Department of Neurology, Neuropsychology Section, Baylor College of Medicine, Houston, TX, USA.
Kessler Foundation, West Orange, NJ, USA.
Arch Clin Neuropsychol. 2023 Apr 26;38(3):387-394. doi: 10.1093/arclin/acad004.
Becoming culturally competent healthcare providers depends on the ability of practitioners to acquire knowledge, awareness, and skills related to other cultures. In building these areas of competence, it is essential to consider geopolitical factors that may influence health and health-seeking behaviors, particularly when working with immigrant populations. When care is sought, they are likely to experience significant barriers to effective care, including lack of providers who speak their language and failure of practitioners to integrate cultural beliefs into treatment plans. This is further complicated by the presence of geopolitical issues, including immigration status, war/conflict in the patient's country of origin, and/or human rights violations.
The current study uses a sample case of a Burmese-speaking, Myanmar national to illustrate a culturally informed approach to the assessment of neurobehavioral changes within complex geopolitical circumstances. The sample represents an amalgam of several patients, designed to represent common presentations, sociodemographic situations, and concerns that arise during the neuropsychological assessment process.
Description of relevant case information including background, clinical observations, and performance on testing is provided.
Awareness of the impact of these life experiences not only has the potential to deepen our understanding of our patients but also results in a more holistic, accurate, and culturally competent conceptualization of their physical and mental health needs.
成为具有文化能力的医疗保健提供者取决于从业者获取与其他文化相关的知识、意识和技能的能力。在建立这些能力领域时，必须考虑可能影响健康和寻求健康行为的地缘政治因素，特别是在与移民群体合作时。当他们寻求医疗服务时，他们可能会遇到严重的障碍，包括缺乏会说他们语言的提供者，以及从业者未能将文化信仰融入治疗计划。这进一步因地缘政治问题的存在而变得复杂，包括移民身份、患者原籍国的战争/冲突和/或侵犯人权行为。
本研究使用一名讲缅甸语的缅甸国民的案例样本来说明在复杂的地缘政治环境下，对神经行为变化进行文化知情评估的方法。该样本代表了几个患者的混合体，旨在代表常见的表现、社会人口情况以及在神经心理评估过程中出现的问题。
提供了相关案例信息的描述，包括背景、临床观察以及测试表现。
意识到这些生活经历的影响不仅有可能加深我们对患者的理解，而且还会对他们的身心健康需求进行更全面、准确和具有文化能力的概念化。
