Dr. Dere discusses 2 things that healthcare providers can do to have a culturally-informed approach to mental health. One, take a stance of informed curiosity and then ask questions and ask questions differently. Culture and religion are 2 things that can massively influence an individual’s willingness to receive treatment and can influence who the primary decision maker is. Understanding where a patient is coming from is so crucial in providing optimal care to a patient. Autonomy in medical decision making is an ethical principle that is dealt a lot with when it comes to incorporating culture into a healthcare decision. Sometimes, a parent, grandparent, or even community leader is the one who makes the decision and physicians in the United States may have issues because this contradicts the patient having that autonomy. It also becomes difficult when there is a life-saving treatment that a patient or their family will not allow because that treatment may cause spiritual or everlasting harm based on that family’s culture. I agree with Dr. Dere in that asking and practicing asking in different ways is very crucial in order to be more culturally-informed. That way the patient preferences and understanding of what autonomy means to them, can be taken into account and healthcare professionals can be more culturally sensitive. However, out of the context of mental health this point gets very messy. In emergent situations where there isn’t time to call and consult family or a provider isn’t able to discuss with the patient about their cultural background, then this is where things get fuzzy. My only argument is that being culturally sensitive all the time and in specific specialties may be more difficult because of the nature of the situations. In mental health, I completely agree with Dr. Dere’s methods. It is in other situations of medicine that I would like to hear more about.
I think you bring up an excellent point that culturally-informed care allows patients to be autonomous in making health decisions that align with their beliefs and goals. I also agree that having discussions with patients about their cultural backgrounds can be challenging. I feel that it requires skill to have conversations about a patient’s cultural background in an appropriate and sensitive way. As you mentioned, time is another barrier for conversations. Nonetheless, I think there are feasible ways to still achieve culturally-informed care in emergent settings. Frameworks exist to achieve culturally appropriate communication such as the 4 “C”s: call, cause, cope, and concerns. Questions that address the 4 “C”s include “What do you think is wrong?”, “What do you think caused your problem?”, “What have done to make it better?”, “How serious do you think this is?”, and “What are your concerns about the illness and the treatment?” These are simple questions that can easily be integrated while obtaining a patient’s history, yet, their answers can provide valuable information on a patient’s cultural values and behaviors. I would also like to argue that in emergency medicine, culturally-informed care is even more important and necessary given the disproportionate use of emergency medical services by racial and ethnic minorities. Thus, I feel that the points made my Dr. Dere in her Ted Talk should be applicable to all settings of healthcare. I hope that as awareness for culturally-informed care increases, there will be better strategies to overcome the challenges that come with caring for our culturally diverse patient population.
That was a great response and well thought our discussion of these issues. It has contributed of my thinking for my upcoming Medical Anthropology essay where I will discuss the contribution of Dr Arthur Kleinman, an anthropologist and psychiatrist, who first posited the notion that cultural factors shape health-related beliefs, behaviours and values, and thus health choices. Thanks for your contribution.
Reality is constantly in need of evaluation, testing, and experimenting. We hold too many biases about what is "Normal" for any of us to cast stones at the weird people.
so very heartwarming to know there is an out-of-box approach being discussed regarding mental health. thank you for your work and resolve in this area.
Thanks for the interesting content! 😍 Need some advice: 🙏 I have a set of words 🤷♂️. (behave today finger ski upon boy assault summer exhaust beauty stereo over). Can someone explain what this is? 😅
Clear and expanded my perspective on culture beyond race and gender but familial. Family emotions embedded in a person that creates there since of value
PROFOUND !!!
Thank you so much for emphasizing this much-needed approach to mental health, counseling and all other caring professions !
1) Take a stance of informed curiosity.
2) Ask different questions, and ask questions differently.
I love the recognition of the complexity of the topic. I also loved the organization and flow of her talk. Excellent.
Thank you Dr. Dere for ideas that I will be using as it pertains to my future clients.
Brilliant! This is simple, so coherent, but so powerful.
