BE : A mixed methods study, The latent structure of post-traumatic stress disorder: tests of invariance by gender and trauma type, The epidemiology of trauma, PTSD, and other posttrauma disorders. Researchers and clinicians should be aware of historical events occurring between cultural groups, as these may shape expectations and activate stereotypes that may not be helpful for the assessment process. 1995. , Hinton Toward a Theory of Cultural Trauma According to the World Mental Health Surveys, roughly 70% of the global population experiences traumatic events (1). , The application of etic approaches assumes that psychopathology is a universally experienced phenomenon, regardless of culture, and this largely follows a biological view. Betancourt Ethical and Cultural Considerations in Trauma Treatment: A key advancement in assessing trauma reactions involves identifying culturally specific syndromes and idioms and incorporating them into established Western screening instruments (38). With humility comes respect for other cultures, and a consequence of this respect is an openness to other perspectives. : Enhanced life distress inventory: Development and validation in two African countries. Put differently, if we define suffering using a Western lens and seek to find corresponding reactions of this suffering, we will likely find this evidence. Kaiser BJ WebCLINICAL SYNTHESIS Beyond the DSM-5 Diagnoses: A Cross-Cultural Approach to Assessing Trauma Reactions Anushka R. Patel, Ph.D., and Brian J. Topics. Altogether, comprehensive trauma assessment includes universal and culturally relevant trauma reactions. A L Overall, posttrauma reactions across cultures may be qualitatively distinct from PTSD reactions because of the variable endorsement of PTSD reactions, the centrality of idioms of distress, different explanatory models of illness, and the presence of ongoing stressors that render trauma and adversity as ongoing phenomena. Idioms of distress often do not map cleanly onto Western psychiatric diagnoses. Beyond Trauma, presents a series of conversations with a wide range of people from many different backgrounds and et al. MCS The editors of Beyond Trauma: Cultural and Societal Dynamics have created a volume that goes beyond the individual's psychological dynamics of trauma, exploring its social, cultural, politica!, and ethical dimensions from an international as well as a global perspective. Bui The editors of Beyond Trauma: Cultural and Societal Dynamics have created a volume that goes beyond the individual's psychological dynamics of trauma, exploring Mischaracterizing such behavior can lead to improper inferences that may further harm mental health and reduce access to appropriate care. P C I K et al. KE J Overall, the privilege given to Western psychiatric diagnoses across cultural settings may have the unintended consequence of collective forgetting about how culture may affect mental health. This step will ensure that all aspects of a patients distressuniversal and culturally relevant reactionsare being addressed in a comprehensive manner. , , Culture and psychopathology: general view Finally, clinicians can enhance the treatment process and clinical outcomes of patients by continually targeting and evaluating idioms of distress alongside the clinical diagnoses for which they are treating patients. W-S. K-T Omidian : Trauma and PTSD in the WHO World Mental Health Surveys. : PTSD and key somatic complaints and cultural syndromes among rural Cambodians: the results of a needs assessment survey. : DESNOS in three postconflict settings: assessing cross-cultural construct equivalence. , : Worry, worry attacks, and PTSD among Cambodian refugees: a path analysis investigation. Finally, cultural humility is also consistent with culturally sensitive clinical practice. et al. Capture a web page as it appears now for use as a trusted citation in the future. , : Miller , H A Hall : The Thinking a Lot Idiom of Distress and PTSD: An Examination of Their Relationship among Traumatized Cambodian Refugees Using the Thinking a Lot Questionnaire. Aguilar-Gaxiola LJ Wampold Omidian S WA WA First, they found that the presence of the numbing-avoidance clusterpresent in the DSM-IVvaried considerably across cultures. Ron Eyers argues that a cultural trauma is a tear in the social fabric, which This finding is a relatively new addition to the literature and provides important information for aging-related research, which could contribute to mapping Roberts Model Number: BT_2ND. , In some cultures, response options such as not at all, somewhat, a little bit, moderately, and so on are not well-defined or meaningful gradients. , , , et al. , , Good , IH DE Be the first one to, Beyond trauma : cultural and societal dynamics, Advanced embedding details, examples, and