Diversity, Equity, Inclusion (DEI) Column

Diversity can include race, ethnicity, nationality, gender identity, sexual orientation, age, religion, disabilities, and socioeconomic. It can also include livelihood such as the military culture and first responder culture, education, marital status, non-traditional families, and multigenerational issues. It can be the intersectionality of an individual. We, at SCV-CAMFT, are dedicated to educating and advocating for diversity. We already do this with announcements about holidays, many diverse noted causes and celebrations, and presentations. With these goals in mind, SCV-CAMFT will publish a quarterly diversity column, in which we plan to invite experts in the field to talk about how to address social justice, intersectionality, immigrants, first responders, military members, the LGBTQ community, and many other topics and groups. We are lucky to live in a very diverse area of the country. With that fortune comes the responsibility to understand our clients’ world so that we can better help them with their challenges in a culturally informed manner.

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  • Saturday, November 23, 2024 12:42 PM | Anonymous

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    by Kusum Punjabi, AMFT

    Director of DEI Kusum Punjabi shares how different cultures honor the new moon, and how we can help our clients work through the varied emotions they may be experiencing during this time of year

    As mental health practitioners in California's diverse therapeutic landscape, we regularly encounter the richness of intersecting cultural narratives. The October new moon of 2024 offers a particularly poignant moment for reflection, as it coincides with Diwali, Día de los Muertos, and Halloween – three distinct cultural traditions that illuminate how the same celestial event can carry profoundly different meanings across communities.

    In Hindu traditions, this new moon marks Diwali, the festival of lights. Devotees celebrate Rama's triumphant return from exile, symbolizing the victory of light over darkness, knowledge over ignorance. Homes glow with diyas (clay lamps), and families gather to share sweets, reflecting the sweetness of homecoming and renewal. For our South Asian clients, this period may evoke complex emotions tied to family obligations, cultural identity, and the challenge of maintaining traditions in the South Asian diaspora.

    Simultaneously, for our Latine/a/o/x communities, this lunar phase heralds the approach of Día de los Muertos, when the veil between worlds grows thin. Unlike Halloween's spooky undertones, this Mexican tradition views death not as frightening but as a natural continuation of life. Families construct ofrendas (altars) adorned with marigolds, photos, and their departed loved ones' favorite foods. For these clients, this season might surface grief differently – not as something to process alone, but as a communal experience of remembrance and celebration.

    Meanwhile, the Western tradition of Halloween transforms this same dark moon into a night of costume and masquerade. What began as the Celtic Samhain, marking summer's end and the harvest season, evolved through Christian influence into All Hallows' Eve. Today's secular celebration invites participants to play with identity itself – a temporary liberation from fixed social roles that might resonate particularly with clients exploring questions of personal authenticity and social presentation.

    This convergence of traditions offers a powerful lesson in phenomenology – how our lived experiences shape our perception of reality. The same new moon appears radically different through these cultural lenses: a triumph of light, a bridge between worlds, or a night of transformation. None of these perspectives is more "true" than the others; each represents a valid way of making meaning from the same astronomical event.

    For us as therapists, this cultural confluence reminds us to practice radical openness in our clinical work. When a client mentions "celebrating this weekend," we must resist assuming we know what that means. Their celebration might involve lighting diyas, arranging marigolds, or carving pumpkins – or perhaps something entirely different.

    This intersection of traditions also highlights how cultural identity isn't monolithic but fluid and often multiplicative. A client might celebrate Halloween at school, build an ofrenda at their grandmother's house, and join Diwali festivities with friends. Each experience adds depth to their lived experience rather than diminishing other aspects of their identity.

    As we move through this season, let us embrace these overlapping narratives as an invitation to deepen our cultural humility. Every client brings their own moon, their own light, their own way of marking time and making meaning. Our role is not to assume but to inquire, not to know but to learn, creating space for all the diverse ways humans understand and experience their world.

  • Sunday, October 13, 2024 2:55 PM | Anonymous

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    by Kusum Punjabi, AMFT

    October 10, World Mental Health Day, serves as an important reminder for mental health professionals to reflect on the often unseen aspects of mental health issues. While common conditions like anxiety and depression are well-documented, many hidden places harbor mental health problems, often unnoticed until they escalate. As therapists, recognizing these spaces and adopting proactive approaches to attend to them can be of great consequence.

