Skip to main content
Erschienen in: Community Mental Health Journal 5/2017

08.10.2016 | Original Paper

Cultural Psychiatry: A Spotlight on the Experience of Clinical Social Workers’ Encounter with Jewish Ultra-Orthodox Mental Health Clients

verfasst von: Anat Freund, Tova Band-Winterstein

Erschienen in: Community Mental Health Journal | Ausgabe 5/2017

Einloggen, um Zugang zu erhalten

Abstract

Community is a complex issue, especially in two particular populations overlap: Haredi society, which embraces cultural codes common to closed communities, and the mental health population characterized by its own unique needs. The present study explores the encounter experience of social workers with the cultural perceptions of mental health clients in the Haredi community in light of Community Cultural Psychiatry. A qualitative-phenomenological approach was adopted. In-depth semi-structured interviews were conducted with 27 social workers, mental health professionals, who are in contact with ultra-Orthodox Jewish clients. Three major themes emerged from the data analysis: (1) Exclusion vs. grace and compassion. (2) Mental health: A professional or cultural arena? (3) Mental health help-seeking changing processes. This study shows that the attitude in the Haredi community toward mental health therapy undergoes a process of change. It is important to strengthen this process, together with preserving existing community informal structures of help.
Literatur
Zurück zum Zitat Abe-Kim, J., Gong, F., & Takeuchi, D. (2004). Religiosity, spirituality, and help-seeking among Filipino Americans: Religious clergy or mental health professionals? Journal of Community Psychology, 32(6), 675–689.CrossRef Abe-Kim, J., Gong, F., & Takeuchi, D. (2004). Religiosity, spirituality, and help-seeking among Filipino Americans: Religious clergy or mental health professionals? Journal of Community Psychology, 32(6), 675–689.CrossRef
Zurück zum Zitat Al‐Krenawi, A., & Graham, J. R. (2001). The cultural mediator: Bridging the gap between a non-western community and professional social work practice. British Journal of Social Work, 31(5), 665–685. Al‐Krenawi, A., & Graham, J. R. (2001). The cultural mediator: Bridging the gap between a non-western community and professional social work practice. British Journal of Social Work, 31(5), 665–685.
Zurück zum Zitat Al-Makhamreh, S. S., & Lewando-Hundt, G. (2008). Researching ‘at home’ as an insider/outsider: Gender and culture in an ethnographic study of social work practice in an Arab society. Qualitative Social Work, 7, 9–23.CrossRef Al-Makhamreh, S. S., & Lewando-Hundt, G. (2008). Researching ‘at home’ as an insider/outsider: Gender and culture in an ethnographic study of social work practice in an Arab society. Qualitative Social Work, 7, 9–23.CrossRef
Zurück zum Zitat American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (DSM-5). Washington, DC: Author.CrossRef American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (DSM-5). Washington, DC: Author.CrossRef
Zurück zum Zitat Bains, J. (2005). Race, culture and psychiatry: A history of transcultural psychiatry. History in Psychiatry, 16, 135–154.CrossRef Bains, J. (2005). Race, culture and psychiatry: A history of transcultural psychiatry. History in Psychiatry, 16, 135–154.CrossRef
Zurück zum Zitat Band-Winterstein, T., & Freund, A. (2015). Is it enough to “speak Haredi”? Cultural sensitivity in social workers encountering Jewish ultra-Orthodox clients in Israel. British Journal of Social Work, 45, 968–987.CrossRef Band-Winterstein, T., & Freund, A. (2015). Is it enough to “speak Haredi”? Cultural sensitivity in social workers encountering Jewish ultra-Orthodox clients in Israel. British Journal of Social Work, 45, 968–987.CrossRef
Zurück zum Zitat Barth, A., & Ben-Ari, A. (2014). From wallflowers to lonely trees: Divorced ultra-Orthodox women in Israel. Journal of Divorce & Remarriage, 55(6), 423–440.CrossRef Barth, A., & Ben-Ari, A. (2014). From wallflowers to lonely trees: Divorced ultra-Orthodox women in Israel. Journal of Divorce & Remarriage, 55(6), 423–440.CrossRef
