"Depression questionnaires were never set
up for the world's population. They were set up in the West," says Denise Saint
Arnault, professor in the the University of Michigan School of Nursing. For
decades researchers have shown the degree to which there is cultural variation
in the experience of mental illness, and yet clinicians continue to mostly
ignore this fact in their practice. With a background in psychiatric nursing,
Saint Arnault has developed what she hopes will be a pragmatic solution, the
Clinical Ethnographic Interview. It encourages the opening up the diagnostic
process so that patients can introduce the clinician to their own cultural
frames and understandings. She talks us through the steps of the interview,
which includes exercises to draw the patient's social networks, map out their
body and sensations, and construct a lifeline.
New McGill
Transcultural Psychiatry podcast
Rachel Tribe on working with
Interpreters in Mental Health
"Working with interpreters has
enriched all my clinical work. What it has made me do is make me think about how
I construct my language, how I construct explanatory models of mental
health."
Rachel Tribe, Professor at the
School of Psychology at the University of East London talks about the benefits
and challenges involved in working with interpreters in mental health care. Dr.
Tribe's Guidelines for Working with Interpreters in Health Settings, published
by the British Psychological Society, is available for download on our
blog.