PSYB32H3 Chapter 2.8 - 2.9: PSYB32H3 Chapter 2.8 - 2.: PSYB32H3 Chapter 2.8 - 2: PSYB32H3 Chapter 2.8 - : PSYB32H3 Chapter 2.8 -: PSYB32H3 Chapter 2.8 : PSYB32H3 Chapter 2.8: PSYB32H3 Chapter 2.: 2.8 and 2.9
15 Feb 2019
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2.8 The Cultural Context
• Cultural diversity - the differences which exist in an area/region b/c of heterogeneity and varying
backgrounds of the ppl living in that region
• Multicultural counselling and therapy - treatments w/ interventions which have been modified to
address issues, beliefs, and dialogues which characterize ppl from various cultures
Psychiatric Problems in Minority Groups
• There r higher levels of mental health problems in Canadian Aboriginal communities + higher
suicides among Native youth
Origins of Mental Health Problems among Aboriginal People
• Drug abuse leads to child abuse (incl'ng sexual abuse)
• In the Aboriginals, these mental health problems are attributed to cultural discontinuity and
oppression b/c of institutional discrimination
o + higher rates of diabetes, obesity, and physical problems
• The Hutterites in Manitoba r isolated religious communities which have low levels of mental
illness
• The Anabaptist sect has the lowest prevalence of schizophrenia
• Healthy immigrant effect - the phenomenon that immigrants have comparatively lower rates of
health problems than Canadian-born members of the population
o b/c immigrants have to go thru a pre-screening process, this limits only healthy immigrants
to be allowed thru
o Immigr's had lower rates of depression + alcohol dependence in relation to Canadian-born
member of the popul'n
• This was more seen among the adults as to the children, adolescents and elderly
• Limited language proficiency was also a predictor of poor health status… along w/ not
friendly neighbors and having a difficult time accessing healthcare services
2.9 Diathesis - Stress and Biopsychosocial: Integrative Paradigms
• Diathesis-stress paradigm - as applied in psychotherapy, diathesis-stress paradigm, is a view
which assumes that indiv's predisposed toward a specific mental disorder will be particularly
affected by stress and will then manifest abn behav
Diathesis and Stress in a Student w/ Borderline Personality Disorder
• Life stress… like being overwhelmed w/ work or living in a war zone is an imp part of the diathesis-
stress paradigm
o Key point of the D-S paradigm is that both diathesis and stress r necessary in the dvpt of
disorders
• e.g., someone w/ a biological predisposition for schizophrenia makes it likely for them
to dvp it w/ enough stress… yet someone w/ a low genetic risk isn’t as likely to dvp
schizophrenia… even w/ the stress
3 Depictions of diathesis-stress models
o In the 1st pic, an indiv'al w/ a large dose of diathesis req's only moderate stress to dvp
psychopathology, yet an indiv w/ a small dose of diathesis req's a large amo of stress to
precipitate a breakdown. In the 2nd pic, the diathesis is dichotomous; stress level has no
Document Summary
Psychiatric problems in minority groups: there r higher levels of mental health problems in canadian aboriginal communities + higher suicides among native youth. Origins of mental health problems among aboriginal people: drug abuse leads to child abuse (incl"ng sexual abuse) Immigr"s had lower rates of depression + alcohol dependence in relation to canadian-born member of the popul"n: this was more seen among the adults as to the children, adolescents and elderly. Limited language proficiency was also a predictor of poor health status along w/ not friendly neighbors and having a difficult time accessing healthcare services. Diathesis and stress in a student w/ borderline personality disorder. In the 1st pic, an indiv"al w/ a large dose of diathesis req"s only moderate stress to dvp psychopathology, yet an indiv w/ a small dose of diathesis req"s a large amo of stress to precipitate a breakdown.
