Transcultural Mental Health Institute

Abstract People within LGBTIQ+ are significantly more likely to suffer a mental health disorder and substance use disorder compared to heterosexual persons. Stigma, discrimination, and lack of social support are considered as some of the contributing factors to the higher incidence of psychiatric morbidity in this group. Simultaneously, the group’s rights vary around the world, and example being that for example homosexuality is criminalized in many countries and sometimes punishable by death. Even in countries where homosexuality and belonging to LGBTIQ+ community is not criminalized or is well accepted in the society; the studies show increased odds of poor mental health in this group. For example, a study conducted in Sweden, where same – sex marriage is legal, comparing suicide risk between heterosexual and same-sex married couples showed that same-sex married men had a was nearly three-fold greater suicide risk in comparison to their heterosexual counterparts. Accessible and evidence – based LGBTIQ+ affirmative psychiatric services are crucial for addressing the mental health care needs of the group. These services can be supported by well-structured and efficient training of mental health care professionals. Disclosure of Interest None Declared

Paper in this product is recyclable.v vi Preface everyday life challenges and feelings, first and above all (MHCC Language Guide, 2020).Naming of health conditions is the building block of health research (Brown, 1995).It also provides a critical entry point for the public to understand health concepts and notions in their own language and culture (Clegg, 2012; Kingdon et al., 2013).Different countries have different mental healthcare systems, thus distinct mental health terminologies in national languages.Nevertheless, a common term base of key mental health terms, particularly, the names of mental health conditions, provides the foundation for international health research and public communication.Translation plays an instrumental role in bridging the language and cultural gaps in the development of international scientific terminology (Bower, 2015;Cabr, 2010).The ongoing design of mental health condition names in English, illustrated by the five editions of the DSM since 1952, has had and will continue to have an important impact on the re-conceptualization and communication of mental health conditions in other languages and cultures (see Kochhar et al.,

Abstract In this article, I explore the limits of clinical empathy in situations of radical otherness. Cultural difference, extremity of experience, and psychopathology constitute different sorts of challenges to the affective, communicative, and imaginative processes that underlie clinical empathy. When empathy reaches its limits, the other may be experienced as alien and unknown. Theories of psychopathology offer ways to explain alien or inaccessible experience. Clinicians learn to use these models to guide their response to patients and, in some circumstances, such technical models or explanations may enhance or restore empathy. Patients too continue to struggle to present their experience in language that calls for close listening and imaginative engagement. Ultimately, empathy depends on an interactional process between two people able to allow mutual influence. This interaction, in turn, depends on a larger political context that allows dialogue in situations of unequal power. [empathy, intercultural communication, psychiatric consultation, clinical ethnography]

This article discusses clinical psychologists’ current concerns, challenges, and opportunities in private practice. The future of clinicians in independent practice is presented within two paradigms, namely, psychology as a health profession, and psychology as life enhancement. Finally, the author argues that psychotechnology, corporate clinical psychology, and psychology as life enrichment will evolve within the future of clinical psychological independent practice.