Serviços de saúde mental para afro-americanos: uma perspectiva cultural/racial

  • Richard H. Dana
Palavras-chave: Afro-americanos, Saúde mental, Serviços.

Resumo

Os afro-americanos vêm progredindo muito em direcào a uma verdadeira cidadania desde 1965. Contudo, os serviços de saúde mental para essa população têm sido tendenciosos, incompletos e deficientes, porque as similaridades com os curo-americanos têm sido enfatizadas, ao passo que as diferenças têm sido largamente ignoradas. Este artigo aborda algumas dessas diferenças, incluindo a identidade cultural/racial e o ‘eu cultural’ que afetam a avaliação, os diagnósticos psiquiátricos e a psico-terapia ou outras intervençoes. Um modelo de  avaliação intervenção ilustra como a informação cultural pode melhorar o atendimento aos afro-americanos. Esse modelo exemplifica uma aplicação de psicologia cultural que pode contribuir para uma mudança na prática profissional, no treinamento e na pesquisa dentro de uma sociedade multicultural. Sugestões de diretrizes que emergem desse modelo apontam para áreas que necessitam ser enfatizadas no atendimento e na pesquisa.

Biografia do Autor

Richard H. Dana
Regional Research Institute, Portland State University

Referências

Akbar N. Mental disorder among African Americans. In: R.L. Jones (Ed.), Blackpsychology. (3rd ed.). Berkeley, CA: Cobb & Henry; 1991.

Azibo DY. (1989). African-centered theses on mental health and a nosology of Black African personality disorder. The Journal of Black Psychology. 1989; 15(2):173-24.

Burlew AK, Bellow S, Lovett M. Racial identity measures: A review and classification system. In: R.H. Dana (Ed.). Handbook of cross cultural and multicultural-personality assessment (pp.173-196). Mahwah, NJ: Erlbaum; 2000.

Clark R, Anderson NB, Clark VR, Williams DR. (1999). Racism as astressor for African Americans: A biopsycho-social model. American Psychalogist. 1999;54,805-816.

Comas-Diaz L. An ethno-political approach to working with communities of color Invited address at the Cultural Competence and Mental Health Summit Vll. 1999.

Oakland CA, Dana R. H. Multicultural assessment perspectives for professional psychology. Boston: Allyn & Bacon; 1993.

Dana RH. Understanding cultural identity in intervention and assessment. Thousand Oaks, CA: Sage. mination of research methodology and statistics should focus on culture as figure rather than ground, proximal rather than distal, and central rather than peripheral. In statistics; 1998a.

Malgady. Has suggested reversing the Null Hypo-thesis in a context of reexamining methodology; 1996.

Dana RH. To provide the beginnings of cultural psychology for professional psychological practice. 2000c

Dana RH. Problems with managed care for multicultural populations. Psychological Reports. 1998b; 83:283-294.

Dana RH. Projective assessment of Latinos in the United States: Current realities, problems, and prospects. Cultural Diversitv and Mental Health. 1998c;4(3):165-184.

Dana RH. Personality and the cultural self: Emic and etic contexts as learning re-sources. In: L. Handler, M. Hilsen-Roth (Eds.), Teaching and learning personality assessment. (pp. 325-345) Hills-dale, NJ: Erlbaum; 1998d.

Dana RH. Handbook of cross-cultural and multicultural personality assessment. Hillsdale NJ: Erlbaum; 2000a.

Dana RH. The cultural self as locus for assessment and intervention with American Indians Alaska Natives. Journal of Multicultural Counseling and Development. 2000b;28;66-82.

Dana RH. (2000c). Culture and methodologyin personality assessment. In: L. Cuellar, E Paniagu, (Eds.), Handbook of multicultural mental health. Assessment and treatment of diverse groups. (pp. 97- 120). San Diego, CA: Academic Press.

Dana RH, May WT. (1986). Health care megatrends and Health Psychology. Professional Psychology: Research and Practice; 1986;17,251-256.

Dana RH, May WT. (Eds.) Internship training in professional psychology. New York: Hemisphere; 1986.

Geller JD. Racial bias in the evaluation of patients for psychotherapy. In: LD Comasdiaz, EEH Griffith (Eds.). Clinical guidelines in cross-cultural mental health, (pp.112- 134). New York: Wiley; 1988.

Gibbs JT. Treatment relationships with black clients: Interpersonal vs. instrumental strategies. Advances in Clinical Social Work. Silver Spring, MD: National Association of Social Workers; 1985.

Jones RL. Handbook of tests and measurements for Black populations. (Vol. 1-2). Hampton, VA: Cobb & Henry; 1986.

Karenga M. Kwanzaa. Origin, concepts, practice. Los Angeles, CA: Kawaida; 1997.

Kleinman A. Rethinking psychiatrv. From clinical category to personal experience. New York: Free Press; 1988.

Malgady RG. The question of cultural bias in assessment and diagnosis of ethnic minority clients: Let’s reject the Null Hypothesis. Professional Psychology: Research and Practice. 1996;27:73-77.

Mezzich JE, Kleinman A, Fabrega Jr H, Parron DL. (Eds.).Culture and psychiatric diagnosis: A DSM-IV perspective. Washington, DC: American Psychiatric Press; 1996.

Nobles WW. Extended self: Rethinking the so-called Negro self-concept. In: RR Jones (Ed.). Black psychology (2nded.) (pp. 99-105). New York: Harper & Row; 1980.

Robinson TL. The intersections of dominant discourses across race, gender, and other identities. Journal of Counseling and Development. 1999;77(Winter):73-79.

Snowden LR. African American service úse for mental health problems. Journal of Community Psychology. 1999;27:303-313.

Suinn RM. Research and practice in cross cultural counseling. Counseling Psychologist. 1985;13:673-684.

Ward C. Culture and altered conscious ness. In: WJ Lonner , RS Malpass (Eds.). Psychology and culture(pp. 59-64). Boston: Allyn & Bacon; 1994.

Publicado
1999-10-04
Seção
Original/Atualização