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Training

Training tested protocol

 

Contents of the modules were organized as follows:

Core module

Week 1:

Why train to cultural mediation? Introduction to respective roles in the healthcare relation (role games, clinical cases and video)

History of mediation (national variations) and introduction to key concepts (empathy, neutrality, interpreting vs. translating)

Week 2:

History of immigration and local healthcare structures. Introduction to the legal context (national variations) and conditions to healthcare access for immigrants and refugees.

Introduction to the medical anthropology approach. The role of social determinants in the context of immigration. Mediation within a medico-psycho-social approach (clinical cases).

Week 3:

Medical anthropology in the clinical context: Introduction to explanatory models and illness/disease/sickness concepts. Definition of “culture” and its meaning in the healthcare context (AMC interactive tool produced by Minkowska).

Medical pluralism and variations in therapeutic efficacy. The role of the mediator in the biomedical healthcare context. Biomedicine as a cultural system.

Week 4:

Brainstorming with participants. Relationship between theoretical concepts and professional competencies. What is “cultural competence”? (clinical cases)

Round-table and evaluation of the common module.

Mental Health Module

Week 5:

Genealogy of the relationship between mental health and culture (colonialism and the emergence of ethnopsychiatry, postcolonial evolutions).

Evolution of “specialized” mental healthcare structures in local national contexts. The difficult task of finding a balance between essentializing culture and obliterating the social determinants of health.

Week 6:

Mediation in the context of mental health therapy: film, clinical cases, role games. Testimonies from mental healthcare professionals and mediators.

Women’s Health Module

Week 7:

Anthropology of motherhood, parenting, birthing (videos). Confrontation to Western theories on education, attachment and mother/infant interactions.

Mediation in the Maternal and Infant Health Context : clinical cases.

Week 8:

Mediation in the maternal and infant health context: identification of related institutions of intervention (birth clinics, schools, associations, etc.), clinical cases, videos. Testimonies from maternal and infant health professionals and mediators.

Round-table and evaluation of the specialization modules.

 

Themes of training

 

Common themes to different partners:

 

o History and actual state in each country of:

- Migration, local health care systems, cultural mediation;

- Right and Accessibility of healthcare services for migrants and asylum seekers in each country;

- National and local politics on social exclusion.

 

o Migration, Health and Anthropology:

- The role of social determinants in migration;

- Medical Pluralism;

- Biomedicine as a cultural system;

- Definition of the concept of “culture”;

- Stereotypes, prejudices and cultural misunderstandings;

- Migration and family;

- Critical analysis of the concepts of body, identity, and gender.

 

o Anthropology of maternity, parenthood and birth:

- Confrontation of different educational models, attachment and motherhood;

- Cultural Mediation in maternity and childhood healthcare context;

- The practice of Genital Mutilation and cultural construction of gender.

o Anthropology of Mental health:

- Medical anthropology, social suffering and illness. Illness narratives;

- Relation between mental health and culture; – Cultural Mediation and Mental Health.