    1. In the Shadows of Social Media

    The impact of social media on mental health has become increasingly significant. Research shows that while social media can provide support, it also encourages comparison and feelings of inadequacy (Vogel et al., 2014). Individuals often curate idealized versions of their lives, which can mask underlying struggles. Therapists should encourage clients to examine their social media habits and consider the effects on their self-esteem and well-being.

    2. Within High-Pressure Environments

    High-pressure environments, whether in workplaces or educational institutions, often contribute to mental health challenges. A study by the American Psychological Association indicates that chronic stress from unrealistic expectations can lead to burnout, anxiety, and depression (APA, 2020). Therapists should remain attuned to signs of distress in clients who feel compelled to keep pushing forward. Regular discussions about work-life balance can help uncover hidden mental health issues before they escalate.

    3. In Unspoken Generational Patterns

    Many families carry unaddressed traumas that subtly influence mental health across generations. Research in family systems therapy highlights the impact of generational patterns on individual mental health (Bowen, 1978). Therapists can guide clients to explore their family histories and the ways these dynamics affect their current struggles. Addressing these hidden patterns is crucial for breaking cycles of pain that may persist for years.

    4. Underneath Cultural Expectations

    Cultural norms can significantly inhibit discussions about mental health. Many individuals feel pressured to conform to societal expectations, leading to the suppression of feelings. This is especially true in marginalized communities, where mental health issues are often stigmatized (Kuehner, 2017). Therapists must cultivate cultural competence and create safe spaces for clients to express their struggles. By acknowledging cultural contexts, therapists can help uncover issues that might otherwise remain hidden.

    5. Within the Silence of Men’s Mental Health

    Men often face societal pressures to adhere to traditional notions of masculinity, which can inhibit open discussions about mental health. Studies indicate that men are less likely to seek help for mental health issues due to stigma (Mahalik et al., 2003). Therapists should advocate for awareness that specifically addresses men’s mental health, fostering environments where men feel safe to express their emotions and seek support.

    6. Among Members of the LGBTQIA+ Community

    Members of the LGBTQIA+ community may face unique mental health challenges, particularly when questioning their identities. The fear of rejection and discrimination can exacerbate feelings of anxiety and depression (Budge et al., 2013). Therapists should create affirming spaces that encourage exploration and support for individuals navigating their identities, helping them process their experiences in a safe environment.

    7. For Persons with Non-Visible Disabilities

    Individuals with non-visible disabilities, such as chronic pain or neurodiversity, often face misunderstanding and stigma. This can lead to isolation and untreated mental health issues. Therapists should be vigilant in understanding the diverse experiences of these clients, ensuring their mental health needs are validated and addressed.

    Conclusion

    On this World Mental Health Day, therapists are invited to delve into these hidden places where mental health issues reside. By recognizing the signs and fostering open conversations, we can bring these problems into the light, helping clients navigate their mental health journeys with support and understanding. Our ultimate goal is to create a culture of openness and awareness, ensuring that mental health issues are acknowledged and addressed, no matter where they hide.

    References:


  • Wednesday, September 11, 2024 12:28 PM | Anonymous

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    by Kusum Punjabi, AMFT

    In honor of Hispanic Heritage Month, SCV-CAMFT Director of DEI Kusum Punjabi provides suggestions for ways clinicians can provide culturally sensitive support to Hispanic clients

    Creating a therapeutic approach that is culturally sensitive and tailored to Hispanic clients involves understanding and integrating the unique cultural, familial, and societal factors that influence your client’s mental health. This approach recognizes the rich diversity within Hispanic communities - including Mexican, Puerto Rican, Cuban, and other Hispanic heritages - and seeks to honor and incorporate cultural values and traditions into the therapeutic process.

    Understanding Cultural Context

    Hispanic cultures often emphasize close family ties, respect for traditions, and a strong sense of community. For instance, the concept of "familismo," which prioritizes family needs over individual desires, is central to many Hispanic families. Recognizing this can help therapists understand how family dynamics influence a client’s mental health and therapy process (Zayas et al., 2011).

    For example, a Mexican client may view family support as crucial to their well-being. Acknowledging and integrating family members into therapy sessions, when appropriate, can help address family-related stressors and strengthen the therapeutic alliance. This approach respects the client's values and leverages their support system to facilitate healing.

