Cultural Family Therapy: The Theory and Practice of Cultural Psychiatry with Families - Workshop for Society for Study of Psychiatry and Culture Annual Meeting - Minneapolis, MN, USA, May 2016
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This interactive workshop presents Cultural Family Therapy (CFT), a synthesis of family therapy and cultural psychiatry based on Di Nicola’s book, "A Stranger in the Family: Culture, Families, and Therapy" (NY: Norton, 1997). It has been submitted for presentation at the Annul Meeting of the Society for the Study of Psychiatry and Culture in May 2016 in Minneapolis, MN, USA.
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Cultural Family Therapy: Integrating Sytemic Family Therapy with Cultural Psy...
Cultural Family Therapy: Integrating Sytemic Family Therapy with Cultural Psy...Université de Montréal
This workshop was submitted for presentation at the Annual Meeting of the American Psychiatric Association in May 2016 Atlanta, GA, USA and was accepted November 13, 2015.
This interactive, case-based workshop is designed for clinicians who work with families presenting mental health challenges across cultures. The workshop leader will present Cultural Family Therapy (CFT), a synthesis of systemic family therapy and sociocultural psychiatry. In numerous publications and international workshops over the last 30 years, the workshop leader has elaborated a model of CFT, presented in his book, "A Stranger in the Family: Culture, Families, and Therapy" (NY: Norton, 1997). CFT weaves together family stories that express their mental and relational predicaments and conceptual tools for conducting clinical work.Michael G
The document discusses a new therapeutic community called Woodwynn Farm that aims to help people with co-occurring issues of homelessness, substance abuse, mental illness, and criminal behavior. Woodwynn Farm will be located on a 78 hectare farm and employ a holistic therapeutic model based on community involvement and treatment of the whole person. The goal is to reintegrate clients into the community by providing support, tools for self-worth, and self-reliance over a long-term 3+ year program with different treatment stages.
Final Grant Proposal
$69K per year for a clinical psychologist (TBD). $75K per year for consultant (Walters).
Recruit one graduate student to assist in observation and one postdoctoral student to assist in facilitation of treatment. (Total: $69K per year for each)
Contractual: $39K a year for two outpatient counselors providing culturally sensitive treatment.
Total Personnel: $120,000 + $100,000 = $220,000
Total Fringe Benefits: $109,200
Total Travel: $6,356
Total Equipment: $8,800
Total Supplies: $600
Total Contractual: $39K + $69K +
Cultural Family Therapy: Integrating Family Therapy with Cultural Psychiatry
CULTURAL FAMILY THERAPY:
INTEGRATING SYSTEMIC FAMILY THERAPY WITH CULTURAL PSYCHIATRY
Co-Chairs: Vincenzo Di Nicola, M.Phil., M.D., Ph.D., Ellen Berman, M.D.
SUMMARY:
This interactive, case-based workshop is designed for clinicians who work with families presenting mental health challenges across cultures. Di Nicola will present Cultural Family Therapy (CFT), a synthesis of systemic family therapy and sociocultural psychiatry. In numerous publications and international workshops over the last 30 years, Di Nicola has elaborated a model of CFT, presented in his book, "A Stranger in the Family: Culture, Families, and Therapy" (1997).
CFT weaves together family stories that express their mental and relational predicaments and conceptual tools for conducting clinical work. CFT is an ongoing update of our notions of “family” and “therapy,” on one hand, and of “culture” and “psychiatry,” on the other. Three basic principles and processes for CFT are: 1) the deep parallels between the notions of “family” and “culture,” mean that “culture” supersedes the notion of family “system”; 2) each family is the bearer of the larger culture(s) in which it is embedded and creates a culture of its own, so the family is the vehicle for intergenerational cultural transmission, for maintaining culture (cultural coherence), and for generating its own small-scale cultural adaptations, yielding three yoked family functions: cultural transmission, cultural maintenance/coherence, and cultural adaptation; 3) at the heart of systemic family theory and sociocultural psychiatry is a relational psychology that inverses theorizing from self to society by redefining the notions of identity and belonging through relations. With its relational and sociocultural approach, CFT is uniquely responsive to working with families undergoing culture change within and across cultures. In a world with huge global flows of migrants and refugees instigated by conflict, disasters, or economic and social reasons, CFT offers clinical tools to understand and treat families experiencing severe stress due to rapid and massive culture change. These processes will be explained, illustrated in case examples, and distributed to the workshop participants in handouts.
CULTURAL FAMILY THERAPY: The Theory and Practice of Cultural Psychiatry with ...
CULTURAL FAMILY THERAPY: The Theory and Practice of Cultural Psychiatry with ...Université de Montréal
Society for the Study of Psychiatry and Culture
“Transforming Policy and Practice for
Culturally Competent Mental Health Care”
37th Annual Meeting
Minneapolis, MN – May 5-7, 2016
CULTURAL FAMILY THERAPY:
The Theory and Practice of Cultural Psychiatry with Families
Vincenzo Di Nicola, MD, PhD
Université de Montréal
and
Steven J. Wolin, MD
George Washington University
This interactive workshop presents Cultural Family Therapy (CFT), a synthesis of family therapy and cultural psychiatry based on Di Nicola’s book, A Stranger in the Family: Culture, Families, and Therapy (1997).
Three key processes for CFT will be demonstrated:
1) Cultural coherence: Each family coheres as and maintains it own culture, reflecting deep parallels between the functions of the family and culture, so that family culture supersedes the notion of family system;
2) Cultural transmission: Each family is the bearer of the larger culture(s) it is embedded in;
3) Cultural adaptation: CFT’s unique mission is to facilitate cultural adaptation for families undergoing culture change.
These processes will be illustrated with case examples.
In Part 2, participants will divide into two groups for discussion of CFT theory and practice, illustrated by two family cases in treatment with Wolin (a couple in continuous conflict whose battle concerns which family of origin will rule current family life) and Di Nicola (a young adult of mixed heritage whose core identity, sense of belonging, and symptomatic distress are in constant flux). Participants will apply the key CFT processes to these cases.
Part III will conclude by reconvening the participants for an interactive discussion, with a focus on applying CFT treatment strategies to their own clinical work with families undergoing culture change.
