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International Journal of Social Psychiatry
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Cultural Sensitivity Training in Mental Health: Treatment of Orthodox Jewish Psychiatric Inpatients

Elizabeth Sublette

Department of Psychiatry, Hillside Hospital, Long Island Jewish Medical Center

Brian Trappler

Department of Psychiatry, State University of New York, Health Science Center at Brooklyn

We describe some of the cultural/religious issues which arose in the treatment of major psychiatric disorders among Orthodox Jewish inpatients at SUNY Fioaith Science Center's University Hospital (SUH) in Brooklyn, New York. The distinct ways in which cultural and religious factors impacted on presentation, therapeutic interventions, and transference-countertransference reactions are noted. Specific reference is made to the use of religion by patients and famines as a means of defense, rationalization or power-brokering. Via case vignettes, we explore ways of distinguishing between culturally appropriate vs. maladaptive behaviors in the Orthodox population. Practical sections are suggested for sensitive ways to surmount culture-based barriers to effective inpatient therapy in this group.

International Journal of Social Psychiatry, Vol. 46, No. 2, 122-134 (2000)
DOI: 10.1177/002076400004600205
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