Zurück zum Zitat Baum, N. (2007). It’s not only cultural differences: Comparison of Jewish Israeli social work students’ thoughts and feeling about treating Jewish ultra-Orthodox and Palestinian Israeli clients. International Journal of Intercultural Relations, 31, 575–589.CrossRef Baum, N. (2007). It’s not only cultural differences: Comparison of Jewish Israeli social work students’ thoughts and feeling about treating Jewish ultra-Orthodox and Palestinian Israeli clients. International Journal of Intercultural Relations, 31, 575–589.CrossRef
Zurück zum Zitat Caldwell-Harris, C. L., & Aycicegi, A. (2006). When personality and culture clash: The psychological distress of allocentrics in an individualist culture and idocentrics in a collectivist culture. Transcultural Psychiatry, 43(3), 331–361.CrossRefPubMed Caldwell-Harris, C. L., & Aycicegi, A. (2006). When personality and culture clash: The psychological distress of allocentrics in an individualist culture and idocentrics in a collectivist culture. Transcultural Psychiatry, 43(3), 331–361.CrossRefPubMed
Zurück zum Zitat Cauce, A. M., Domenech-Rodríguez, M., Paradise, M., Cochran, B. N., Shea, J. M., Srebnik, D., & Baydar, N. (2002). Cultural and contextual influences in mental health help seeking: A focus on ethnic minority youth. Journal of Consulting & Clinical Psychology, 70(1), 44–55.CrossRef Cauce, A. M., Domenech-Rodríguez, M., Paradise, M., Cochran, B. N., Shea, J. M., Srebnik, D., & Baydar, N. (2002). Cultural and contextual influences in mental health help seeking: A focus on ethnic minority youth. Journal of Consulting & Clinical Psychology, 70(1), 44–55.CrossRef
Zurück zum Zitat Coleman-Brueckheimer, K., Spitzer, J., & Koffman, J. (2009). Involvement of Rabbinic and communal authorities in decision-making by Haredi Jews in the UK with breast cancer: An interpretative phenomenological analysis. Social Science & Medicine, 68, 323–333.CrossRef Coleman-Brueckheimer, K., Spitzer, J., & Koffman, J. (2009). Involvement of Rabbinic and communal authorities in decision-making by Haredi Jews in the UK with breast cancer: An interpretative phenomenological analysis. Social Science & Medicine, 68, 323–333.CrossRef
Zurück zum Zitat Corbin, J., & Morse, J. M. (2003). The unstructured interactive interview: Issues of reciprocity and risks when dealing with sensitive themes. Qualitative Inquiry, 9, 335–354.CrossRef Corbin, J., & Morse, J. M. (2003). The unstructured interactive interview: Issues of reciprocity and risks when dealing with sensitive themes. Qualitative Inquiry, 9, 335–354.CrossRef
Zurück zum Zitat Corrigan, P. W. (2000). Mental health stigma as societal attribution: Implications for research methods and attitude change. Clinical Psychology: Science & Practice, 7, 48–67. Corrigan, P. W. (2000). Mental health stigma as societal attribution: Implications for research methods and attitude change. Clinical Psychology: Science & Practice, 7, 48–67.
Zurück zum Zitat Creswell, J. W. (2007). Qualitative inquiry and research design: Choosing among five approaches (2nd edn.). Thousand Oaks, CA: Sage. Creswell, J. W. (2007). Qualitative inquiry and research design: Choosing among five approaches (2nd edn.). Thousand Oaks, CA: Sage.
Zurück zum Zitat Dwairy, M. (2006). Counseling and psychotherapy with Arabs and Muslims: A culturally sensitive approach. New York, NY: Teachers College Press. Dwairy, M. (2006). Counseling and psychotherapy with Arabs and Muslims: A culturally sensitive approach. New York, NY: Teachers College Press.
Zurück zum Zitat Erhard, R. L., & Erhard-Weiss, D. (2007). The emergence of counseling in traditional cultures: Ultra-Orthodox Jewish and Arab communities in Israel. International Journal for the Advancement of Counselling, 29, 149–158.CrossRef Erhard, R. L., & Erhard-Weiss, D. (2007). The emergence of counseling in traditional cultures: Ultra-Orthodox Jewish and Arab communities in Israel. International Journal for the Advancement of Counselling, 29, 149–158.CrossRef
Zurück zum Zitat Finlay, L., & Gough, B. (2003). Reflexivity: A practical guide for researchers in health and social sciences. Oxford: Blackwell Science.CrossRef Finlay, L., & Gough, B. (2003). Reflexivity: A practical guide for researchers in health and social sciences. Oxford: Blackwell Science.CrossRef
Zurück zum Zitat Freund, A., & Band-Winterstein, T. (2013). Between tradition and modernity: Social work-related change processes in the Jewish ultra-orthodox society in Israel. International Journal of Intercultural Relations, 37, 422–433.CrossRef Freund, A., & Band-Winterstein, T. (2013). Between tradition and modernity: Social work-related change processes in the Jewish ultra-orthodox society in Israel. International Journal of Intercultural Relations, 37, 422–433.CrossRef
Zurück zum Zitat Gerrig, R. J., & Zimbardo, P. G. (2008). Psychology and life. Boston, MS: Pearson. Gerrig, R. J., & Zimbardo, P. G. (2008). Psychology and life. Boston, MS: Pearson.
Zurück zum Zitat Goodman, Y., & Witztum, E. (2002). Cross-cultural encounters between care providers: Rabbis’ referral letters to a psychiatric clinic in Israel. Social Science & Medicine, 55, 1309–1323.CrossRef Goodman, Y., & Witztum, E. (2002). Cross-cultural encounters between care providers: Rabbis’ referral letters to a psychiatric clinic in Israel. Social Science & Medicine, 55, 1309–1323.CrossRef
Zurück zum Zitat Greenberg, D., & Shefler, G. (2002). Obsessive compulsive disorder in ultra-orthodox Jewish patients: A comparison of religious and non-religious symptoms. Psychology & Psychotherapy: Theory, Research & Practice, 75, 123–130.CrossRef Greenberg, D., & Shefler, G. (2002). Obsessive compulsive disorder in ultra-orthodox Jewish patients: A comparison of religious and non-religious symptoms. Psychology & Psychotherapy: Theory, Research & Practice, 75, 123–130.CrossRef
Zurück zum Zitat Haj-Yahia, M. M. (2011). Contextualizing interventions with battered women in collectivist societies: Issues and controversies. Aggression & Violent Behavior, 16, 331–339.CrossRef Haj-Yahia, M. M. (2011). Contextualizing interventions with battered women in collectivist societies: Issues and controversies. Aggression & Violent Behavior, 16, 331–339.CrossRef
Zurück zum Zitat Hakak, Y. (2011). Psychology and democracy in the name of God? The invocation of modern and secular discourses on parenting in the service of conservative religious aims. Mental Health, Religion & Culture, 14, 433–458.CrossRef Hakak, Y. (2011). Psychology and democracy in the name of God? The invocation of modern and secular discourses on parenting in the service of conservative religious aims. Mental Health, Religion & Culture, 14, 433–458.CrossRef
Zurück zum Zitat Heilman, S. C., & Friedman, M. (1991). Religious fundamentalism and religious Jews: The case of the Haredim. In M. E. Marty & R. S. Appleby (Eds.), Fundamentalisms observed (pp. 197–264). Chicago, IL: The University of Chicago Press. Heilman, S. C., & Friedman, M. (1991). Religious fundamentalism and religious Jews: The case of the Haredim. In M. E. Marty & R. S. Appleby (Eds.), Fundamentalisms observed (pp. 197–264). Chicago, IL: The University of Chicago Press.
Zurück zum Zitat Heilman, S. C., & Witztum, E. (1997). Value-sensitive therapy: Learning from ultra-orthodox patients. American Journal of Psychotherapy, 51, 522–541.PubMed Heilman, S. C., & Witztum, E. (1997). Value-sensitive therapy: Learning from ultra-orthodox patients. American Journal of Psychotherapy, 51, 522–541.PubMed
Zurück zum Zitat Huppert, J. D., Siev, J., & Kushner, E. S. (2007). When religion and obsessive–compulsive disorder collide: Treating scrupulosity in ultra-Orthodox Jews. Journal of Clinical Psychology, 63, 925–941.CrossRefPubMed Huppert, J. D., Siev, J., & Kushner, E. S. (2007). When religion and obsessive–compulsive disorder collide: Treating scrupulosity in ultra-Orthodox Jews. Journal of Clinical Psychology, 63, 925–941.CrossRefPubMed
Zurück zum Zitat Kagitcibaci, C. (1996). Family and human development across cultures: A view from the other side. Mahwah, NJ: L. Erlbaum & Sons. Kagitcibaci, C. (1996). Family and human development across cultures: A view from the other side. Mahwah, NJ: L. Erlbaum & Sons.
Zurück zum Zitat King, N., & Horrocks, C. (2010). Interviews in qualitative research. London: Sage. King, N., & Horrocks, C. (2010). Interviews in qualitative research. London: Sage.
Zurück zum Zitat Kitai, E. (1997). Health within the Haredi population—General background. Healthy Mind: Written Platform for Reflection, Documentation and Challenging in Mental Health Issues, Topics and Encounters, 1, 29–31. Kitai, E. (1997). Health within the Haredi population—General background. Healthy Mind: Written Platform for Reflection, Documentation and Challenging in Mental Health Issues, Topics and Encounters, 1, 29–31.
