Navigation Links
Need for culturally sensitive treatment for deaf patients with psychiatric disorders
Date:3/11/2013

Philadelphia, Pa. (March 11, 2013) Members of the Deaf community who suffer from mental health problems need culturally sensitive treatment to avoid misdiagnosis and inappropriate treatment, according to a report in the March Journal of Psychiatric Practice. The journal is published by Lippincott Williams & Wilkins, a part of Wolters Kluwer Health.

"Deaf individuals comprise a cultural and linguistic minority group within the United States, and culturally and linguistically appropriate psychiatric treatment must reflect these differences," according to Sarah A. Landsberger, PhD, and coauthors of the Indiana University School of Medicine, Indianapolis. With the goal of providing guidance for hearing psychiatrists, the authors review the limited research literature on mental health care for deaf patients.

Providing Mental Health Care for Deaf PatientsInterpreters Needed!

Approximately 1.2 million American are functionally deaf―that is, they are unable to understand vocal communication even with hearing aids. Many deaf individuals identify culturally with the Deaf community and culture, in which deafness is not viewed as an impairment but rather as a locus of pride and identity.

When deaf patients require mental health services, the first major challenge is finding a means to communicate with the patient in order to elicit symptoms. Many deaf individuals use American Sign Language (ASL)a manual language with its own grammar, syntax, and vocabulary.

"Ideally, clinicians most suited to working with the Deaf population are those who are fluent in ASL, have had significant exposure to the Deaf community, and understand Deaf cultural values," Dr Landsberger and coauthors write. Unfortunately, few providers meet these criteria.

For patients who are fluent in ASL, nonsigning clinicians will need to employ a certified interpreter with specialized training in mental health interpretation. Finding such interpreters can be difficult, however. Dr Landsberger and colleagues call for specialized mental health training for ASL interpreters who work in psychiatric settings.

Challenges in Communication, Diagnosis and Treatment

Unfortunately, some deaf individuals have never had adequate exposure to or training in ASL or other communication systems used by the Deaf population. They may have serious language deficits, communicating mainly by gestures and mime. For these patients, the doctor may need to employ both a certified deaf interpreterwho is trained to help gather the intended message and put it into grammatically correct ASLas well as an ASL interpreter.

Correct diagnosis is another challenge. Evaluating for psychotic disorders, such as schizophrenia, in deaf patients can be especially difficult. A key question is whether the person has experienced hallucinationsespecially auditory hallucinations (hearing voices). But how does one explain the concept of hearing voices to someone who has been deaf from birth?

Another common symptom of psychosis is disorganized thoughts, which are usually diagnosed based on disorganized speech. Psychiatrists evaluating deaf patients need to be cautious to avoid misinterpreting language deficits as a symptom of psychosis.

Effectively providing "talk" therapythat is, different types of psychotherapyto deaf patients poses obvious challenges. The authors discuss ways of adapting psychotherapy to be more effective for deaf patients and how the presence of an interpreter may affect the doctor-patient therapeutic relationship.

"As with any cultural minority, providers should seek specific training and education to become culturally competent providers to deaf people," Dr Landsberger and coauthors write. "At a minimum, clinicians who have large numbers of deaf patients in their caseloads should be knowledgeable about Deaf culture and become fluent in sign language." They conclude by calling for more research concerning mental health care for the deaf.


'/>"/>
Contact: Connie Hughes
connie.hughes@wolterskluwer.com
646-674-6348
Wolters Kluwer Health
Source:Eurekalert

Related medicine news :

1. Better care from doctors who are culturally aware
2. Super-sensitive tests could detect diseases earlier
3. Sun exposure and sun-sensitive skin type decreased risk for pancreatic cancer
4. Uncommon BRAF mutation in melanoma sensitive to MEK inhibitor drug therapy
5. pH-sensitive liposomal cisplatin improves peritoneal carcinomatosis treatment without side-effects
6. Nature-inspired advance for treating sensitive teeth
7. Stressed-Out Women May Be More Sensitive to Sounds
8. Uniquely Sensitive Body Wash Skin Care Line with Native Remedy High-Grade Bentonite Detox Clay; Now Available at Whole Foods Market in San Ramon, CA.
9. 1 in 8 Adults May Have Sensitive Teeth
10. Scientist awarded $1 million grant to develop tools for hepatitis C treatment discovery
11. Clinical insight improves treatment with new lung cancer drug
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:2/8/2016)... ... 2016 , ... Stephanie Hebert Insurance Agency, serving families of ... charity campaign. As part of their ongoing community involvement program, funds are now ... children deserve a voice, and in the spirit of neighbors helping neighbors in ...
(Date:2/8/2016)... ... 2016 , ... Brenton Engineering , powered by Pro ... wrapped products at WestPack 2015, February 9-11, in Anaheim, California. This new solution ... or fully-automatic case packing with a small footprint, rugged, highly flexible, and cost-effective ...
(Date:2/8/2016)... Hilton Head Island, SC (PRWEB) , ... February 08, 2016 , ... ... Head and surrounding areas with a vital new community enrichment program, has teamed up ... to local women and children suffering from intimate abuse. To support all those victimized ...
(Date:2/8/2016)... ... , ... Delta Dental of California and its affiliated companies announced today that ... who recently retired as president and CEO of Delta Dental of California and its ... Year , helped lead the effort to raise funds for studies to strengthen pancreatic ...
(Date:2/8/2016)... ... February 08, 2016 , ... Eating disorders ... significant number of women and men with eating disorders report a history of ... predicts the development of an eating disorder. , At the 2016 iaedp ...
Breaking Medicine News(10 mins):
(Date:2/8/2016)... 8, 2016 /PRNewswire/--  Cell Applications, Inc. and ... services are now available in North ... (3D) bioprinting approach called the "Kenzan Method." Utilizing ... a state-of-the-art robotic system that fabricates 3D tissue ... pay-for-service bio-printing model that makes scaffold-free tissue available ...
(Date:2/8/2016)... Feb. 8, 2016 ... of the "Label-Free Detection Market by ... 2020" report to their offering. ... addition of the "Label-Free Detection Market ... to 2020" report to their offering. ...
(Date:2/8/2016)... , Feb. 8, 2016  Astellas Pharma Inc. President and ... promotion of James Robinson as president, Americas Operations, ... in North and South America , effective ... US, representing the commercial organization in the United ... Masao Yoshida , who is retiring in ...
Breaking Medicine Technology: