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Cross-Cultural Issues

  • Ilaria Tarricone
  • Iris T. Graef-Calliess
  • Nasim Chaudhry
  • Marianne Kastrup
  • Domenico Berardi
  • Dinesh Bhugra
  • Mauro Braca
  • Ronald Burian
  • Albert Diefenbacher
  • Silvia Ferrari
  • Nusrat Husain
  • Adil Qureshi
  • Meryam Schouler-Ocak
  • Sarah Tosato
Chapter
Part of the Integrating Psychiatry and Primary Care book series (IPPC)

Abstract

Migrants and ethnic minorities are at higher risk to develop mental disorders compared to native population. Culture has an important impact on the symptom presentation, diagnostic process and treatment strategies in all populations. Cultural competence represents good clinical practice and can be defined as a two-way learning encounter where clinician acknowledges the patient’s culture as well as his own cultural values and prejudices. Cultural competent response to the mental health care requires knowledge, skills and attitudes. Both individual and organizational cultural competences are needed to improve the effectiveness of psychiatric treatment. In this chapter, we revised the WPA Guidance on Mental Health and Mental Health Care for Migrants and the EPA Guidance on Mental Health Care for Migrants and list a series of recommendations for policy-makers, service providers and clinicians. Cultural competent experiences in the treatment of somatization and other psychiatric disorders across several countries in Europe are also presented.

Keywords

Migration Ethnic minorities Psychiatric disorders Somatization Cultural competence Cross-cultural issues Sociocultural determinants of health Interpreters Cultural mediators Cultural knowledge Cultural skills Cultural attitudes 

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2019

Authors and Affiliations

  • Ilaria Tarricone
    • 1
  • Iris T. Graef-Calliess
    • 2
  • Nasim Chaudhry
    • 3
  • Marianne Kastrup
    • 4
  • Domenico Berardi
    • 5
  • Dinesh Bhugra
    • 6
  • Mauro Braca
    • 7
  • Ronald Burian
    • 8
  • Albert Diefenbacher
    • 8
  • Silvia Ferrari
    • 9
  • Nusrat Husain
    • 10
  • Adil Qureshi
    • 11
  • Meryam Schouler-Ocak
    • 12
  • Sarah Tosato
    • 13
  1. 1.Bologna Transcultural Psychosomatic Team (BoTPT), Department of Medical and Surgical Sciences (DIMEC)Alma Mater Studiorum Bologna UniversityBolognaItaly
  2. 2.Department of PsychiatryHannover Medical School, Social Psychiatry and PsychotherapyHannoverGermany
  3. 3.Dow University of Health Sciences, Pakistan Institute of Living and LearningKarachiPakistan
  4. 4.CopenhagenDenmark
  5. 5.Dipartimento di Scienze Biomediche e Neuromotorie (DIBINEM)Alma Mater Studiourum Bologna UniversityBolognaItaly
  6. 6.Emeritus Professor of Mental Health and Cultural Diversity at the Institute of Psychiatry, Psychology and Neuroscience at King’s College LondonLondonUK
  7. 7.Department of Mental HealthAUSL BolognaBolognaItaly
  8. 8.Department of Psychiatry, Psychotherapy and PsychosomaticsEvangelisches Krankenhaus Königin Elisabeth HerzbergeBerlinGermany
  9. 9.Department of Diagnostics, Clinical and Public Health MedicineUniversity of Modena and Reggio EmiliaModenaItaly
  10. 10.University of Manchester, Lancashire Care Early Intervention ServiceManchesterUK
  11. 11.Hospital Universitari Vall d’Hebron, Servei de PsiquiatriaBarcelonaSpain
  12. 12.Psychiatric University Clinic of Charité at St. Hedwig’s HospitalBerlinGermany
  13. 13.Section of Psychiatry, Department of Neurosciences, Biomedicine and Movement SciencesUniversity of VeronaVeronaItaly

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