Newsletter Editor: Wen-Shing Tseng Vol. 3, N. 2, April 2007

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1 World Association of Cultural Psychiatry Newsletter Editor: Wen-Shing Tseng Vol. 3, N. 2, April 2007 Index Welcome Message from the New Editorial Team p. 1 The Successfully Held First World Congress of Cultural Psychiatry Report from Beijing p. 2 Congress Budget report The First World Congress p. 3 Ethnic-Cultural Psychiatric Division of Chinese Psychiatric Association Zhao Xudong p. 4 Get Acquainted with Our Members F. El-Islam, p. 5 C. Korolenko, p. 6 LU Q.-Y., p. 7 Additions to the Library Shelf P.Ruiz (Ed). Ethinicity and Psychopharmacology, p. 8 A.G.Lopez & E. Carrillo (Ed). The Latino Psychiatric Patient: Assessment and Treatment, p. 8 Welcome Message from the New Editorial Team This Newsletter is a tool for communication among friends and colleagues who are members of WACP, but it also has a role in linking us with the wider communities that we serve and live in. The Newsletter is key to sharing knowledge about developments in the world of culture and mental health, including research, learning, books, scientific meetings and innovations in clinical practice. It is important to transmit news and share programs for high quality events in the timely manner in order that our members and community around the world will find the information useful. Specifically, we aim to ensure that members and colleagues from societies which are isolated or far from the teaching and research centers, or are less privileged in terms of resources and access to networks, are able to benefit from our knowledge and are connected directly to other colleagues in our field. This is the major concern and purpose of the Editorial Team, to make our Newsletter an effective means of communication among ourselves and to promote cultural psychiatry around the world. As the basic format, our Newsletter will be composed of the following (but not limited to) items, namely: 1. Editorial 2. Any announcement or news from the Association from President, President-Elect, or message from Editors. 3. News of cultural psychiatry meetings including the conference reports, and a forecast of the best future meetings of interest to members. 4. News from affiliated national organization of cultural psychiatry including the introduction of the organization and any professional activities that has taken or will take place. 5. News of cultural psychiatry-related programs, for example, announcements of any training program or workshop related to the subject of cultural psychiatry which is scheduled to take place. 6. News of publications or research activities books (or relevant articles that have been published recently or will be published soon, preferably by members, but not limited to members; or novel and innovative research). 7. Introduction of members so we may know each other, the Newsletter will introduce members or colleagues from different countries. It will include not only the board members, but also all the young, new and widest membership of the Association. 1

2 8. From members news from any individual member about him/her or his/her professional activities that deserve to shared by other colleagues. 9. Members Corner We aspire to publish the Newsletter on a quarterly basis. We would like to welcome every member to join us and contribute to the Newsletter by sending information and by sharing your experiences, expertise and views. Our strength lies in the wisdom we collectively share. We also encourage you to strengthen our membership by introducing new members, and by actively participating in your Newsletter. We look forward to your contributions and feedback which will make this an inspiring and vital Newsletter! Wen-Shing Tseng (Editor) Kamldeep Bhui (Associate Editor) Micol Ascoli (Assistant Editor) The Successfully Held 1 st World Congress of Cultural Psychiatry Report from Beijing We are very pleased to report that the Association s First World Congress of Cultural Psychiatry has successfully taken place in Beijing, China, on September 23-26, Nearly three hundred colleagues from 37 countries came and participated in this historical event. During the three days meeting, four plenary presentations, two panel presentations, 61 topic symposia and nearly 20 posters were presented to address various subjects relevant to the congress theme and our interest. For the first day of the congress, at the open ceremony, the formal establishment of the Association was announced and all the officers, advisors, and members of the board of directors were introduced. Immediately after the ceremony, two plenary sessions took place. In the session of: Migration and refugees in the world today: The tasks for cultural psychiatry, Ron Wintrob (USA) presented: Overview of the phenomena around the world. This was followed by the comments by Fumitaka Noda (Japan) regarding the situation in Asia: Particularly in Japan; Kam Bhui (UK) about the situation in Europe: Particularly in UK; and then, David Kinzie (USA) the experiences of working with refugee. The second session addressed the topic of: Ethnicity, religious faith, and mental health: The need for mutual understanding. Goffredo Bartocci (Italy) moderated the session and presentations were made by four invited speakers: James Boenhlein (USA) about Christianity and mental health; Simon Dein (UK) regarding Judaism and mental health; M. Fakhr El-Islam (Egypt), relating to Islam and mental health; and Suk Choo Chang (USA) on Buddhism and mental health. It was quite unique to have different religions presented and discussed in relation to mental health. One of the participants commented even that this subject should be presented and discussed at every congress. 2