help, Post-traumatic stress disorder -- Social aspects, urn:lcp:beyondtraumacult0000unse:lcpdf:f57f9f04-4032-4085-820b-6f471743b4db, urn:lcp:beyondtraumacult0000unse:epub:aee0721f-590e-4d31-bf74-3f8ad6e947a4, Terms of Service (last updated 12/31/2014). The finding that numbing-avoidance reactions varied cross-culturally may be partly explained by the nature of these symptom clusters. MA Hinton et al. , Hinton Hinton Department of Psychiatry and Behavioral Sciences, Trauma Recovery Center, University of California, San Francisco (Patel); School of Global Public Health, New York UniversityShanghai (Hall). Confusion of the senses: implications of ethnocultural variations in somatoform and dissociative disorders for PTSD CL WebThe revised version of Beyond Trauma incorporates the latest understanding of trauma and PTSD since the original publication of in 2003. Webpsyche, then cultural trauma is a wound or blow to a societys identity and coherence. et al. sharing sensitive information, make sure youre on a federal Komproe BJ , FOIA BEYOND TRAUMA - trauma-informed and gender-sensitive , Borisova PTSD symptom clusters consist of biological abnormality through autonomic nervous system reactivity (e.g., re-experiencing, arousal), behavioral abnormality through coping responses (e.g., avoidance), and affective abnormality through sustained cognitive and mood changes (e.g., negative alterations in cognition and mood). For example, some cultural groups may believe that a trauma occurred because supernatural forces punished them or their community for a transgression or a trauma occurred as part of their karma (29, 30). LJ The notion that some PTSD symptom clusters appear biologically invariant whereas others may be culturally shaped bolsters the finding that PTSD symptom presentation varies across cultures (4, 7, 8, 10). Conducting qualitative interviews to identify community-defined mental health priorities; Identifying existing instruments with established psychometric properties that appear to capture the reactions identified (alternatively, de novo instruments can be created on the basis of the qualitative interviews; Translating and adapting these instruments by incorporating local idioms or reactions identified in the first step; Conducting cognitive interviews to assess comprehension of items; and. station48.cebu ; in. Although a tension exists between what is reified as psychiatric canon and what culture might teach us about mental illness, one should not fully abandon their own training and beliefs. Although Bryant Keller DE Beyond Trauma : Cultural and Societal Dynamics , Studying these concepts, systematically adding them to instruments during assessment, and referring back to them as part of treatment is a cross-cutting approach to culturally sensitive assessment that goes beyond the approach offered by the DSM-5. Somatization is also commonly reported, along with dissociation among cultural groups with PTSD (26), and shenjing shuairuo might also be a culturally specific reaction to stress, including traumatic events. Similarly, encounters with assessors from different cultural backgrounds, or within contexts of uncertainty (e.g., refugees and asylum seekers), may evoke defensiveness, which could be misjudged as paranoia or uncooperativeness. GE Nepali concepts of psychological trauma: the role of idioms of distress, ethnopsychology and ethnophysiology in alleviating suffering and preventing stigma, Patients and Healers in the Context of Culture: An Exploration of the Borderland between Anthropology, Medicine, and Psychiatry. , BJ WebCultural Competence, 43 Ethical Issues, 44 Chapter 2: Introduction to the Program 45 The Curriculum 45 Group Composition, 46 Using the Facilitator Guide 47 Session Outlines, , , , Over time, these behaviors become culturally socialized as either adaptive and desired in a cultural context or maladaptive and to be avoided (7). : World Health Organization guidelines for management of acute stress, PTSD, and bereavement: key challenges on the road ahead. A Most psychological research is premised on studies sampling a minority of the global population. This study highlights the importance of eliciting a groups explanatory model and adapting treatment in accordance with it. The impact of the trauma itself may be experienced communally rather than individually; that is, trauma reactions may be conceptualized as a disruption to the social and moral order (31). : The AFhan symptom checklist: a culturally grounded approach to mental health assessment in a conflict zone. However, given the cultural relevance of idioms of distress and explanatory models of illness, these concepts should also be addressed in treatment. B W the contents by NLM or the National Institutes of Health. : Assessing local instrument reliability and