FORUMS

Connect with people who understand what you are going through, seek advice and surround yourself with support. We're free, anonymous, and professionally moderated 24/7.

  • 47,612Members
  • 1,358,869Posts
  • 1,400,000Visitors
Recovery Club

Could an Outsider Recieve and Benefit From Culturally-Specific Therapy?

Could an Outsider Recieve and Benefit From Culturally-Specific Therapy?

I was reading something yesterday that mentioned ambitions to grow the numbers of therapists in the mental health system who adhere to differant cultures; so that migrants will have people they can relate to, ect.

It's not the first time I've read about those plans, but for some reason, after reading it yesterday, I had an idea: would it be possible for patients not from such a background to engage with such therapists, and receive the benefits of their culture, if their own culture does not offer such benefits?

It's difficult to determine precisely what the plans are for this area of mental health reform. For example, if we narrow the overall problem down to one specific element, and say that we need more Japanese therapists, because there are many Japanese migrant patients who, thanks to the cultural divide, can't connect with the industry's multitude of non-Japanese therapists; will the influx of Japanese therapists hired by the industry be set aside exclusively to deal with Japanese patients? Or will their services also be open to caucasian patients who believe that Japanese culture would tend to their needs better then western culture, and by extension, a western therapist?

I would imagine that that sort of descrimination would have to be going on to some degree, as what would be the point of hiring a bunch of Japanese therapists, if they immediately get booked out by a bunch of non-migrant patients, and the poor old Japanese migrants end up right back where they started - unable to access a therapist who gets them?

I have a load of other questions, too. Like, to what degree would said therapists be able to follow their culture, if said culture comes into conflict with the existing rules of therapy? But maybe I should collect my thoughts on this one before running wild with a bunch of questions. It's a new idea for me.

29 replies

11 - 20 of 29

In response to: Could an Outsider Recieve and Benefit From Culturally-Specific Therapy?

Re: Could an Outsider Recieve and Benefit From Culturally-Specific Therapy?

@Gwynn, I think Aristotle was into 'psychology' way back when. It's not a new science, to my understanding. It's just been used as a tool of control more recently, while passing itself off as a science–please excuse my cynicism.

In response to: Re: Could an Outsider Recieve and Benefit From Culturally-Specific Therapy?

Re: Could an Outsider Recieve and Benefit From Culturally-Specific Therapy?


@Historylover wrote:

@Gwynn, I think Aristotle was into 'psychology' way back when. It's not a new science, to my understanding. It's just been used as a tool of control more recently, while passing itself off as a science–please excuse my cynicism.


@Historylover, psychology - even when it hasn't formally been named as such - has been around since time immemorial. There have always been people searching for ways to coerce the masses into obeying their will, and using clever mind games to do so.

You only need to look at two of the major tactics still used by modern therapists to manipulate their patients; accusing them of being cowards if they don't do what the therapist wants, and accusing them of being selfish if they don't do what the therapist wants. That's essentially the core essence of how we manipulate the population into abstaining from suicide. Because nobody wants to be branded a coward and nobody wants to branded as a selfish pig.

Those name-calling tactics have been employed to great success since ancient times. How many poor young fools have rushed into a senseless war they never understood, because their king and country would think them a dirty coward if they refused to take up arms?

And it exists across all cultures. Take many asian cultures, for example, who were/are deathly afraid of bringing "dishonor" upon their families or lords if they fail to meet up to some communal expectation for them - often in battle. Many of whom would even commit suicide to negate this dishonor. How easy must it have been for a shrewd leader to manipulate such people, when all they would need to do is accuse a resistant individual of cowardace or dishonorable conduct when they hesitated to obey?

Or take many of the polynesian cultures, where it is expected for you to get a body tattoo. and if you refuse (because the procedure is agonizingly painful), you are branded a coward and your entire family becomes the lowest of social outcasts as a result.