Zurück zum Zitat Leshem, E. (2003). Israel as a multicultural state at the turn of the twenty-first century. In E. Leshem & D. Roer-Strier (Eds.), Cultural diversity: A challenge to human services. Jerusalem, IL: Magnes (in Hebrew). Leshem, E. (2003). Israel as a multicultural state at the turn of the twenty-first century. In E. Leshem & D. Roer-Strier (Eds.), Cultural diversity: A challenge to human services. Jerusalem, IL: Magnes (in Hebrew).
Zurück zum Zitat Lev-On, A., & Neriya-Ben Shahar, R. (2009). “A forum of their own:” Views about the internet among Ultra-Orthodox Jewish women who browse designated closed forums. Media Frames, 4, 67–105. Lev-On, A., & Neriya-Ben Shahar, R. (2009). “A forum of their own:” Views about the internet among Ultra-Orthodox Jewish women who browse designated closed forums. Media Frames, 4, 67–105.
Zurück zum Zitat Liamputtong, P. (2010). Performing qualitative cross-cultural research. New York, NY: Cambridge University Press.CrossRef Liamputtong, P. (2010). Performing qualitative cross-cultural research. New York, NY: Cambridge University Press.CrossRef
Zurück zum Zitat Lifshitz, H., & Glaubman, R. (2004). Caring for people with disabilities in the Haredi community: Adjustment mechanism in action. Disability & Society, 19, 469–486.CrossRef Lifshitz, H., & Glaubman, R. (2004). Caring for people with disabilities in the Haredi community: Adjustment mechanism in action. Disability & Society, 19, 469–486.CrossRef
Zurück zum Zitat Lincoln, Y. S., & Guba, E. G. (1985). Naturalistic inquiry. Beverley Hills, CA: Sage. Lincoln, Y. S., & Guba, E. G. (1985). Naturalistic inquiry. Beverley Hills, CA: Sage.
Zurück zum Zitat Makaros, A. (2006). The social worker’s role in a changing society: A perspective of social workers and their clients. Society & Welfare, 26, 135–152. (in Hebrew). Makaros, A. (2006). The social worker’s role in a changing society: A perspective of social workers and their clients. Society & Welfare, 26, 135–152. (in Hebrew).
Zurück zum Zitat Mason, J. (1996). Qualitative researching. London: Sage. Mason, J. (1996). Qualitative researching. London: Sage.
Zurück zum Zitat Moustakas, C. E. (1994). Phenomenological research methods. Thousand Oaks, CA: Sage.CrossRef Moustakas, C. E. (1994). Phenomenological research methods. Thousand Oaks, CA: Sage.CrossRef
Zurück zum Zitat Nobles, A. Y., & Sciarra, D. T. (2000). Cultural determinants in the treatment of Arab Americans: A primer for mainstream therapists. American Journal of Orthopsychiatry, 70(2), 182–191.CrossRefPubMed Nobles, A. Y., & Sciarra, D. T. (2000). Cultural determinants in the treatment of Arab Americans: A primer for mainstream therapists. American Journal of Orthopsychiatry, 70(2), 182–191.CrossRefPubMed
Zurück zum Zitat Patton, M. Q. (2002). Qualitative research and evaluation methods (3rd edn.). Thousand Oaks, CA: Sage. Patton, M. Q. (2002). Qualitative research and evaluation methods (3rd edn.). Thousand Oaks, CA: Sage.
Zurück zum Zitat Popovsky, M. A. (2010). Special issues in the care of ultra-orthodox Jewish Psychiatric in-patients. Transcultural Psychiatry, 47, 647–672.CrossRefPubMed Popovsky, M. A. (2010). Special issues in the care of ultra-orthodox Jewish Psychiatric in-patients. Transcultural Psychiatry, 47, 647–672.CrossRefPubMed
Zurück zum Zitat Ringel, S., & Bina, R. (2007). Understanding causes of and responses to intimate partner violence in a Jewish Orthodox community: Survivors and leaders’ perspective. Research on Social Work Practice, 17, 277–286.CrossRef Ringel, S., & Bina, R. (2007). Understanding causes of and responses to intimate partner violence in a Jewish Orthodox community: Survivors and leaders’ perspective. Research on Social Work Practice, 17, 277–286.CrossRef
Zurück zum Zitat Sartorius, N., & Schulz, H. (2005). Reducing the stigma of mental illness. A report from the Global Programme of the World Psychiatric Association. New York, NY: Cambridge University Press.CrossRef Sartorius, N., & Schulz, H. (2005). Reducing the stigma of mental illness. A report from the Global Programme of the World Psychiatric Association. New York, NY: Cambridge University Press.CrossRef