3 For the second day, a plenary session was held on the subject of: Culture and psychotherapy: East-West integration. Wen-Shing Tseng (USA) presented a theoretical exploration from Asian perspectives, followed by comments made by Masahisa Nishizono (Japan) and Suk Choo Chang (USA). Complementing the topic of psychological therapy, the topic of: Ethnicity, culture and pharmacotherapy: For relevant treatment followed as the next plenary session. Keh-Ming Lin (USA) was invited to review: Ethnicity, culture and pharmacotherapy followed by comments from two Chinese colleagues, ZHOU Deng-feng (China) and YU Xin (China) from the perspectives of their clinical experiences in China. For the third day of congress, two panel sessions took place. One was relating to the subject of: Career development for cultural psychiatrists. Ron Wintorb (USA), Fumitaka Noda (Japan), Mitchell Weiss (Switzerland), and Marianne Kastrup (Denmark) presented their own unique personal and professional experiences. Following this, the subject The future of cultural psychiatry was presented and discussed. Renato Alarcon (USA) raised the issue of bio-cultural connections in psychiatry and psychopatholgy; James Boenhlein (USA) stressed the integration of research and clinical applications; and Wen-Shing Tseng (USA) emphasized cultural psychiatry beyond issues of minorities and immigrants. It is the first time in history that nearly 300 topics were presented during a single congress. It is impossible to list all the topics presented by all the symposia which cover all major subjects of cultural psychiatry, but some of them were very unique enough to be mentioned here, namely: Culture, women, and mental health (presented by four women psychiatrists of different ethnic background, discussing the mental health of Indian, Japanese, Korean, and Muslim women); Cultural construction of the spiritual self; Culture-unique psychotherapy developed in Asia; Profiles of depressive illness in Eastern Africa; Intra European migration: Its implication for public health; Experiences of ethnopsychotherapy in Russia; Training Issue: Introducing culture into the psychiatric curriculum. \ A successful congress can not be held without interesting social activities. Many colleagues and families took the trips to the Forbidden City, the Great Wall, to experience the history of China. Every person participated in the welcome banquet and enjoyed not only the ten course Chinese dinner but the special performance, and those who took part in the farewell congress at the Summer Palace were amazed by the ancient palace setting and performance. The local sponsoring institute, the Institute of Mental Health of Peking University, has made an extra effort to organize the congress. The Association is very grateful to their great contribution. Budget Report The First World Congress of Cultural Psychiatry For the sake of convenience, the number of cost for expenses are indicated by RMB (about 8RMB=1US$ then) as reported by the local organizer, only convert to US dollar for the total amount of expenses. The amount of income, mainly of the collected registration fees, is indicated by US dollar. 3

