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Biomedical subjects

J Spurlock

Publications and source records attributed to J Spurlock.

At least 19 recordsLinked to original sources

Survey of the cross-cultural content of U.S. psychiatry residency training programs.

To establish the extent of cross-cultural content contained in the 224 psychiatric residency training programs, the Directors of Residency Training were surveyed by mail. Thirty-seven percent (N = 83) of Directors responded; 92% (N = 76) had cross-cultural content, 99% (N = 82) had opportunities to work with minority patients, and 77% (N = 64) had supervision by some minority faculty. Responding programs reported a need for teaching videotapes (85%, N = 71), cross-cultural references (78%, N = 65), academic psychiatrists familiar with different cultural groups (76%, N = 63), and cross-cultural supervision (75%, N = 62).

Cultural Diversity↗

Mental health issues of culturally diverse underserved children.

This article addresses the clinical issues relevant to mental health workers when evaluating children of diverse cultures who live in conditions of persistent poverty. We suggest a model that considers the social as well as the biologic risk factors affecting these children and that includes the importance of culture on symptom expression and health-seeking behavior. The discussion includes specific assessment approaches sensitive to the context in which these children develop and the psychiatric diagnostic entities and treatment approaches thought to be particularly relevant to these children.

Adolescent↗

Development of self-concept in Afro-American children.

Studies of self-concept in Afro-American children differ in their findings according to whether the research was conducted before or after the civil rights movement of the 1960s. While the earlier studies reported that the Afro-Americans had lower self-esteem than Caucasians, studies conducted after the height of the civil rights movement do not support that finding. The development of self-concept in Afro-American children is influenced by the strengths and weaknesses of the family, extended family, or community; individual perceptions of untoward events or environments; and the ability to devise mechanisms to ward off threats to self-esteem. The author stresses that those who study self-esteem among Afro-Americans should examine developmental processes within the individual's social context and reference groups rather than from the perspective of the dominant group.

Adolescent↗

Survival guilt and the Afro-American of achievement.

Success is not without psychological pain for many individuals, and is known to be particularly burdensome for many Afro-Americans. Untoward responses get in the way of ongoing success and dilute their wishes/efforts to make meaningful contributions to others who are struggling to climb another rung in the "achievement ladder." Health professionals must remain alert to these problems, and work toward developing and providing effective intervention services-both for guilty achievers and for those who perceive that they have been left behind.

Achievement↗

Apartheid medicine. Health and human rights in South Africa.

Human rights and health care under apartheid in South Africa were studied. Human rights violations, such as detention without charge or trial, assault and torture in police custody, and restriction orders, have had devastating effects on the health of persons experiencing them. These violations have occurred in the context of a deliberate policy of discriminatory health care favoring the white minority over the black majority. South Africa's medical societies have had mixed responses to the health problems raised by human rights violations and inequities in the health care system. The amelioration of health care for all and prevention of human rights violations depend on ending apartheid and discrimination and greater government attention to these problems.

Delivery of Health Care↗

Multiple roles of women and role strains.

Women are likely to experience multiple roles, often several at the same time, for which different sets of responsibilities are designated. Expectations that others have of us in any one of our roles may differ from our own, and conflict with our goals as individuals. The multiplicity and overlapping of roles often provoke conflict and stress. Depending on a number of variables, growth of the individual is either impeded or promoted. Vignettes of women experiencing overlapping roles, at various stages of the life cycle, are cited to illustrate the complexities of the issues and coping styles.

Adaptation, Psychological↗