"Dèyè chak timoun gen yon fanmi e yon kilti" - Behind Every Child Is A Family & A Culture: Cultural Family Therapy with Haitian Families - Rebâti Santé Mentale 3rd Haitian Mental Health Summit - Montréal, Québec - 30.05.2014
Working with children and their families across cultures, especially during periods of cultural transition, is a complex and challenging task requiring knowledge of children’s normal growth and change under stable circumstances in their culture of origin and their host culture. While child specialists often express interest in families, differential rates of adaptation among the members of a family confound the perception and origins of children’s problems.
Furthermore, the difficulties of adaptation during times of cultural transition are inadequately conceptualized, poorly documented, and often trivialized as transitional problems of adaptation or ignored altogether under the rubric of youthful resilience. In the vocabulary of psychology, psychiatry and other professional discourses, these problems can be summed up through three complex lenses: children (development), family (attachment, relationships, transmission) and culture (the context for the first enculturation and subsequent acculturations of children).
The author examines several vignettes of children from Haitian families in Montreal experiencing serious mental health problems. The challenges of identifying patterns of cultural adaptation with these children are identified as are the requirements for an approach that is sensitive to all three crucial aspects of their predicaments—healthy growth, family relationships and cultural adaptation.
The features of Cultural Family Therapy (CFT) are outlined to demonstrate its responsiveness to the complex task of working with children across cultures. The clinical tools of CFT are summarized to guide practitioners. Vignettes highlight children coping with psychosis and trauma. The presentation concludes with a summary of gaps in current thinking and practice in working with children across cultures and a call for more studies of children in cultural transition.
Learning Objectives
1. To identify the challenges and rewards of working with Haitian children and families in cultural transition.
2. To present a model for conducting Cultural Family Therapy with families in cultural transition, adapting to living in Montreal.
3. To sensitize clinicians of the need for cultural understanding and review the clinical tools available to guide practitioners in their work across cultures.
References
Di Nicola, V. (1996). Ethnocultural aspects of PTSD and related stress disorders among children and adolescents. In A. J. Marsella, M. Friedman, E. Gerrity, & R. Scurfield (Eds.), Ethnocultural aspects of posttraumatic stress disorder: Issues, research, and clinical applications (pp. 389-414). Washington, DC: American Psychological Association Press.
Di Nicola, V. (1997). A stranger in the family: Culture, families and therapy. New York, Norton.
Di Nicola, V. (1998b). Children and families in cultural transition. In Clinical methods in transcultural psychiatry (S. O. Okpaku, ed.) (pp. 365-390). Washington, DC: America
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.
Haiti mission trip presentation (International Therapy Outreach Teams, Inc)ebarnabas
International Therapy Outreach Teams, Inc (iTOT)
is a Christian non-profit ministry with a mission to provide therapeutic and medical services to people in developing nations who have limited or no access to services. iTOT partners with other Christian ministries and supports the work of the local church in presenting the gospel of Jesus Christ while providing therapeutic and medical services in order to touch the physical and spiritual needs of people dealing with disability or illness. iTOT takes short-term teams of therapists and medical professionals on international outreaches to provide treatment, training and develop programs to serve those in need.
Measuring Culture Change: Understanding Cultural and Systems-change Dimension...Sustainable Brands
This document discusses measuring and transforming organizational culture. It begins by defining culture as the values, beliefs, and behaviors reflected by organizational leaders. Four dimensions of leadership/energy are identified: physical, emotional, intellectual, and spiritual.
Values are described as shorthand for individual and collective motivations. Both positive values like trust and potentially limiting values like power are discussed. Stages of personal and organizational leadership development moving from self to team to larger organization are presented.
The document then outlines tools for measuring and mapping organizational culture, including identifying the distribution of values across seven levels of consciousness from survival to service. Case studies apply these tools to analyze current and desired cultures. Finally, approaches for shifting culture through personal and systemic transformation are
The document discusses several models for understanding cultural differences and how culture can affect behavior. It defines culture as the collective programming of the mind that distinguishes one group from another. Some key aspects of culture discussed include values, rituals, heroes and symbols. Two influential models are presented - Edward Hall's framework focusing on high/low context communication and views of time, and Geert Hofstede's five dimensions of national culture comparing countries on factors like power distance, individualism/collectivism, and uncertainty avoidance. Understanding cultural differences is important as cultures can vary significantly in ways that impact work behavior.
The structural approach to teaching English focuses on teaching language structures like sentence patterns, phrases, idioms, and routines. It involves selecting and grading structures systematically and practicing them through drills. The approach aims to establish mastery over 275 essential structures and 3000 root words. It emphasizes oral skills and condemns formal grammar teaching. Some advantages are developing the habit of speaking English and automatically learning some grammar. Limitations include being mechanical, not considering learner capacity, and not providing guidance on presentation or exercises.
Structural Approach and Communicative Approach in Language TeachingPriyanka Nain
The slides talk about the difference between method and approach first then there is a description of Structural Approach, its features and demerits. Then we have slides that describes Communicative Approach, its features,role of teacher in this approach and demerits. As a whole the slides present difference between these two approaches.
This document provides information about the structural approach to teaching English, including definitions, key principles, characteristics, merits, and demerits. It defines the structural approach as the scientific study of fundamental English language structures, their analysis and logical arrangement. Some main points of the structural approach are selecting and grading structures based on usefulness and teachability, emphasizing speech and habit formation, using activity-based and oral drill methods, and teaching grammar informally within reading lessons.
The Chinese market is an obvious source of inspiration, talent, and opportunity for Australian businesses. But tackling such a complex market needs considerable context, insight, and cultural understanding.
At ThoughtWorks Live Australia 2016, Angela Ferguson and Hu Kai shared stories and learnings around the level of upfront preparation, commitment, and assessment needed to ensure the best chance of success in the Chinese market.
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.
Haiti mission trip presentation (International Therapy Outreach Teams, Inc)ebarnabas
International Therapy Outreach Teams, Inc (iTOT)
is a Christian non-profit ministry with a mission to provide therapeutic and medical services to people in developing nations who have limited or no access to services. iTOT partners with other Christian ministries and supports the work of the local church in presenting the gospel of Jesus Christ while providing therapeutic and medical services in order to touch the physical and spiritual needs of people dealing with disability or illness. iTOT takes short-term teams of therapists and medical professionals on international outreaches to provide treatment, training and develop programs to serve those in need.
Measuring Culture Change: Understanding Cultural and Systems-change Dimension...Sustainable Brands
This document discusses measuring and transforming organizational culture. It begins by defining culture as the values, beliefs, and behaviors reflected by organizational leaders. Four dimensions of leadership/energy are identified: physical, emotional, intellectual, and spiritual.
Values are described as shorthand for individual and collective motivations. Both positive values like trust and potentially limiting values like power are discussed. Stages of personal and organizational leadership development moving from self to team to larger organization are presented.
The document then outlines tools for measuring and mapping organizational culture, including identifying the distribution of values across seven levels of consciousness from survival to service. Case studies apply these tools to analyze current and desired cultures. Finally, approaches for shifting culture through personal and systemic transformation are
The document discusses several models for understanding cultural differences and how culture can affect behavior. It defines culture as the collective programming of the mind that distinguishes one group from another. Some key aspects of culture discussed include values, rituals, heroes and symbols. Two influential models are presented - Edward Hall's framework focusing on high/low context communication and views of time, and Geert Hofstede's five dimensions of national culture comparing countries on factors like power distance, individualism/collectivism, and uncertainty avoidance. Understanding cultural differences is important as cultures can vary significantly in ways that impact work behavior.
The structural approach to teaching English focuses on teaching language structures like sentence patterns, phrases, idioms, and routines. It involves selecting and grading structures systematically and practicing them through drills. The approach aims to establish mastery over 275 essential structures and 3000 root words. It emphasizes oral skills and condemns formal grammar teaching. Some advantages are developing the habit of speaking English and automatically learning some grammar. Limitations include being mechanical, not considering learner capacity, and not providing guidance on presentation or exercises.
Structural Approach and Communicative Approach in Language TeachingPriyanka Nain
The slides talk about the difference between method and approach first then there is a description of Structural Approach, its features and demerits. Then we have slides that describes Communicative Approach, its features,role of teacher in this approach and demerits. As a whole the slides present difference between these two approaches.
This document provides information about the structural approach to teaching English, including definitions, key principles, characteristics, merits, and demerits. It defines the structural approach as the scientific study of fundamental English language structures, their analysis and logical arrangement. Some main points of the structural approach are selecting and grading structures based on usefulness and teachability, emphasizing speech and habit formation, using activity-based and oral drill methods, and teaching grammar informally within reading lessons.