Learning objectives for this workshop are:
1. Identify three key processes that CFT employs to characterize today’s family and understand their functions in creating a unique culture for its members.
2. Formulate a clinical role for the family and cultural psychiatrist by specifying three clinical tools for conducting CFT with families undergoing culture change.
References:
Di Nicola, Vincenzo. A Stranger in the Family: Culture, Families, and Therapy. New York & London: W.W. Norton & Co., 1997.
Di Nicola, Vincenzo. Family, psychosocial, and cultural determinants of health. In: Sorel, Eliot, ed., 21st Century Global Mental Health. Burlington, MA: Jones & Bartlett Learning, 2012, pp. 119-150.
Dysfunctional new
The Milan Model was developed by Luigi Boscolo, Gianfranco Cecchin, and Maria Palazzoli in Italy in the 1980s. It was influenced by Gregory Bateson's ideas and moved family therapy toward a "second order" approach. The original Milan Model involved brief, strategic therapy with families seen once a month for 10 sessions by a male-female therapist team. They used interventions like positive connotation, rituals, and circular questioning to challenge family beliefs while maintaining neutrality and low resistance. The model has since evolved as the original therapists parted ways and new approaches incorporated cultural diversity and systems theory.
Family & Culture SIG Workshop - Di Nicola & Al-Baldawi - WACP Congress - 17....
Family & Culture SIG Workshop - Di Nicola & Al-Baldawi - WACP Congress - 17....Université de Montréal
Title: “Culture, Families & Psychosis: How the Culture of the Family Affects How It Deals with a Psychotic Member”
Abstract
Since the pioneering studies of Bateson and associates on their “double bind” hypothesis of schizophrenia, there has been a veritable industry of work on the family and schizophrenia. This included many family therapists as well as psychiatrists who were dissatisfied with the medical model of psychosis such as RD Laing. With the “expressed emotion” (EE) model of schizophrenia, which followed on the footsteps of sociological research by George Brown, Vaughan and Leff (1976) created a paradigm to examine the family, social and cultural context of psychosis. When EE was applied to immigrant families in London and exported to other cultures (see Di Nicola, 1988), for the first time a question was seriously posed about the interactions among three key variables: culture, families, and psychosis. One way of examining the relationships is to ask how the culture of the family affects how they deal with a psychotic member.
From the Threshold to the Event: Thirty Years of Cultural Family Therapy - Al...
From the Threshold to the Event: Thirty Years of Cultural Family Therapy - Al...Université de Montréal
Dr. Di Nicola presents Cultural Family Therapy (CFT), a synthesis of two approaches pioneered in the McGill University Dept. of Psychiatry where he trained: family therapy and transcultural psychiatry. Key influences include Maurizio Andolfi (1989) and Mara Selvini Palazzoli (1988) in family therapy and Raymond Prince (2010) and Henry Murphy (1982, 1986) in transcultural psychiatry. In numerous publications and international workshops over the last 30 years, Dr. Di Nicola has elaborated a model of CFT, beginning with a monograph published while he was a Fellow in Family Therapy at the Institute of Community and Family Psychiatry (Di Nicola, 1985) and a key article while he was Chief Resident at the AMI (Di Nicola, 1986). A model of CFT was presented in greater depth in his book, A Stranger in the Family: Culture, Families, and Therapy (1997) and updated in Letters to a Young Therapist (2011).
CFT weaves together family stories that express their mental and relational predicaments and conceptual tools for conducting clinical work. CFT is an ongoing update of our notions of “family” and “therapy,” on one hand, and of “culture” and “psychiatry,” on the other. From the beginning, CFT was constructed to deal with threshold people undergoing rapid cultural change.
Three basic principles and processes for CFT will be reviewed:
1) the deep parallels between the notions of “family” and “culture,” mean that “culture” supersedes the notion of family “system”;
2) each family is the bearer of the larger culture(s) in which it is embedded and creates a culture of its own, so the family is the vehicle for intergenerational cultural transmission, for maintaining culture (cultural coherence), and for generating its own small-scale cultural adaptations, yielding three yoked family functions: cultural transmission, cultural maintenance/coherence, and cultural adaptation;
3) at the heart of systemic family theory and sociocultural psychiatry is a relational psychology that inverses theorizing from self to society by redefining the notions of identity and belonging through relations.
With its relational and sociocultural approach, CFT is exquisitely responsive to working with threshold people – families undergoing culture change within and across cultures. In a world with huge global flows of migrants and refugees instigated by conflict, disasters, or economic and social reasons, CFT offers clinical tools to understand and treat families experiencing severe stress due to rapid and massive culture change.
CFT grew/unfolded by examining families in different cultures and in invisible or otherwise discounted/ignored social circumstances, from invisible minorities to undocumented migrants and refugees (Di Nicola, 1998, 2012a, 2016). Recommended
Cultural Family Therapy: Integrating Sytemic Family Therapy with Cultural Psy...
Cultural Family Therapy: Integrating Sytemic Family Therapy with Cultural Psy...Université de Montréal
This workshop was submitted for presentation at the Annual Meeting of the American Psychiatric Association in May 2016 Atlanta, GA, USA and was accepted November 13, 2015.
This interactive, case-based workshop is designed for clinicians who work with families presenting mental health challenges across cultures. The workshop leader will present Cultural Family Therapy (CFT), a synthesis of systemic family therapy and sociocultural psychiatry. In numerous publications and international workshops over the last 30 years, the workshop leader has elaborated a model of CFT, presented in his book, "A Stranger in the Family: Culture, Families, and Therapy" (NY: Norton, 1997). CFT weaves together family stories that express their mental and relational predicaments and conceptual tools for conducting clinical work.Michael G
The document discusses a new therapeutic community called Woodwynn Farm that aims to help people with co-occurring issues of homelessness, substance abuse, mental illness, and criminal behavior. Woodwynn Farm will be located on a 78 hectare farm and employ a holistic therapeutic model based on community involvement and treatment of the whole person. The goal is to reintegrate clients into the community by providing support, tools for self-worth, and self-reliance over a long-term 3+ year program with different treatment stages.
