Table Of Content

Culture and Psychotherapy A Guide to Clinical Practice Culture and Psychotherapy A Guide to Clinical Practice Edited by Wen-Shing Tseng, M.D. Jon Streltzer, M.D. Washington, DC London, England Note: The authors have worked to ensure that all information in this book concerning drug dosages, schedules, and routes of administration is accurate as of the time of publication and consistent with standards set by the U.S. Food and Drug Administration and the general medical community. As medical research and practice advance, however, therapeutic standards may change. For this reason and because human and mechanical errors sometimes occur, we recommend that readers follow the advice of a physician who is directly involved in their care or the care of a member of their family. A product’s current package insert should be consulted for full prescribing and safety information. Books published by the American Psychiatric Press, Inc., represent the views and opinions of the individual authors and do not necessarily represent the policies and opinions of the Press or the American Psychiatric Association. Copyright © 2001 American Psychiatric Press, Inc. ALL RIGHTS RESERVED Manufactured in the United States of America on acid-free paper 04 03 02 01 4 3 2 1 First Edition American Psychiatric Press, Inc. 1400 K Street, N.W. Washington, DC 20005 www.appi.org Library of Congress Cataloging-in-Publication Data Culture and psychotherapy : a guide to clinical practice / edited by Wen-Shing Tseng, Jon Streltzer.—1st ed. p. ; cm. Includes bibliographical references and indexes. ISBN 0-88048-955-3 (alk. paper) 1. Psychiatry, Transcultural. 2. Psychotherapy—Cross-cultural studies. 3. Cultural psychiatry. 4. Cross-cultural counseling. I. Tseng, Wen-Shing, 1935– . II. Streltzer, Jon. [DNLM: 1. Psychotherapy. 2. Cross-Cultural Comparison. WM 420 C9678 2001] RC455.4.E8 C836 2001 916.89′14—dc21 00-061805 British Library Cataloguing in Publication Data A CIP record is available from the British Library. Contents Contributors ix Preface xiii Wen-Shing Tseng, M.D. Jon Streltzer, M.D. PART 1 Introduction 1 Culture and Psychotherapy: AnOverview 3 Wen-Shing Tseng, M.D. PART 2 Case Presentations and Analysis 2 The Man Who Became a Child in the Face of Death 15 Jon Streltzer, M.D. 3 The Woman With One Foot in the Past 27 M. Fakhr El-Islam, F.R.C.P., F.R.C.Psych. 4 The Woman Who Could Not Escape Her Spirit Song 43 Louise Jilek-Aall, M.D., M.A., D.Trop.Med., F.R.C.P.(C) Wolfgang G. Jilek, M.D., M.Sc., M.A., F.R.C.P.(C) 5 The Woman Who Alienated Her Family After Losing Her Son 57 Alan A. Buffenstein, M.D. 6 One Patient, Three Therapists 67 Barry S. Carlton, M.D. PART 3 Special Issues in Therapy 7 Lessons From Folk Healing Practices 81 Richard J. Castillo, Ph.D. 8 Therapist-Patient Relations and Ethnic Transference 103 David M. Bernstein, M.D. 9 Psychological Aspects of Giving and Receiving Medications 123 Iqbal Ahmed, M.D. PART 4 Treating Special Populations 10 The African American 137 Howard C. Blue, M.D. Ezra E.H. Griffith, M.D. 11 The Hispanic Veteran 157 Jose M. Cañive, M.D. Diane T. Castillo, Ph.D. Vicente B. Tuason, M.D. 12 The Southeast Asian Refugee: The Legacy of Severe Trauma 173 J. David Kinzie, M.D. 13 The Adolescent 193 Danilo E. Ponce, M.D. 14 The Ethnic Minority Elderly 209 F. M. Baker, M.D., M.P.H., F.A.P.A. Junji Takeshita, M.D. PART 5 Special Models of Therapy 15 Marital Therapy for Intercultural Couples 225 Jing Hsu, M.D. 16 Group Therapy With Multiethnic Members 243 Leslie Ann Matsukawa, M.D. PART 6 Integration and Conclusions 17 Integration and Conclusions 265 Wen-Shing Tseng, M.D. Jon Streltzer, M.D. Index 279 Contributors Iqbal Ahmed, M.D. Professor and Vice Chair, Department of Psychiatry, John A. Burns School of Medicine, University of Hawaii; Program Director, University of Hawaii Affiliated Residency Training Program, Honolulu F. M. Baker, M.D., M.P.H., F.A.P.A. Professor, Department of Psychiatry, University of Maryland School of Medicine; Medical Director, Lower Shore Clinic, Salisbury, Maryland David M. Bernstein, M.D. Clinical Associate Professor, Department of Psychiatry, John A. Burns School of Medicine, University of Hawaii, Honolulu Howard C. Blue, M.D. Assistant Clinical Professor of Psychiatry, Yale University; Director of Clinical Services, Division of Mental Hygiene, Yale University Health Services, New Haven, Connecticut Alan A. Buffenstein, M.D. Assistant Professor, Department of Psychiatry, John A. Burns School of Medicine, University of Hawaii, Honolulu Jose M. Cañive, M.D. Director, Clinical Psychiatry Research, Albuquerque Veterans Affairs Medical Center; Associate Professor of Psychiatry, University of New Mexico School of Medicine, Albuquerque, New Mexico ix x Culture and Psychotherapy: A Guide to Clinical Practice Barry S. Carlton, M.D. Associate Professor, Department of Psychiatry, John A. Burns School of Medicine, University of Hawaii; Chief of Psychiatry, Queen’s Medical Center, Honolulu Diane T. Castillo, Ph.D. Psychologist, Albuquerque Veterans Affairs Medical Center and University of New Mexico School of Medicine, Albuquerque, New Mexico Richard J. Castillo, Ph.D. Professor, Department of Psychology, University of Hawaii at West Oahu; Clinical Professor, Department of Psychiatry, John A. Burns School of Medicine, University of Hawaii, Honolulu M. Fakhr El-Islam, F.R.C.P., F.R.C.Psych. Emeritus Professor of Psychiatry, Cairo University, Cairo, Egypt; Former Secretary, Transcultural Psychiatry Section, World Psychiatric Association Ezra E. H. Griffith, M.D. Deputy Chairman for Clinical Affairs, Professor of Psychiatry and of African and African-American Studies, Department of Psychiatry, Yale University, New Haven, Connecticut Jing Hsu, M.D. Clinical Professor, Department of Psychiatry, John A. Burns School of Medicine, University of Hawaii; private practice of psychiatry, Honolulu, Hawaii Louise Jilek-Aall, M.D., M.A., D.Trop.Med., F.R.C.P.(C) Clinical Professor Emerita of Psychiatry, University of British Columbia, Vancouver, Canada Wolfgang G. Jilek, M.D., M.Sc., M.A., F.R.C.P.(C) Clinical Professor Emeritus of Psychiatry, University of British Columbia, Vancouver, Canada; Former Chairman, Transcultural Psychiatric Section, World Psychiatric Association