International Perspectives in Values-Based Mental Health Practice: Case Studies and Commentaries

This open access book offers essential information on values-based practice (VBP): the clinical skills involved, teamwork and person-centered care, links between values and evidence, and the importance of partnerships in shared decision-making. Different cultures have different values; for example, partnership in decision-making looks very different, from the highly individualized perspective of European and North American cultures to the collective and family-oriented perspectives common in South East Asia. In turn, African cultures offer yet another perspective, one that falls between these two extremes (called batho pele). The book will benefit everyone concerned with the practical challenges of delivering mental health services. Accordingly, all contributions are developed on the basis of case vignettes, and cover a range of situations in which values underlie tensions or uncertainties regarding how to proceed in clinical practice. Examples include the patient’sautonomy and best interest, the physician’s commitment to establishing high standards of clinical governance, clinical versus community best interest, institutional versus clinical interests, patients insisting on medically unsound but legal treatments etc. Thus far, VBP publications have mainly dealt with clinical scenarios involving individual values (of clinicians and patients). Our objective with this book is to develop a model of VBP that is culturally much broader in scope. As such, it offers a vital resource for mental health stakeholders in an increasingly inter-connected world. It also offers opportunities for cross-learning in values-based practice between cultures with very different clinical care traditions.

Table of Contents:
Foreword1 Surprised by Values: an Introduction to Values-based Practice and the Use of Personal Narratives in this Book.- Part I – EXEMPLARS 2 Migration Narratives: an introduction to Part I, Exemplars.- 3 Antonella – “A Stranger in the Family”: a case study of eating disorders across cultures.- 4 The role of culture, values and trauma in shaping abnormal bodily experience in migrants.- 5 Premorbid personality and expatriation as possible risk factors for brief psychotic disorder: A case report from post-Soviet Bulgaria.- Part II – THEORY 6 Theory First: an introduction to Part II, Theory.- 7 The Will to Beauty as a Therapeutic Agent: aesthetic values in the treatment of addictive disorders.- 8 Anorexia as Religion: Ocularcentrism as a cultural value and a compensation strategy in persons with Feeding and Eating Disorders.- 9 Ethos, embodiment, psychosis: Losing one’s home - identity stakes.- 10 African Personhood, Humanism, and Critical Sankofaism: The Case of Male Suicide in Ghana.- 11 Madness, Mythopoetry and Medicine.- 12 Inside and out: how Western patriarchal cultural contexts shape women's relationships with their bodies.- 13 Spiritual, religious and ethical values in a suicidal individual.- 14 Cultural values, religion and psychosis: five short stories.- Part III – PRACTICE 15 Vectors for best practice: an introduction to Part III, Practice.- 16 Cross-cultural factors and identity in adolescence.- 17 Multidisciplinary Teamwork and the Insanity Defence: a Case of Infanticide in Iraq.- 18 Colonial values and asylum care in Brazil: reclaiming the streets through carnival in Rio de Janeiro.- 19 Alcohol Use Disorder in a Culture that Normalizes the Consumption of Alcoholic Beverages: The Conflicts for Decision-Making.- 20 Living at the edge of Compromise: Balkan pluralism as a resource for balanced decision-making.- 21 “Thinking too much”: A clash of legitimate values in clinical practice calls for an indaba guided by African values based practice.- 22 Three points in time: how values and culture affected my life, madness and the people around me.- 23 Recovery and cultural values: on our own terms (a dialogue).- Part IV – SCIENCE 24 Linking Science with People: an introduction to Part IV, Science.- 25 A Cross-Cultural Values-based Approach to the Diagnosis and Treatment of Dissociative (Conversion) Disorders.- 26 Treatment of social anxiety disorder or neuroenhancement of socially accepted modesty? The case of Ms. Suzuki.- 27 Non-Traditional Religion, Hyper-religiosity and Psychopathology: the Story of Ivan from Bulgaria.- 28 Journey into Genes: cultural values and the (near) future of genetic counselling in mental health.- 29 Policy-making indabas to prevent “not listening”: An added recommendation from the Life Esidimeni tragedy.- 30 Covert Treatment in a cross-cultural setting.- 31 Discouragement towards Seeking Health Care of Older People in Rural China: The influence of culture and structural constraints.- 32 Discovering myself, a journey of rediscovery.- Part V – TRAINING 33 Training for Task: an introduction to Part V, Training.- 34 Values-based Practice when engaging with voice-hearers.- 35 Dharma Therapy: a Buddhist counselling approach to acknowledging and enhancing perspectives, attitudes and values.- 36 Dangerous Liaisons: Science, Tradition, and Qur’anic Healing in the Dakhla Oasis of Egypt.- 37 Know thyself: Jane discovers the value of her depression.- 38 Case studies in the culture of Professional Football Players and Mental Welfare and Wellbeing.- 39 Sexual Orientation Change Efforts and VBP.- 40 Values, Meanings, Hermeneutics and Mental Health.- 41 Disha: Building Bridges-Removing Barriers: Where Excluded and Privileged Young Adults Meet.- 42 Online Counselling: the world without a label.- Part VI – REFLECTIONS 43 The Realpolitik of Values-based Practice: an introduction to Part VI, Reflections.- 44 Reflections on the impact of mental health ward staff training in race equality and values-based practice.- 45 Connecting patients, practitioners and regulators in supporting positive experiences and processes of shared decision-making in osteopathy: a case study in co-production.- 46 Beyond the Color Bar: sharing narratives in order to promote a clearer understanding of mental health issues across cultural and racial boundaries.- BM 47 Co-writing values: what we did and why we did it.- After word: where next with the book.- Index.

About the Author :
Drozdstoy Stoyanov (Lead Editor, Bulgaria) is Full Professor, Department of Psychiatry and Medical Psychology, Faculty of Medicine, Medical University of Plovdiv. Relevant internationally connected posts include Visiting Fellow in the Center for Philosophy of Science at the University of Pittsburgh, USA (2009), Project Partner at the Collaborating Center for Values-Based Practice in Health and Social Care, University of Oxford (2015), International Distinguished Fellow of American Psychiatric Association. He has published more than 160 scholarly papers, including five monographs and three textbooks. Bill (KWM) Fulford (United Kingdom) is Fellow of St Catherine’s College, Oxford University, UK. He developed values-based practice in mental health through a series of programs supported by the UK Department of Health and established the Collaborating Centre for Values-based Practice in Oxford to extend this work to other clinical areas (such as surgery)  (valuesbasedpractice.org). Giovanni Stanghellini (Italy and Chile) is Professor of Dynamic Psychology and Psychopathology at “d’Annunzio” University (Chieti, Italy) and Profesor Adjuncto “D. Portales” Univesity (Santiago, Chile). He has many international posts and connections including co-editor of an OUP book series and as Chair of the Association of European Psychiatrists’ Section, and of the Scuola di Psicoterapia Fenomenologico-Dinamica (Florence). Werdie Van Staden (South Africa) is Nelson Mandela Professor of Philosophy and Psychiatry and Director of the Centre for Ethics and Philosophy of Health Sciences, University of Pretoria. He chairs the Section for Philosophy and Humanities in the WPA, and secretary-general of the Section for Classification, Diagnostic Assessment and Nomenclature of the WPA. Michael Wong (Hong Kong, China and Australia) is Clinical Professor, Department of Psychiatry, The University of Hong Kong. He is  Secretary to WPA Section of Philosophy & Humanities in Psychiatry and Advisor to the Chinese Health Foundation of Australia.