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Synopsis
I am sitting in a small interview room at the Hunan Medical College in south central China. Read the first page
Concordance
Front Cover | Copyright | Table of Contents | Excerpt | Index | Back Cover
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Customer Reviews
The cornerstone of this book is Kleinman's message: "There is a need for culturally sensitive and anthropologically informed psychiatric research, diagnostic assessment and treatment".
Approximately 80% of the world's population resides in the non-Western world and yet Western psychiatry still dominates. Kleinman suggests in this book that Western psychiatry as it stands today is not effective in treating people in the non-Western world suffering from mental health disorders. Instead, he proposes that mental health practitioners become more aware of their different clients' needs according to their cultural background.
Kleinman explores the impact of culture upon the practitioner and patient, addressing important issues such as how mental health problems present themselves and are experienced within different cultures, the meaning of illness according to different cultures, assessment procedures, diagnosis, and treatment paradigms specific to clients within different cultural groups. Kleinman makes good use of the psychological literature written regarding cultural issues and mental health to explore the issues covered in this book.
This book is a fascinating and truly insightful read. Kleinman brings cultural issues to life by citing his own substantial clinical experience of working in Asia and Africa. I would thoroughly recommend this book to mental health practitioners and anyone interested in global mental health, if only to stress Kleinman's important message that you cannot take culture out of mental health.
The book addresses first the question, What Is A Psychiatric Diagnosis? It next addresses the question, Do Psychiatric Disorders Differ in Different Cultures, answering "Sometimes." The author asks Do Social Relations and Cultural Meanings Contribute to the Onset and Course of Mental Illness? Here he examines the connections between the economy of a society and the prevalence of psychiatric diagnoses. He also considers the role of social change in the prevalence and nature of mental illness.
A very interesting portion of the book is titled How Do Professional Values Influence the Work of Psychiatrists? Kleinman offers a transcript of an initial session between a U.S. patient and psychiatrist. The subsequently formulated diagnosis and treatment plan are provided. The patient's diary entry following the session shows the discrepancy in world views between physician and patient. Next is an examination of a session between a Chinese psychiatrist and patient.
How Do Psychiatrists Heal? is the title of the next section of the book. Here, Kleinman looks at the clinical tools of psychiatry as compared to the healing tools of other cultures. Considered are the institutional settings of healing, the nature of the healing interaction, practitioner characteristics, styles of communication, clinical considerations, cultural settings, and extratherapeutic factors. An examination of how symbols are used in healing in psychotherapy and other folk cures follows. The book concludes with thoughts about the question What Relationship Should Psychiatry Have to Social Sciences?
I first read this book about four years ago, and continue to come back to it. The ideas expressed here have significantly impacted my understanding of my own field and have greatly influenced the direction of my subsequent research and teaching.
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