Cited by 7Cultural Competency in Health CareCounseling Practices and SupervisionCultural, Psychoanalytic, and Sociopolitical Reflections

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Intercultural Training in Tense Times: Cultural Identities and Lived Experiences Within a Community of Practice of Youth Mental Health Care in Montréal

Johnson-Lafleur, Janique, Nadeau, Lucie, Rousseau, Cécile·2022·Culture, Medicine, and Psychiatry

Abstract

This article presents an analysis of the lived experiences of youth mental health practitioners taking part in Transcultural Interinstitutional and Interdisciplinary Case Discussion Seminars (TIICDS), an intercultural training initiative developed in Montréal (Québec, Canada), while considering the current context of increasing social polarizations. Using insights from the community of practice (CoP) framework and drawing on the analysis of 21 seminar sessions and 26 semi-structured individual interviews, this article examines the relation between the local sociopolitical context, the participants' verbalization about their identities, and the affect and cognition evoked by the training. Results indicate that TIICDSs present several features of a CoP and that intercultural training needs to build on both theoretical and experiential knowledge, while considering local contextual elements. These include historical and contemporary social representations and power differentials between groups, the cultural identities of trainees, and the institutions and sociopolitical structures in which clinical practices take place. These elements, we argue, are sensitive and potentially conflictual but can be addressed through supportive and reflexive group-based initiatives such as CoPs that bring together practitioners on a regular basis and provide them with a 'culturally safe enough' space in which they can learn to complexify their understanding of clinical situations.

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Crossref · 10.1007/s11013-021-09720-x

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  • This is done by eliciting participants' awareness of their implicit assumptions about the case and internalized cultural representations.

    “This is done by eliciting participants’ awareness of their implicit assumptions about the case and internalized cultural representations.”
  • The model proposed for the development of this CoP was inspired by the positive results documented on TIICDS.

    “The model proposed for the development of this CoP was inspired by the positive results documented on a similar group-based training modality called Transcultural Interdisciplinary and Interinstitutional Case Discussion Seminars (TIICDS).”
  • Discussions held during TIICDS bring new perspectives on situations and treatment, ranging from collectively reformulating the case to shifting participant personal understanding and meaning-making of the case.

    “Discussions held during TIICDS bring new perspectives on situations and treatment, ranging from collectively reformulating the case to shifting participant personal understanding and meaning-making of the case.”
  • The impacts of TIICDS include enhanced clinical and intercultural skills, improved transference analysis capability, and prevention of professionals' burnout.

    “The impacts of TIICDS notably include enhanced clinical and intercultural skills, improved transference analysis capability, and prevention of professionals’ burnout (Daxhelet et al., 2018; Johnson-Lafleur et al., 2021; Rousseau, Johnson-Lafleur, et al., 2020).”

Citations

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Metadata

Authors
Johnson-Lafleur, J., Nadeau, L., & Rousseau, C.
Affiliations
McGill University (CA)
Venue
Culture, Medicine, and Psychiatry
Published
2021-05-14
Volume
46
Issue
2
Pages
391-413
ISSN
  • 0165-005X (ISSN-L)
  • 1573-076X
OpenAlex
W3161311316
Cited by
7
References
2
Citations by year
2026: 1 · 2024: 1 · 2023: 4 · 2022: 1
FWCI
1.24
Type
journal article
Language
en
Open access
closed
Locations
  • Culture Medicine and Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
Funders
Fonds de Recherche du Québec - Santé (198690)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Cultural Competency in Health Care
  • Social Sciences › Psychology › Clinical Psychology › Counseling Practices and Supervision
  • Social Sciences › Cultural Studies › Cultural, Psychoanalytic, and Sociopolitical Reflections
Keywords
intercultural training, youth mental health care, communities of practice, cultural identity, lived experience, cross-cultural psychiatry, social polarization, power imbalance, cultural safety, sociopolitical context, Montreal
MeSH terms
Adolescent, Canada, Humans, Mental Health, Mental Health Services, Quebec

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