4 Expenses Direct Program Expenses Expenses for the conference rooms 72,250 Expenses for setting and facilities 63,440 Tea break ( persons) x 3 days 20,250 Meals (three meals plus welcome banquet) 142,000 Airport-Venue transportation (pick up by CCT) 63,760 Congress local working staff (including accommodation) 97,400 Travel agent service fee (by contract) 70,000 Others 51,470 Total (RMB) 580,570 Total (USD) $72,571 Income Congress Registration Fee Speakers/participants payment (from A, B, C, D countries) $70,355 Trainee or students $4,690 Accompanying persons $4,450 Chinese participants/presenters $2,800 Total $82,295 Total Balance $9,724 Association's share of balance $4,000 Ethnic-Cultural Psychiatric Division of Chinese Psychiatric Association Introduction by ZHAO Xudong (Chair) The ethnic-cultural Psychiatric Division of the Chinese Psychiatric Association, originally addressed in Chinese literally as the "Ethnic Psychology and Psychiatric Medicine Section", was established in Starting from 1979, after the Cultural Revolution ended, it benefited from the reform policies then; some psychiatrists and psychologists began daringly to discuss the issues of mental health among minority ethnic groups. They formed research teams and started a series of investigations dealing with mental health problems among some minority nationalities in provinces such as Yunnan, Xinjiang, and Sichuan. Professor WAN Wenpeng, working at Unnan Province (where there were many resident minorities), and Professor HE Mutao, working at Sichuan Province were the pioneers to form the organization. In 1996, Professor LIU Lianpei working at Xinjiang Autonomic Region (where there was a large population of Uygur minorities living together with internally migrated Han nationals), became the second generation of the leader of the Division, and currently, I am the Chair of the Division (moving from Unnan to work at Shanghai presently). Associated with the increase of awareness of cultural psychiatry in China in 1989, the Chinese Association of Psychiatry organised the Division for Ethnic and Cultural Psychiatry within its Association so formally recognizing the subfield of psychiatry nationally. 4

5 During the past two decades the division held a total of five meetings. However, starting from four years ago, the division decided to hold meetings annually in conjunction with the annual meeting of the Chinese Psychiatric Association to which the Division is an affiliate. In its early stage of 1980 s, colleagues in the provinces of Jilin, Sichuan, Guangdong and Yunnan, as well as the autonomous regions of Xingjiang and Inner Mongolia were active in carrying out epidemiological research focusing on the mental health of the minorities. The results were published in professional journals, dealing with the minority ethnic groups in China, such as: Jinuo, Lisu, Bai, Korean, Uygur, Kazak, Mongolian, Yi, and She. Research of minorities has been focused on the investigations of epidemiology and symptomatology and many researches have not touched upon cultural character of the minorities investigated. After the open door policy was started and there was an increase on international communication with countries outside, more research topics shifted from comparison of minorities in 1990 s to cross-cultural comparison of mental disorders including different countries, such as the Sino-American, Sino-Japanese, and Sino-Canadian. Some research was focused on the majority nationality, namely Han Chinese, in order to find meaningful relations between mental health and sub-cultural differences among Han Chinese and main-stream culture in different geographic regions. There were also many studies focusing on witchcraft, superstition, Qigong (Chinese traditional mediation-exercise practice) and mental disorders. Such issues were taboos to study before (particularly in the era of Cultural Revolution) when professionals tried to avoid study of belief, religion or ideology. The practice of psychotherapy has been speeding up in recent years. While Chinese therapists are busy with imitating Western colleagues, they also attempt to work on the revision and development of therapeutic theory and methods to fit the Chinese culture. In the meantime, some indigenous psychotherapy has developed, such as Daoist cognitive therapy. Even now, many Chinese colleagues have not considered cultural psychiatry as useful subfield of psychiatry yet. They trust the power of biological measures too much, and they do not consider how to communicate with their patients psychologically, not to mention culturally. There are not too many colleagues identifying themselves as cultural psychiatrists. Thus the members of the Division are fluctuating and not very large in number, waiting for more developments of the organization in the future. The First World Congress of Cultural Psychiatry held in Beijing was a good stimulant to Chinese colleagues to pay more attention to cultural psychiatry. ZHAO Xudong Ethnic-Cultural Division of Chinese Psychiatric Association, Chief Get Acquainted with Our Members Dr. Mohamed Fakhr El-Islam (Cairo, Egypt) I was born in the north of Egypt in 1935 as the third child in a sibship of eight. Upon obtaining my Cairo University bachelor medical degree, I obtained a 5