The Chinese market is an obvious source of inspiration, talent, and opportunity for Australian businesses. But tackling such a complex market needs considerable context, insight, and cultural understanding.
At ThoughtWorks Live Australia 2016, Angela Ferguson and Hu Kai shared stories and learnings around the level of upfront preparation, commitment, and assessment needed to ensure the best chance of success in the Chinese market.
On the Threshold: Liminality versus Community in Immigrant Families in Therap...Université de Montréal
On the Threshold:
Liminality versus Community in Immigrant Families in Therapy
Using a model of cultural family therapy for working with immigrant children and families, the author reviews 25 years of practice in Canada’s two largest provinces, Ontario and Quebec, conducted in English and French. The author integrates cultural psychiatry and family therapy (McGill transcultural psychiatry and Milan systemic family therapy with elements of French ethnopsychiatry), to practice Cultural Family Therapy (CFT). Key features of CFT include recognizing families as unique cultures and immigrants as threshold people in transitional states. An overview of adaptation and its vicissitudes revealed in CFT is highlighted with brief clinical vignettes of selective mutism, eating disorders, and PTSD. The key theme that emerges from this review is liminality versus community. Many immigrant families in treatment are marked by a precarious balance between liminality and community with social isolation leading to marginalization. Although family members are differentially affected, the family’s level of adaptation often creates barriers to the healthy functioning of dependent members. The Canadian model of “multiculturalism” is contrasted to the Quebec model of “reasonable accomodations” and alternatives offered: “pluriculturalism” and “mutual accomodations.” Moving away from categories of pathology or identity fosters the study of adaptational problems among threshold people in transitional states.
Abstract word count: 197
Learning objectives
At the conclusion of this presentation the participant should be able to:
1. Understand a model of cultural family therapy and families as unique cultures
2. Recognize the dilemmas of liminality versus community in treating immigrant families
3. Demonstrate the limits of multiculturalism with increasing globalisation
Key words:
Cultural family therapy (CFT)
Families as unique cultures
Liminality versus community
Threshold people and transitional states
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).
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).
Child, Family & Social Psychiatric Perspectives on Forensic Psychiatry
International Forensic Psychiatry Lecture Series
McMaster University
February 2, 2023
Vincenzo Di Nicola
University of Montreal
Learning Outcomes
After this presentation, participants will be able to:
1. Appreciate how children’s developmental pathways interact with forensic issues in their lives and those of their families and caregivers.
2. Place forensic issues in a family context with a view to multigenerational attachment issues.
3. Employ an understanding of the social determinants of health and mental health (SDH/MH) and the pioneering studies on Adverse Childhood Experiences (ACE) in forensic cases.
DOI: 10.13140/RG.2.2.13896.80641
Family Matters: The Family as a Resource for the Mental, Social, and Relation...Université de Montréal
This document summarizes a presentation on the mental health and well-being of children from refugee, internally displaced persons, and migrant families. It discusses three lenses through which to view this issue: children and culture, children and trauma, and culture and trauma. It emphasizes that development, family, and culture are important factors to consider when working with traumatized children and families. The presentation also notes that the COVID-19 pandemic has created an "experimental childhood" for many children around the world by altering their development in unprecedented ways.
Cultural Family Therapy: Integrating Family Therapy with Cultural PsychiatryUniversité de Montréal
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.
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
Cultural Changelings: When Children and Adolescents Migrate Across CulturesUniversité de Montréal
This document provides an overview of a presentation on cultural changelings - children and youth who migrate across cultures. The presentation will examine the impact of culture change on psychiatric problems in children, using clinical examples of disorders like anorexia nervosa and trauma-related disorders. It will also explore therapeutic principles for working with children undergoing rapid culture change, highlighting the importance of understanding a child's cultural background and migration experience. Two clinical case studies will be presented to illustrate issues of traumatic memory and sequential traumatization in immigrant children.
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
Working with Traumatized Children and Families across Culture - McGill Univer...Université de Montréal
Institute of Community and Family Psychiatry
Sir Mortimer B. Davis Jewish General Hospital
McGill University
CAFT 601 Diversity in Couple and Family Therapy
16 May 2019
Title: Working with Traumatized Children and Families across Culture
Presenter: Vincenzo Di Nicola, MPhil, MD, FRCPC, DFAPA
Professor of Psychiatry, University of Montreal and The George Washington University
Abstract:
This presentation outlines a model of working with traumatized children and families across culture. When it comes to trauma in children, we need to address three basic questions:
(1) why development matters, (2) why family matters, and (3) why culture matters (Di Nicola,
1992, 1996, 1997, 1998, 2012a, 2012b, 2012c, 2018; Di Nicola & Song, forthcoming). These three aspects of children’s lives are reviewed as key critical contexts to understand the “sequential traumatizing” (Keilson, 1992) of young people as highlighted in two clinical vignettes. In the first vignette, “A Train of Traumas,” the layers of the trauma history of an immigrant child and his family from the Maghreb are teased out as an imbricated series of triggers across developmental, cultural and family predicaments that arise from the “exile situation” (Wenk-Anshohn, 2007). “The Memory Clinic,” the second vignette, revisits the story of an adolescent refugee from a war-torn country in the Middle East whose quest was to forget her trauma. Exposed first to civil war and the loss of her family, then arriving in Montreal as a refugee with her extended family where she was abused, this vignette presents issues about how to create the conditions for listening to the “trauma story” (Mollica, 2009) as enlightened witnesses and the emerging understanding of traumatic memory through identity narratives (Novac, et al, 2017). Together, these vignettes highlight the conditions required for the practice of “trauma-informed care” with children and families across culture.
Keywords: Sequential traumatisation, cultural family therapy, transcultural child psychiatry, trauma-informed care, identity narrative
Lessons for Young Therapists: Getting Started and Staying on Track in Your Ps...Université de Montréal
In these seven lessons for young therapists, a practising psychiatrist and psychotherapist with more than 40 years' experience surveys what therapy is about and how it works, from behaviour therapy and family therapy to psychodynamic psychotherapy. Ranging from what to read and how to begin therapy, the lessons cover therapeutic temperaments and technique, the myth of independence and individual psychology, the nature of change, the evolution of therapy, the search for meaning and relational ethics, and finally, when therapy is over.
Overview:
1. People come into therapy in order not to change - When does therapy begin?
2. Therapeutic temperaments - Who conducts therapy and why?
3. The family as a unique culture - Relational psychology and relational therapy.
4. Changing the subject - How does therapy work?
5. One hundred years of invisibility - The evolution of therapy from the 19th-century discovery of the unconscious to the 21st-century values of diversity, decolonization and change.
6. Making meaning - Making sense, technique, and doing good: Relational ethics.
7. "And on the seventh day, the Lord rested" - When therapy is over: The myth of closure, flow, and slowness in therapy.
This workshop integrates the author's model of working with families across cultures presented in "A Stranger in the Family: Families, Culture, and Therapy" (1997) and elaborated in his "Letters to a Young Therapist" (2011) with more recent work on trauma-informed therapy in "Trauma and Transcendence" (Capretto & Boynton, eds., 2018), and his "Slow thought manifesto" (2019).
Working with Traumatized Children and Families across Culture - UC - Irvine -...Université de Montréal
GRAND ROUNDS AT THE UNIVERSITY OF CALIFORNIA – IRVINE
UCI MEDICAL CENTER
APRIL 25, 2018
Title: Working with Traumatized Children and Families across Culture
Presenter: Vincenzo Di Nicola, MPhil, MD, FRCPC, DFAPA
Professor of Psychiatry, University of Montreal and The George Washington University
Abstract:
This presentation presents a model of working with traumatized children and families across culture. When it comes to trauma in children, we need to address three basic questions:
(1) why development matters, (2) why family matters, and (3) why culture matters (Di Nicola, 1992, 1996, 1997, 1998, 2012, 2018; Di Nicola & Song, forthcoming).
These three aspects of children’s lives are reviewed as key critical contexts to understand the “sequential traumatizing” (Keilson, 1992) of young people as highlighted in two clinical vignettes. In the first vignette, “A Train of Traumas,” the layers of the trauma history of an immigrant child and his family from the Maghreb are teased out as an imbricated series of triggers across developmental, cultural and family predicaments. “The Memory Clinic,” the second vignette, revisits the story of an adolescent refugee from a war-torn country in the Middle East whose quest was to forget her trauma. Exposed first to civil war and the loss of her family, then arriving in Montreal as a refugee with her extended family where she was abused, this vignette presents issues about how to create the conditions for listening to the “trauma story” (Mollica, 2009) as enlightened witnesses and the emerging understanding of traumatic memory through identity narratives (Novac, et al, 2017). Together, these vignettes highlight the conditions required for the practice of “trauma-informed care” with children and families across culture.
