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Published in: Community Mental Health Journal 5/2017

01-07-2017 | Original Paper

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

Authors: Anat Freund, Tova Band-Winterstein

Published in: Community Mental Health Journal | Issue 5/2017

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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.
Literature
go back to reference 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
go back to reference 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.
go back to reference 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
go back to reference 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
go back to reference 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
go back to reference 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
go back to reference 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
go back to reference 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
go back to reference 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
go back to reference 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
go back to reference 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
go back to reference 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
go back to reference 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.
go back to reference 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.
go back to reference 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.
go back to reference 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
go back to reference 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
go back to reference 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
go back to reference 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.
go back to reference 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
go back to reference 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
go back to reference 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
go back to reference 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
go back to reference 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.
go back to reference 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
go back to reference 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
go back to reference 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.
go back to reference King, N., & Horrocks, C. (2010). Interviews in qualitative research. London: Sage. King, N., & Horrocks, C. (2010). Interviews in qualitative research. London: Sage.
go back to reference 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.
go back to reference 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).
go back to reference 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.
go back to reference 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
go back to reference 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
go back to reference 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.
go back to reference 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).
go back to reference Mason, J. (1996). Qualitative researching. London: Sage. Mason, J. (1996). Qualitative researching. London: Sage.
go back to reference Moustakas, C. E. (1994). Phenomenological research methods. Thousand Oaks, CA: Sage.CrossRef Moustakas, C. E. (1994). Phenomenological research methods. Thousand Oaks, CA: Sage.CrossRef
go back to reference 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
go back to reference 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.
go back to reference 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
go back to reference 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
go back to reference 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
go back to reference 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
go back to reference 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).
go back to reference 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
go back to reference 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.
go back to reference 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.
go back to reference 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.
go back to reference 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
go back to reference 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).
go back to reference 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).
go back to reference 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.
Metadata
Title
Cultural Psychiatry: A Spotlight on the Experience of Clinical Social Workers’ Encounter with Jewish Ultra-Orthodox Mental Health Clients
Authors
Anat Freund
Tova Band-Winterstein
Publication date
01-07-2017
Publisher
Springer US
Published in
Community Mental Health Journal / Issue 5/2017
Print ISSN: 0010-3853
Electronic ISSN: 1573-2789
DOI
https://doi.org/10.1007/s10597-016-0056-9

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