Culture and Psychotherapy: A Guide to Clinical Practice

314 Pages·2001·2.281 MB·English

by  Wen-Shing Tseng, Jon Streltzer

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
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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
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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