Keywords: Sequential traumatisation, cultural family therapy, transcultural child psychiatry, trauma-informed care, identity narrative
Learning Objectives:
The presentation will sensitize participants to appreciate basic questions about working with traumatized children and their families across culture to create trauma-informed care:
1. Why development matters – and how it changes the clinical presentation of trauma at different ages;
2. Why family matters – and how it creates models for the experience of trauma that attenuate or amplify both developmental neurobiology and sociocultural influences;
3. Why culture matters – and how it offers or limits the range of socially privileged perceptions and culturally sanctioned solutions.
This document provides an overview and summary of a presentation by Dr. Henry Doenlen on parenting Millennial children. It discusses key characteristics of Millennials such as being motivated, hard-working, and group-oriented. It also outlines factors that influenced Millennial development such as improvements in infant nutrition, increased focus on early brain growth, technology advances, and higher educational standards/expectations. The document summarizes adolescent brain development processes and challenges of parenting Millennial children, including the importance of listening without interrupting, focusing on areas of agreement, and appealing to ideas of fairness rather than authority.
The document provides an overview of topics covered in a cultural competency training for employees at House of New Hope, including defining culture, diversity issues, racism, understanding one's own culture and how it impacts parenting adopted children. It discusses the impact of cultural issues on adoptive placements and identity formation. Key components of culture are outlined such as religion, family roles, values, food and traditions. The document emphasizes that race, ethnicity and gender are innate, while culture is learned. It discusses avoiding ethnocentrism and not stereotyping others. Recognizing cultural differences in children and supporting their self-esteem and bicultural identity is emphasized.
This document summarizes a presentation by Dr. Chris E. Stout about his work establishing the Center for Global Initiatives (CGI) to promote humanitarian work by psychologists. It discusses CGI's projects in Tanzania, Bolivia, and Benin, which have improved healthcare access and education for thousands of people. Stout emphasizes that small, committed groups can enact meaningful change and encourages participants to take action now, rather than waiting, to make a positive impact through humanitarian work around the world.
This document summarizes a presentation by Dr. Chris E. Stout about his work establishing the Center for Global Initiatives (CGI) to promote humanitarian work by psychologists. It discusses CGI's projects in Tanzania, Bolivia, and Benin, which have improved healthcare access and education for thousands of people. Stout emphasizes that individual and small group actions can make a large impact, and encourages participants to start humanitarian projects now rather than waiting. CGI aims to support others in launching initiatives to address global health inequities through incubation, collaboration, facilitation, and education.
The document discusses research on the roles of gender and children in Mexican immigrant households settling in the United States. It summarizes findings from interviews that girls generally took on more responsibilities than boys in helping families adjust to new systems like schools, finances, employment, healthcare and legal/political matters. Children served as tutors, advocates and surrogate parents. The dominant American family ideology can shape expectations and experiences of Asian immigrant children by providing a contrasting standard of a "normal" family.
Ethics issues for administrators power point session #8.fa18.bbbruce.miller
The document discusses balancing educational opportunities that respect diversity and cultural differences while also promoting shared civic values. It addresses including different religious and cultural perspectives in curricula and school events. It argues that educational opportunities should allow students to pursue what is distinctive about their own cultures and religions while also learning about and from others. This helps create a sense of social justice and tolerance within a shared civic life. The goal is for students to have opportunities to both view other cultures through a window and reflect upon their own culture through a mirror. Decision-making should validate all members of the learning community.
Resilience Essay Example (500 Words) - PHDessay.com. The Truth behind Resilience Essay Example | Topics and Well Written .... ⇉Emotional Resilience Essay Essay Example | GraduateWay. Formidable Resilience Essay ~ Thatsnotus. Resilience essay example - Resilience is the process of adapting well .... Resilience.writers. Resilience and the in individual (assignment 2 paper) Essay. Family Resiliency Assessment Essay Example | Topics and Well Written .... What Is Resilience? Free Essay Example. Resilience Exhibited in an Aspect of Your Life Essay Example .... Definition of Resilience Argumentative Essay on Samploon.com. (PDF) Resilience. Resilience going beyond an introduction. Developing Resilience as an educator.docx - Write an essay on the .... (PDF) What Is Resilience? A Short Introduction. Essay on Resilience: Why it important & how to develop it? (1400+ words .... The Definitions of Human Resilience Essay Example | Topics and Well .... Resilience essay - Get Help From Professional Term Paper Writing and .... Essay on resilience - Persuasive Reviews with Expert Writing Help. Essay – resilience - Grade: 70% - Discuss the concept of resilience .... Resilience Essay Example - Resilience Is The Process Of Adapting Well .... Developing Resilience In The Squad Army[ESSAY] - Resiliency requires .... School essay: Essay on resilience. Resilience Research Paper – EssayEmpire.
What Is Called Therapy? Towards a Unifying Theory of Therapy Based on the EventUniversité de Montréal
This presentation addresses the question, “What is called therapy?”
Echoes the question posed by Martin Heidegger (1954), Was heißt Denken? about the nature of thinking
Q: “What is called therapy?”
We will survey three topics to answer it:
I. Accidental therapy
II. What is called therapy?
III. Changing the subject
“Psychiatry and the Humanities”: An Innovative Course at the University of Mo...Université de Montréal
“Psychiatry and the Humanities”: An Innovative Course at the University of Montreal Expanding the medical model to embrace the humanities. Link: https://www.psychiatrictimes.com/view/-psychiatry-and-the-humanities-an-innovative-course-at-the-university-of-montreal
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.
More Related Content
Similar to "Dèyè chak timoun gen yon fanmi e yon kilti" - Behind Every Child Is A Family & A Culture: Cultural Family Therapy with Haitian Families - Rebâti Santé Mentale 3rd Haitian Mental Health Summit - Montréal, Québec - 30.05.2014
On the Threshold: Liminality versus Community in Immigrant Families in Therap...Université de Montréal
On the Threshold:
Liminality versus Community in Immigrant Families in Therapy
Using a model of cultural family therapy for working with immigrant children and families, the author reviews 25 years of practice in Canada’s two largest provinces, Ontario and Quebec, conducted in English and French. The author integrates cultural psychiatry and family therapy (McGill transcultural psychiatry and Milan systemic family therapy with elements of French ethnopsychiatry), to practice Cultural Family Therapy (CFT). Key features of CFT include recognizing families as unique cultures and immigrants as threshold people in transitional states. An overview of adaptation and its vicissitudes revealed in CFT is highlighted with brief clinical vignettes of selective mutism, eating disorders, and PTSD. The key theme that emerges from this review is liminality versus community. Many immigrant families in treatment are marked by a precarious balance between liminality and community with social isolation leading to marginalization. Although family members are differentially affected, the family’s level of adaptation often creates barriers to the healthy functioning of dependent members. The Canadian model of “multiculturalism” is contrasted to the Quebec model of “reasonable accomodations” and alternatives offered: “pluriculturalism” and “mutual accomodations.” Moving away from categories of pathology or identity fosters the study of adaptational problems among threshold people in transitional states.
Abstract word count: 197
Learning objectives
At the conclusion of this presentation the participant should be able to:
1. Understand a model of cultural family therapy and families as unique cultures
2. Recognize the dilemmas of liminality versus community in treating immigrant families
3. Demonstrate the limits of multiculturalism with increasing globalisation
Key words:
Cultural family therapy (CFT)
Families as unique cultures
Liminality versus community
Threshold people and transitional states
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).
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).
Child, Family & Social Psychiatric Perspectives on Forensic Psychiatry
International Forensic Psychiatry Lecture Series
McMaster University
February 2, 2023
Vincenzo Di Nicola
University of Montreal
Learning Outcomes
After this presentation, participants will be able to:
1. Appreciate how children’s developmental pathways interact with forensic issues in their lives and those of their families and caregivers.
2. Place forensic issues in a family context with a view to multigenerational attachment issues.
3. Employ an understanding of the social determinants of health and mental health (SDH/MH) and the pioneering studies on Adverse Childhood Experiences (ACE) in forensic cases.
