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Ebook Clinical manual of cultural psychiatry (2/E): Part 2

(BQ) Part 2 book “Clinical manual of cultural psychiatry” has contents: Cultural Issues in women’s mental health, transgender and gender nonconforming patients, ethnopsychopharmacology, religious and spiritual assessment, sexual orientation - gay men, lesbians, and bisexuals, and other contents. | 7 Cultural Issues in Women’s Mental Health Lisa Andermann, M.Phil., M.D., FRCPC Kenneth P. Fung, M.D., M.Sc., FRCPC I t is of key importance that a clinical manual of cultural psychiatry include a chapter on women. As is emphasized throughout this volume with the DSM-5 Outline for Cultural Formulation (OCF) format, one’s cultural identity focuses on not only ethnicity, race, and migration but also both biologically determined sex and culturally determined gender roles (American Psychiatric Association 2013). Tseng (2003) writes that “even though the Earth’s population is composed half of men and half of women, differences in treatment between men and women have perhaps existed from the beginning of the history of humankind” (p. 382). Of course, if women also belong to a socially marginalized group, they may be subject to double discrimination. Along with biological differences, experiences of unequal treatment, sociocultural discrimination, sexual harassment, and gender-based violence are all im287 288 Clinical Manual of Cultural Psychiatry, Second Edition portant factors in the social determinants of women’s mental health (Andermann 2006, 2010; Blehar 2006; Vigod and Stewart 2009; World Health Organization 2000, 2009). Women’s mental health has come into its own over the years as a subspecialty in psychiatry. In this chapter, we take a life cycle approach to explore some of the cultural issues related to women’s mental health across the life span: from birth through childhood and adolescence, adulthood and childrearing years, and aging. We trace some of the important historical developments in the women’s movement in North America and internationally and how these have shaped the field of women’s mental health. Finally, we present two cases, one with video vignettes using the OCF and information obtained by use of the Cultural Formulation Interview (CFI), to illustrate how taking women’s cultural identity and biology into account can shape assessment .