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Mental Health Care of Deaf People: A Culturally Affirmative Approach PDF

468 Pages·2003·4.61 MB·English
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Mental Health Care of Deaf People ACulturally Affirmative Approach Mental Health Care of Deaf People A Culturally Affirmative Approach Edited by Neil S. Glickman Westborough State Hospital Assumption College Sanjay Gulati Harvard Medical School The American School for the Deaf Westborough State Hospital LAWRENCE ERLBAUM ASSOCIATES, PUBLISHERS 2003 Mahwah, New Jersey London This edition published in the Taylor & Francis e-Library, 2008. “To purchase your own copy of this or any of Taylor & Francis or Routledge’s collection of thousands of eBooks please go to www.eBookstore.tandf.co.uk.” Senior Consulting Editor:SusanMilmoe Editorial Assistant: KristenDepken Cover Design: KathrynHoughtalingLacey Textbook Production Manager: PaulSmolenski Text and Cover Printer: Sheridan Books, Inc. Most illustrations on CD provided by MichaelKrajnak. This book was typeset in 10/12 pt.Palatino The heads were typeset inPalatino Copyright © 2003 by Lawrence Erlbaum Associates, Inc. Allrightsreserved.Nopartofthisbookmaybereproducedinany form,byphotostat,microform,retrievalsystem,oranyothermeans, without prior written permission of the publisher. Lawrence Erlbaum Associates, Inc., Publishers 10 Industrial Avenue Mahwah, New Jersey 07430 Library of Congress Cataloging-in-Publication Data Mentalhealthcareofdeafpeople:aculturallyaffirmativeapproach/ editors, Neil S.Glickman,SanjayGulati. p. cm. Includes bibliographical references and index. ISBN 0-8058-4469-4 (alk. paper) 1.Deaf—Mentalhealthservices—UnitedStates.2.Deafness—Social aspects. I.Glickman, Neil S. II.Gulati,Sanjay. RC451.4.D4 M44 2003 362.2’087’2—dc212002029414 CIP ISBN 1-4106-0757-7 Master e-book ISBN BookspublishedbyLawrenceErlbaumAssociatesareprintedonacid- freepaper,andtheirbindingsarechosenforstrengthanddurability. Contents List of Contributors xii Preface ix Prologue: My Story xxi JanDeVinney 1 Culturally Affirmative Mental Health Treatment 1 for Deaf People: What it Looks Like and Why it is Essential NeilGlickman 2 Psychiatric Care of Culturally Deaf People 33 SanjayGulati 3 Psychological Evaluation of Deaf Children 109 TerrellClark 4 Culturally Affirmative Inpatient Treatment 145 With Psychologically Unsophisticated Deaf People NeilGlickman 5 Sensory Strategies for Self-Regulation: Nonlinguistic 203 Body-Based Treatment for Deaf Psychiatric Patients DianeTrikakis, NancyCurci, and Helen Strom v vi CONTENTS 6 Culturally Affirmative Residential Treatment Services 239 for Deaf Children With Emotional and Behavioral Disorders JudyVreelandand JimTourangeau 7 Culturally Affirmative Substance Abuse Treatment 261 for Deaf People: Approaches, Materials, and Administrative Considerations DebraGuthmannand Katherine A.Sandberg 8 Toward Culturally Affirmative Assessment 305 and Treatment of Deaf People With Sexual Offending Behaviors SusanLemere 9 Does God have a Cochlear Implant? 327 Michael A. Harvey Epilogue: When the Therapist Is Deaf 347 SanjayGulati Appendix: Contents of the Accompanying CD 373 Skill Card Illustrator:MichaelKrajnak Author Index 417 Subject Index 423 List of Contributors ILLUSTRATIONS: MichaelKrajnak, BA Westborough State Hospital CONTRIBUTORS TerrellClark, PhD Boston Center for Deaf and Hard of Hearing Children Nancy DayCurci, MA,OT/L Westborough State Hospital JanDeVinney, MS Maine Bureau of Rehabilitation Services DeborahGuthmann, EdD Fairview University Medical Center Michael A. Harvey, PhD,ABPP Private Practice, Framingham, Massachusetts SusanLemere,LICSW Staffier& Associates Katherine A.Sandberg,BS,LADC Fairview University Medical Center Helen Strom,OTR/L Westborough State Hospital JimTourangeau, MS The Learning Center for Deaf Children vii viii LIST OF CONTRIBUTORS DianeTrikakis,OTR/L Westborough State Hospital JudyVreeland, MA Walden School Preface NeilGlickman Westborough State Hospital Assumption College SanjayGulati Harvard Medical School The American School for the Deaf Westborough State Hospital This book is concerned with the practical work of creating specialty mentalhealthservicesfordeafpeople.Ourmainfocusisonthosedeaf peoplewhodonotseethemselvesasdisabled,butratherasalinguistic and cultural minority. The literature most relevant to our enterprise is thereforethatofcross-culturalpsychologyratherthanofdisabilitypsy- chology (Glickman, 1996b) . We do not address the needs of late-deaf- enedorhard-of-hearingpeopleinanygreatdepth,becausetheyalmost alwaysmaintainaculturalidentityashearingpeople—thereisasyetno “hard-of-hearingculture.”However,manyoftheideasdevelopedhere areapplicabletohard-of-hearingpeopleandtothosewhobecamedeaf earlyinlifeandwereraised“orally,”withEnglishastheirprimarylan- guage. We believe that clinicians familiar with cultural deafness are morecomfortableandmorecapableofworkingwithpeoplewithevery typeofhearingloss. Ourcontributorsdonotviewdeafnessasadisability.Therefore,they donotexplorethekindofquestionimplicitinthedisabilitymodel:how doesoneadjusttoandaccommodateadisability.Instead,theyaskhowto providementalhealthtreatmentthatisactuallyrelevantandhelpfultoa groupofpeoplewhotoooftenhavebeenpatronizedormistreatedinthe “hearing” institutions—schools, social services, and health care—that claimedtocareforthem. ix

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Deaf adults and children, like their hearing counterparts, experience a full range of mental health problems. They develop psychoses, sink into deep depressions, abuse alcohol and drugs, commit sexual offenses, or simply have trouble adjusting to new life situations. But when a deaf client appears o
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