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  • © 2014

Cultural Consultation

Encountering the Other in Mental Health Care

  • More psychiatric in focus than the large number of works on cultural issues from counseling psychology, clinical psychology and social work

  • Emphasis on a consultation model (time-limited interventions) for primary care providers and case managers

  • Discusses and compares several models for developing and working with multidisciplinary teams

  • Strong emphasis on work with interpreters, culture brokers and community resources

  • Underscores the critical awareness of the cultural background of the clinician and the implicit culture of psychiatric knowledge and practice

  • The approach is focused more on systemic, contextual and political issues than on 'cultural' idiosyncrasies of the case, which are emphasized in some of the literature of medical anthropology

  • Includes supplementary material:

Part of the book series: International and Cultural Psychology (ICUP)

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  • ISBN: 978-1-4614-7615-3
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  • Own it forever
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  • Tax calculation will be finalised during checkout
Softcover Book USD 249.99
Price excludes VAT (USA)
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Table of contents (16 chapters)

  1. Front Matter

    Pages i-xix
  2. Introduction: The Place of Culture in Mental Health Services

    • Laurence J. Kirmayer, Cécile Rousseau, Jaswant Guzder
    Pages 1-20
  3. Development and Evaluation of the Cultural Consultation Service

    • Laurence J. Kirmayer, Danielle Groleau, Cécile Rousseau
    Pages 21-45
  4. The Process of Cultural Consultation

    • Laurence J. Kirmayer, G. Eric Jarvis, Jaswant Guzder
    Pages 47-69
  5. Cultural Consultation in Child Psychiatry

    • Toby Measham, Felicia Heidenreich-Dutray, Cécile Rousseau, Lucie Nadeau
    Pages 71-87
  6. Working with Interpreters

    • Yvan Leanza, Alessandra Miklavcic, Isabelle Boivin, Ellen Rosenberg
    Pages 89-114
  7. Culture Brokers, Clinically Applied Ethnography, and Cultural Mediation

    • Alessandra Miklavcic, Marie Nathalie LeBlanc
    Pages 115-137
  8. Family Systems in Cultural Consultation

    • Jaswant Guzder
    Pages 139-161
  9. Gender, Power and Ethnicity in Cultural Consultation

    • Jaswant Guzder, Radhika Santhanam-Martin, Cécile Rousseau
    Pages 163-182
  10. Addressing Cultural Diversity Through Collaborative Care

    • Lucie Nadeau, Cécile Rousseau, Toby Measham
    Pages 203-221
  11. Consultation to Remote and Indigenous Communities

    • Marie-Eve Cotton, Lucie Nadeau, Laurence J. Kirmayer
    Pages 223-244
  12. Cultural Consultation for Refugees

    • Janet Cleveland, Cécile Rousseau, Jaswant Guzder
    Pages 245-268
  13. Cultural Consultation to Child Protection Services and Legal Settings

    • Myrna Lashley, Ghayda Hassan, Begum Maitra
    Pages 269-290
  14. Cultural Consultation in Medical Settings

    • Melissa Dominicé Dao, Laurence J. Kirmayer
    Pages 313-331
  15. Conclusion: The Future of Cultural Consultation

    • Laurence J. Kirmayer, Jaswant Guzder, Cécile Rousseau
    Pages 333-349
  16. Back Matter

    Pages 351-355

About this book

Cultural diversity is a global challenge for mental health services. The changing demography of communities requires rethinking approaches to cultural competence for health professionals and institutions. Cultural consultation is a way to improve the quality of mental health care by providing a nuanced understanding of the predicaments that prompt diverse clients to seek help, and the social contexts of their mental health problems, to guide clinical assessment and intervention.

Cultural Consultation explores the practice of cultural consultation as a strategy to improve the quality of mental health care for diverse populations. The contributors, who have worked together at an innovative clinical service, frame best practices in psychiatry clinical psychology, and social work in relation to empathy, human rights, and culturally responsive and ethically sound care. A detailed model of the process of cultural consultation, from initial intake, through assessment, to recommendations and referrals, provides guidelines for clinical practice. Expert contributors examine specialized settings (medical, psychiatric emergency, inpatient, social/legal services), populations (remote, indigenous, child and youth), and contextual issues in the care of people with a wide range of mental health problems. Numerous case examples, charts, and tools add depth for readers interested in developing similar services or enhancing existing practice. Among the key areas covered: 

  • Working with interpreters and culture brokers.
  • Family systems in cultural consultation.
  • Gender, power, and ethnicity in cultural consultation.
  • Consultation and mediation with racialized and marginalized communities.
  • Collaborative care and primary care consultation.
  • Cultural consultation with refugees.