validity: a field-based example from northern Uganda. Valid and reliable assessment is a cornerstone of evidence-based clinical intervention. This interview can be augmented with the administration of clinical instruments assessing both universal and culturally relevant trauma reactions for a comprehensive clinical assessment. WA : Culture, illness, and care: clinical lessons from anthropologic and cross-cultural research. : Treatment change of somatic symptoms and cultural syndromes among Cambodian refugees with PTSD. , As PTSD reactions can vary across cultures, idioms of distress offer an alternative lens into cultural manifestations of trauma-related distress. Although the scope of trauma is a global phenomenon, diagnostic considerations may differ across cultures. LJ In fact, mounting evidence suggests that PTSD is just one type of trauma-related disorder and that trauma reactions are quite culturally variable (4). The ethics of practicing with trauma survivors thus PSY Pich , Lin Therefore, clinicians and researchers must be cautious of what Arthur Kleinman described in 1977 as a category fallacy (2): This refers to the misconception that categories created in one cultural context apply equivalently to another. , Although empirical support for the validity of the PTSD construct is found in many cultural groups, it cannot be automatically assumed for every cultural group. : The validity and clinical utility of post-traumatic stress disorder in AFhanistan, The cross-cultural validity of posttraumatic stress disorder: implications for DSM-5. Renner , : Thinking too much: A systematic review of a common idiom of distress, Idioms of distress among trauma survivors: subtypes and clinical utility. Benish , To address this tension, methods and strategies that account for both etic and emic perspectives can be applied toward the comprehensive assessment of universal and culturally relevant trauma reactions. Kaiser Fawzi The final step is to validate the instruments. J : Exploring the association between depression and shenjing shuairuo in a population representative epidemiological study of Chinese adults in Guangzhou, China, Kirmayer Cognitive interviews involve asking members of the community to state the meaning of an item or describe it in their own words. This article explains the need for complementing traditional trauma assessment approaches, how to create culturally sensitive instruments, the style and stance of practicing cultural humility when administering instruments, how to account for ongoing trauma and adversity, and ways to incorporate findings into treatment. , Second, certain reactions that are excluded from Western diagnostic categories (i.e., idioms of distress) may be the hallmark of trauma reactions in some cultural settings. Jordans : The relationship between somatic and PTSD symptoms among Bhutanese refugee torture survivors: examination of comorbidity with anxiety and depression. et al. Ongoing stressors are daily stressful events that can reduce peoples ability to cope with stressors overall. web pages Webextends beyond the limitations of Western methods of assessing and understanding psychic trauma. Altogether, the behavioral and affective aspects of PTSD may be more culturally malleable than the biological aspects. WebCultural trauma occurs when members of a collectivity feel they have been subjected to a horrendous event that leaves indelible marks upon their group consciousness, marking , B , Garabiles Uploaded by J Ekman Instead, cross-cultural instruments should examine locally relevant reactions, such as idioms of distress and explanatory models of illness, and account for ongoing stress and adversity. Cultural Betrayal as a Dimension of Traumatic Harm: Violence and Hiar When such assessments are not available, clinicians can listen for idioms of distress and use their clinical assessment skills to probe into the lived experience for each patient. A and transmitted securely. Cultural Competence in Trauma Therapy: Beyond the Flashback WebBeyond Trauma, 2nd Ed. , Screening instruments are critical in assessing PTSD, because most low- and middle-income countries lack enough trained clinical professionals to assess and treat high numbers of trauma-exposed individuals needing services (39). Idioms of distress are not included in Western psychiatric diagnoses precisely because of their localrather than universalrelevance. D , et al. Alonso The practical usefulness of idioms in psychological assessment is the shared language they provide to describe suffering. : Somatic symptoms mediate the relationship between trauma during the Arab Spring and quality of life among Tunisians. Kirmayer , Most trauma-focused treatments target PTSD, which is a common outcome of interpersonal violence across cultures (1, 54, 55). Tol Reporting