Final Grant Proposal
$69K per year for a clinical psychologist (TBD). $75K per year for consultant (Walters).
Recruit one graduate student to assist in observation and one postdoctoral student to assist in facilitation of treatment. (Total: $69K per year for each)
Contractual: $39K a year for two outpatient counselors providing culturally sensitive treatment.
Total Personnel: $120,000 + $100,000 = $220,000
Total Fringe Benefits: $109,200
Total Travel: $6,356
Total Equipment: $8,800
Total Supplies: $600
Total Contractual: $39K + $69K +
Cultural Family Therapy: Integrating Family Therapy with Cultural Psychiatry
CULTURAL FAMILY THERAPY:
INTEGRATING SYSTEMIC FAMILY THERAPY WITH CULTURAL PSYCHIATRY
Co-Chairs: Vincenzo Di Nicola, M.Phil., M.D., Ph.D., Ellen Berman, M.D.
SUMMARY:
This interactive, case-based workshop is designed for clinicians who work with families presenting mental health challenges across cultures. Di Nicola will present Cultural Family Therapy (CFT), a synthesis of systemic family therapy and sociocultural psychiatry. In numerous publications and international workshops over the last 30 years, Di Nicola has elaborated a model of CFT, presented in his book, "A Stranger in the Family: Culture, Families, and Therapy" (1997).
CFT weaves together family stories that express their mental and relational predicaments and conceptual tools for conducting clinical work. CFT is an ongoing update of our notions of “family” and “therapy,” on one hand, and of “culture” and “psychiatry,” on the other. Three basic principles and processes for CFT are: 1) the deep parallels between the notions of “family” and “culture,” mean that “culture” supersedes the notion of family “system”; 2) each family is the bearer of the larger culture(s) in which it is embedded and creates a culture of its own, so the family is the vehicle for intergenerational cultural transmission, for maintaining culture (cultural coherence), and for generating its own small-scale cultural adaptations, yielding three yoked family functions: cultural transmission, cultural maintenance/coherence, and cultural adaptation; 3) at the heart of systemic family theory and sociocultural psychiatry is a relational psychology that inverses theorizing from self to society by redefining the notions of identity and belonging through relations. With its relational and sociocultural approach, CFT is uniquely responsive to working with families undergoing culture change within and across cultures. In a world with huge global flows of migrants and refugees instigated by conflict, disasters, or economic and social reasons, CFT offers clinical tools to understand and treat families experiencing severe stress due to rapid and massive culture change. These processes will be explained, illustrated in case examples, and distributed to the workshop participants in handouts.
CULTURAL FAMILY THERAPY: The Theory and Practice of Cultural Psychiatry with ...
CULTURAL FAMILY THERAPY: The Theory and Practice of Cultural Psychiatry with ...Université de Montréal
Society for the Study of Psychiatry and Culture
“Transforming Policy and Practice for
Culturally Competent Mental Health Care”
37th Annual Meeting
Minneapolis, MN – May 5-7, 2016
CULTURAL FAMILY THERAPY:
The Theory and Practice of Cultural Psychiatry with Families
Vincenzo Di Nicola, MD, PhD
Université de Montréal
and
Steven J. Wolin, MD
George Washington University
This interactive workshop presents Cultural Family Therapy (CFT), a synthesis of family therapy and cultural psychiatry based on Di Nicola’s book, A Stranger in the Family: Culture, Families, and Therapy (1997).
Three key processes for CFT will be demonstrated:
1) Cultural coherence: Each family coheres as and maintains it own culture, reflecting deep parallels between the functions of the family and culture, so that family culture supersedes the notion of family system;
2) Cultural transmission: Each family is the bearer of the larger culture(s) it is embedded in;
3) Cultural adaptation: CFT’s unique mission is to facilitate cultural adaptation for families undergoing culture change.
These processes will be illustrated with case examples.
In Part 2, participants will divide into two groups for discussion of CFT theory and practice, illustrated by two family cases in treatment with Wolin (a couple in continuous conflict whose battle concerns which family of origin will rule current family life) and Di Nicola (a young adult of mixed heritage whose core identity, sense of belonging, and symptomatic distress are in constant flux). Participants will apply the key CFT processes to these cases.
Part III will conclude by reconvening the participants for an interactive discussion, with a focus on applying CFT treatment strategies to their own clinical work with families undergoing culture change.
Learning objectives for this workshop are:
1. Identify three key processes that CFT employs to characterize today’s family and understand their functions in creating a unique culture for its members.
2. Formulate a clinical role for the family and cultural psychiatrist by specifying three clinical tools for conducting CFT with families undergoing culture change.
References:
Di Nicola, Vincenzo. A Stranger in the Family: Culture, Families, and Therapy. New York & London: W.W. Norton & Co., 1997.
Di Nicola, Vincenzo. Family, psychosocial, and cultural determinants of health. In: Sorel, Eliot, ed., 21st Century Global Mental Health. Burlington, MA: Jones & Bartlett Learning, 2012, pp. 119-150.
Dysfunctional new
The Milan Model was developed by Luigi Boscolo, Gianfranco Cecchin, and Maria Palazzoli in Italy in the 1980s. It was influenced by Gregory Bateson's ideas and moved family therapy toward a "second order" approach. The original Milan Model involved brief, strategic therapy with families seen once a month for 10 sessions by a male-female therapist team. They used interventions like positive connotation, rituals, and circular questioning to challenge family beliefs while maintaining neutrality and low resistance. The model has since evolved as the original therapists parted ways and new approaches incorporated cultural diversity and systems theory.
Family & Culture SIG Workshop - Di Nicola & Al-Baldawi - WACP Congress - 17....
Family & Culture SIG Workshop - Di Nicola & Al-Baldawi - WACP Congress - 17....Université de Montréal
Title: “Culture, Families & Psychosis: How the Culture of the Family Affects How It Deals with a Psychotic Member”
Abstract
Since the pioneering studies of Bateson and associates on their “double bind” hypothesis of schizophrenia, there has been a veritable industry of work on the family and schizophrenia. This included many family therapists as well as psychiatrists who were dissatisfied with the medical model of psychosis such as RD Laing. With the “expressed emotion” (EE) model of schizophrenia, which followed on the footsteps of sociological research by George Brown, Vaughan and Leff (1976) created a paradigm to examine the family, social and cultural context of psychosis. When EE was applied to immigrant families in London and exported to other cultures (see Di Nicola, 1988), for the first time a question was seriously posed about the interactions among three key variables: culture, families, and psychosis. One way of examining the relationships is to ask how the culture of the family affects how they deal with a psychotic member.