Dr. Dere discusses 2 things that healthcare providers can do to have a culturally-informed approach to mental health. One, take a stance of informed curiosity and then ask questions and ask questions differently. Culture and religion are 2 things that can massively influence an individual’s willingness to receive treatment and can influence who the primary decision maker is. Understanding where a patient is coming from is so crucial in providing optimal care to a patient. Autonomy in medical decision making is an ethical principle that is dealt a lot with when it comes to incorporating culture into a healthcare decision. Sometimes, a parent, grandparent, or even community leader is the one who makes the decision and physicians in the United States may have issues because this contradicts the patient having that autonomy. It also becomes difficult when there is a life-saving treatment that a patient or their family will not allow because that treatment may cause spiritual or everlasting harm based on that family’s culture. I agree with Dr. Dere in that asking and practicing asking in different ways is very crucial in order to be more culturally-informed. That way the patient preferences and understanding of what autonomy means to them, can be taken into account and healthcare professionals can be more culturally sensitive. However, out of the context of mental health this point gets very messy. In emergent situations where there isn’t time to call and consult family or a provider isn’t able to discuss with the patient about their cultural background, then this is where things get fuzzy. My only argument is that being culturally sensitive all the time and in specific specialties may be more difficult because of the nature of the situations. In mental health, I completely agree with Dr. Dere’s methods. It is in other situations of medicine that I would like to hear more about.
I think you bring up an excellent point that culturally-informed care allows patients to be autonomous in making health decisions that align with their beliefs and goals. I also agree that having discussions with patients about their cultural backgrounds can be challenging. I feel that it requires skill to have conversations about a patient’s cultural background in an appropriate and sensitive way. As you mentioned, time is another barrier for conversations. Nonetheless, I think there are feasible ways to still achieve culturally-informed care in emergent settings. Frameworks exist to achieve culturally appropriate communication such as the 4 “C”s: call, cause, cope, and concerns. Questions that address the 4 “C”s include “What do you think is wrong?”, “What do you think caused your problem?”, “What have done to make it better?”, “How serious do you think this is?”, and “What are your concerns about the illness and the treatment?” These are simple questions that can easily be integrated while obtaining a patient’s history, yet, their answers can provide valuable information on a patient’s cultural values and behaviors. I would also like to argue that in emergency medicine, culturally-informed care is even more important and necessary given the disproportionate use of emergency medical services by racial and ethnic minorities. Thus, I feel that the points made my Dr. Dere in her Ted Talk should be applicable to all settings of healthcare. I hope that as awareness for culturally-informed care increases, there will be better strategies to overcome the challenges that come with caring for our culturally diverse patient population.
That was a great response and well thought our discussion of these issues. It has contributed of my thinking for my upcoming Medical Anthropology essay where I will discuss the contribution of Dr Arthur Kleinman, an anthropologist and psychiatrist, who first posited the notion that cultural factors shape health-related beliefs, behaviours and values, and thus health choices. Thanks for your contribution.
Thank You Dr. Dere!
Great talk. Thanks!
Mad oooooo
Great coverage of this topic
Profound video, thanks Dr.Dere
Go Jessica I could always use better Mental Health
Reality is constantly in need of evaluation, testing, and experimenting. We hold too many biases about what is "Normal" for any of us to cast stones at the weird people.
thank you
so very heartwarming to know there is an out-of-box approach being discussed regarding mental health. thank you for your work and resolve in this area.
I love this!
bruh this goooeees hard
Thanks for the interesting content! 😍 Need some advice: 🙏 I have a set of words 🤷♂️. (behave today finger ski upon boy assault summer exhaust beauty stereo over). Can someone explain what this is? 😅
Classwork.
I m picturing myself.😅
Cultural Competence
cultural safety really
this was sooo great, yes must bring in culture always. But whew!!!! this talk was boring!!!! sooooo slow.
thank goodness I'm not alone on that, had to watch three times!
😀😀😀😀😀😀😀😁😄
Get out of the life, get out of the lifestyle.
War.
Clear and expanded my perspective on culture beyond race and gender but familial. Family emotions embedded in a person that creates there since of value
Who de from abuad
Smh
😂😂
😂😂😂😂