DOI: 10.13140/RG.2.2.13896.80641
Family Matters: The Family as a Resource for the Mental, Social, and Relation...Université de Montréal
This document summarizes a presentation on the mental health and well-being of children from refugee, internally displaced persons, and migrant families. It discusses three lenses through which to view this issue: children and culture, children and trauma, and culture and trauma. It emphasizes that development, family, and culture are important factors to consider when working with traumatized children and families. The presentation also notes that the COVID-19 pandemic has created an "experimental childhood" for many children around the world by altering their development in unprecedented ways.
Cultural Family Therapy: Integrating Family Therapy with Cultural PsychiatryUniversité de Montréal
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.
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
Cultural Changelings: When Children and Adolescents Migrate Across CulturesUniversité de Montréal
This document provides an overview of a presentation on cultural changelings - children and youth who migrate across cultures. The presentation will examine the impact of culture change on psychiatric problems in children, using clinical examples of disorders like anorexia nervosa and trauma-related disorders. It will also explore therapeutic principles for working with children undergoing rapid culture change, highlighting the importance of understanding a child's cultural background and migration experience. Two clinical case studies will be presented to illustrate issues of traumatic memory and sequential traumatization in immigrant children.
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
Working with Traumatized Children and Families across Culture - McGill Univer...Université de Montréal
Institute of Community and Family Psychiatry
Sir Mortimer B. Davis Jewish General Hospital
McGill University
CAFT 601 Diversity in Couple and Family Therapy
16 May 2019
Title: Working with Traumatized Children and Families across Culture
Presenter: Vincenzo Di Nicola, MPhil, MD, FRCPC, DFAPA
Professor of Psychiatry, University of Montreal and The George Washington University
Abstract:
This presentation outlines a model of working with traumatized children and families across culture. When it comes to trauma in children, we need to address three basic questions:
(1) why development matters, (2) why family matters, and (3) why culture matters (Di Nicola,
1992, 1996, 1997, 1998, 2012a, 2012b, 2012c, 2018; Di Nicola & Song, forthcoming). These three aspects of children’s lives are reviewed as key critical contexts to understand the “sequential traumatizing” (Keilson, 1992) of young people as highlighted in two clinical vignettes. In the first vignette, “A Train of Traumas,” the layers of the trauma history of an immigrant child and his family from the Maghreb are teased out as an imbricated series of triggers across developmental, cultural and family predicaments that arise from the “exile situation” (Wenk-Anshohn, 2007). “The Memory Clinic,” the second vignette, revisits the story of an adolescent refugee from a war-torn country in the Middle East whose quest was to forget her trauma. Exposed first to civil war and the loss of her family, then arriving in Montreal as a refugee with her extended family where she was abused, this vignette presents issues about how to create the conditions for listening to the “trauma story” (Mollica, 2009) as enlightened witnesses and the emerging understanding of traumatic memory through identity narratives (Novac, et al, 2017). Together, these vignettes highlight the conditions required for the practice of “trauma-informed care” with children and families across culture.
Keywords: Sequential traumatisation, cultural family therapy, transcultural child psychiatry, trauma-informed care, identity narrative
Lessons for Young Therapists: Getting Started and Staying on Track in Your Ps...Université de Montréal
In these seven lessons for young therapists, a practising psychiatrist and psychotherapist with more than 40 years' experience surveys what therapy is about and how it works, from behaviour therapy and family therapy to psychodynamic psychotherapy. Ranging from what to read and how to begin therapy, the lessons cover therapeutic temperaments and technique, the myth of independence and individual psychology, the nature of change, the evolution of therapy, the search for meaning and relational ethics, and finally, when therapy is over.
Overview:
1. People come into therapy in order not to change - When does therapy begin?
2. Therapeutic temperaments - Who conducts therapy and why?
3. The family as a unique culture - Relational psychology and relational therapy.
4. Changing the subject - How does therapy work?
5. One hundred years of invisibility - The evolution of therapy from the 19th-century discovery of the unconscious to the 21st-century values of diversity, decolonization and change.
6. Making meaning - Making sense, technique, and doing good: Relational ethics.
7. "And on the seventh day, the Lord rested" - When therapy is over: The myth of closure, flow, and slowness in therapy.
This workshop integrates the author's model of working with families across cultures presented in "A Stranger in the Family: Families, Culture, and Therapy" (1997) and elaborated in his "Letters to a Young Therapist" (2011) with more recent work on trauma-informed therapy in "Trauma and Transcendence" (Capretto & Boynton, eds., 2018), and his "Slow thought manifesto" (2019).
Working with Traumatized Children and Families across Culture - UC - Irvine -...Université de Montréal
GRAND ROUNDS AT THE UNIVERSITY OF CALIFORNIA – IRVINE
UCI MEDICAL CENTER
APRIL 25, 2018
Title: Working with Traumatized Children and Families across Culture
Presenter: Vincenzo Di Nicola, MPhil, MD, FRCPC, DFAPA
Professor of Psychiatry, University of Montreal and The George Washington University
Abstract:
This presentation presents a model of working with traumatized children and families across culture. When it comes to trauma in children, we need to address three basic questions:
(1) why development matters, (2) why family matters, and (3) why culture matters (Di Nicola, 1992, 1996, 1997, 1998, 2012, 2018; Di Nicola & Song, forthcoming).
These three aspects of children’s lives are reviewed as key critical contexts to understand the “sequential traumatizing” (Keilson, 1992) of young people as highlighted in two clinical vignettes. In the first vignette, “A Train of Traumas,” the layers of the trauma history of an immigrant child and his family from the Maghreb are teased out as an imbricated series of triggers across developmental, cultural and family predicaments. “The Memory Clinic,” the second vignette, revisits the story of an adolescent refugee from a war-torn country in the Middle East whose quest was to forget her trauma. Exposed first to civil war and the loss of her family, then arriving in Montreal as a refugee with her extended family where she was abused, this vignette presents issues about how to create the conditions for listening to the “trauma story” (Mollica, 2009) as enlightened witnesses and the emerging understanding of traumatic memory through identity narratives (Novac, et al, 2017). Together, these vignettes highlight the conditions required for the practice of “trauma-informed care” with children and families across culture.
Keywords: Sequential traumatisation, cultural family therapy, transcultural child psychiatry, trauma-informed care, identity narrative
Learning Objectives:
The presentation will sensitize participants to appreciate basic questions about working with traumatized children and their families across culture to create trauma-informed care:
1. Why development matters – and how it changes the clinical presentation of trauma at different ages;
2. Why family matters – and how it creates models for the experience of trauma that attenuate or amplify both developmental neurobiology and sociocultural influences;
3. Why culture matters – and how it offers or limits the range of socially privileged perceptions and culturally sanctioned solutions.
This document provides an overview and summary of a presentation by Dr. Henry Doenlen on parenting Millennial children. It discusses key characteristics of Millennials such as being motivated, hard-working, and group-oriented. It also outlines factors that influenced Millennial development such as improvements in infant nutrition, increased focus on early brain growth, technology advances, and higher educational standards/expectations. The document summarizes adolescent brain development processes and challenges of parenting Millennial children, including the importance of listening without interrupting, focusing on areas of agreement, and appealing to ideas of fairness rather than authority.
The document provides an overview of topics covered in a cultural competency training for employees at House of New Hope, including defining culture, diversity issues, racism, understanding one's own culture and how it impacts parenting adopted children. It discusses the impact of cultural issues on adoptive placements and identity formation. Key components of culture are outlined such as religion, family roles, values, food and traditions. The document emphasizes that race, ethnicity and gender are innate, while culture is learned. It discusses avoiding ethnocentrism and not stereotyping others. Recognizing cultural differences in children and supporting their self-esteem and bicultural identity is emphasized.
This document summarizes a presentation by Dr. Chris E. Stout about his work establishing the Center for Global Initiatives (CGI) to promote humanitarian work by psychologists. It discusses CGI's projects in Tanzania, Bolivia, and Benin, which have improved healthcare access and education for thousands of people. Stout emphasizes that small, committed groups can enact meaningful change and encourages participants to take action now, rather than waiting, to make a positive impact through humanitarian work around the world.
This document summarizes a presentation by Dr. Chris E. Stout about his work establishing the Center for Global Initiatives (CGI) to promote humanitarian work by psychologists. It discusses CGI's projects in Tanzania, Bolivia, and Benin, which have improved healthcare access and education for thousands of people. Stout emphasizes that individual and small group actions can make a large impact, and encourages participants to start humanitarian projects now rather than waiting. CGI aims to support others in launching initiatives to address global health inequities through incubation, collaboration, facilitation, and education.