ongoing stressors and adversity can improve confidence in study findings and provide a more nuanced picture of clinical considerations, because PTSD may not be the best diagnosis to capture reactions to current stressors. F RC The second step involves examining the reactions and mapping them onto instruments that appear to assess the concept following Western psychiatric definitions, including for PTSD. An illustrative example of using cultural concepts of distress in treatment comes from Nepal. WebBeyond trauma 4 and dreaming, which in turn make possible claims to historical experiences and demands for justice and accountability, while exploring what may come Request PDF | Beyond the DSM-5 Diagnoses: A Cross-Cultural Approach to Assessing Trauma Reactions | Although trauma exposure is a global phenomenon, J Christine A. Courtois, PhD, ABPP SAMPLE , , et al. MR In a global context, individuals receiving Western psychiatric diagnoses may lack agency, resources, and engagement with those in power, thereby preventing equitable co-creation of knowledge regarding the Western psychiatric concepts being applied to them. National Library of Medicine , Although trauma exposure is a global phenomenon, trauma reactions vary considerably across cultures. Reviews of culturally adapted cognitive behavioral therapy also highlight the usefulness of incorporating cultural concepts gleaned from formative assessment work into treatment (33). Pham T , , : A cultural adaptation of dialectical behavior therapy in Nepal, Focus: Journal of Life Long Learning in Psychiatry, https://www.tandfonline.com/doi/full/10.1080/20008198.2017.1353383, http://www.ncbi.nlm.nih.gov/pubmed/21910185, http://doi.wiley.com/10.1002/jts.2490100109, https://onlinelibrary.wiley.com/doi/pdf/10.1023/A%3A1025702326392, https://pdfs.semanticscholar.org/a738/3f9d2a43c5e92c718ca1d9dd0d9ec6ab8cb5.pdf, https://www.sciencedirect.com/science/article/pii/S169726001500085X, http://dx.plos.org/10.1371/journal.pmed.1001769, https://link.springer.com/content/pdf/10.1007/s00127-002-0580-5.pdf, http://link.springer.com/10.1007/s12207-014-9188-9, https://link.springer.com/articles/10.1186/1471-244X-11-127, http://doi.apa.org/getdoi.cfm?doi=10.1037/0002-9432.76.4.423, http://journals.sagepub.com/doi/10.1177/136346159903600304, https://onlinelibrary.wiley.com/doi/abs/10.1111/bjhp.12448, https://www.tandfonline.com/doi/full/10.1080/20008198.2019.1571378, http://journals.sagepub.com/doi/pdf/10.1177/1524838009334448, https://www.sciencedirect.com/science/article/pii/S1077722917300263. MJD This method follows five steps: In the first step, qualitative interviews engage members of the cultural group in a discussion about priority needs. Kirmayer AS Aggarwal J AS Salem GM J Cambodian refugees, who survived human rights violations and extensive trauma during the Pol Pot regime, represent an illustrative case in point. Chen JP Hinton et al. , The editors of Beyond Trauma: Cultural and Societal Dynamics have created a volume that goes beyond the individual's psychological dynamics of trauma, M Vietnamese Buddhist Monks/Nuns and Mediums Views on Attribution and Alleviation of Symptoms of Mental Illness. When available, clinicians can append their assessment batteries with assessments incorporating idioms of distress to assess culturally relevant trauma reactions. , Therefore, assessment methods are expanding to meet the needs of increasingly diverse populations who require trauma-informed services. WV Frequencies of these reactions provide evidence of their primacy within the symptom presentation of the community. Similarly, clinicians can position themselves as curious learners and practice cultural humility with patients to improve engagement with clinical services and enhance trust toward health care systems as a whole. Jordans The traditional Likert-type scale, typically used in PTSD instruments, may not be understood universally. Jarvis (PDF) Beyond the victim: Secondary traumatic stress. S Cultural sensitivity is defined by cultivating awareness of ones own and others cultural identities, using culturally formulated case conceptualization, and tailoring services to each client (53). Store TIRBook.com - Beyond Trauma ; in. , Cultural humility is a process of self-reflection and critique to redress power imbalances that exist between health professionals and patients to develop a mutually beneficial relationship (50). WebThe author explains how culturally sensitive therapists draw upon multiple strategies for treating patients and are aware of both dominant group privilege and of their own identity (PDF) Beyond Trauma: Cultural and Societal Dynamics V Sharma These steps can improve culturally sensitive and comprehensive trauma assessment to capture universal and culturally relevant trauma reactions. This process, referred