6 scholarship to train in psychiatric medicine in the Institute of Psychiatry in London, and obtained the Membership of the Royal College of Physicians (MRCP) in Edinburgh with psychiatry as my selected subject. Then, I trained in analytic, individual and group therapies for two years at the Tavistock Institute of Human Relations in London. Upon my return to Egypt I worked as a lecturer in Cairo University medical school, where I continued until I became an associate professor. Upon inception of the British Royal College of Psychiatrists I became a foundation member and was later elected as a fellow of the college. My cultural orientation became fruitful when I compared clinical psychiatric practice in the U.K and Egypt. I compared Moslem and Christian Egyptians who had depressive guilt. This was the link to the Wittkower-Murphy transcultural group in McGill University in Montreal, Canada. Upon moving to Qatar in 1971, the first ever psychiatric service was established in Doha. This was a great opportunity for me to study cultural aspects of psychiatry in this small nation, which was a traditional affluent society. Work on cultural aspects of depression and schizophrenia and on intergenerational conflict was conducted and published in international journals. In 1980 I established the first academic department of psychiatry for the University Medical School in Kuwait, another traditional affluent oil-exporting country. As professor and chairman I conducted and supervised cultural psychiatric research, including clinical and community studies of intergenerational conflict and illness behaviour. As WHO adviser on mental health, I conducted a field trial of ICD-10 criteria for the diagnosis of schizophrenia to ascertain their transcultural generalizability prior to the inception of ICD-10. I joined as a committee member of the Transcultural Psychiatry Section of World Psychiatric Association (TPS-WPA) in 1977, and had served as the Secretary of the TPS-WPA from In 1990 I returned to Qatar after the Iraqi invasion of Kuwait. As women acquired multi-roles and doctors diagnostic orientation improved, early diagnosis and rehabilitation prevented the development and chronicity of the syndrome. Pathoplastic effects of culture on phobic disorder in Qatari women were of great interest. Get Acquainted with Our Members Dr. Caesar P. Korolenko (Novosibirsk, Russia) I graduated from Novosibirsk Medical Institute in 1956, become a Professor at the Department of Psychiatry and Narcology at Novosibirsk Medical University in I serve as the Vice-President of Russian Independent Psychiatric Association. I am the Lecturer on the Contemporary Psychoanalysis in the Siberian Institute of Psychoanalysis. The main topics for teaching are: Theory of Self Object Relations and Communicative Psychoanalysis. My interest in transcultural psychiatry preceded the study of the role of psychological factors in the formation and the development of alcohol addiction. As result the classification of alcohol addiction with separate forms of psychological and physical dependence was proposed (Beograd, Anali Zavoda za Mentalno Zdravlje, 1971, N 1). In 1990, we introduced our definition of addictive behavior and recommended it for the use in the previous USSR (B.Segal, Ts.Korolenko, New York, 1990). This conception of addiction has been developed and published in the monography Psychosocial Addictology (Ts.Korolenko, N. Dmitrieva, 2001). I am the Founder of Russian Addictology. 6