A unique guide to challenges and opportunities in contemporary practice, Cultural Consultation will be immediately useful for health care professionals, clinical psychologists, and cultural consultants and provide a versatile knowledge source for years to come.



  • child psychiatry
  • clinically applied ethnography
  • collaborative care
  • community consultation
  • consultation in indigenous communities
  • cultural consultation
  • cultural consultation service
  • cultural diversity
  • cultural mediation
  • culture brokers
  • ethnicity in cultural consultation
  • family systems in cultural consultation
  • gender in cultural consultation
  • general hospital psychiatry
  • legal settings
  • mental health care
  • mental health services
  • power in cultural consultation
  • youth protection

Editors and Affiliations

  • Jewish General Hospital Inst. Community & Family Psychiatry, Montreal, Canada

    Laurence J. Kirmayer, Jaswant Guzder

  • McGill University Div. Social & Transcultural Psychiatry, Montreal, Canada

    Cécile Rousseau

About the editors

Laurence J. Kirmayer, M.D. is James McGill Professor and Director, Division of Social and Transcultural Psychiatry, McGill University and Editor-in-Chief of Transcultural Psychiatry. He directs the Culture & Mental Health Research Unit at the Jewish General Hospital where he conducts research on the mental health of Aboriginal peoples; mental health services for immigrants and refugees and the cultural basis of psychiatric theory and practice. He was founding director of the Cultural Consultation Service.

Jaswant Guzder, M.D. is Associate Professor of Psychiatry and of Social Work, McGill University, and Head of Child Psychiatry and Director of the Childhood Disorders Day Hospital at the Jewish General Hospital. She was Co-Director of the Cultural Consultation Service from its inception. From 1980 to 1984, she worked in Mumbai, India as a psychiatric consultant and psychoanalyst and continues to consult in India for Ummeed, Angaan and Tata Institute of Social Services. Her current academic activities include cross-cultural training, family therapy training, and and child trauma projects in Canada, India, Nepal, Sri Lanka, Turkey, Israel and Jamaica.

Cécile Rousseau, M.D., M.Sc. is Associate Professor, Department of Psychiatry & Director, Transcultural Psychiatry Service, CSSS de la Montagne, where she has built a team addressing refugee and immigrant children’s mental health, with particular interest in children of war. She has conducted epidemiological and ethnographic research on the personal, family and cultural determinants of refugee children’s mental health. She has developed innovative school prevention programs for refugee and immigrant children and adolescents using creative expression workshops. In partnership with researchers in international law and community organizations, she has analyzed the cultural and psychological construction of immigration policies and their consequences for the mental health of refugees.

Bibliographic Information

  • Book Title: Cultural Consultation

  • Book Subtitle: Encountering the Other in Mental Health Care

  • Editors: Laurence J. Kirmayer, Jaswant Guzder, Cécile Rousseau

  • Series Title: International and Cultural Psychology

  • DOI:

  • Publisher: Springer New York, NY

  • eBook Packages: Behavioral Science, Behavioral Science and Psychology (R0)

  • Copyright Information: Springer Science+Business Media New York 2014

  • Hardcover ISBN: 978-1-4614-7614-6

  • Softcover ISBN: 978-1-4939-2692-3

  • eBook ISBN: 978-1-4614-7615-3

  • Series ISSN: 1571-5507

  • Series E-ISSN: 2197-7984

  • Edition Number: 1

  • Number of Pages: XIX, 355

  • Number of Illustrations: 1 b/w illustrations

  • Topics: Cross-Cultural Psychology, Clinical Psychology, Psychiatry

Buying options

eBook USD 189.00
Price excludes VAT (USA)
  • ISBN: 978-1-4614-7615-3
  • Instant PDF download
  • Readable on all devices
  • Own it forever
  • Exclusive offer for individuals only
  • Tax calculation will be finalised during checkout
Softcover Book USD 249.99
Price excludes VAT (USA)
Hardcover Book USD 249.99
Price excludes VAT (USA)