Transcultural skills for early childhood professionals

Frontiers in Psychiatry

Psychiatry

Marion Robin¹  Marie Rose Moro²  Rahmeth Radjack²  Juliette Rodriguez²  Fatima Touhami²  Hawa Camara²  Anaïs Ogrizek³  Muriel Bossuroy⁴ 

[1] Department of Child and Adolescent Psychiatry, University of Paris, Paris, France;CESP-UVSQ, DevPsy, INSERM, Université Paris-Saclay, Villejuif, France;Department of Adolescent and Young Adult Psychiatry, Institut Mutualiste Montsouris, Paris, France;Maison de Solenn, Department of Adolescent Psychiatry, Cochin Hospital, AP-HP, Paris University, Paris, France;Department of Child and Adolescent Psychiatry, University of Paris, Paris, France;CESP-UVSQ, DevPsy, INSERM, Université Paris-Saclay, Villejuif, France;Maison de Solenn, Department of Adolescent Psychiatry, Cochin Hospital, AP-HP, Paris University, Paris, France;Department of Child and Adolescent Psychiatry, University of Paris, Paris, France;Department of Adult and Child Psychiatry, University Hospital of Martinique, Fort-de-France, France;Unité Transversale de Psychogénèse et Psychopathologie, Sorbonne Paris Nord University, UTRPP, Villetaneuse, France;

关键词: culture;    migration;    transcultural competencies;    perinatal;    maternity ward;    pregnancy;    birth;   

DOI  :  10.3389/fpsyt.2023.1112997

 received in 2022-11-30, accepted in 2023-04-03,  发布年份 2023

来源: Frontiers

【 摘 要 】

ContextTranscultural skills are especially useful for those involved in the perinatal period, when parents and babies must adapt to one another in a setting of migration a long a focus of transcultural clinical practice.ObjectiveThe aim of this article is to provide useful transcultural skills for any health care worker (e.g., psychologists, child psychiatrists, midwives, family doctors, pediatricians, specialized child-care attendants, and social workers) who provide care or support to families during the perinatal period. It highlights the cultural aspects requiring attention in relation to representations of pregnancy, children’s needs, obstetric complications, and postnatal problems. Taking into account the impact of culture on clinical evaluation and treatment can enable professionals to distinguish what involves cultural representations of pregnancy, babies, and sometimes of disease from what is associated with interaction disorders or maternal psychopathology.MethodsAfter explaining the relevance of transcultural clinical practices to provide migrant mothers with better support, we describe 9 themes useful to explore from a transcultural perspective. This choice is based on the transcultural clinical practice in our specialized department.ResultsThe description of these 9 themes is intended to aid in their pragmatic application and is illustrated with short clinical vignettes for specific concepts. We describe situations that are extreme but often encountered in liaison transcultural clinical practice for maternity wards: perinatal mourning with cultural coding, mediation in refusal of care, cultural misunderstandings, situations of complex trauma and of multiple contextual vulnerabilities, and difficulties associated with acculturation.DiscussionThe transcultural levers described here make it possible to limit cultural misunderstandings and to promote the therapeutic alliance. It presupposes the professionals will concomitantly analyze their cultural countertransference and acquire both the knowledge and know-how needed to understand the elements of cultural, political, and social issues needed to develop clinical finesse.ConclusionThis combined theoretical-clinical article is intended to be pedagogical. It provides guidelines for conducting transcultural child psychiatry/psychological interviews in the perinatal period aimed at both assessment and therapy.

【 授权许可】

Unknown   
Copyright © 2023 Radjack, Bossuroy, Camara, Touhami, Ogrizek, Rodriguez, Robin and Moro.