The document discusses research on the roles of gender and children in Mexican immigrant households settling in the United States. It summarizes findings from interviews that girls generally took on more responsibilities than boys in helping families adjust to new systems like schools, finances, employment, healthcare and legal/political matters. Children served as tutors, advocates and surrogate parents. The dominant American family ideology can shape expectations and experiences of Asian immigrant children by providing a contrasting standard of a "normal" family.
Ethics issues for administrators power point session #8.fa18.bbbruce.miller
The document discusses balancing educational opportunities that respect diversity and cultural differences while also promoting shared civic values. It addresses including different religious and cultural perspectives in curricula and school events. It argues that educational opportunities should allow students to pursue what is distinctive about their own cultures and religions while also learning about and from others. This helps create a sense of social justice and tolerance within a shared civic life. The goal is for students to have opportunities to both view other cultures through a window and reflect upon their own culture through a mirror. Decision-making should validate all members of the learning community.
Resilience Essay Example (500 Words) - PHDessay.com. The Truth behind Resilience Essay Example | Topics and Well Written .... ⇉Emotional Resilience Essay Essay Example | GraduateWay. Formidable Resilience Essay ~ Thatsnotus. Resilience essay example - Resilience is the process of adapting well .... Resilience.writers. Resilience and the in individual (assignment 2 paper) Essay. Family Resiliency Assessment Essay Example | Topics and Well Written .... What Is Resilience? Free Essay Example. Resilience Exhibited in an Aspect of Your Life Essay Example .... Definition of Resilience Argumentative Essay on Samploon.com. (PDF) Resilience. Resilience going beyond an introduction. Developing Resilience as an educator.docx - Write an essay on the .... (PDF) What Is Resilience? A Short Introduction. Essay on Resilience: Why it important & how to develop it? (1400+ words .... The Definitions of Human Resilience Essay Example | Topics and Well .... Resilience essay - Get Help From Professional Term Paper Writing and .... Essay on resilience - Persuasive Reviews with Expert Writing Help. Essay – resilience - Grade: 70% - Discuss the concept of resilience .... Resilience Essay Example - Resilience Is The Process Of Adapting Well .... Developing Resilience In The Squad Army[ESSAY] - Resiliency requires .... School essay: Essay on resilience. Resilience Research Paper – EssayEmpire.
What Is Called Therapy? Towards a Unifying Theory of Therapy Based on the EventUniversité de Montréal
This presentation addresses the question, “What is called therapy?”
Echoes the question posed by Martin Heidegger (1954), Was heißt Denken? about the nature of thinking
Q: “What is called therapy?”
We will survey three topics to answer it:
I. Accidental therapy
II. What is called therapy?
III. Changing the subject
Similar to "Dèyè chak timoun gen yon fanmi e yon kilti" - Behind Every Child Is A Family & A Culture: Cultural Family Therapy with Haitian Families - Rebâti Santé Mentale 3rd Haitian Mental Health Summit - Montréal, Québec - 30.05.2014 (20)
“Psychiatry and the Humanities”: An Innovative Course at the University of Mo...Université de Montréal
“Psychiatry and the Humanities”: An Innovative Course at the University of Montreal Expanding the medical model to embrace the humanities. Link: https://www.psychiatrictimes.com/view/-psychiatry-and-the-humanities-an-innovative-course-at-the-university-of-montreal
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.
The Social Determinants of Health – Social Psychiatry’s Basic ScienceUniversité de Montréal
Psychiatric Times
Home page teaser: From populations to patients.
Column: Second Thoughts
Link: https://www.psychiatrictimes.com/view/-the-web-of-meaning-family-therapy-is-social-psychiatrys-therapeutic-branch
The Social Determinants of Health – Social Psychiatry’s Basic Science
May 29, 2024
Vincenzo Di Nicola, MPhil, MD, PhD, FCAHS, DLFAPA, DFCPA
No disciple of the wise may live in a city that does not have a physician, a surgeon, a bathhouse, a lavatory, a source of water, a synagogue, a school teacher, a scribe, a treasurer of charity funds for the poor, a court that has authority to punish.
—Moses Maimonides1
In this column, I want to highlight our first, foundational branch of social psychiatry – psychiatric epidemiology and public mental health by focusing on the Social Determinants of Health (SDoH). I consider SDoH the basic science of social psychiatry.
Psychiatric Times
Home page teaser: Embracing movement as theory
Column: Second Thoughts
Link: https://www.psychiatrictimes.com/view/migration-maps-of-meaning-maps-of-belonging
Migration – Maps of Meaning, Maps of Belonging
May 22, 2024
Vincenzo Di Nicola, MPhil, MD, PhD, FCAHS, DLFAPA, DFCPA
The migrant has become the political figure of our time.
– Thomas Nail, The Figure of the Migrant
Migration. A hot topic in politics with implications for economics, education and housing, and not the least for global health and mental health. With passionate debates about the US southern border, the porous border between North Africa and southern Europe, claims about migration motivated the referendum that led to Britain leaving the European Union (“Brexit”), while European countries from Hungary to the Netherlands elected anti-immigrant leaders. And let’s not forget about massive internal migrations such as Brazil experienced in the 20th century and the flow of refugees from war, crime and famine all over the world, with Ukraine, the Middle East, and Haiti in the headlines, to name just three places.
In this column, I want to move away from the polarizing and unproductive politics of migration to talk about human migration through three different lenses: (1) my work with refugees and migrants as a social and cultural psychiatrist; (2) how literature can illuminate the human stories behind migrations; and finally, (3) American philosopher Thomas Nail’s bold new theory of migration and mobility, offering a kinopolitics and kinopsychology along with a veritable “ontology of motion” with his masterwork, Being and Motion.
Psychiatric Times Home page teaser:
Experience is an end in itself, not measured in time or goals.
Column: "Second Thoughts ... About Psychiatry, Psychology and Psychotherapy"
Link: https://www.psychiatrictimes.com/view/slow-thought-in-a-fast-city
Slow Thought in a Fast City
May 15, 2024
Vincenzo Di Nicola, MPhil, MD, PhD, FCAHS, DLFAPA, DFCPA
“The Trouble with Normal”: Reading 2 Canadian Bestsellers - Gabor Maté’s "The...Université de Montréal
This column in my series, "Second Thoughts" in Psychiatric Times reviews the books and careers of 2 Canadian bestselling public intelectuals - Jordan Peterson and Gabor Maté
I am writing this column in Marrakesh, Morocco where I am participating in the 20th World Congress of Dynamic Psychiatry, which took place from April 16-20th, 2024, sponsored by the World and the Moroccan Associations of Dynamic Psychiatry. And isn’t that a story in itself? Psychoanalysis and psychodynamic psychiatry once so powerfully present in the USA and the Global North are now being rescued and reinvigorated beyond their cloistered institutes by the Global South in psychiatric and psychological practices as well as in academic departments.
Émile Nelligan - poète québécois, pris entre deux solitudes : la poèsie et la...Université de Montréal
Cette présentation passe en revue le cas d’Émile Nelligan, le poète le plus célèbre du Québec et le patient le plus célèbre de l’Hôpital St-Jean de Dieu (aujourd’hui l’Institut universitaire en santé mentale de Montréal) dont nous fêtons le 150e anniversaire. Nous retraçons le parcours de Nelligan en tant que prodige poétique jusqu’à son internée dans un asile de Montréal, tout cela avant qu’il n’ait 20 ans. Les arguments sont examinés pour Nelligan en tant qu’étude de cas de la tension entre la psychiatrie et l’antipsychiatrie ; les déterminants développementaux, familiaux et sociaux de la santé mentale ; sa vie et sa maladie en tant que personne liminale vue à travers la psychiatrie culturelle ; la relation entre la créativité et la folie ; la société québécoise déchirée entre « deux solitudes » de la culture et de la langue française et anglaise et perçue comme répressive.
This column approaches trauma from three perspectives-child and family psychiatry, trauma-informed care, and social psychiatry and philosophy. The tragedy of King Lear is briefly introduced as the framework for understanding tragedy and trauma. In closing, I argue for a nuanced approach to trauma that is selective but responsive to the ruptures that create trauma and tragedy in our lives.
"You do me wrong to take me out o' the grave. Thou art a soul in bliss; but I am bound Upon a wheel of fire, that mine own tears Do scald like molten lead."