to as explanatory model bridging, is an essential part of culturally informed clinical conceptualization and produces therapeutic results in treatment (33). Therefore, visual analog response options might aid participants in ascribing differences in their degree of distress. Cirillo Kulkarni DE Inclusion in an NLM database does not imply endorsement of, or agreement with, Puffer : Sleep paralysis among Cambodian refugees: association with PTSD diagnosis and severity. : Benuto et al. Although this interview is foundational to starting discussions with culturally different clients, it is unclear how often this interview is used in day-to-day clinical practice. When clinicians incorporate explanatory models into the assessment process, the accuracy of clinical diagnoses is enhanced. , This approach bridges the divide between emic and etic approaches by leveraging the established psychometric properties of existing instruments as a starting point for further psychometric adaptation and evaluation. Beyond Trauma - Kentucky Cabinet for Health and Family Services Kessler Idioms of distress are culturally relevant reactions that are locally shaped and culturally recognizable forms of suffering (1720). Reis Friesen , , , M Eng : The validity of posttraumatic stress disorder among Vietnamese refugees, A pilot study of PTSD symptoms among Kalahari Bushmen, Ethnocultural aspects of PTSD: an overview of concepts, issues, and treatments. W People in resource-constrained settings experience poverty-related stress, vulnerability to sexual violence, food insecurity, lack of resources, insecure housing, and the threat of future physical or political violence (36). : In the opening address as International Chair of the First World Conference of the International Society for Traumatic Stress Studies on Trauma and Tragedy: The Origins, Management, and Prevention of Traumatic Stress in Today's World, June 22-26, 1992, Amsterdam, The Netherlands, the conference that formed the foundation for the col lected chapters in this volume, 1 commented: This meeting is a landmark in accomplishing the Society's universal mission. on August 1, 2022, There are no reviews yet. P Quintana Check out the new look and enjoy easier access to your favorite features. Ethnocultural Aspects of Posttraumatic Stress Disorder: Issues, Research, and Clinical Applications. : Disorders specifically associated with stress: A case-controlled field study for ICD-11 mental and behavioural disorders. TS : Barriers to implementing the DSM-5 Cultural Formulation Interview: a qualitative study, Cultural adaptations of cognitive behavioral therapy. Careers, Unable to load your collection due to an error. BEYOND TRAUMA - Hazelden Das Beyond trauma : cultural and societal dynamics : Free M First, the endorsement rate of reactions varies considerably by cultural setting. et al. Rather than relying only on Western psychiatric diagnoses, culturally diverse perspectives on health and well-being should continue to be rigorously studied and meaningfully incorporated into assessment and treatment. de Jong Haroz S , The suggestions that we provide in this article can be used in routine clinical settings. Another gold standard could be using a clinician-administered interview with a standardized instrument, as was done to validate the PTSD Checklist for DSM-5 in a study with Filipino domestic workers in China (48). Finally, diagnosing PTSD or other trauma reactions across cultures can be complicated by the failure to account for ongoing stressors (3436). et al. In 2011, Hinton and Lewis-Fernndez (4) conducted a comprehensive narrative review and found cross-cultural differences in the prevalence of PTSD symptom clusters. HHS Vulnerability Disclosure, Help (PDF) Trauma Across Cultures: Cultural Dimensions of the Smith NK Culture, trauma and dissociation: A broadening perspective D Overall, cultural humility is a stance that is consistent with culturally sensitive care overall and an aspirational practice for conducting assessment across cultures. LT Kohrt However, the only significant moderator accounting for this difference was modification of the illness myth, also known as the explanatory model. Palermo , , WebTrauma is woven into components of peoples intersecting identities, or even directly related to those aspects of identities. et al. , , A , Komproe Ottomeyer LK WebBeyond Trauma: A Healing Journey for Women, a twelve-session curriculum, is designed to help women and girls recover from the effects of trauma in their lives. Nickerson Kohrt and colleagues (27) have studied Nepali ethnopsychology, including how trauma is conceptualized, and used the relevant cultural concepts to provide recommendations for many evidence-based psychological treatments.
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