    Addressing Acculturation Stress

    Acculturation—the process of adapting to a new culture while maintaining one’s ethnic identity—can create significant stress. This might manifest as anxiety, depression, or identity confusion. A culturally sensitive therapist recognizes these challenges and provides support tailored to the client’s acculturation experience. For instance, a Cuban-American client struggling with the tension between traditional values and modern societal pressures might benefit from exploring these conflicts within therapy. Understanding how acculturation impacts mental health can allow therapists to offer more relevant interventions and support (Torres & Voell, 2013).

    Navigating Cultural Stigma

    Cultural stigma around mental health can be a significant barrier to seeking help. Many Hispanic clients might experience mental health issues as a source of shame or weakness due to cultural attitudes. Creating a non-judgmental and validating environment is crucial for overcoming this stigma. Therapists can help clients feel understood and supported by openly discussing cultural attitudes towards mental health and addressing any fears or concerns related to seeking therapy (Gonzalez et al., 2010).

    For example, a Puerto Rican client who feels reluctant to discuss their mental health due to cultural stigma might benefit from a therapist who acknowledges these concerns and provides reassurance that seeking help is a strength, not a weakness.

    Incorporating Cultural Practices and Traditions

    Integrating cultural practices and traditions into therapy can enhance the therapeutic experience. Therapists might incorporate traditional rituals, celebrate cultural milestones, or use culturally relevant metaphors and stories. Dr. Pilar Hernandez, a psychologist specializing in Hispanic mental health, often uses cultural rituals to help clients feel more connected to their heritage while addressing their mental health needs (Hernandez, 2018).

    For instance, including a discussion about cultural holidays or family traditions in therapy sessions can help clients feel seen and understood. Celebrating events like Día de los Muertos can provide opportunities to discuss grief, loss, and family connections in a culturally meaningful way.

    Conclusion

    A culturally sensitive therapeutic approach for Hispanic clients involves understanding and respecting their cultural values, addressing acculturation stress, overcoming cultural stigma, and incorporating cultural practices into therapy. By embracing these elements, therapists can create a supportive and effective therapeutic environment that honors clients' identities and enhances their mental health journey.

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    References

    National Alliance on Mental Illness (NAMI). (2020). Mental Health Disparities: Hispanic Americans. Retrieved from NAMI

    Torres, L. R., & Voell, C. (2013). Acculturation and mental health among Hispanic immigrants. Journal of Clinical Psychology, 69(5), 513-524.

    Zayas, L. H., Suarez, M., & Torres, L. (2011). Familismo and its effects on mental health among Hispanic individuals. Social Work, 56(4), 356-365.

    Gonzalez, H. M., Tarraf, W., Whitfield, K. E., & Casado, B. L. (2010). The epidemiology of major depression and ethnicity in the United States. Hispanic Journal of Behavioral Sciences, 32(1), 17-43.

    Hernandez, P. (2018). Culturally relevant interventions in Hispanic mental health. Journal of Hispanic Psychology, 24(2), 45-59.


  • Thursday, August 15, 2024 2:49 PM | Anonymous

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    by Kusum Punjabi, AMFT

    August 9th, the International Day of the World’s Indigenous Peoples, reminds us to honor the diverse cultures, traditions, and contributions of indigenous communities worldwide. With around 476 million Indigenous Peoples across 90 countries, it's crucial to be mindful of their varied cultural backgrounds and the historical challenges Indigenous Peoples have faced and continue to face.

    In working with Indigenous clients, you’re encouraged to embrace practices that integrate their cultural heritage and unique experiences. Here are some practical interventions to consider:

    Cultural Competence and Awareness:

    • Cultural Training: Take part in cultural competence training specific to the Indigenous groups you work with. This might involve learning about traditional values, social norms, and historical contexts.
    • Consultation with Cultural Experts: Collaborate with Indigenous cultural consultants or community leaders to gain a deeper understanding of specific cultural practices and beliefs.

    Incorporate Traditional Practices:

    • Traditional Healing Integration: If your client is open to it, work with Indigenous healers or shamans to integrate traditional healing practices, such as sweat lodges or herbal remedies, into your therapeutic process.
    • Ceremonial Practices: Include meaningful rituals, like storytelling or cultural ceremonies, that resonate with the client’s beliefs to provide comfort and healing.

