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Feb 20, 2024

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1 Cultural Perspectives on Mental Health and Illness Final Exam Study Guide Spring 2023 Microaggressions and Intersectionality (#11-12): - Know the definition of intersectionality o The interconnected nature of social categorizations such as race, class, and gender as they apply to a given individual or group creating overlapping and interdependent systems of discrimination and/or differential advantage. Multiracial Children & Transracial Adoption (#15-16) -Be able to identify the three ways for an American family to adopt a child 1. Foster care, 2. Private domestic, 3. International -Be able to describe an “open adoption,” its benefits, and the differences between structural and communicative openness - Open adoption: giving biological and adoptive families some degree of access to other's personal information, with the option of some degree of contact. - Structural openness: Some degree of identifying information shared between birth and adoptive families - Communicative openness:, email, phone calls, visits , Acknowledgement and discussion about adoptive issues within both families ▪ Benefits: For children: Higher self-esteem, Fewer behavioral problems, better identity formation, Positive ethnic identity ▪ For parents: Satisfaction for both birth and adoptive parents, Better adjustment and lower grief/loss for birth parents -Understand the role of cultural socialization in transracial adoption 1. greater self-esteem and positive effect on children’s feelings about their ethnic identity 2. Associated with less emotional distress when exposed to racial discrimination, greater self-esteem, feeling more positive regarding adoptive identity, feeling less marginalized, greater externalizing behaviors -Be able to apply the seven core psychological issues in adoption - Transracial adoptees have and how those conflicts contribute to psychological issues - 7 Issues: 1. Loss (fear of abandonment, loss of cultural history) 2. Grief (feelings of disruption of connection w/ biological family), 3. identity (more of a need to create sense of belonging, lack of information, or ability of adoptive parents can lead to lack of cultural identity), 4. guilt/shame (ashamed of being different, deserving of misfortune) 5. rejection (person rejecting feeling, impact on self-esteem and ability to correctly perceive situations) 6. intimacy and relationships (fear of additional loss = lack of will to get close)

2 7. control (not being part of life altering decision can lead to child feeling need for control) -Be able to describe the important events leading to the end of antimiscegination laws in the US and understand subsequent demographic changes in interracial coupling ▪ Laws banning race mixing ▪ What led to the end ▪ Trends related to that History of Interrracial Coupling: 1691: Virginia bans all interracial marriages and the people in interracially marriage to live here 1780: repeal law 1871: constitutional amendment ban marriage btwn whites and POC 1882: Chinese exclusion act: white/Asian couple limited 1922: Cable Act: stripped the citizenship of any U.S. citizen who married "an alien ineligible for citizenship“ (aka Asian immigrant) 1 964 – US Supreme Court strikes down FL law  1967 – US Supreme Court in Loving v Virginia unanimously finds that bans on interracial marriage violate the 14th Amendment - be able to identify general trends related to intermarried couples - List three factors that predict marriage satisfaction in interracial couples Acculturation, the Immigrant and Refugee Experience, and Parenting (#17-18) - Be able to define the terms immigrant, refugee and asylum seeker ▪ And differeneces ▪ What makes one specific - Know terms first, 1.5, & second generation immigrants and the difference in which mental health problems are most common among different generations - Be able to define acculturation, identify components of it, and be able to list and apply Berry’s model of four acculturation strategies - Be able to identify push and pull factors that affect Padma’s family’s immigration story in Love Loss and What I Ate - List several risk/resiliency factors that impact Padma’s acculturation stress in Love Loss and What I Ate Parenting (#19-20) - Know the 4 parenting styles and how to categorize by way of demandingness and warmth/responsiveness ▪ Different compoonents of each - Know the strange situation, and what the observer is looking for in the interaction of mother and child ▪ j

3 - Know the relationship between quality of caregiving, way child deals with stress, and type/category of attachment - Know the most common parenting style demonstrated in the US ▪ CURRENTLY - Know the impact and definition of the dimension of parenting style “autonomy granting” and how that affects the different parenting categories Stigma (#21-22): - Understand the types of care physicians, psychologists, PAs, nurses, and social workers are able to provide - Know the commonly practiced treatments for behavioral health conditions today - Know the Mental Health Parity and Addiction Equity Act of 2008 - Know what is responsible for the shift from inpatient to outpatient treatment of mental illness, the name of this shift, & pros/cons - Know the treatments (and treatment shifts) that were important in contributing to improvement in institutionalized patients - Know the rates of treatment engagement and stigma amongst major cultural groups - Be able to differentiate public stigma and self-stigma and the four stages that operate within them - Understand amount of stigma toward mental health care per cultural group - Understand gender differences in seeking treatment - Describe four ways that stigma towards mental health or mental health treatment comes up in the story of Chrissy Teigen as discussed in class ▪ Mental Health Disparities & Culturally Competent Treatment (#23-24) - Be able to describe the personal, provider, cultural, context/system factors that contribute to challenges for patients engaging in mental health treatment. - Describe governmental reporting regarding challenges with engaging in mental health treatment - Be able to list the four domains of the cultural formulation interview ▪ - Be able to apply the five core cross-cultural issues in psychiatric evaluation - Be able to define and differentiate cultural humility and cultural competence ▪ - Be able to list three types of programs that address barriers to care 1) how would you define the immigrant paradox? 2) 2) when you say you want us to know general trends related to interracial couples do you mean statistics or general attitudes? 3) 3) can the immigrant and refugee labels overlap?

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4 4) 4) which acculturation strat would you say Padma had? a. Refugee status is different from immigration status 30 questions 3 or 4 points Would you mind reminding which slides in the stigma lecture are talking about the treatments (and treatment shifts) that were important in contributing to improvement in institutionalized patients? Treatment shifts- any major changes in policy or provision in mental health treatment over time 6 lectures in total Don’t have to know specific statistics- just that this was the greatest or this was the least

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