- King Lear, Act IV, sc 7
Sin Magia ni Maestros: Para las prácticas sistémicas y sociales mexicanasUniversité de Montréal
Es hora de que los terapeutas y activistas sociales mexicanos sigan esperando mejores prácticas mientras aceptan los límites de los modelos importados. Ya es hora de que los mexicanos formen a sus propios líderes a través de su propia pedagogía produciendo nuevas soluciones a sus propios problemas, sin magia ni maestros foráneos o locales.
This is a follow-up to my first column in Psychiatric Times on "The Gaza-Israel War: 'A Major Poetic Emergency.'" That emergency has become a full-blown crisis cascading into a catastrophe. There are two sides, multiple competing allegiances, many losers, and no winners.
Polarization: On the Threshold between Political Ideology and Social RealityUniversité de Montréal
This is my 4th column in my new series in Psychiatric Times, "Second Thoughts About ... Psychiatry, Psychology and Psychotherapy" This column is about polarization in social and political life and the slippery slope from what is to what ought to be, from facts to values.
https://www.psychiatrictimes.com/view/polarization-on-the-threshold-between-political-ideology-and-social-reality
“The Web of Meaning” – Family Therapy is Social Psychiatry’s Therapeutic BranchUniversité de Montréal
My third column in the series, "Second Thoughts ... About Psychiatry, Psychology, and Psychotherapy" in Psychiatric Times is called, “The Web of Meaning”: Family Therapy is Social Psychiatry’s Therapeutic Branch and explores family therapy as one of the three branches of social psychiatry
Against “The Myth of Independence” – For a More Convivial and Interdependent...Université de Montréal
Psychiatric Times
Column: Second Thoughts
Link: https://www.psychiatrictimes.com/view/against-the-myth-of-independence-for-a-more-convivial-and-interdependent-society
Against “The Myth of Independence” – For a More Convivial and Interdependent Society
March 27, 2024
Vincenzo Di Nicola, MPhil, MD, PhD, FCAHS, DLFAPA, DFCPA
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.2.2.32192.14086
Social Psychiatry Comes of Age - Inaugural Column in Psychiatric TimesUniversité de Montréal
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
“Atado a una rueda de fuego”: Reflexiones sobre una vida en los estudios de t...Université de Montréal
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"
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
From Populations to Patients: Social Determinants of Health & Mental Health i...Université de Montréal
Abstract:
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
Borders, Belonging, and Betrayals: A Poetic Conversation Among a Palestinian ...Université de Montréal
Borders, Belonging, and Betrayals: A Poetic Conversation Among a Palestinian Israeli Psychologist, an Italian Canadian Psychiatrist, and a Canadian United Church Pastor in a Time of War
Psychiatric Times Magazine
Vincenzo Di Nicola, MPhil, MD, PhD, FCAHS
H. Steven Moffic, MD
November 20, 2023
https://www.psychiatrictimes.com/view/the-gaza-israel-war-a-major-poetic-emergency
The Gaza-Israel War: “A Major Poetic Emergency”
A Poetic Conversation Among a Palestinian Israeli Psychologist, an Italian Canadian Psychiatrist, and a Canadian United Church Pastor in a Time of War
November 20, 2023
Vincenzo Di Nicola, MPhil, MD, PhD, FCAHS
H. Steven Moffic, MD
Columnist’s Introduction
Get ready for something unique and extraordinary, more than I even could have wished for! It
caught my breath and brought me to tears. Take these lines from Dr. Di Nicola’s piece:
· “Not poetry of war, but poetry of life.”
· “The words I might have spoken are now a choking silence as I think of you and your loved ones, of all the families and remnants of families, trapped within the maelstrom.”
...
Now we have another most moving example, full of depth, involving a Jewish psychiatrist,
a Palestinian Israeli psychologist, and a Christian pastor, all also poets. In an earlier parallel process, over the last few years I’ve been involved in editing books on Islamophobia, Anti-Semitism, Christianity and Psychiatry (all for Springer). If I imagined those volumes talking to one another, I would wish it would be in an interaction just like these writers have had—a reflection of their religions, professions, and themselves at their very best complementary essence.
Lecture 6 -- Memory 2015.pptlearning occurs when a stimulus (unconditioned st...AyushGadhvi1
learning occurs when a stimulus (unconditioned stimulus) eliciting a response (unconditioned response) • is paired with another stimulus (conditioned stimulus)
Histololgy of Female Reproductive System.pptxAyeshaZaid1
Dive into an in-depth exploration of the histological structure of female reproductive system with this comprehensive lecture. Presented by Dr. Ayesha Irfan, Assistant Professor of Anatomy, this presentation covers the Gross anatomy and functional histology of the female reproductive organs. Ideal for students, educators, and anyone interested in medical science, this lecture provides clear explanations, detailed diagrams, and valuable insights into female reproductive system. Enhance your knowledge and understanding of this essential aspect of human biology.
Osteoporosis - Definition , Evaluation and Management .pdfJim Jacob Roy
Osteoporosis is an increasing cause of morbidity among the elderly.
In this document , a brief outline of osteoporosis is given , including the risk factors of osteoporosis fractures , the indications for testing bone mineral density and the management of osteoporosis
Kosmoderma Academy, a leading institution in the field of dermatology and aesthetics, offers comprehensive courses in cosmetology and trichology. Our specialized courses on PRP (Hair), DR+Growth Factor, GFC, and Qr678 are designed to equip practitioners with advanced skills and knowledge to excel in hair restoration and growth treatments.
- Video recording of this lecture in English language: https://youtu.be/Pt1nA32sdHQ
- Video recording of this lecture in Arabic language: https://youtu.be/uFdc9F0rlP0
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Cell Therapy Expansion and Challenges in Autoimmune DiseaseHealth Advances
There is increasing confidence that cell therapies will soon play a role in the treatment of autoimmune disorders, but the extent of this impact remains to be seen. Early readouts on autologous CAR-Ts in lupus are encouraging, but manufacturing and cost limitations are likely to restrict access to highly refractory patients. Allogeneic CAR-Ts have the potential to broaden access to earlier lines of treatment due to their inherent cost benefits, however they will need to demonstrate comparable or improved efficacy to established modalities.
In addition to infrastructure and capacity constraints, CAR-Ts face a very different risk-benefit dynamic in autoimmune compared to oncology, highlighting the need for tolerable therapies with low adverse event risk. CAR-NK and Treg-based therapies are also being developed in certain autoimmune disorders and may demonstrate favorable safety profiles. Several novel non-cell therapies such as bispecific antibodies, nanobodies, and RNAi drugs, may also offer future alternative competitive solutions with variable value propositions.
Widespread adoption of cell therapies will not only require strong efficacy and safety data, but also adapted pricing and access strategies. At oncology-based price points, CAR-Ts are unlikely to achieve broad market access in autoimmune disorders, with eligible patient populations that are potentially orders of magnitude greater than the number of currently addressable cancer patients. Developers have made strides towards reducing cell therapy COGS while improving manufacturing efficiency, but payors will inevitably restrict access until more sustainable pricing is achieved.
Despite these headwinds, industry leaders and investors remain confident that cell therapies are poised to address significant unmet need in patients suffering from autoimmune disorders. However, the extent of this impact on the treatment landscape remains to be seen, as the industry rapidly approaches an inflection point.
Travel vaccination in Manchester offers comprehensive immunization services for individuals planning international trips. Expert healthcare providers administer vaccines tailored to your destination, ensuring you stay protected against various diseases. Conveniently located clinics and flexible appointment options make it easy to get the necessary shots before your journey. Stay healthy and travel with confidence by getting vaccinated in Manchester. Visit us: www.nxhealthcare.co.uk
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotesPsychoTech Services
A proprietary approach developed by bringing together the best of learning theories from Psychology, design principles from the world of visualization, and pedagogical methods from over a decade of training experience, that enables you to: Learn better, faster!
5-hydroxytryptamine or 5-HT or Serotonin is a neurotransmitter that serves a range of roles in the human body. It is sometimes referred to as the happy chemical since it promotes overall well-being and happiness.
It is mostly found in the brain, intestines, and blood platelets.
5-HT is utilised to transport messages between nerve cells, is known to be involved in smooth muscle contraction, and adds to overall well-being and pleasure, among other benefits. 5-HT regulates the body's sleep-wake cycles and internal clock by acting as a precursor to melatonin.
It is hypothesised to regulate hunger, emotions, motor, cognitive, and autonomic processes.
