model of mental health service for multicultural societies. Can J Psychiatry 2003; 48: 145–153PubMedGoogle Scholar
  5. 5.
    Corin E: The thickness of being: intentional worlds, strategies of identity and experience among schizophrenics. Psychiatry 1998; 61: 133–146PubMedGoogle Scholar
  6. 6.
    Corin E, Thara R, Padmavati R: Living through a staggering world: the play of signifiers in early psychosis in South India, in Schizophrenia, Culture and Subjectivity: The Edge of Experience. Edited by Jenkins JJ, Barrett RJ. New York, Cambridge University Press, 2004, pp 110–145Google Scholar
  7. 7.
    Kirmayer LJ, Corin E, Jarvis GE: Inside knowledge: cultural constructions of insight in psychosis, in Insight in Psychosis. Edited by Amador XF, David AS. New York, Oxford University Press, 2004, pp 197–229Google Scholar
  8. 8.
    Rousseau C, Key F, Measham T: The work of culture in the treatment of psychosis in migrant adolescents. Clin Child Psychol Psychiatry 2005; 10: 305–317CrossRefGoogle Scholar
  9. 9.
    Measham T, Rousseau C, Nadeau L: The development and therapeutic modalities of a transcultural child psychiatry service. Can Child Adolescent Psychiatry Rev 2005; 14: 68–72Google Scholar
  10. 10.
    Rousseau C, Heusch N: The trip: a creative expression project for refugee and immigrant children. Art Ther J Am Art Ther Assoc 2000; 17: 31–40CrossRefGoogle Scholar
  11. 11.
    Rousseau C, Singh A, Lacroix L, et al: Creative expression workshops for immigrant and refugee children. J Am Acad Child Adolesc Psychiatry 2004; 43: 235–238PubMedCrossRefGoogle Scholar
  12. 12.
    Rousseau C, Drapeau A, Lacroix L, et al: Evaluation of a classroom program of creative expression workshops for refugee and immigrant children. J Child Psychol Psychiatry 2005; 46: 180–185PubMedCrossRefGoogle Scholar
  13. 13.
    Rousseau C, Crépeau F, Foxen P, et al: The complexity of determining refugeehood: a multidisciplinary analysis of the decision-making process of the Canadian immigration and refugee board. J Refugee Studies 2002; 15: 43–70CrossRefGoogle Scholar
  14. 14.
    Kirmayer LJ, Brass GM, Tait CL: The mental health of Aboriginal peoples: transformations of identity and community. Can J Psychiatry 2000; 45: 607–616PubMedGoogle Scholar
  15. 15.
    Kirmayer LJ, Simpson C, Cargo M: Healing traditions: culture, community and mental health promotion with Canadian Aboriginal peoples. Australasian Psychiatry 2003; 11(suppl): 15–23CrossRefGoogle Scholar
  16. 16.
    Corin E, Bibeau G, Martin J-C, et al: Comprendre pour soigner autrement. Montréal, Presses de l’Université de Montréal, 1991Google Scholar
  17. 17.
    Bibeau G: Une troisième voie en santé publique. Ruptures, evue transdisciplinaire en santé 1999; 6: 209–236Google Scholar
  18. 18.
    Bibeau G: Cultural psychiatry in a creolizing world: questions for a new research agenda. Transcult Psychiatry 1997; 34: 9–41CrossRefGoogle Scholar
  19. 19.
    Kirmayer LJ: Sapir’s vision of culture and personality. Psychiatry 2001; 64: 23–30PubMedGoogle Scholar
  20. 20.
    Kirmayer LJ: Broken narratives: clinical encounters and the poetics of illness experience, in Narrative and the Cultural Construction of Illness and Healing. Edited by Mattingly C, Garro L. Berkeley, Calif, University of California Press, 2000, pp 153–180Google Scholar
  21. 21.
    Lock M: The tempering of medical anthropology: troubling natural categories. Med Anthropology Quarterly 2001; 15: 478–492CrossRefGoogle Scholar
  22. 22.
    Lock M: Accounting for disease and distress: morals of the normal and abnormal, in Handbook of Social Studies in Health and Medicine. Edited by Albrecht GL, Fitzpatrick R, Scrimshaw S. London, Sage Publications, 2000, pp 259–276CrossRefGoogle Scholar
  23. 23.
    Groleau D, Young A, Kirmayer LJ: The McGill Illness Narrative Interview (MINI): an interview schedule to elicit meanings and modes of reasoning related to illness experience. Transcult Psychiatry 2006; 43: 671–691PubMedCrossRefGoogle Scholar
  24. 24.
    Macauley AC, Commanda LE, Gibson N, et al: Participatory research maximizes community and lay involvement. BMJ 1999; 319: 774–778CrossRefGoogle Scholar
  25. 25.
    Kirmayer LJ: Beyond the “new cross-cultural psychiatry”: cultural biology, discursive psychology and the ironies of globalization. Transcult Psychiatry 2006; 43: 126–144PubMedCrossRefGoogle Scholar
  26. 26.
    Whitley R, Crawford M: Qualitative research in psychiatry. Can J Psychiatry 2005; 50: 108–114PubMedGoogle Scholar
  27. 27.
    Anderson LM, Scrimshaw SC, Fullilove MT, et al: Culturally competent healthcare systems: a systematic review. Am J Prev Med 2003; 24(suppl): 68–79PubMedCrossRefGoogle Scholar
  28. 28.
    Turner L: Bioethics in pluralistic societies. Med Health Care Philos 2004; 7: 201–208PubMedCrossRefGoogle Scholar
  29. 29.
    Turner L: From the local to the global: bioethics and the concept of culture. J Med Philos 2005; 30: 305–320PubMedCrossRefGoogle Scholar
  30. 30.
    Khanlou N, Peter E: Participatory action research: considerations for ethical review. Soc Sci Med 2005; 60: 2333–2340PubMedCrossRefGoogle Scholar
  31. 31.
    Graham ID, Logan J, Harrison MB, et al: Lost in translation: time for a map? J Contin Educ Health Prof 2006; 26: 13–24PubMedCrossRefGoogle Scholar
  32. 32.
    Alarcon R: Hispanic psychiatry: from margin to mainstream. Transcult Psychiatry 2001; 38: 5–25CrossRefGoogle Scholar
  33. 33.
    Wexler BE: Brain and culture: neurobiology, ideology, and social change. Cambridge, Mass, MIT Press, 2006Google Scholar

Copyright information

© Academic Psychiatry 2006

Authors and Affiliations

  • Laurence J. Kirmayer
    • 1
  • Cécile Rousseau
    • 1
  • Ellen Corin
    • 1
  • Danielle Groleau
    • 1
  1. 1.Division of Social and Transcultural Psychiatry of the Department of PsychiatryMcGill UniversityMontrealCanada
  2. 2.Institute of Community and Family PsychiatrySir Mortimer B. Davis-Jewish General HospitalMontrealCanada

Personalised recommendations