Zurück zum Zitat Schnitzer, G., Loots, G., Escudero, V., & Schechter, I. (2011). Negotiating the pathways into care in a globalizing world: Help-seeking behaviour of ultra-Orthodox Jewish patients. International Journal of Social Psychiatry, 57, 153–165.CrossRefPubMed Schnitzer, G., Loots, G., Escudero, V., & Schechter, I. (2011). Negotiating the pathways into care in a globalizing world: Help-seeking behaviour of ultra-Orthodox Jewish patients. International Journal of Social Psychiatry, 57, 153–165.CrossRefPubMed
Zurück zum Zitat Shelif, Y., & Walinger, M. (2008). Establishment and operation of the psycho-educational service in the Haredi sector. In G. Weil (Ed.), Educational Psychology in a Multicultural Society. Jerusalem, IL: Ministry of Education (in Hebrew). Shelif, Y., & Walinger, M. (2008). Establishment and operation of the psycho-educational service in the Haredi sector. In G. Weil (Ed.), Educational Psychology in a Multicultural Society. Jerusalem, IL: Ministry of Education (in Hebrew).
Zurück zum Zitat Smith, C. (2003). Theorizing religious effects among American adolescents. Journal for the Scientific Study of Religion, 42, 17–30.CrossRef Smith, C. (2003). Theorizing religious effects among American adolescents. Journal for the Scientific Study of Religion, 42, 17–30.CrossRef
Zurück zum Zitat Smith, J. A., Flowers, P., & Larkin, M. (2009). Interpretative phenomenological analysis: Theory, method and research. Los Angeles, CA: Sage. Smith, J. A., Flowers, P., & Larkin, M. (2009). Interpretative phenomenological analysis: Theory, method and research. Los Angeles, CA: Sage.
Zurück zum Zitat Strean, H.S. (1994). Psychotherapy with the orthodox Jew. Northvale, NJ: J. Aronson. Strean, H.S. (1994). Psychotherapy with the orthodox Jew. Northvale, NJ: J. Aronson.
Zurück zum Zitat Triandis, H. C. (2001). Individualism and collectivism: Past, present and future. In D. Matsumoto (Ed.), The handbook of culture and psychology (pp. 35–50). New York, NY: Oxford University Press. Triandis, H. C. (2001). Individualism and collectivism: Past, present and future. In D. Matsumoto (Ed.), The handbook of culture and psychology (pp. 35–50). New York, NY: Oxford University Press.
Zurück zum Zitat Triandis, H. C., Bontempo, R., Villareal, M. J., Asai, M., & Lucca, N. (1988). Individualism and collectivism: Cross-cultural perspectives on self-in-group relationships. Journal of Personality & Social Psychology, 54(2), 323–338.CrossRef Triandis, H. C., Bontempo, R., Villareal, M. J., Asai, M., & Lucca, N. (1988). Individualism and collectivism: Cross-cultural perspectives on self-in-group relationships. Journal of Personality & Social Psychology, 54(2), 323–338.CrossRef
Zurück zum Zitat Witztum, E., & Goodman, Y. (1998). Expressions of mental distress among the ultra-Orthodox: Narrative structuring and culture-sensitive narrative intervention. Society & Welfare, 18, 97–123. (in Hebrew). Witztum, E., & Goodman, Y. (1998). Expressions of mental distress among the ultra-Orthodox: Narrative structuring and culture-sensitive narrative intervention. Society & Welfare, 18, 97–123. (in Hebrew).
Zurück zum Zitat Witztum, E., & Goodman, Y. (2003). Disorder, narrative, treatment: Strategic, narrative culture-sensitive intervention in the ultra-Orthodox population. In E. Leshem & D. Roer-Strier (Eds.), Cultural diversity as a challenge to human services (pp. 275–309). Jerusalem, IL: Magnes (in Hebrew). Witztum, E., & Goodman, Y. (2003). Disorder, narrative, treatment: Strategic, narrative culture-sensitive intervention in the ultra-Orthodox population. In E. Leshem & D. Roer-Strier (Eds.), Cultural diversity as a challenge to human services (pp. 275–309). Jerusalem, IL: Magnes (in Hebrew).
Zurück zum Zitat Yalom, I. D. (2008). Staring at the sun: Overcoming the terror of death. San Francisco, CA: Jossey-Bass. Yalom, I. D. (2008). Staring at the sun: Overcoming the terror of death. San Francisco, CA: Jossey-Bass.
Metadaten
Titel
Cultural Psychiatry: A Spotlight on the Experience of Clinical Social Workers’ Encounter with Jewish Ultra-Orthodox Mental Health Clients
verfasst von
Anat Freund
Tova Band-Winterstein
Publikationsdatum
08.10.2016
Verlag
Springer US
Erschienen in
Community Mental Health Journal / Ausgabe 5/2017
Print ISSN: 0010-3853
Elektronische ISSN: 1573-2789
DOI
https://doi.org/10.1007/s10597-016-0056-9