Post-Menstrual Smell- When to Suspect Vaginitis.pptx
"Dèyè chak timoun gen yon fanmi e yon kilti" - Behind Every Child Is A Family & A Culture: Cultural Family Therapy with Haitian Families - Rebâti Santé Mentale 3rd Haitian Mental Health Summit - Montréal, Québec - 30.05.2014
1. Dèyè Chak Timoun 1
Rebâti Santé Mentale:
3rd Haitian Mental Health Summit
Collaborative Care for Mental Health
in Haiti and the Diaspora:
Culturally Sensitive Solutions for
Wellness Across the Lifespan
3. Dèyè Chak Timoun 3
Rebâti Santé Mentale :
3ème Conférence sur la Santé Mentale
en Haïti
Soins collaboratifs en santé mentale
en Haïti et la diaspora :
Solutions adaptées à la réalité culturelle
pour le bien-être tout au long de la vie
5. Dèyè Chak Timoun 5
Dèyè Chak Timoun Gen Yon Fanmi e Yon Kilti
Behind Every Child Is A Family & A Culture:
Cultural Family Therapy
with Haitian Families
Vincenzo Di Nicola
Maisonneuve-Rosemont Hospital
University of Montreal
6. Dèyè Chak Timoun 6
Dèyè Chak Timoun Gen Yon Fanmi e Yon Kilti
Derrière chaque enfant on retrouve une famille et une culture :
La thérapie familiale culturelle
avec les familles haïtiennes
Vincenzo Di Nicola
Hôpital Maisonneuve-Rosemont
Université de Montréal
7. Dèyè Chak Timoun 7
Vincenzo Di Nicola
MPhil, MD, PhD, FRCPC, FAPA
Chef du Service de pédopsychiatrie, HMR
Chief of Child & Adolescent Psychiatry, HMR
Professeur titulaire de psychiatrie, Université de Montréal
Professor of Psychiatry, University of Montreal
9. 9
Dèyè Chak Timoun
Learning Objectives
1. To identify the challenges and rewards of working with Haitian
children and families in cultural transition.
2. To present a model for conducting Cultural Family Therapy with
families in cultural transition, adapting to living in Montreal.
3. To sensitize clinicians of the need for cultural understanding and
review the clinical tools available to guide practitioners in their work
across cultures.
10. 10
Dèyè mon, gen mon.
Behind the mountain, there are mountains.
—Haitian proverb
Dèyè Chak Timoun
11. 11
Dèyè Chak Timoun
Short Abstract: “Dèyè Chak Timoun”
• Working with children and families across cultures during periods of
cultural transition is a complex and challenging task requiring
knowledge of children’s growth and change in their culture of origin
and their host culture.
• Vignettes of children from Haitian families in Montreal experiencing
mental health problems are presented.
• The features of the author’s model of Cultural Family Therapy (CFT)
are outlined to demonstrate its responsiveness to the task of working
with children across cultures.
12. 12
Dèyè Chak Timoun
I: “Looking Across at Growing Up”
• Working with children and their families across cultures,
especially during periods of cultural transition,
is a complex and challenging task
requiring knowledge of children’s normal growth and
change under stable circumstances in their culture of
origin and their host culture as well as their adapational
difficulties across cultures.
13. 13
Dèyè Chak Timoun
II: “A 3-Sided Puzzle” – Kids, Families, Culture
• While child specialists often express interest in families,
differential rates of cultural adaptation among the
members of a family confound the perception and origins
of children’s problems.
14. 14
Dèyè Chak Timoun
II: “A 3-Sided Puzzle” – Kids, Families, Culture
• Moreover, the difficulties of adaptation during times of
cultural transition are inadequately conceptualized, poorly
documented, and often trivialized as transitional problems
of adaptation or ignored altogether under the rubric of
youthful “resilience.”
15. 15
Dèyè Chak Timoun
II: “A 3-Sided Puzzle” – Kids, Families, Culture
• In the vocabulary of psychology, psychiatry and other health
care discourses, these problems can be summed up through
three complex lenses, a veritable 3-sided puzzle:
o children (development)
o family (attachment, relationships, transmission)
o culture (the context for the first enculturation and
subsequent acculturations of children)
• Remember that behind every child is a family and a culture!
17. 17
III: Clinical Vignette –
Culturally Different, Crazy or Confused?
Dèyè Chak Timoun
• The author offers an overview of Haitian families in Montreal
experiencing serious mental health problems.
• A clinical vignette highlights a Haitian adolescent coping with psychosis
and trauma.
• The challenges of identifying patterns of cultural adaptation with these
children are identified as are the requirements for an approach that is
sensitive to all three crucial aspects of their predicaments—healthy
growth, family relationships and cultural adaptation.
18. 18
Key Theme: Liminality vs Community
• Victor Turner: The Ritual Process
Liminality – « betwixt and between »
• Jean-Luc Nancy – La Communauté désoeuvrée (1983) –
The Inoperative Community (1986)
"The community that becomes a single thing (body, mind, fatherland,
Leader) ... necessarily loses the in of being-in-common.
Or, it loses the with or the together that defines it. It yields its being-together
to a being of togetherness. The truth of community, on the
contrary, resides in the retreat of such a being."
Dèyè Chak Timoun
19. 19
Key Theme: Liminality vs Community
• Giorgio Agamben – La comunità che viene (1990) –
The Coming Community (1993)
La Communauté à venir (1990)
Dèyè Chak Timoun
A philosopher of the threshold – he has written on indeterminate being,
infancy, potenza, potentiality
20. Dèyè Chak Timoun 20
L’enfance est un
couteau planté dans la
gorge. On ne le retire
pas facilement.
- Wajdi Mouawad
dramaturge
21. 21
Maya: A Cultural Changeling
Behind every child
is a family and a culture.
Adolescent – 16 years
Ambiguous, ambivalent, fluctuating identity
Charming/attachante
Dèyè Chak Timoun
22. 22
Maya: A Cultural Changeling
Culture
• Haiti (parents)
• USA (born in Miami)
• Montreal (since age of 10)
Dèyè Chak Timoun
23. 23
Maya: A Cultural Changeling
Culture: Identity vs Belonging
• Haiti
• USA
• Montreal
Dèyè Chak Timoun
“I’m American”
or
“I’m bisexual”
Maya lives an ongoing process of change,
adaptation, change …
24. 24
Maya: A Cultural Changeling
Family Culture
Dèyè Chak Timoun
• Haitienne/“American”/québecoise
• Mother: older, single parent, déracinée
• Evangelical Christian who reads the Bible daily
• Bible reading and prayer are sources of comfort and
healing
25. 25
Maya: A Cultural Changeling
School, Social and Health Care Services
• School:
Équipe ad hoc / “Ad hoc team” (en français)
• Social services:
CLSC team – SMJ – Santé mentale jeunes –
Youth Mental Health (en français, anglais et créole)
• Health care services:
Child & Adolescent Psychiatry (ER, Outpatient, Inpatient)
(en français, anglais, créole)
Dèyè Chak Timoun
26. 26
Collaborative Care
Collaborative mental health care refers to a family physician or other
primary care provider working together with a psychiatrist or other
mental health worker in a mutually supportive partnership.
The responsibilities of care are shared and apportioned according to the
respective skills of the providers and the (changing) treatment needs
of the patient.
– Nick Kates (2009)
27. 27
Maya: Psychiatric Diagnoses
Outpatient Psychiatry:
•Dx Deferred – no evidence of psychotic disorder or ODD
•Parent-child relationship problem
•Possible search for sexual identity
Inpatient Psychiatry:
•Schizophreniform Disorder
•Borderline intellectual functioning
Neuropsychology:
•Dyslexia,
•Language Acquisition Disorder
Speech Therapy:
•Severe language disorder
Dèyè Chak Timoun
28. 28
Maya: Psychiatric Diagnosis
Family
Narratives of suffering,
Beliefs, rituals
• “Psychiatric problems
belong in the asylum”
• Prayer and Bible reading
are healing
Culture
Explanatory models
• Haitian Creole culture
• Religion
Dèyè Chak Timoun
29. 29
Maya: Predicament
Family Culture
Cultural
translation
• Haiti (parents)
• Miami (birth)
• Montreal
(since age of 10)
Dèyè Chak Timoun
Therapeutic
Therapeutic
translation
• Parent-child
conflict
• Attribution re:
illness and
recovery
• Alien and alienating
symptoms
• Lack of insight in
psychosis:
• unawareness
• misattribution
30. 30
Maya: Predicament
Dèyè Chak Timoun
Therapeutic Translation
“The Kraepelinian paradigm encouraged an ‘us’ and ‘them’
distinction between the mad and the sane ... [yet] we are
mad to varying degrees, ... the boundaries of madness are
subject to negotiation, and ... some of us get on very well
despite being (in psychiatric terms) quite psychotic for much
of the time.”
