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Addressing Cultural Mistrust: Strategies for Alliance Building

  • Nhi-Ha T. Trinh
  • Chun-Yi Joey Cheung
  • Esther E. Velasquez
  • Kiara Alvarez
  • Christine Crawford
  • Margarita Alegría
Chapter
Part of the Current Clinical Psychiatry book series (CCPSY)

Abstract

Trust is a crucial element in the provider–patient relationship. However, trust is eroded when specific racial and ethnic groups systematically experience substandard levels of health care as a consequence of racism, leading to cultural mistrust. This chapter aims to outline potential cultural barriers to mental health utilization among racial and ethnic minorities as a result of cultural mistrust. Strategies are suggested for building a strong therapeutic alliance in spite of differences in provider–patient backgrounds.

Keywords

Racial–ethnic disparities Treatment-seeking behaviors Cultural mistrust Therapeutic alliance 

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Nhi-Ha T. Trinh
    • 1
    • 2
  • Chun-Yi Joey Cheung
    • 2
  • Esther E. Velasquez
    • 3
  • Kiara Alvarez
    • 3
  • Christine Crawford
    • 4
  • Margarita Alegría
    • 3
    • 5
  1. 1.Psychiatry Center for Diversity, Department of PsychiatryMassachusetts General HospitalBostonUSA
  2. 2.Depression Clinical and Research Program, Department of PsychiatryMassachusetts General HospitalBostonUSA
  3. 3.Disparities Research Unit, Department of MedicineMassachusetts General Hospital and Harvard Medical SchoolBostonUSA
  4. 4.Division of Child and Adolescent Psychiatry, Department of PsychiatryMassachusetts General HospitalBostonUSA
  5. 5.Department of PsychiatryHarvard Medical SchoolBostonUSA

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