Chapter 6 Flashcards
(20 cards)
What is a cultural syndrome?
A cluster of symptoms that occur in a specific cultural group; may not be seen as an illness within the culture, but outsiders may recognize it as such.
Example: Ataque de nervios in various Latin American cultures.
What is an example of a cultural syndrome?
Ataque de nervios
This syndrome includes symptoms of shouting, crying attacks, trembling, verbal or physical aggression, dissociative experiences, and feeling out of control in response to a stressful event.
Define cultural idiom of distress.
A way of expressing features of distress or a way of talking about suffering that is commonly used among people of a cultural group.
Often a bodily idiom that covers a broad range of suffering.
What is an example of a cultural idiom of distress?
Kufungisisa ‘Thinking too much’
An idiom of psychosocial and interpersonal distress among the Shona of Zimbabwe, associated with anxiety, headache, and dizziness.
What is a cultural explanation?
A label or explanatory model used to provide an etiology or perceived cause for symptoms, disease, or distress.
Helps in understanding the cultural context of distress.
What is an example of a cultural explanation?
Susto ‘Fright’
An explanation for distress and misfortune among some U.S. Latinos and people in Mexico, Central, and South America, resulting after a frightening experience that causes the soul to leave the body.
What are the consequences of susto?
Results in sickness, unhappiness, and trouble with role functioning; can lead to somatic symptoms and symptoms associated with major depressive disorder.
Highlights the impact of cultural beliefs on mental health.
What is the PMHNP responsibility in cultural assessment?
Assess level of severity and meaning, prioritize symptoms and perceived seriousness, assess stigma, expected outcomes, coping, and help-seeking experiences.
Consider traditional alternative or complementary sources of care.
What is a key criterion for Gender Dysphoria according to DSM-5?
Marked incongruence of experienced/expressed gender and gender assigned at birth
This must be present for at least 6 months and associated with clinically significant distress.
List at least two indicators of Gender Dysphoria.
- A strong desire to be of a gender other than one’s assigned gender
- A strong desire to be treated as a gender other than one’s assigned gender
- A strong desire for the sexual characteristics of a gender other than one’s assigned gender
- A strong desire to be rid of one’s sexual characteristics due to incongruence
- A significant incongruence between experienced/expressed gender and sexual characteristics
- A strong conviction of having the typical reactions and feelings of a gender other than assigned gender
These indicators must be present for at least 6 months.
True or False: Gender Dysphoria criteria for children are the same as those for adolescents and adults.
False
Criteria differ for children, such as preferences in clothing and play.
What is a significant preference often observed in children with Gender Dysphoria?
Strong preference for cross-gender roles in make-believe play
This includes a preference for toys, games, or activities stereotypically associated with the other gender.
Fill in the blank: A strong conviction that one has the typical reactions and feelings of a _______ other than one’s assigned gender is a criterion for Gender Dysphoria.
[gender]
This conviction is part of the diagnostic criteria outlined in DSM-5.
During a new patient encounter the PMHNP ask her 32-year-old female patient if she is married or has a boyfriend this is likely an expression of
Implicit bias
Strategies to mitigate implicit bias include all of the following, except:
A. Diversity training
B. Cultural humility
C. Reflection
D. Individualized approaches
Individualized approaches
What is Intersex?
An individual who has been born with ambiguous genitalia or a combination of both male and female chromosomes and genitalia
What is cisgender?
A person who’s gender identity aligns with their biological sex
What is gender fluid?
A person whose gender expression and identity crosses between the typical male and female outside of the societal norm
What is gender queer?
A person whose gender identity and gender expression may be a combination of either male and female genders or neither
Gender fluid
A person whose gender expression may be a combination of either male and female genders or neither.