From the Threshold to the Event: Thirty Years of Cultural Family Therapy - Al...
From the Threshold to the Event: Thirty Years of Cultural Family Therapy - Al...Université de Montréal
Dr. Di Nicola presents Cultural Family Therapy (CFT), a synthesis of two approaches pioneered in the McGill University Dept. of Psychiatry where he trained: family therapy and transcultural psychiatry. Key influences include Maurizio Andolfi (1989) and Mara Selvini Palazzoli (1988) in family therapy and Raymond Prince (2010) and Henry Murphy (1982, 1986) in transcultural psychiatry. In numerous publications and international workshops over the last 30 years, Dr. Di Nicola has elaborated a model of CFT, beginning with a monograph published while he was a Fellow in Family Therapy at the Institute of Community and Family Psychiatry (Di Nicola, 1985) and a key article while he was Chief Resident at the AMI (Di Nicola, 1986). A model of CFT was presented in greater depth in his book, A Stranger in the Family: Culture, Families, and Therapy (1997) and updated in Letters to a Young Therapist (2011).
CFT weaves together family stories that express their mental and relational predicaments and conceptual tools for conducting clinical work. CFT is an ongoing update of our notions of “family” and “therapy,” on one hand, and of “culture” and “psychiatry,” on the other. From the beginning, CFT was constructed to deal with threshold people undergoing rapid cultural change.
Three basic principles and processes for CFT will be reviewed:
1) the deep parallels between the notions of “family” and “culture,” mean that “culture” supersedes the notion of family “system”;
2) each family is the bearer of the larger culture(s) in which it is embedded and creates a culture of its own, so the family is the vehicle for intergenerational cultural transmission, for maintaining culture (cultural coherence), and for generating its own small-scale cultural adaptations, yielding three yoked family functions: cultural transmission, cultural maintenance/coherence, and cultural adaptation;
3) at the heart of systemic family theory and sociocultural psychiatry is a relational psychology that inverses theorizing from self to society by redefining the notions of identity and belonging through relations.
With its relational and sociocultural approach, CFT is exquisitely responsive to working with threshold people – families undergoing culture change within and across cultures. In a world with huge global flows of migrants and refugees instigated by conflict, disasters, or economic and social reasons, CFT offers clinical tools to understand and treat families experiencing severe stress due to rapid and massive culture change.
CFT grew/unfolded by examining families in different cultures and in invisible or otherwise discounted/ignored social circumstances, from invisible minorities to undocumented migrants and refugees (Di Nicola, 1998, 2012a, 2016). Social Psychiatry Manifesto
“A Social Psychiatry Manifesto”
Vincenzo Di Nicola , MPhil, MD, PhD, FRCPC, DFAPA
Psychiatric Grand Rounds
VA Boston Mental Health Care System
Harvard South Shore Psychiatry Residency
April 4, 2020 at 12:00 PM Eastern Time
Purpose Statement
To give an overview of the history and current status of Social Psychiatry with some applications of relevance Veterans and their families
Several sentences that describe the training.
• What is the current knowledge deficit, or gap?
A better understanding of the contributions of social psychiatry
• How does the information you are presenting fill that gap?
By providing the broader context of social psychiatry to understand veterans and their families
• How will it benefit Veterans?
By providing a broader context, the presenter hopes to inform clinicians and policy-makers of the importance of social context and family and social relationships
Objectives
The objectives are what the learners will be able to do after attending the training. It is best that each objective has only one item being focused on.
At the conclusion of this educational program, learners will be able to:
1. Describe and define Social Psychiatry;
2. List the three main branches of Social Psychiatry;
3. Name two major public health projects of Social Psychiatry;
4. Give at least two examples of the clinical and policy relevance of Social Psychiatry for Veterans and their families.
What Can Psychotherapists Learn From the Social Sciences?
Panel Discussion:
"What Can Psychotherapists Learn From the Social Sciences?"
Chair: Césare Alfonso
Panelists:
Vincenzo Di Nicola
Arvind Rajagopalan
Renato Antunes dos Santos
International Federation for Psychotherapy
23rd World Congress of Psychotherapy
Casablanca, Morocco
10 February 2023
Points covered:
My first contribution was my model of Cultural Family Therapy (CFT)
A Stranger in the Family: Families, Culture, & Therapy (1997)
Next, I articulated overarching principles of the psychotherapies
Letters to a Young Therapist (2011)
Now, we are re-visioning psychotherapy through philosophy
Alain Badiou’s philosophy of the Event
Lecture 1 introduction to systemic therapy
This document provides an overview of the history and development of systemic family therapy. It discusses how the field shifted from a modernist to post-modernist perspective. Originally, problems were seen as arising from dysfunctional family relationships and communication patterns, viewing the self as relational. Later approaches emphasized narrative and social constructionism, examining how meaning is constructed through language. Family therapy incorporated ideas from cybernetics, systems theory, and postmodern concepts like pluralism and contextual truth.
APA Symposium - Global Issues in Mental Health - 24.05..2017
After the information revolution produced a global village, the economic revolution with its global flows of goods and services, finance and people, produces globalization of life. While research on social determinants of health means mental health must be understood globally, we talk about mental health in local and static terms, confining mental health to the margins. Health problems are seen as entities rather processes, solutions aimed at individuals instead of communities, and we overvalue biological explanations and undervalue family, social and cultural contexts for mental and relational problems. As the WHO/World Bank conference declared, “it’s time to move mental health from the margins to the mainstream of the global development agenda.”