We don't call that "psychology" in the same sense as what our "professional" western therapists practice. But the differances are superficial; at their core, they are the same thing. Clever leaders mind-gaming naieve people into dancing to their tune.


@Gwynn wrote:
Science and Enlightenment ideals are a white, European, thing, though.

It may not be specifically Christian in its origins, but psychology was invented by white people, for white people, and it was used as a tool of colonisation.

I'm still not seeing where psychology is more of a 'new age' thing, as psychology, and its use as a tool of colonisation, have existed long before the New Age of the 1970s.

I don't know that people would have necessarily risen up against the psychiatrists if they knew what it does and how it works, though - mental illness creates scapegoats, and society loves us a scapegoat.

Well, I was thinking more in terms of therapy as we experiance it here and now. Particularly in terms of how we've transitioned into this culture where "everybody has a therapist now", whereas in earlier times, (as a general rule) only the most incomprehensable stark-raving mad people would've been sent to a therapist. Yes, I know there are plenty of examples of sane politically defiant people, homosexuals, and opinionated women who were put away simply because they refused to bow to oppressive social norms. But realistically, I can't believe the mental health system of so long ago had the staff numbers to persecute and exploit sane people to the extent they do today. I just yellow-paged "therapist" for my town, and there are 8 results for my sleepy little suburb alone, not even counting the dozens of results in our close neighbor suburbs! There is no way my town would've had that many mental health therapists 50 years ago, because the definition of "mental health problem" was nowhere near as broad as what it is today! Therapists were a (comparitively) small tribe because their victim pool was so sparse.

But when you get to circa the 1980s, suddenly everybody has a mental health problem and needs expert help! All the kids need to be on meds for their ADHD!

I think about where I would be if I'd reached maturity in the 1950s or even 60s, and first of all I probably wouldn't have even had my problems to begin with. But even if I had suffered a similar fate, there is no way that anyone would've perceived it as a problem that warranted a therapist! Because I'm generally not incoherant to talk to, and I don't go running up and down main street naked singing praises to Beelzebub. And way back when, that's pretty much the benchmark you needed to reach for people to believe you needed to be sent off to a therapist.

Back then, if you had a shit life, people who felt motivated to help you would focus on fixing that shit life. Now, they pressure you in to seeing a therapist so you can talk ad nauseum about having a shit life, and be pressured into "coping" or "accepting" your shit life.

Now yeah, I know that a lot of groups in those times who had shit lives wouldn't have had anyone who had any interest in helping them. But at least the masses who didn't want to help them were open and honest about it, you know? At least we all knew where the masses stood, and even the masses themselves knew what their position was.

These days, the masses are all conned into believing that their "helping" the misfortunate by paying for them to receive therapy; completely masking the fact that their shit lives remain shit lives and that nothing meaningful is changing

Frankly, I prefer the older style where at least people were honest about their intention to neglect you. We all knew where we stood, and there was no false hope cruelly dangled in front of the misfortunate.

In response to: Could an Outsider Recieve and Benefit From Culturally-Specific Therapy?

Re: Could an Outsider Recieve and Benefit From Culturally-Specific Therapy?

Freud did borrow the concept of the ego from Eastern philosophy. People try to differentiate Freudian ego from eastern concepts. But they both mean "The I".

Having said that, I think translations around of Hebrew word for "sin" roughly mean "self-centeredness" which is in a rough way showing the dangers/limitations of "The I" (or maybe describing "The I" itself).

So I'm seeing the thing as different words for the same conundrums.

In response to: Re: Could an Outsider Recieve and Benefit From Culturally-Specific Therapy?

Re: Could an Outsider Recieve and Benefit From Culturally-Specific Therapy?

Is psychology a science? Interesting question @Historylover .

Honestly, they seem to be trying harder and sometimes I wish they wouldn't and just let the practise be more of an art form. Sometimes, when psych focus too much on the observable they miss nuance or something. Maybe I really want art and science to blend more in general (or do I want that? hmmmmmmm......)

