wow-inequalities/02-data/intermediate/wos_sample/599b680655c5f7a48153f1b2678cb21a-edge-dawn-and-lemet/info.yaml

abstract: 'Large variations of inequalities in rates of mental health disorders and

  access to mental health care exist within and between countries.

  Globally, disparities range from countries where there is little

  provision to those where, despite the availability of evidence-based

  mental health care, service access and outcomes are mediated by social

  factors such as socio-economic status, race/ethnicity, and culture. This

  is salient because increasingly diverse populations are inevitably

  created with globalization. We posit that in multicultural contexts,

  effective therapeutic engagement requires therapists who are competent

  and confident to work with diversity and difference, utilizing insights

  into their own as well as their clients'' internal and external worlds.

  Although there are many reasons why psychotherapies can be insensitive

  and harmful, for example, the inherent power imbalance in therapeutic

  relationships, a lack of awareness of cultural and ethnic variation and

  needs are among them. Acquisition of `cultural competence'' and

  increasing availability of culturally-adapted interventions should, in

  theory, enable practitioners to work with a range of individuals with

  whom they might have little in common. However, whilst cultural

  adaptation appears promising, there are concerns regarding its viability

  as a strategy for tackling disparities in access to psychological care.

  Evidence for cultural competency is patchy at best. We show how and why

  delivering effective psychotherapy in the twenty-first century requires

  a paradigm shift from current approaches to truly integrated models,

  developed in collaboration with recipients of care. Coproducing

  interventions, training, and means of evaluating them with clients

  necessitates taking into consideration social contexts, alternative

  conceptualizations of mental health and disorders and difficulties, and

  what constitutes appropriate helpful interventions for psychological

  distress. Practitioner points

  Upskilling therapists to work with diversity and difference is essential

  for effective delivery of psychological treatments. Increasing the

  availability of culturally-adapted interventions together with

  therapists who are sufficiently competent and confident to deliver them

  should enable practitioners to work with a range of individuals with

  whom they might have little in common. Coproducing culturally

  appropriate means of responding to mental health difficulties, staff

  training and development, and service evaluation methods with clients

  necessitates taking into consideration social contexts, alternative

  explanatory models of mental health and `illness'', and what constitutes

  helpful interventions for psychological distress.'
affiliation: 'Edge, D (Corresponding Author), Univ Manchester, Sch Hlth Sci, Fac Biol
  Med \& Hlth, Div Psychol \& Mental Hlth, Oxford Rd, Manchester M13 9PL, Lancs, England.

  Edge, Dawn; Lemetyinen, Henna, Univ Manchester, Sch Hlth Sci, Fac Biol Med \& Hlth,
  Div Psychol \& Mental Hlth, Oxford Rd, Manchester M13 9PL, Lancs, England.

  Edge, Dawn, Greater Manchester Mental Hlth NHS Trust, Res \& Innovat, Manchester,
  Lancs, England.'
author: Edge, Dawn and Lemetyinen, Henna
author-email: dawn.edge@manchester.ac.uk
author_list:
- family: Edge
  given: Dawn
- family: Lemetyinen
  given: Henna
da: '2023-09-28'
doi: 10.1111/papt.12229
eissn: 2044-8341
files: []
issn: 1476-0835
journal: PSYCHOLOGY AND PSYCHOTHERAPY-THEORY RESEARCH AND PRACTICE
keywords: 'cultural adaptation; cultural competence; culture; disparities;

  ethnicity; global mental health; psychological care'
keywords-plus: 'GLOBAL MENTAL-HEALTH; AFRICAN-CARIBBEAN PATIENTS; ETHNIC-MINORITY

  GROUPS; HELP-SEEKING; 1ST-EPISODE PSYCHOSIS; INTERNALIZED STIGMA; CARE

  PROFESSIONALS; NATIONAL-SURVEY; ILLNESS STIGMA; PUBLIC STIGMA'
language: English
month: JUN
number: 2, SI
number-of-cited-references: '124'
pages: 261-276
papis_id: 081980064b42d2aad5f6331d6329323d
ref: Edge2019psychologycultures
times-cited: '10'
title: 'Psychology across cultures: Challenges and opportunities'
type: article
unique-id: WOS:000465169400007
usage-count-last-180-days: '2'
usage-count-since-2013: '25'
volume: '92'
web-of-science-categories: Psychology, Clinical; Psychiatry; Psychology
year: '2019'