This symposium by the Global Mental Health (GMH) Caucus addresses key developments in the GMH movement, integrating social determinants of health, primary care, school mental health, bio-ethics and cultural psychiatry, and emerging themes in medicine and the humanities on migrants, refugees and borders. Presentations by senior physicians address: (1) global initiatives in primary mental health to deal with health disparities, complexity and co-morbidity; (2) ethical dimensions of cultural sensitivity, ethical sustainability and culture-fair guidelines; (3) a pilot study for school mental health in several school settings in Kenya; and (4) needs of migrants and refugees in the light of changing definitions of borders and belonging. Two international fellows and residents provide the perspectives of psychiatrists-in-training on GMH.
HUSC Body of Knowledge: Family and Consumer Sciences
The document discusses the mission of family and consumer sciences and how the definition of family has changed over time. It examines different family structures that have emerged such as nuclear families, blended families, single-parent families, and same-sex civil unions. It also explores how the family functions as a social unit using systems theory and the human ecosystem model. Basic human needs like food, clothing, shelter, and relationships are viewed through the lens of how various environmental factors influence individuals and families.
Transcultural nursing
This document discusses Madeleine Leininger's theory of transcultural nursing. It provides definitions of key terms like culture, ethnicity, and acculturation. Leininger established transcultural nursing as a formal area of study in the late 1960s to address the need for culturally competent care. Her theory, depicted in the Sunrise Model, aims to understand healthcare from diverse cultural perspectives to provide caring practices that are culturally congruent.
Unit 3 ch by sn
This document discusses transcultural nursing concepts and theories. It begins by defining transcultural nursing and describing key concepts related to it such as culture, ethnicity, and cultural identity. It then explains Madeleine Leininger's transcultural nursing theory and care concepts of cultural preservation, accommodation, and re-patterning. The document outlines the nursing process in transcultural care and concludes that nurses must be aware of and sensitive to patients' cultural needs to provide effective care.
Multiples, Multiplicity & The Multitude - Stokes Endowment Lecture - George W...
Multiples, Multiplicity & The Multitude - Stokes Endowment Lecture - George W...Université de Montréal
This invited lecture for the Stoke Endowment dedicated to families and family therapy at GWU udpated my model of cultural family therapy published 15 years earlier in "A Stranger in the Family: Culture, Famlies, and Therapy" (NY: WW Norton, 1997).Where is the Family in Global Mental Health? Di Nicola - Opening Plenary - SS...
Where is the Family in Global Mental Health? Di Nicola - Opening Plenary - SS...Université de Montréal
Title: Where Is the Family in Global Mental Health?
Presenter: Vincenzo Di Nicola, M.D., Ph.D.
Learning Objectives:
Audience participants will be able to:
(1) Articulate why a central role for families is needed for the effectiveness of clinical and research programs in Global Mental Health (GMH);
(2) Describe how health categories that focus solely on individuals can obscure awareness of relational, social, and cultural processes that contribute to health and illness.
Abstract:
From a family perspective, the Global Mental Health Movement appears as a regressive step to the usual Western health categories that focus on individuals as bearers of larger issues in the family, community, society and culture. These larger envelopes are addressed in the impersonal way of categories—e.g., child abuse, substance abuse, violence, and treatment gaps—rather than from the relational, social and cultural perspectives that define mental health and illness more fully, meaningfully, and realistically. These aspects of GMH may deepen the practitioners’ perception of public health and epidemiology and their international organizations as being removed from clinical concerns and from their meaningful relational contexts. Without such notions as attachment and belonging, ignoring the most significant of human relationships based on the family and community, GMH risks creating another disembodied field divorced from our lived experience as communal and relational beings.
References
Di Nicola, Vincenzo. A Stranger in the Family: Culture, Families, and Therapy. New York & London: W.W. Norton, 1997.
Di Nicola, Vincenzo. Letters to a Young Therapist: Relational Practices for the Coming Community. New York & Dresden: Atropos Press, 2011.
Di Nicola, Vincenzo. Family, psychosocial, and cultural determinants of health. In: Sorel, Eliot, ed., 21st Century Global Mental Health. Burlington, MA: Jones & Bartlett Learning, 2012, pp. 119-150.
Bio Sketch
Vincenzo Di Nicola, MPhil, MD, PhD, is a Child and Adolescent Psychiatrist who uses family, social and cultural perspectives to investigate children and families in disadvantaged contexts, both at home and abroad. He works with migrant children and families and the impacts of trauma. Di Nicola is the author of “A Stranger in the Family: Culture, Families, and Therapy” (1997), “Letters to a Young Therapist” (2011), and a forthcoming selection of his writing, “On the Threshold: Children, Families, and Culture Change,” edited and introduced by Armando Favazza, MD, MPH. Di Nicola is Chair of the APA Global Mental Health Caucus and Full Professor of Psychiatry at the University of Montreal. Borders and Belonging, Culture and Community: Cultural Child and Family Psych...
Borders and Belonging, Culture and Community: Cultural Child and Family Psych...Université de Montréal
2018 Jeanne Spurlock Lecture and Award for Diversity and Culture
American Academy of Child and Adolescent Psychiatry
Annual Meeting
Seattle, WA, USA
October 25, 2018
Abstract:
Objectives: To provide a perspective on a career in community and cultural child psychiatry through the triple lenses of children, families, and culture, focusing on culture change syndromes, migration, and trauma. Methods: Employing the lenses of children, families, and culture, Di Nicola has argued that these elements have to be brought into dialogue with each other, sometimes radically challenging each other: 1) To study children across culture is to revision how we think about development. 2) To take family therapy seriously is to radically rethink how we imagine all relationships, from attachment and belonging to diverse family configurations and evolving constructions of gender and sexuality. 3) It’s also true that for cultural psychiatry and family therapy to take children seriously, they have rethink received notions of families and culture. None of these domains are fixed, stable or unchanging – th ey are all in flux. Results: This layered and dialogic approach to children, families, and culture led Di Nicola to forge these syntheses: 1) Cultural family therapy (transcultural psychiatry & family therapy). 2) Transcultural child psychiatry (child psychiatry & transcultural psychiatry). 3) Child- and family-centered global mental health (child & family psychiatry with the global mental health movement). Conclusions: Beyond evidence-based medicine, child psychiatry is nourished by meaningful personal and professional values. Di Nicola concludes with metaphors that inspire his work from social adversity to cultural diversity: 1) “A stranger in the family” (title of his book on cultural family therapy that explores three levels of strangeness – the mentally ill child in the family, the family that finds itself estranged in society due to migration or other socio-cultural differences, and finally, the therapist who arrives as a stranger in their midst with often alien or estranging views of their predicament). 2) “Looking across at growing up” (developmental psychologist Charles Super’s view of anthropology's horizontal or cross-cultural approach). 3) “Cultural changelings” (children’s experience of migrating across all the domains relevant to culture, including class, gender, race, religion and other aspects of belonging and community).