In response to: Re: Could an Outsider Recieve and Benefit From Culturally-Specific Therapy?

Re: Could an Outsider Recieve and Benefit From Culturally-Specific Therapy?

@wellwellwellnez, the current definition (one of them) is that psychology is a science because it takes the scientific approach to understanding human behaviour...'form hypotheses, devise experiments to gather data and carefully analyze the results'. (From Psychology Today). I was advised similarly in my course.

From my course I have learned that they are obsessed about details but are overlooking the fact that they haven't got a clue about the bigger picture. I think the term 'psychologist' is misleading, myself. I prefer counsellor, at best. It would help them to get a better perspective on their role. As it stands, they align themselves with psychiatry and there is no similarity, although both have inflicted great suffering at others' $/expense.

In response to: Re: Could an Outsider Recieve and Benefit From Culturally-Specific Therapy?

Re: Could an Outsider Recieve and Benefit From Culturally-Specific Therapy?

@chibam, nice post. As for there not being a need for therapy for those mature folk in the 50s and 60s–that was post-war and there was PTSD etc. in abundance. Yet it wasn't recognized as such, was kept inside as no-one would admit to being 'mentally ill' and it wasn't treated, but its effects were borne by their families, then descendants. Perhaps there is a link to today's 'mental illness' proliferation.

Life takes its toll at every generation, I think. None get through unscathed. Today, however, there is so much money to be made by therapists and there is no accountability. I'm not surprised at the number of psychologists in your town. They abound! And it is promoted as a 'growing profession' as the 'need' is so great. They are sticking their noses in everywhere. Where once families looked after their own children in times of crisis, these days psychologists intervene–the 'experts'. Who, without equal or better knowledge, can measure their competence, their intent or their personality peculiarities? We've all been assuming they had everyone's best interest at heart. The damage they have wrought has been immeasurable. Their ignorance too.

That was a long post and I can't reply further, or better, as Saturday morning is here and shopping beckons. Cheers.

In response to: Re: Could an Outsider Recieve and Benefit From Culturally-Specific Therapy?

Re: Could an Outsider Recieve and Benefit From Culturally-Specific Therapy?


@Historylover wrote:

@chibam, nice post. As for there not being a need for therapy for those mature folk in the 50s and 60s–that was post-war and there was PTSD etc. in abundance. Yet it wasn't recognized as such, was kept inside as no-one would admit to being 'mentally ill' and it wasn't treated, but its effects were borne by their families, then descendants. Perhaps there is a link to today's 'mental illness' proliferation.


@Historylovereven there, I can't help but wonder if we're being sold a rewritten version of history, and the true extent of PTSD caused by WWII wasn't quite as bad as what we're told.

I've been watching Foyle's War recently, and even though it is fiction, it has given me fresh insight as to what things were really like post-war. Nations suddenly needed to transform from wartime economies to peacetime economies, which was an impossible feat. Thousands of soldiers were returning to the countries they had bled and lost limbs for, only to essentially be told that they weren't wanted there, because the country didn't have any peacetime jobs for them to do. Unemployment abounded, as did the associated poverty and reality of being a useless human being. On top of that, major political shifts meant that these guys weren't even returning to the true countries they'd been fighting for. Unsurprisingly, a lot of them got really pissed off about that raw deal.

From out 21st century lens, we seem to believe that these guys needed their governments to throw therapists at them, to help them "cope with their 'trauma'". But I suspect, in the vast majority of cases, all they really needed needed their government to do was throw jobs at them. That's all; jobs. Maybe also a little enclave where the culture they signed up to defend could be maintained for their lifetime and beyond. Give them that, and they would've been happy, engaged members of their society.

But instead of impartially examining the reality of whether or not their lives were truly worth enduring in those times, we have impose an "irrationality" upon their thoughts and behaviors, by deciding they were afflicted with a "mental illness" (PTSD) that was distorting their minds. I can't help but think that the only distortion going on may be in our peceptions of them.