– Richard Bentall, Madness Explained (2004, p. 496)
31. 31
Maya: Predicament
Dèyè Chak Timoun
Therapeutic Translation
There are two sources for this paradigm ...
• Emil Kraepelin’s categorical classification, and
• Karl Jaspers’ phenomenological psychiatry which
established psychosis as ununderstandable due to an
unbridgeable empathic chasm between psychiatrist and
psychotic patient
32. 32
Maya: Predicament
Dèyè Chak Timoun
Therapeutic Translation
“[T]he trouble is, you want to cure hallucinators, whereas I
want to liberate them. I think they are like homosexuals in
the 1950s – in need of liberation, not cure.”
“[W]hy not help some psychotic people just to accept that they
are different from the rest of us? Fear of madness may be a
much bigger problem than madness itself.”
– Richard Bentall, Madness Explained (2004, p. 511)
35. 35
IV: “Cultural Family Therapy”
Dèyè Chak Timoun
• The features of Cultural Family Therapy (CFT) are outlined to
demonstrate its responsiveness to the complex task of working with
children across cultures.
• Key clinical tools of CFT are summarized to guide practitioners.
• The presentation concludes with a summary of gaps in current
thinking and practice in working with children across cultures and a
call for more studies of children in cultural transition.
36. 36
Family therapy is the starting point
for the study of ever wider social units.
—Mara Selvini Palazzoli (1974)
Dèyè Chak Timoun
Family Therapy
37. 37
Family Therapy
Dèyè Chak Timoun
• Family therapy is the space that we open
to explore the possibilities of the family
38. 38
Family Therapy Interventions
Family therapists do three simple things:
• enhance uncertainty
• introduce novelty, and
• encourage diversity
(Di Nicola, 1997)
Dèyè Chak Timoun
39. 39
Cultural Family Therapy (CFT)
An integration of cultural psychiatry
(McGill social and transcultural psychiatry
with elements of French ethnopsychiatry)
and family therapy
Dèyè Chak Timoun
(Milan systemic family therapy with Bakhtin’s dialogism and
Andersen’s reflecting team)
40. Soins partagés en pédopsychiatrie 40
Key Features of CFT
• Recognizing families as unique cultures
• Immigrants as threshold people in transitional states
41. 41
Elements of CFT
Milan family therapy: Positive connotation
Andersen: Reflecting team
Nathan: Bombardement sémantique
Bakhtin: Dialogism
Lévinas: Face-to-face encounter
Dèyè Chak Timoun
44. 44
Transcultural child psychiatry –
What “changelings” can teach us
• “Changelings” – Defining transcultural child psychiatry
• “Cultural blindspots” – Gaps in current thinking and practice in
working with children across cultures
• “On the threshold” – A call for more studies of
children in cultural transition.
Dèyè Chak Timoun
45. 45
“Cultural Blindspots”
Dèyè Chak Timoun
“Cultural blindspots” – Gaps in current thinking and practice in working
with children across cultures
• “Scotomata” –
Minimizing/denying/misunderstanding cultural differences
• “Cultural camouflage” –
Attributing to culture what is better explained by individual or family
levels of functioning
46. 46
“On the Threshold”
Dèyè Chak Timoun
“On the threshold” – A call for more studies of children in cultural
transition
• Culture change means a change of language, values, routines and
recipes for living, including how problems are experienced,
understood and communicated and what solutions are socially
sanctioned and culturally acceptable
• Children are especially vulnerable to such changes because they
rarely make the choice to change culture and are dependent on their
families whose members experience their own adaptational
challenges
47. 47
Conclusion: Après-coup
• Nachträglich - deferred action – Freud
• Après-coup – Jacques Lacan
Dèyè Chak Timoun
A chronologically anterior event as supplement to a
posterior one
48. 48
Conclusion: Après-coup
• Après-coup – Jacques Lacan
Dèyè Chak Timoun
A chronologically anterior event as supplement to a posterior one
What has always troubled me about “King Lear” is that Shakespeare
gives his characters no past. In “Ran,” I have tried to give Lear a
history.
—Akira Kurosawa
Examples: Film or novel “prequels” that fill in the backstory of the
characters
49. 49
Conclusion: Therapy as Après-coup
• CFT can be understood as “après-coup”
Dèyè Chak Timoun
Understanding cultural context, which means going
into the “backstory” of persons to elucidate their
predicaments, creates this paradox – what happened
“before” is a supplement to what is happening now.
50. 50
Defining Transcultural Child Psychiatry
At the crossroads of 3 domains:
• Mental health
• Developmental studies
• Social and cultural sciences
Dèyè Chak Timoun
51. 51
Defining Transcultural Child Psychiatry
Domains
• Psychiatry
• Developmental studies
• Social and cultural
sciences
Discipline
Child Psychiatry
Dèyè Chak Timoun
52. 52
Defining Transcultural Child Psychiatry
Domains
• Psychiatry
• Developmental studies
• Social and cultural
sciences
Dèyè Chak Timoun
Discipline
Social and Transcultural
Psychiatry
McGill University – 1950s and
1960s
53. 53
Defining Transcultural Child Psychiatry
Domains
• Psychiatry
• Developmental studies
• Social and cultural
sciences
Discipline
Culture-inclusive
developmental
psychology
Dèyè Chak Timoun
Jaan Valsiner (1987, 1989)
54. 54
Defining Transcultural Child Psychiatry
Domain
• Psychiatry
• Developmental studies
• Social and cultural
sciences
Dèyè Chak Timoun
Discipline
Transcultural Child
Psychiatry
McGill Conference – 1991
Di Nicola (1992)
55. 55
Defining Transcultural Child Psychiatry
TCP is a field of study
that poses developmental questions
about child and adolescent mental health
in the context of culture
– Di Nicola (1992)
Dèyè Chak Timoun
57. 57
References / Bibliographie
Culture, Families and Therapy
• Di Nicola, V.F. Le Tiers-monde à notre porte : Les immigrants et la
thérapie familiale, Systèmes Humains, 1(3), 1985, p. 39-54.
• Di Nicola, V.F. (1992). De l’enfant sauvage à l’enfant fou : A
prospectus for transcultural child psychiatry. In Grizenko, N., et al.
(éd.), Transcultural issues in child psychiatry (pp.. 7-53). Montréal,
Éditions Douglas.
• Di Nicola, V. (1996). Ethnocultural aspects of PTSD and related stress
disorders among children and adolescents. In A. J. Marsella, M.
Friedman, E. Gerrity, & R. Scurfield (Eds.), Ethnocultural aspects of
posttraumatic stress disorder: Issues, research, and clinical
applications (pp. 389-414). Washington, DC: APA Press.
58. 58
References / Bibliographie
• Di Nicola, V. (1997). A stranger in the family: Culture, families and
therapy. New York, NY and London, UK: W.W. Norton & Co.
• Di Nicola, V. (1998b). Children and families in cultural transition. In S.
O. Okpaku, ed., Clinical methods in transcultural psychiatry (pp. 365-
390). Washington, DC: American Psychiatric Press.
• Di Nicola, V. (2004). Famiglie sulla soglia. Città invisibili, identità
invisibili. In Maurizio Andolfi (ed.), Famiglie immigrate e psicoteraopia
transculturale (pp. 34-47). Milano: FrancoAngeli.
59. 59
References / Bibliographie
• Di Nicola, V. (2011). Letters to a young therapist: Relational practices
for the coming community. New York and Dresden: Atropos Press.
• Di Nicola, V. (2012). Family, psychosocial, and cultural determinants of
health. In Sorel, Eliot, ed., 21st Century global mental health (pp. 119-
150). Burlington, MA: Jones & Bartlett Learning.
60. 60
References / Bibliographie
Collaborative Care
• Craven M, Bland R. Better practices in collaborative mental health
care: an analysis of the evidence base. Can J Psychiatry. 2006; 51(6) :
S7-S72.
• Doherty W. The why’s and levels of collaborative family health care.
Family Systems Medicine. 1995; 13(3-4) : 275-81.
• Kates N. Shared/collaborative mental health care. In JS Leverette, GS
Hnatko & E Persad, eds., Approaches to Postgraduate Education in
Psychiatry in Canada: What Educators and Residents Need to Know.
Ottawa: Canadian Psychiatric Association, 2009, pp. 183-197.
• Kates N, Craven M, Bishop J, et al. Shared mental health care in
Canada: the way ahead. Can J Psychiatry. 1997; 42(8) : 809-812.