Examines three ‘cosmopolitan’ traditions in the Caribbean. While the first tradition derives from the universalist intellectual tradition of the European Enlightenment, the other two are linked to vernacular, local Caribbean traditions.
This article presents a conceptual and empirical synthesis of ‘critical action learning’ (CAL) and ‘policy learning’ (PL). We pursue this undertaking by reflecting upon a five-year inquiry into an initiative that aimed to provide business support to an action learning set comprising eight African-Caribbean entrepreneurs. CAL and PL share commitments that are riven with tensions, which we explore in our inquiry in relation to three themes that arose during the course of the investigation.
Analyzes Cuba's medical role in Haiti since Hurricane Georges in 1998, with particular emphasis on the Cuban government's response to the 2010 earthquake. Examines two central themes. First, it assesses the enormous impact on public health that Cuba has made since 1998, and second, it provides a comparative analysis of Cuba's medical role since the earthquake.
Assesses if the economies of Barbados, Jamaica, Trinidad and Tobago, and Guyana can form part of a Caribbean monetary union. Correlations between the demand and supply indicate that monetary union may lead to greater stabilization problems for these economies.
This study examines the demographic correlates of psychological distress and psychological well-being among older African American and black Caribbean adults.
Gonzalez,Hector M. (Author), Vega,William A. (Author), Williams,David R. (Author), Tarraf,Wassim (Author), West,Brady T. (Author), and Neighbors,Harold W. (Author)
Format:
Journal Article
Publication Date:
2010
Location:
African American Research Center, Library, University of Illinois at Urbana-Champaign
Objective: To determine the prevalence and adequacy of depression care among different ethnic and racial groups in the United States. Design: Collaborative Psychiatric Epidemiology Surveys (CPES) data were analyzed to calculate nationally representative estimates of depression care. Setting: The 48 coterminous United States. Participants: Household residents 18 years and older (N=15 762) participated in the study. Main Outcome Measures: Past-year depression pharmacotherapy and psychotherapy using American Psychiatric Association guideline-concordant therapies. Depression severity was assessed with the Quick Inventory of Depressive Symptomatology Self-Report. Primary predictors were major ethnic/racial groups (Mexican American, Puerto Rican, Caribbean black, African American, and non-Latino white) and World Mental Health Composite International Diagnostic Interview criteria for 12-month major depressive episode. Results: Mexican American and African American individuals meeting 12-month major depression criteria consistently and significantly had lower odds for any depression therapy and guideline-concordant therapies despite depression severity ratings not significantly differing between ethnic/racial groups. All groups reported higher use of any past-year psychotherapy and guideline-concordant psychotherapy compared with pharmacotherapy; however, Caribbean black and African American individuals reported the highest proportions of this use. Conclusions: Few Americans with recent major depression have used depression therapies and guideline-concordant therapies; however, the lowest rates of use were found among Mexican American and African American individuals. Ethnic/racial differences were found despite comparable depression care need. More Americans with recent major depression used psychotherapy over pharmacotherapy, and these differences were most pronounced among Mexican American and African American individuals. This report underscores the importance of disaggregating ethnic/racial groups and depression therapies in understanding and directing efforts to improve depression care in the United States. Arch Gen Psychiatry. 2010;67(1):37-46
Background: Studies of cognitive behaviour therapy (CBT) for schizophrenia demonstrate that African-Caribbean and Black African patients have higher dropout rates and poor outcomes from treatment. Aim: The main aim of the study was to produce a culturally sensitive adaption of an existing CBT manual for therapists working with patients with psychosis from specified ethinic minority communities (African-Caribbean, Black-African/Black British, and South Asian Muslims). This will be based on gaining meaningful understanding of the way members (lay and service users) of these minority communities typically view psychosis, its origin and management including their cultural influences, values and attitudes. Method: This two-centre (Hampshire and West London) qualitative study consisted of individual semi-structured interviews with patients with schizophrenia (n = 15); focus groups with lay members from selected ethnic communities (n = 52); focus groups or semi-structured interviews with CBT therapists (n = 22); and mental health practitioners who work with patients from the ethnic communities (n = 25). Data were analyzed thematically using evolving themes and content analysis. NVivo 8 was used to manage and explore data. Results: There was consensus from the respondent groups that CBT would be an acceptable treatment if culturally adapted. This would incorporate culturally-based patient health beliefs, attributions concerning psychosis, attention to help seeking pathways, and technical adjustments. Conclusion: While individualization of therapy is generally accepted as a principle, in practice therapists require an understanding of patient-related factors that are culturally bound and influence the way the patient perceives or responds to therapy. The findings of this study have practical implications for therapists and mental health practitioners using CBT with people with psychosis from BME communities.
Examined discrimination attributions in the psychological well-being of Black adolescents. Findings are based on a representative sample of 810 African American and 360 Caribbean Black youth, aged 13-17, who participated in the National Survey of American Life.
