Mental Health Care of Deaf People: A Culturally Affirmative Approach

468 Pages·2003·4.61 MB·English

by  Neil S. Glickman

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
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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