Reflecting upon that article that @Gwynn linked to earlier, I can't help but see a nefarious undercurrant in our modern tendency to explain everything away with "trauma". According to that article, the poor, suffering patients likewise only need one thing from their therapists: to be assigned a good job, because (supposedly) the world has thus far neglected to give them one due to their ethnicity. The article suggests that that is the sole here-and-now problem afflicting them. Give them a good job and their problem will be solved and they will be happy.

But instead of just directly and straightforwardly fixing the patient's actual problem, it sounds as if therapists instead intend to brainwash them into believing that their real problem is the wrongs that were done to their ancestors, thereby recruiting those patients into becoming warriors for a modern political movement. I see uncomfortable echoes of ISIS in there: "Hey, young fella, are you miserable? Join our team; we shall be your brothers-in-arms and together we shall anihilate the heathen society that opposes our righteous new order!" Master manipulators taking advantage of the vulnerable and naieve for their own ends, yet again. Psychology to a tea.

It's all too familiar to me. My therapist tried very hard to bend me to her political causes. So I know it goes on. But lately, I'm starting to suspect that it is far, far more prevalent then I ever thought.

Stuff like that shouldn't happen. IMHO.

If your a therapist, just fix the damn problem (e.g. patient's unemployment, patient's loneliness, ect.). If the patient wants to become a political advocate and commit themselves to correcting the deeper societal factors that caused their problem, and likewise causes it for many others, then that's their business. But, IMHO, a patient has every right to focus on their own plight during their darkest days, and not be coerced into signing up to broader political movements, when they have their own problems to deal with.

In response to: Re: Could an Outsider Recieve and Benefit From Culturally-Specific Therapy?

Re: Could an Outsider Recieve and Benefit From Culturally-Specific Therapy?

@chibam, I think returned servicemen would have made the best recovery if they had just been able to slowly unravel their experience, readjust to life, and be held by their loved ones. Compassion. No-one can undo the experiences they went through. Any therapist would just be intruding in their personal space which belonged to them, their loved ones and fellow returnees. I am so sick and tired of so-called 'therapists' and the suffering they inflict.

In response to: Re: Could an Outsider Recieve and Benefit From Culturally-Specific Therapy?

Re: Could an Outsider Recieve and Benefit From Culturally-Specific Therapy?

I’m sorry to hear about your experience with your therapist @chibam. It sounds very distressing to feel manipulated by someone you have reached out to for support.

I think we can all have very different experiences with psychologists, depending on the connection with the therapist, the type of therapy and how that fits with our past experiences and present concerns. For many people, therapy is a very positive experience.

I also wanted to note that practicing psychologists are accountable to AHPRA, the Australian Health Practitioner Regulation Authority, so there is some accountability and a process for making complaints.

I agree that there are many times when improving an individual’s circumstances would have a huge impact on their mental health, but I also don’t think that this inherently makes therapy unhelpful. Sometimes changes to circumstance are not possible or other times therapy might be beneficial alongside changes to circumstance.

Anyway, that’s my little rant. Please continue to share your thoughts and opinions here 😊

In response to: Re: Could an Outsider Recieve and Benefit From Culturally-Specific Therapy?

Re: Could an Outsider Recieve and Benefit From Culturally-Specific Therapy?

Hello @chibam @Historylover @wellwellwellnez @Gwynn @Former-Member

Following the thread and wondering what you all thought about this discussion ... with a fellow who is well qualified in psychiatry and psychoanalysis, but seems to have a heart as well ... ??? (edit ... oh dear delving deeper ? were wise... I was too generous ... talking about heart ... a big wallet more like it.)

https://www.psychiatrictimes.com/view/conversations-critical-psychiatry-allen-frances-md

btw ... I see America as fragmented cultures ... and a bit of a mess ...

11 - 20 of 29