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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
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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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.”
From Collective case formulation in situations of violent radicalization: A critical perspective in training (2023) · cites this paper as Johnson-Lafleur et al., 2021
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).”
From Collective case formulation in situations of violent radicalization: A critical perspective in training (2023) · cites this paper as Johnson-Lafleur et al., 2021
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.”
From Collective case formulation in situations of violent radicalization: A critical perspective in training (2023) · cites this paper as Johnson-Lafleur et al., 2021
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).”
From Collective case formulation in situations of violent radicalization: A critical perspective in training (2023) · cites this paper as Johnson-Lafleur et al., 2021
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Johnson-Lafleur, J., Zoldan, Y., Frounfelker, R. L., & Rousseau, C. (2023) · Transcultural Psychiatry · doi:10.1177/13634615221134932 · Cited by 3
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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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