7 I was a member of WPA Section of Transcultural Psychiatry until Currently I am a member of WACP. I serve as a member of editorial board of "Anthropology and Medicine" (London), and Consilium (Novosibirsk). Professionally my main topics of interest are: personality disorders, and transcultural psychiatry. I am the author of 210 scientific publications and 21 monographs and books. The main monographs are: "Addictive Disorders in the Arctic Climate" (New York, Haworth Press, 1990); "Mythology of Sex" (Novosibirsk, 1995); "Sociodynamic Psychiatry" (Moscow, 2000); "Identity in Normal and Pathological Conditions" (Novosibirsk, Science, 2000); "Psychosocial Addictology" (Novosibirsk, Alsib, 2001); "Psychoanalysis and Psychiatry" (Novosibirsk, Pedagogic University, 2003); "Personality and Dissociative Disorders" (Novosibirsk, Science, 2005). In addition to Russian, I speak English, Polish, German, and Hungarian. My wife, Tatyana Korolenko, is a professor of biochemistry. She is the head of the Laboratory of Cellular Biochemistry, Institute of Physiology, the Siberian Branch Academy of Medical Sciences (Novosibirsk). My son, Erik Korolenko, graduated from Novosibirsk State University in physical chemistry, currently is working as researcher and teacher at Technical College in Vancouver BC, Canada. Get Acquainted with Our Members Dr. LU Qiuyun (Beijing, China) I am a female psychiatrist, graduated from Beijing Medical School in I joined the Institute of Mental Health of Peijing Medical University (now as the Institute of Peking University) as staff there, and later served as Professor and the Vice-Superintendent of the Institute between 1986 until As a clinician, I am interested in psychotherapy, that was discouraged during the Cultural Revolution in China. I visited the Department of Psychiatry of the University of Hawaii School of Medicine for training in psychotherapy. After the training, I have devoted myself to psychotherapy in the Institute. In 2004 I was elected to serve as the chair of the Counseling and Psychotherapy Committee of the Chinese Association of Psychiatry, the major official organization of psychotherapy in China, which is composed of psychiatrists as well as clinical psychologists. Working with the Peking University Medical Publisher, the Committee is in the process of publishing a series of books in psychotherapy, authored by nearly 30 scholars and clinicians. It aims not only to promote psychotherapy in China but to develop culture-relevant therapy for Chinese people. Before becoming a psychiatrist, I have worked as obstetrician doctor. Because of this combined professional background in the past, I was interested in the field of liaison-consultation psychiatry. Also, making use of my experiences in psychotherapy, I took the initiative to organize a crisis team in the Institute to provide emergency mental health service for major disasters in China over the past two decades. The disasters were mostly nature-related, such as earthquakes, flooding, or fire, involving many hundred or thousand of victims who need mental support and counseling. For the disaster intervention work, it is a challenge for us to consider how to provide culture-relevant intervention to meet the people s cultural background. 7

8 Considerations are given to the following issues, namely: reference to people s philosophical attitude toward life, injury, and death in general; consideration of the victim s cultural perception and reaction toward the occurrence of disaster; utilization of culturally provided ritual for mourning of the deceased; and making use of culturally available social support for the trauma and disaster. Addition to the library Shelf Ethnicity and Psychopharmacology -- Edited by Pedro Ruiz American Psychiatric Press, Inc. (2000), 140 pages This book is published as Volume 19, No. 4 of Reviews of Psychiatry from the American Psychiatric Press. The book addresses the most relevant theoretical and clinical aspects of ethnopsychopharmacology. The edited book is composed of five chapters. After the Foreword by the editor Pedro Ruiz, the first chapter elaborates on Psychopharmacotherapy in the context of culture and ethnicity by Keh-Ming Lin and Michael Smith. The following three chapters deal with The issues in pharmacotherapy for African Americans by William Lawson; The Hispanic response to psychotropic medications by Ricardo Mendoza and Michael Smith; and Ethnopsychopharmacolgoy for Asians by Edmond Pi and Gregory Gray. The last chapter discusses the topic of Ethnopsychopharmalocoy in the public sector by Roy Varner, Pedro Ruiz, and David Small. Detailed are the pharmacogentic, pharmacokinetic, and pharmacodynamic mechanisms involved in differing responses to drug treatment among various ethnic groups living in the United States. Addition to the library Shelf The Latino Psychiatric Patient: Assessment and Treatment -- Edited by Alberto G. Lopez and Ernestina Carrillo American Psychiatric Publishing, Inc. (2001), 231 pages This book is intend to help mental health professionals to acquire the knowledge, skills, and cultural sensitivity for caring for patients of Latino background in the United States. The book is divided into three parts. The first part gives an overview of Latinos in the United States, including demographic data and statistics on their physical and mental health. It emphasizes the importance of how to conduct culturally sensitive psychiatric evaluations of Latino patients. The second part highlights the differences among the major Latino subgroups in the United States, including: Colombians, Cubans, Dominicans, Salvadorans, Mexicans, Nicaraguans, Peruvians, and Puerto Ricans, detailing their distinct characteristics so that the clinicians may incorporate this knowledge into their practices. The third part discusses special issues in the psychiatric treatment of Latino patients, spanning women s issues, substance abuse, and violence in Latino populations. 8

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