Weitere Artikel der Ausgabe 5/2017

Community Mental Health Journal 5/2017 Zur Ausgabe

Endlich: Zi zeigt, mit welchen PVS Praxen zufrieden sind

IT für Ärzte Nachrichten

Darauf haben viele Praxen gewartet: Das Zi hat eine Liste von Praxisverwaltungssystemen veröffentlicht, die von Nutzern positiv bewertet werden. Eine gute Grundlage für wechselwillige Ärzte und Psychotherapeuten.

Demenzkranke durch Antipsychotika vielfach gefährdet

23.04.2024 Demenz Nachrichten

Wenn Demenzkranke aufgrund von Symptomen wie Agitation oder Aggressivität mit Antipsychotika behandelt werden, sind damit offenbar noch mehr Risiken verbunden als bislang angenommen.

Weniger postpartale Depressionen nach Esketamin-Einmalgabe

Bislang gibt es kein Medikament zur Prävention von Wochenbettdepressionen. Das Injektionsanästhetikum Esketamin könnte womöglich diese Lücke füllen.

„Psychotherapie ist auch bei sehr alten Menschen hochwirksam!“

22.04.2024 DGIM 2024 Kongressbericht

Die Kombination aus Medikamenten und Psychotherapie gilt als effektivster Ansatz bei Depressionen. Das ist bei betagten Menschen nicht anders, trotz Besonderheiten.

Update Psychiatrie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.