Advertisement

Inter-culturality and Cultural Competence

Chapter
Part of the Advancing Global Bioethics book series (AGBIO, volume 10)

Abstract

Due to a much more closely connected world, there is an accelerated interchange of cultures in the clinical setting. Alongside a pluralism of cultural beliefs for health and illness is a greater effort to value and respect freedoms for thoughts and belief pertaining to differing identities from legal, moral, societal and activist initiatives. When treating culture as part of the clinical consultation, there is a need for conceptual frameworks, communication skills, guidelines and policies to be implemented in a context where there are certain dominant narratives such as scientific medicine and biomedical frameworks of the human body and mind that typically bracket out culture. The encounter of the clinic with culture is an ethical endeavour that requires expertise training and education; thus, the role of inter-culturality and cultural competence is significant for setting precedents in the translation from theory to practice. In this chapter, I discuss challenges for global bioethics in responding to culture in the clinic.

References

  1. Ahmad, A. 2014. Do motives matter in male circumcision? Conscientious objection against the circumcision of a Muslim child with a blood disorder. Bioethics 28 (2): 67–75.CrossRefGoogle Scholar
  2. Bemme, D., and N. D’souza. 2012. Global mental health and its discontents. Science, Medicine and Anthropology 51(6): 1.Google Scholar
  3. Bhugra, D. 2004. Migration and mental health. Acta Psychiatrica Scandinavica 109 (4): 243–258.CrossRefGoogle Scholar
  4. Caruth, C. 2016. Unclaimed Experience: Trauma, Narrative, and History. Baltimore: JHU Press.Google Scholar
  5. Chang, W.W. 2007. Cultural competence of international humanitarian workers. Adult Education Quarterly 57 (3): 187–204.CrossRefGoogle Scholar
  6. Fordham, M.H. 1998. Making women visible in disasters: Problematising the private domain. Disasters 22 (2): 126–143.CrossRefGoogle Scholar
  7. Fordham, M. 2003. Gender, Disaster and Development. Natural Disasters and Development in a Globalizing world, 57–74. London: Routledge.Google Scholar
  8. Fox, M.W. 2001. Bringing Life to Ethics: Global Bioethics for a Humane Society. New York: SUNY Press.Google Scholar
  9. Gostin, L.O., and L. Gable. 2004. The human rights of persons with mental disabilities: A global perspective on the application of human rights principles to mental health. Maryland Law Review 63 (20): 8–31.Google Scholar
  10. Gregg, J., and S. Saha. 2006. Losing culture on the way to competence: The use and misuse of culture in medical education. Academic Medicine. 81 (6): 542–547.CrossRefGoogle Scholar
  11. Helman, C.G. 1991. Limits of biomedical explanation. The Lancet 337 (8749): 1080–1083.CrossRefGoogle Scholar
  12. Herman, J.L. 1992. Complex PTSD: A syndrome in survivors of prolonged and repeated trauma. Journal of Traumatic Stress 5 (3): 377–391.CrossRefGoogle Scholar
  13. Hyndman, J. 1998. Managing difference: Gender and culture in humanitarian emergencies. Gender, Place and Culture: A Journal of Feminist Geography 5 (3): 241–260.CrossRefGoogle Scholar
  14. Jacob, K.S., and V. Patel. 2014. Classification of mental disorders: A global mental health perspective. The Lancet 383 (9926): 1433–1435.CrossRefGoogle Scholar
  15. Kirmayer, L.J., and D. Pedersen. 2014. Towards a new architecture for global mental health. Transcultural Psychiatry 51 (6): 759–776.CrossRefGoogle Scholar
  16. Kleinman, A. 1980. Patients and Healers in the Context of Culture: An Exploration of the Borderland Between Anthropology, Medicine, and Psychiatry. Vol. 3. Berkeley: University of California Press.Google Scholar
  17. ———. 1988. The Illness Narratives: Suffering, Healing, and the Human Condition. New York: Basic Books.Google Scholar
  18. Marshall, P., and B. Koenig. 2004. Accounting for culture in a globalized bioethics. The Journal of Law, Medicine & Ethics 32 (2): 252–266.CrossRefGoogle Scholar
  19. Silove, D., S. Ekblad, and R. Mollica. 2000. The rights of the severely mentally ill in post-conflict societies. The Lancet 355 (9214): 1548.CrossRefGoogle Scholar
  20. Summerfield, D. 2004. 12 cross-cultural perspectives on the medicalization of human suffering. In Posttraumatic Stress Disorder: Issues and Controversies, ed. Gerald M. Rosen, 233. Seattle: Wiley.CrossRefGoogle Scholar
  21. ———. 2008. How scientifically valid is the knowledge base of global mental health? BMJ: British Medical Journal 336 (7651): 992–994.CrossRefGoogle Scholar
  22. Turner, L. 2005. From the local to the global: Bioethics and the concept of culture. Journal of Medicine and Philosophy 30 (3): 305–320.CrossRefGoogle Scholar
  23. Tylor, E.B. 1871. Primitive Culture. Vol. 2. Michigan: University of Michigan Press.Google Scholar
  24. Whiteford, H.A., L. Degenhardt, J. Rehm, A.J. Baxter, A.J. Ferrari, H.E. Erskine, F.J. Charlson, R.E. Norman, A.D. Flaxman, N. Johns, and R. Burstein. 2013. Global burden of disease attributable to mental and substance use disorders: Findings from the Global Burden of Disease Study 2010. The Lancet 382 (9904): 1575–1586.CrossRefGoogle Scholar
  25. Wilson, J.P. 2007. The lens of culture: Theoretical and conceptual perspectives in the assessment of psychological trauma and PTSD. In Cross-Cultural Assessment of Psychological Trauma and PTSD, ed. John P. Wilson and Catherine C. So-Kum Tang, 3–30. New York: Springer.CrossRefGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Lecturer in Global HealthSt George’s University of LondonLondonUK

Personalised recommendations