Madeleine Leininger’s Transcultural Nursing
Madeleine Leininger developed the theory of transcultural nursing and is considered the founder of transcultural nursing. Her theory emphasizes understanding similarities and differences in cultures to provide culturally congruent care. She developed the Sunrise Model to depict the various influences on an individual's worldview and health practices. Leininger's theory has been influential in nursing education, research, and practice by promoting cultural awareness and competence.
documents.pub_transcultural-nursing-theory.ppt
Madeleine Leininger developed the Theory of Culture Care Diversity and Universality in the 1960s to guide nurses in providing culturally congruent care. The theory posits that cultures have both health practices specific to them as well as universal patterns. Its goal is to use research-based knowledge to provide caring, safe, and satisfying care to people of diverse cultures. The theory defines key concepts like culture, care, and health and identifies assumptions about how culture influences care. It also outlines three modalities for maintaining culturally congruent care: preservation, accommodation, and restructuring. The Sunrise Enabler model provides a visual guide for understanding the multifaceted factors that influence cultures and their care expressions.
family therapy.pdf
Family counseling, also known as family therapy, works with families and couples to nurture change in relationships. It views problems as stemming from interactions between family members rather than individuals. Several theoretical frameworks have emerged, including systems theory influenced by cybernetics which focuses on communication patterns. By the 1960s, distinct schools had developed like structural family therapy, strategic therapy, and intergenerational therapy. Licensing requirements vary by location but often involve a master's degree and supervised clinical hours to become a licensed marriage and family therapist.
family therapy.pdf
Family counseling aims to help families and couples experiencing problems by nurturing change through examining family relationships and dynamics. It views issues as related to systems of interaction rather than just individuals. Several theoretical frameworks have emerged, beginning in the 1940s-50s with psychoanalysis and social psychiatry influences. Key developments included Gregory Bateson's introduction of cybernetics and systems theory ideas, and the emergence of distinct schools in the 1960s focusing on experiential, intergenerational, psychodynamic, and behavioral approaches. The field has since diversified with integration of different theories and influences from individual psychotherapy.
Chronic Illness: Empowering Families in the Journey - Part 2
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Negea2013
The document describes a pilot curriculum implemented at Tufts Medical School to teach medical students about cultural competency in end-of-life care. Students participated in lectures, online modules, observed family meetings, and used reflection tools to discuss what they learned. Quantitative surveys found no change in students' health beliefs or knowledge, but showed improved comfort with cultural competency. Qualitative analysis of reflection forms identified that students learned cultural understanding influences care decisions, conversations require balancing information and feelings, and balancing individual and family dynamics is important. The curriculum aimed to improve knowledge and attitudes around how culture impacts end-of-life decision making.
NUR 4551 UP Mitigating Bullying and Lateral Violence Presentation.docx
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Madeliene leininger?s.sunrise model ppt
Madeleine Leininger's Theory of Culture Care Diversity and Universality focuses on how culture influences health, illness, and caring behaviors. The theory posits that care is essential to health and is influenced by cultural factors. Leininger developed the Sunrise Model and three modes of culturally congruent care to guide nursing practice in a culturally sensitive manner. The theory transformed nursing by highlighting the importance of understanding culture to effectively care for patients from diverse backgrounds.
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My contention as a social psychiatrist and social philosopher is that the foundations of psychology and psychiatry—and the edifices that are built upon them, from theories to research paradigms to therapeutic interventions—are precisely upside down. Starting with the self, the individual, person, and mind is to start building the roof rather than the foundations of a structure. In the social sciences (such as anthropology, psychology, sociology) and the humanities (from literature to philosophy) it is wiser to start with society, the group, the collective, and relations, then move to the individual, mind, and self.
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Social Psychiatry Manifesto
“A Social Psychiatry Manifesto”
Vincenzo Di Nicola , MPhil, MD, PhD, FRCPC, DFAPA
Psychiatric Grand Rounds
VA Boston Mental Health Care System
Harvard South Shore Psychiatry Residency
April 4, 2020 at 12:00 PM Eastern Time
Purpose Statement
To give an overview of the history and current status of Social Psychiatry with some applications of relevance Veterans and their families
Several sentences that describe the training.
• What is the current knowledge deficit, or gap?
A better understanding of the contributions of social psychiatry
• How does the information you are presenting fill that gap?
By providing the broader context of social psychiatry to understand veterans and their families
• How will it benefit Veterans?
By providing a broader context, the presenter hopes to inform clinicians and policy-makers of the importance of social context and family and social relationships
Objectives
The objectives are what the learners will be able to do after attending the training. It is best that each objective has only one item being focused on.
At the conclusion of this educational program, learners will be able to:
1. Describe and define Social Psychiatry;
2. List the three main branches of Social Psychiatry;
3. Name two major public health projects of Social Psychiatry;
4. Give at least two examples of the clinical and policy relevance of Social Psychiatry for Veterans and their families.
What Can Psychotherapists Learn From the Social Sciences?
Panel Discussion:
"What Can Psychotherapists Learn From the Social Sciences?"
Chair: Césare Alfonso
Panelists:
Vincenzo Di Nicola
Arvind Rajagopalan
Renato Antunes dos Santos
International Federation for Psychotherapy
23rd World Congress of Psychotherapy
Casablanca, Morocco
10 February 2023
Points covered:
My first contribution was my model of Cultural Family Therapy (CFT)
A Stranger in the Family: Families, Culture, & Therapy (1997)
Next, I articulated overarching principles of the psychotherapies
Letters to a Young Therapist (2011)
Now, we are re-visioning psychotherapy through philosophy
Alain Badiou’s philosophy of the Event
Lecture 1 introduction to systemic therapy
This document provides an overview of the history and development of systemic family therapy. It discusses how the field shifted from a modernist to post-modernist perspective. Originally, problems were seen as arising from dysfunctional family relationships and communication patterns, viewing the self as relational. Later approaches emphasized narrative and social constructionism, examining how meaning is constructed through language. Family therapy incorporated ideas from cybernetics, systems theory, and postmodern concepts like pluralism and contextual truth.
