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36 - Child psychiatry across cultures

from Part V - Management with special groups

Published online by Cambridge University Press:  11 August 2009

Niranjan Karnik
Affiliation:
Division of Child and Adolescent Psychiatry Stanford University 401 Quarry Road Stanford CA 94305 USA
Nisha Dogra
Affiliation:
University of Leicester Greenwood Institute of Child Health Department of Psychiatry Division of Child Psychiatry Westcotes House, Westcotes Drive Leicester LE3 0QU UK
Panos Vostanis
Affiliation:
University of Leicester Greenwood Institute of Child Health Department of Psychiatry Division of Child Psychiatry Westcotes House, Westcotes Drive Leicester LE3 0QU UK
Dinesh Bhugra
Affiliation:
Institute of Psychiatry, London
Kamaldeep Bhui
Affiliation:
Barts & The London, Queen Mary School of Medicine and Dentistry
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Summary

EDITORS' INTRODUCTION

The practice of child psychiatry is influenced by cultural norms and processes, as are other specialties within psychiatry. The needs of children from different cultures vary and yet within each culture there are individual variations. The earlier chapter by Dogra and her colleagues set the scene in clinical matters related to child psychiatry across cultures. This chapter by Karnik and colleagues provides an overview on management. The childhood behaviours occur in the context of families and cultures and balancing respect for variation and the need for universality is a key challenge.

Karnik et al. point out that good clinical practice in the West would involve valuing the child's perspective and ensuring their views were heard and accommodated, but how far this would work in other cultures is debatable. Cultural values must be taken into account when planning any intervention and more so in the case of instituting pharmacotherapy. Using attachment theory as an example, they suggest that addressing the child's attachment may take different forms depending upon the context. Children's social networks will differ across cultures and the role of peers is significant in the development of a child's self-esteem and identity. The reduction of stigma is also important and particular attention must be paid to vulnerable and at risk children.

The management of children in cross-cultural context

Introduction

Practising child psychiatry across cultures is one of the most challenging and yet potentially gratifying areas of professional practice.

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Chapter
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Publisher: Cambridge University Press
Print publication year: 2007

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  • Child psychiatry across cultures
    • By Niranjan Karnik, Division of Child and Adolescent Psychiatry Stanford University 401 Quarry Road Stanford CA 94305 USA, Nisha Dogra, University of Leicester Greenwood Institute of Child Health Department of Psychiatry Division of Child Psychiatry Westcotes House, Westcotes Drive Leicester LE3 0QU UK, Panos Vostanis, University of Leicester Greenwood Institute of Child Health Department of Psychiatry Division of Child Psychiatry Westcotes House, Westcotes Drive Leicester LE3 0QU UK
  • Edited by Dinesh Bhugra, Institute of Psychiatry, London, Kamaldeep Bhui
  • Book: Textbook of Cultural Psychiatry
  • Online publication: 11 August 2009
  • Chapter DOI: https://doi.org/10.1017/CBO9780511543609.038
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  • Child psychiatry across cultures
    • By Niranjan Karnik, Division of Child and Adolescent Psychiatry Stanford University 401 Quarry Road Stanford CA 94305 USA, Nisha Dogra, University of Leicester Greenwood Institute of Child Health Department of Psychiatry Division of Child Psychiatry Westcotes House, Westcotes Drive Leicester LE3 0QU UK, Panos Vostanis, University of Leicester Greenwood Institute of Child Health Department of Psychiatry Division of Child Psychiatry Westcotes House, Westcotes Drive Leicester LE3 0QU UK
  • Edited by Dinesh Bhugra, Institute of Psychiatry, London, Kamaldeep Bhui
  • Book: Textbook of Cultural Psychiatry
  • Online publication: 11 August 2009
  • Chapter DOI: https://doi.org/10.1017/CBO9780511543609.038
Available formats
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  • Child psychiatry across cultures
    • By Niranjan Karnik, Division of Child and Adolescent Psychiatry Stanford University 401 Quarry Road Stanford CA 94305 USA, Nisha Dogra, University of Leicester Greenwood Institute of Child Health Department of Psychiatry Division of Child Psychiatry Westcotes House, Westcotes Drive Leicester LE3 0QU UK, Panos Vostanis, University of Leicester Greenwood Institute of Child Health Department of Psychiatry Division of Child Psychiatry Westcotes House, Westcotes Drive Leicester LE3 0QU UK
  • Edited by Dinesh Bhugra, Institute of Psychiatry, London, Kamaldeep Bhui
  • Book: Textbook of Cultural Psychiatry
  • Online publication: 11 August 2009
  • Chapter DOI: https://doi.org/10.1017/CBO9780511543609.038
Available formats
×