Research Strategies, Structural Alterations and Clinically Applied Anthropology

Weidman, Hazel H.

doi:10.1007/978-94-010-9180-0_8

Cited by 13 publications

(4 citation statements)

References 10 publications

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“…The potential for the failure of therapeutic intervention through inadvertent insult or creating additional stress makes it imperative that therapists working across cultures familiarize themselves with the nature of the cultural context of their patients. The use of competent ethnic assistants or consultants (sometimes called "cultural brokers") may serve to aid the process of intervention (Weidman, 1982). The small number of modern studies that have been done to learn about the emotional and social effects of polygamous families on the children means that there is insufficient information to create adaptable models for effective therapeutic intervention across cultures.…”

Section: Resultsmentioning

confidence: 99%

Family Therapy with a Multiparental/Multispousal Family

Al‐Krenawi

1998

Family Process

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This article examines therapy with a Bedouin-Arab family from the Negev, Israel, which consisted of 69 members: a husband, 8 wives, and 60 siblings. The husband, who lived with his youngest wife, paid little attention to his other wives and their children. There was considerable competition, hostility, and jealousy among the wives; no communication between the co-wives or the children of different wives; and a variety of behavioral and psychosocial problems among family members. I describe the varied strategies and systems involved in family therapy. The main strategies were to establish good relationships among the co-wives and to build a coalition among them, including the youngest wife, through group therapy in a medical clinic. A secondary strategy was using the children's problems to get the husband involved in the therapy. With improvement of the children's functioning, and with reduced intra-subfamily hostility, the husband's relationships with his children and wives improved.

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Section: Resultsmentioning

confidence: 99%

Family Therapy with a Multiparental/Multispousal Family

Al‐Krenawi

1998

Family Process

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“…Nurses often translate biologically based disease signs for the "family-as-patient" and mediate subjective accounts of symptoms so they are not treated solely as phenomenon to be translated into the equivalent names of diseases or syndromes (50). The cultural broker role, nevertheless, can place the nurse at the margins of both the health care professional and the patient community cultures (51).…”

Section: Nursing Culturementioning

confidence: 99%

Symptoms as Meaningful “Family Culture” Symbols in Palliative Care

Lobchuk

Stymeist

1999

J Palliat Care

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Symptoms as Meaningful Tamily Culture" Symbols in Palliative Care unpleasant sensations that arise from an interference with or a departure from normal function, sensation, or appearance. However, these are not directly observable by another person (7,8). The obscure intrapersonal nature of symptoms is revealed in findings where symptoms are not necessarily reported as distressing by patients despite their "frequent" or "severe" occurrence (9). The mere naming of symptoms as "severe" or "frequent" is not adequate in understanding symptom experiences (10). In accordance with Rhodes and Watson's (8) formulation of symptom experience, severity and frequency are elements of "symptom occurrence", which is one underlying component of a wider symptom experience phenomenon. The second component of symptom experience is "symptom distress", which is described as how the symptom makes the individual feel versus how the symptom is experienced, as in severity or frequency. Symptom distress is a phenomenological experience that reflects one's subjective or personal meaning of the illness symptom; it is often influenced by the everyday life context of, for example, one's family cultural patterns, values, and orientations to health and illness (11). Understanding the meaning of symptom events in palliative care therefore requires a broad symptom model that can guide therapeutic responses in providing relief from the occurrence and distress arising from symptoms. According to the University of California at San Francisco (UCSF) School of Nursing Symptom Management Group's symptom management model, symptom experiences are comprehended on three dimensions (12). First, the patient's "perception of a symptom" dimension is depicted as the patient's awareness and cognitive interpretation of a deviation from normal behavior that is embedded in and interacts with contextual demographic, sociocultural, and health/illness factors. The second dimension is the "evaluation of the symptom". Evaluation of symptoms is characterized by elements of the symptom occurrence component of symptom experience (e.g, intensity, location, duration,

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“…During this period, she enacted multiple roles. One role was that of “culture broker,” which Weidman (1982) described as encouraging “behavior by health professionals which theoretically should lead to greater success for the clinician and a better outcome for the patient” ( p. 211 ). Weidman proposed that this was accomplished by determining divergent health beliefs and practices that influence patients' behavior, identifying areas of difference or incompatibility, and attempting mediation.…”

Section: Culturally Based Psychiatric Carementioning

confidence: 99%

The cultural consultant in mental health care: The case of an Arab adolescent.

Budman¹,

Lipson²,

Meleis³

1992

American Journal of Orthopsychiatry

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Limited understanding by mental health providers of an immigrant's cultural background can lead to misdiagnosis and inappropriate treatment. A case involving the psychiatric hospitalization of an adolescent from Iraq is described, as are the role of a cultural consultant in clarifying cultural issues and the positive consequences for diagnosis and treatment. Implications for the training and function of cultural consultants in mental health care are discussed.

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Research Strategies, Structural Alterations and Clinically Applied Anthropology

Cited by 13 publications

References 10 publications

Family Therapy with a Multiparental/Multispousal Family

Family Therapy with a Multiparental/Multispousal Family

Symptoms as Meaningful “Family Culture” Symbols in Palliative Care

The cultural consultant in mental health care: The case of an Arab adolescent.

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