The creation of meaning is a central feature of human life. The full spectrum of experience, from joyful, devoted living to unbearable psychological suffering, is orchestrated by the meanings that people endorse and create. Meaning Systems and Mental Health Culture: Critical Perspectives on Contemporary Counseling and Psychotherapy examines the intersection of meaning systems, mental health culture, and counseling and psychotherapy. By viewing mental health care through the lenses of culture and history, James T. Hansen argues that a defining element of mental health culture, throughout various eras, is the relative value placed on meaning systems. Contemporary mental health care, with its idealization of symptom-based diagnostics, biological reductionism, and the medical model, severely devalues meaning systems. This devaluation has led modern counselors and psychotherapists to largely abandon the factors that should be central to their work. Meaning Systems and Mental Health Culture weaves together empirical, historical, cultural, and philosophical perspectives to raise awareness of the need for counseling and psychotherapy to revalue meaning systems, even while operating within a culture that disregards them.

This is the definitive textbook on global mental health, an emerging priority discipline within global health, which places priority on improving mental health and achieving equity in mental health for all people worldwide.

Culture and Mental Health takes a critical look at theresearch pertaining to common psychological disorders, examininghow mental health can be studied from and vary according todifferent cultural perspectives. Introduces students to the main topics and issues in the areaof mental health using culture as the focus Emphasizes issues that pertain to conceptualization,perception, health-seeking behaviors, assessment, diagnosis, andtreatment in the context of cultural variations Reviews and actively encourages the reader to consider issuesrelated to reliability, validity and standardization of commonlyused psychological assessment instruments among different culturalgroups Highlights the widely used DSM-IV-TR categorization ofculture-bound syndromes

Culture and Mental Health: a comprehensive textbook is an authoritative text bringing together experts from around the world to discuss the provision of mental health services within multi-cultural societies and what this means in clincal and practical terms.The book looks in detail at the clinical state of services for multi-cultural societies acr

Within the past two decades, there has been an increased interest in the study of culture and mental health relationships. This interest has extended across many academic and professional disciplines, including anthropology, psychology, sociology, psychiatry, public health and social work, and has resulted in many books and scientific papers emphasizing the role of sociocultural factors in the etiology, epidemiology, manifestation and treatment of mental disorders. It is now evident that sociocultural variables are inextricably linked to all aspects of both normal and abnormal human behavior. But, in spite of the massive accumulation of data regarding culture and mental health relationships, sociocultural factors have still not been incorporated into existing biological and psychological perspectives on mental disorder and therapy. Psychiatry, the Western medical specialty concerned with mental disorders, has for the most part continued to ignore socio-cultural factors in its theoretical and applied approaches to the problem. The major reason for this is psychiatry's continued commitment to a disease conception of mental disorder which assumes that mental disorders are largely biologically-caused illnesses which are universally represented in etiology and manifestation. Within this perspective, mental disorders are regarded as caused by universal processes which lead to discrete and recognizable symptoms regardless of the culture in which they occur. However, this perspective is now the subject of growing criticism and debate.

Examining the issues of treatment, organizational planning, and research, this multidimensional study offers a critique of both the theoretical and programmatic aspects of providing mental health services to traditionally underserved populations. Focusing on minority groups, the book uses the case of Hispanics to illustrate the largely unaddressed need for services that are relevant to social groups with diverse cultural and linguistic backgrounds. Vega and Murphy maintain that the present service system is socially insensitive, that mental health services in the United States were never designed to serve a multicultural population, and that, in general, those who dominate the current mental health system from administrator-clinicians to bureaucrats and politicians do not know how to direct their services to minority groups. Calling for fundamental reconceptualization and change, the book argues for community-based planning and intervention as an enlightened and necessary alternative, and provides a detailed description of such a program in terms of both philosophy and method. The eight chapters offer a reassessment based on understanding not only the rationale for these necessary services, but also the important philosophical and pragmatic issues that have resulted in the current, inadequate system; they provide the new thinking necessary to reframe the objectives of mental health services for cultural minorities. The early chapters explore some of the critical junctures in the community mental health movement between 1946 and 1981, the development of theory in the movement's early days, and the thrust of community-based intervention--the culture-specific methodology that has not been well-understood or implemented. Chapters 4 and 5 focus on the relationship between medicalization and the degradation of culture and on the reconceptualization of knowledge, order, illness, and intervention. The last three chapters analyze an example of community-based intervention in operation, and citizen involvement and the political aspects of community-based policies are reviewed. This timely discussion of the requirements for a socially responsible and community-based services delivery program lays the theoretical foundation for a future public mental health system. As such, it will prove invaluable and important reading for advanced undergraduate and graduate students in the health and human services areas, including social work, clinical psychology, and medical sociology; it also has much to offer professional administrators and planners. Culture and the Restructuring of Community Mental Health has been designed to meet the needs of both academics and practitioners.