APA Symposium - Global Issues in Mental Health - 24.05..2017
After the information revolution produced a global village, the economic revolution with its global flows of goods and services, finance and people, produces globalization of life. While research on social determinants of health means mental health must be understood globally, we talk about mental health in local and static terms, confining mental health to the margins. Health problems are seen as entities rather processes, solutions aimed at individuals instead of communities, and we overvalue biological explanations and undervalue family, social and cultural contexts for mental and relational problems. As the WHO/World Bank conference declared, “it’s time to move mental health from the margins to the mainstream of the global development agenda.”
This symposium by the Global Mental Health (GMH) Caucus addresses key developments in the GMH movement, integrating social determinants of health, primary care, school mental health, bio-ethics and cultural psychiatry, and emerging themes in medicine and the humanities on migrants, refugees and borders. Presentations by senior physicians address: (1) global initiatives in primary mental health to deal with health disparities, complexity and co-morbidity; (2) ethical dimensions of cultural sensitivity, ethical sustainability and culture-fair guidelines; (3) a pilot study for school mental health in several school settings in Kenya; and (4) needs of migrants and refugees in the light of changing definitions of borders and belonging. Two international fellows and residents provide the perspectives of psychiatrists-in-training on GMH.
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Unit 3 ch by sn
This document discusses transcultural nursing concepts and theories. It begins by defining transcultural nursing and describing key concepts related to it such as culture, ethnicity, and cultural identity. It then explains Madeleine Leininger's transcultural nursing theory and care concepts of cultural preservation, accommodation, and re-patterning. The document outlines the nursing process in transcultural care and concludes that nurses must be aware of and sensitive to patients' cultural needs to provide effective care.
Multiples, Multiplicity & The Multitude - Stokes Endowment Lecture - George W...
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This invited lecture for the Stoke Endowment dedicated to families and family therapy at GWU udpated my model of cultural family therapy published 15 years earlier in "A Stranger in the Family: Culture, Famlies, and Therapy" (NY: WW Norton, 1997).Where is the Family in Global Mental Health? Di Nicola - Opening Plenary - SS...
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Title: Where Is the Family in Global Mental Health?
Presenter: Vincenzo Di Nicola, M.D., Ph.D.
Learning Objectives:
Audience participants will be able to:
(1) Articulate why a central role for families is needed for the effectiveness of clinical and research programs in Global Mental Health (GMH);
(2) Describe how health categories that focus solely on individuals can obscure awareness of relational, social, and cultural processes that contribute to health and illness.
Abstract:
From a family perspective, the Global Mental Health Movement appears as a regressive step to the usual Western health categories that focus on individuals as bearers of larger issues in the family, community, society and culture. These larger envelopes are addressed in the impersonal way of categories—e.g., child abuse, substance abuse, violence, and treatment gaps—rather than from the relational, social and cultural perspectives that define mental health and illness more fully, meaningfully, and realistically. These aspects of GMH may deepen the practitioners’ perception of public health and epidemiology and their international organizations as being removed from clinical concerns and from their meaningful relational contexts. Without such notions as attachment and belonging, ignoring the most significant of human relationships based on the family and community, GMH risks creating another disembodied field divorced from our lived experience as communal and relational beings.
References
Di Nicola, Vincenzo. A Stranger in the Family: Culture, Families, and Therapy. New York & London: W.W. Norton, 1997.
Di Nicola, Vincenzo. Letters to a Young Therapist: Relational Practices for the Coming Community. New York & Dresden: Atropos Press, 2011.
Di Nicola, Vincenzo. Family, psychosocial, and cultural determinants of health. In: Sorel, Eliot, ed., 21st Century Global Mental Health. Burlington, MA: Jones & Bartlett Learning, 2012, pp. 119-150.
Bio Sketch
Vincenzo Di Nicola, MPhil, MD, PhD, is a Child and Adolescent Psychiatrist who uses family, social and cultural perspectives to investigate children and families in disadvantaged contexts, both at home and abroad. He works with migrant children and families and the impacts of trauma. Di Nicola is the author of “A Stranger in the Family: Culture, Families, and Therapy” (1997), “Letters to a Young Therapist” (2011), and a forthcoming selection of his writing, “On the Threshold: Children, Families, and Culture Change,” edited and introduced by Armando Favazza, MD, MPH. Di Nicola is Chair of the APA Global Mental Health Caucus and Full Professor of Psychiatry at the University of Montreal. Borders and Belonging, Culture and Community: Cultural Child and Family Psych...
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2018 Jeanne Spurlock Lecture and Award for Diversity and Culture
American Academy of Child and Adolescent Psychiatry
Annual Meeting
Seattle, WA, USA
October 25, 2018
Abstract:
Objectives: To provide a perspective on a career in community and cultural child psychiatry through the triple lenses of children, families, and culture, focusing on culture change syndromes, migration, and trauma. Methods: Employing the lenses of children, families, and culture, Di Nicola has argued that these elements have to be brought into dialogue with each other, sometimes radically challenging each other: 1) To study children across culture is to revision how we think about development. 2) To take family therapy seriously is to radically rethink how we imagine all relationships, from attachment and belonging to diverse family configurations and evolving constructions of gender and sexuality. 3) It’s also true that for cultural psychiatry and family therapy to take children seriously, they have rethink received notions of families and culture. None of these domains are fixed, stable or unchanging – th ey are all in flux. Results: This layered and dialogic approach to children, families, and culture led Di Nicola to forge these syntheses: 1) Cultural family therapy (transcultural psychiatry & family therapy). 2) Transcultural child psychiatry (child psychiatry & transcultural psychiatry). 3) Child- and family-centered global mental health (child & family psychiatry with the global mental health movement). Conclusions: Beyond evidence-based medicine, child psychiatry is nourished by meaningful personal and professional values. Di Nicola concludes with metaphors that inspire his work from social adversity to cultural diversity: 1) “A stranger in the family” (title of his book on cultural family therapy that explores three levels of strangeness – the mentally ill child in the family, the family that finds itself estranged in society due to migration or other socio-cultural differences, and finally, the therapist who arrives as a stranger in their midst with often alien or estranging views of their predicament). 2) “Looking across at growing up” (developmental psychologist Charles Super’s view of anthropology's horizontal or cross-cultural approach). 3) “Cultural changelings” (children’s experience of migrating across all the domains relevant to culture, including class, gender, race, religion and other aspects of belonging and community).
