Main description:

This open access book offers essential information on values-based practice (VBP): the clinical skills involved, teamwork and person-centered care, links between values and evidence, and the importance of partnerships in shared decision-making. Different cultures have different values; for example, partnership in decision-making looks very different, from the highly individualized perspective of European and North American cultures to the collective and family-oriented perspectives common in South East Asia. In turn, African cultures offer yet another perspective, one that falls between these two extremes (called batho pele).
The book will benefit everyone concerned with the practical challenges of delivering mental health services. Accordingly, all contributions are developed on the basis of case vignettes, and cover a range of situations in which values underlie tensions or uncertainties regarding how to proceed in clinical practice. Examples include the patient's autonomy and best interest, the physician's commitment to establishing high standards of clinical governance, clinical versus community best interest, institutional versus clinical interests, patients insisting on medically unsound but legal treatments etc. Thus far, VBP publications have mainly dealt with clinical scenarios involving individual values (of clinicians and patients). Our objective with this book is to develop a model of VBP that is culturally much broader in scope. As such, it offers a vital resource for mental health stakeholders in an increasingly inter-connected world. It also offers opportunities for cross-learning in values-based practice between cultures with very different clinical care traditions.

Contents:

Foreword

1 Surprised by Values: an Introduction to Values-based Practice and the Use of Personal Narratives in this Book

Part I - EXEMPLARS

2 Migration Narratives: an introduction to Part I, Exemplars

3 Antonella - "A Stranger in the Family": a case study of eating disorders across cultures

4 The role of culture, values and trauma in shaping abnormal bodily experience in migrants

5 Premorbid personality and expatriation as possible risk factors for brief psychotic disorder: A case report from post-Soviet Bulgaria

Part II - THEORY

6 Theory First: an introduction to Part II, Theory

7 The Will to Beauty as a Therapeutic Agent: aesthetic values in the treatment of addictive disorders

8 Anorexia as Religion: Ocularcentrism as a cultural value and a compensation strategy in persons with Feeding and Eating Disorders

9 Ethos, embodiment, psychosis: Losing one's home - identity stakes

10 African Personhood, Humanism, and Critical Sankofaism: The Case of Male Suicide in Ghana

11 Madness, Mythopoetry and Medicine

12 Inside and out: how Western patriarchal cultural contexts shape women's relationships with their bodies

13 Spiritual, religious and ethical values in a suicidal individual

14 Cultural values, religion and psychosis: five short stories

Part III - PRACTICE

15 Vectors for best practice: an introduction to Part III, Practice

16 Cross-cultural factors and identity in adolescence

17 Multidisciplinary Teamwork and the Insanity Defence: a Case of Infanticide in Iraq

18 Colonial values and asylum care in Brazil: reclaiming the streets through carnival in Rio de Janeiro

19 Alcohol Use Disorder in a Culture that Normalizes the Consumption of Alcoholic Beverages: The Conflicts for Decision-Making

20 Living at the edge of Compromise: Balkan pluralism as a resource for balanced decision-making

21 "Thinking too much": A clash of legitimate values in clinical practice calls for an indaba guided by African values based practice

22 Three points in time: how values and culture affected my life, madness and the people around me

23 Recovery and cultural values: on our own terms (a dialogue)

Part IV - SCIENCE

24 Linking Science with People: an introduction to Part IV, Science

25 A Cross-Cultural Values-based Approach to the Diagnosis and Treatment of Dissociative (Conversion) Disorders

26 Treatment of social anxiety disorder or neuroenhancement of socially accepted modesty? The case of Ms. Suzuki

27 Non-Traditional Religion, Hyper-religiosity and Psychopathology: the Story of Ivan from Bulgaria

28 Journey into Genes: cultural values and the (near) future of genetic counselling in mental health

29 Policy-making indabas to prevent "not listening": An added recommendation from the Life Esidimeni tragedy

30 Covert Treatment in a cross-cultural setting

31 Discouragement towards Seeking Health Care of Older People in Rural China: The influence of culture and structural constraints

32 Discovering myself, a journey of rediscovery

Part V - TRAINING

33 Training for Task: an introduction to Part V, Training

34 Values-based Practice when engaging with voice-hearers

35 Dharma Therapy: a Buddhist counselling approach to acknowledging and enhancing perspectives, attitudes and values

36 Dangerous Liaisons: Science, Tradition, and Qur'anic Healing in the Dakhla Oasis of Egypt

37 Know thyself: Jane discovers the value of her depression

38 Case studies in the culture of Professional Football Players and Mental Welfare and Wellbeing

39 Sexual Orientation Change Efforts and VBP

40 Values, Meanings, Hermeneutics and Mental Health

41 Disha: Building Bridges-Removing Barriers: Where Excluded and Privileged Young Adults Meet

42 Online Counselling: the world without a label

Part VI - REFLECTIONS

43 The Realpolitik of Values-based Practice: an introduction to Part VI, Reflections

44 Reflections on the impact of mental health ward staff training in race equality and values-based practice

45 Connecting patients, practitioners and regulators in supporting positive experiences and processes of shared decision-making in osteopathy: a case study in co-production

46 Beyond the Color Bar: sharing narratives in order to promote a clearer understanding of mental health issues across cultural and racial boundaries

BM

47 Co-writing values: what we did and why we did it

After word: where next with the book

Index