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37 - Management of sexual dysfunction across cultures

from Part V - Management with special groups

Published online by Cambridge University Press:  11 August 2009

By
Dinesh Bhugra  and
Padmal de Silva
Edited by
Dinesh Bhugra  and
Kamaldeep Bhui
Dinesh Bhugra
Affiliation:
Mental Health and Cultural Diversity Section of Cultural Psychiatry Institute of Psychiatry King's College London De Crespigny Park London SE5 8AF UK
Padmal de Silva
Affiliation:
Department of Psychology PO Box 77 Institute of Psychiatry King's College De Crespigny Park London SE5 8AF 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 management of patients from different cultures, especially if the therapist is from another culture, raises interesting questions about the role of perceived and real power embedded in the therapist. Furthermore, the perceptions and expectations of the therapeutic encounter and functions of therapy have to be taken into account. Recognition and understanding of social and cultural factors and their inherent complexities are a useful first step in building blocks of therapeutic alliance between couples and therapists. While individual therapy and couple therapy have many common principles and overlaps, couple therapy brings with it at least two sets of clear expectations (others' expectations, e.g. children's, may be hiding behind the couple) and challenges. Knowing a couple's type of marriage may allow the therapist to explore potential therapeutic obstacles. Satisfaction with marriage is related to the type of marriage.

Bhugra and de Silva in this chapter put forward some strategies in assessment and management of sexual dysfunction. The gender roles and gender-role expectations, particularly the role of women in patriarchal societies, may make it difficult for a couple to accept psychological therapies. Culturally influenced components of therapies may not easily be acceptable to all individuals, especially if their cultures differ from those where these therapies have been developed. The nature of mixed-race couples has to be addressed differently. Specific groups may indeed require specific intervention. They argue that ethnicity and personality of the partner, along with the couple's willingness to communicate on other unrelated issues, will allow the therapist to deal with and potentially to reduce conflict and increase satisfaction within the relationship.

Type
Chapter
Information
Textbook of Cultural Psychiatry , pp. 484 - 502
Publisher: Cambridge University Press
Print publication year: 2007

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  • Management of sexual dysfunction across cultures
    • By Dinesh Bhugra, Mental Health and Cultural Diversity Section of Cultural Psychiatry Institute of Psychiatry King's College London De Crespigny Park London SE5 8AF UK, Padmal de Silva, Department of Psychology PO Box 77 Institute of Psychiatry King's College De Crespigny Park London SE5 8AF 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/CBO9780511543609.039
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  • Management of sexual dysfunction across cultures
    • By Dinesh Bhugra, Mental Health and Cultural Diversity Section of Cultural Psychiatry Institute of Psychiatry King's College London De Crespigny Park London SE5 8AF UK, Padmal de Silva, Department of Psychology PO Box 77 Institute of Psychiatry King's College De Crespigny Park London SE5 8AF 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/CBO9780511543609.039
Available formats
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To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

  • Management of sexual dysfunction across cultures
    • By Dinesh Bhugra, Mental Health and Cultural Diversity Section of Cultural Psychiatry Institute of Psychiatry King's College London De Crespigny Park London SE5 8AF UK, Padmal de Silva, Department of Psychology PO Box 77 Institute of Psychiatry King's College De Crespigny Park London SE5 8AF 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/CBO9780511543609.039
Available formats
×