Madeleine Leininger’s Transcultural Nursing
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documents.pub_transcultural-nursing-theory.ppt
Madeleine Leininger developed the Theory of Culture Care Diversity and Universality in the 1960s to guide nurses in providing culturally congruent care. The theory posits that cultures have both health practices specific to them as well as universal patterns. Its goal is to use research-based knowledge to provide caring, safe, and satisfying care to people of diverse cultures. The theory defines key concepts like culture, care, and health and identifies assumptions about how culture influences care. It also outlines three modalities for maintaining culturally congruent care: preservation, accommodation, and restructuring. The Sunrise Enabler model provides a visual guide for understanding the multifaceted factors that influence cultures and their care expressions.
family therapy.pdf
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family therapy.pdf
Family counseling aims to help families and couples experiencing problems by nurturing change through examining family relationships and dynamics. It views issues as related to systems of interaction rather than just individuals. Several theoretical frameworks have emerged, beginning in the 1940s-50s with psychoanalysis and social psychiatry influences. Key developments included Gregory Bateson's introduction of cybernetics and systems theory ideas, and the emergence of distinct schools in the 1960s focusing on experiential, intergenerational, psychodynamic, and behavioral approaches. The field has since diversified with integration of different theories and influences from individual psychotherapy.
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Negea2013
The document describes a pilot curriculum implemented at Tufts Medical School to teach medical students about cultural competency in end-of-life care. Students participated in lectures, online modules, observed family meetings, and used reflection tools to discuss what they learned. Quantitative surveys found no change in students' health beliefs or knowledge, but showed improved comfort with cultural competency. Qualitative analysis of reflection forms identified that students learned cultural understanding influences care decisions, conversations require balancing information and feelings, and balancing individual and family dynamics is important. The curriculum aimed to improve knowledge and attitudes around how culture impacts end-of-life decision making.
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No more fiendish punishment could be devised … than that one should be turned loose in society and remain absolutely unnoticed by the members thereof. – William James
Lead: Some of the most divisive notions in the Western world and the Global North: individualism and independence. Are they a myth?
DOI: 10.13140/RG.2.2.32192.14086Social Psychiatry Comes of Age - Inaugural Column in Psychiatric Times
In this inaugural column on “Second Thoughts… About Psychiatry, Psychology, and Psychotherapy,” I want to express second thoughts about my profession in a warm and constructive way.
https://www.psychiatrictimes.com/view/social-psychiatry-comes-of-age
Take Your Time: Seven Lessons for Young Therapists
TAKE YOUR TIME: Seven Lessons for Young Therapists
Vincenzo Di Nicola
1. In these seven lessons for young therapists, based on practising clinical psychology, child psychiatry and psychotherapy for almost 50 years, I will survey what therapy is about and how it works, from behaviour therapy and family therapy to psychodynamic psychotherapy
2. These lessons integrate my work in psychiatry and psychotherapy with my Slow Thought Manifesto and my call for Slow Therapy
3. With these seven lessons for young therapists in this technocratic time of pressure and speed, I commend young therapists – eager to embrace change and to make a difference – to “Take your time”
4. By opening a space for reflection by every party in the therapeutic encounter, the possibility of an event – something surprising, unpredictable and new – may emerge
DOI: 10.13140/RG.2.2.32747.55841
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V Di Nicola, “Atado a una rueda de fuego”: Reflexiones sobre una vida en los estudios de trauma. Boletín CRISOL (Centro de Posgrado en Terapia Familiar), Febrero 2024, 1: pp. 3-6.
Abstracto
Este breve ensayo aborda el trauma desde tres perspectivas: psiquiatría infantil y familiar, atención informada sobre el trauma y psiquiatría y filosofía social. Se presenta brevemente la tragedia del Rey Lear como marco para comprender la tragedia y el trauma. Para terminar, el autor aboga por un enfoque matizado del trauma que sea selectivo pero que responda a las rupturas que crean trauma y tragedia en nuestras vidas.
Palabras clave: trauma, tragedia, Determinantes Sociales de la Salud (DSS), Experiencias Adversas en la Infancia (EAI), Trastornos de Estrés Postraumático (TEPT), historia de trauma
El Evento Como Desencadenante del Cambio Ontólogico
"El Evento Como Desencadenante del Cambio Ontólogico"
por Vincenzo Di Nicola
MASTER CLASS Practicum Internacional 2024
CRISOL Centro de Posgrado en Terapia Familiar Ciudad de México, México
8 y 9 de Marzo de 2024
DOI: 10.13140/RG.2.2.27104.90887
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The overall objective of this webinar is to harness the powerful data of populational studies to patients in clinical practice.
This is effectively a plan for applying social psychiatry to the clinic –a call for “Clinical Social Psychiatry.”
This objective will be addressed through three goals with seven steps:
(A) Review social psychiatry’s powerful populational studies on psychiatric epidemiology and Social Determinants of Health & Mental Health (SDH/MH)
1. Adverse Childhood Experiences (ACE) Studies
2. Global Mental Health (GMH) – Treatment Gaps
3. Epidemiology to reflect the burden of disease
(B) Promote translational research of social psychiatric studies – redefining health in social terms
4a. Translational research to redefine health
4b. Mental health in a social context (C) Provide ground-level prescriptions aimed at prevention, promotion, intervention, and adaptation
5. Mental health services to be delivered where people live
6. Shared care/integrated care/collaborative care
7. We can’t do everything – address common and pressing problems
Keywords: Populational studies, social determinants of health & mental health (SDH/MH), translational research, ground-level prescriptions
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