    Create a Safe and Respectful Space:

    • Cultural Symbols and Artifacts: Decorate your therapy space with culturally relevant symbols or artifacts that reflect Indigenous traditions and help clients feel at ease.
    • Affirmation of Identity: Use affirming language and acknowledge the client’s cultural identity and experiences, showing respect and validation for their background.

    Address Historical Trauma:

    • Trauma-Informed Care: Apply trauma-informed approaches that recognize the impact of historical and ongoing trauma. Techniques such as narrative therapy can help clients articulate their experiences and process trauma in a supportive setting.
    • Community Healing Circles: Facilitate or refer clients to community healing circles where they can share their experiences and receive collective support from their peers.

    Empower Indigenous Voices:

    • Client-Led Goals: Let clients set their own therapeutic goals and steer the direction of therapy based on their cultural values and personal experiences.
    • Strength-Based Approaches: Focus on the strengths and resilience inherent in Indigenous cultures, encouraging clients to draw on these resources during their healing journey.

    By incorporating these interventions, you can offer a more culturally sensitive and supportive therapeutic experience, fostering healing and empowerment within a framework that respects their unique heritage and enriches the therapy journey.

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  • Wednesday, July 17, 2024 2:09 PM | Anonymous

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    by Kusum Punjabi, AMFT

    National Disability Independence Day, celebrated annually on July 26th, marks the anniversary of the Americans with Disabilities Act (ADA) signed into law in 1990. This legislation ensures the rights of individuals with disabilities and also promotes accessibility, equality, and inclusion.

    For therapists, this is a reminder of the importance of ensuring accessibility and inclusion in mental health care, so that individuals with disabilities can seek therapy without barriers. Therapists are invited to reflect on their practices, advocate for continued progress, and support clients in achieving their fullest potential.

    1. Accessibility: Does your office have ramps, elevators, and accessible restrooms to provide physical accessibility to individuals with mobility impairments?

    2. Communication Tools: Can you provide alternative communication methods such as sign language interpreters and speech-to-text services?

    3. Training: Do you engage in ongoing training on disability awareness and inclusive practices to better understand the needs of clients with disabilities?

    4. Materials and Resources: Do you offer therapy materials in various formats (e.g., large print, Braille, audio)?

    5. Inclusive Policies: Do your practice policies explicitly support inclusivity and non-discrimination?

    6. Client Feedback: Do you seek feedback from clients with disabilities to understand their needs and improve your services?

    7. Empathy and Respect: Do you approach each client with empathy and respect? Some disabilities are not visible, and their absence mustn’t be assumed.


  • Saturday, June 22, 2024 10:23 AM | Liliana Ramos (Administrator)
  • Friday, June 21, 2024 8:50 AM | Liliana Ramos (Administrator)

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    By Liliana Ramos, LMFT, President

    Juneteenth is celebrated annually on June 19th. It marks the emancipation of the last enslaved African Americans in the United States. On June 19, 1865, Union General Gordon Granger announced freedom in Galveston, Texas. This is significant because Texas was the furthest West slave state in the United States. Today, this day symbolizes the end of slavery and the ongoing struggle for civil rights. It honors African American culture, history, heritage, achievements, and resilience. It also emphasizes the significance of freedom, equality, and justice for all. 

    Juneteenth was recognized as a federal holiday on June 19, 2021, which became a pivotal day in American history. Since then, Juneteenth has gained broader recognition and importance. It serves as a reminder of the resilience and contributions of African Americans and the ongoing struggle for freedom and justice. By celebrating Juneteenth, Americans honor the legacy of those who fought for freedom and continue to promote awareness and understanding of the enduring impact of slavery and systemic racism.     

    Celebrating Juneteenth encourages reflection on past injustices and promotes ongoing efforts towards a more inclusive society with racial equality and justice. It symbolizes resilience and hope while reminding us that we still struggle with systemic racism and inequality. On this day, let us celebrate the contributions of African Americans to our country and remind ourselves to work together towards racial equality, justice, and inclusivity.

    In the spirit of inclusivity, a quiz on Black pioneers in psychology created by Kusum Punjabi with contributions from Erika Jenkins with contributions from Kusum Punjabi is in this newsletter for your pleasure.

  • Friday, June 21, 2024 8:46 AM | Liliana Ramos (Administrator)

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    By Kusum Punjabi, AMFT, Director of DEI

    Many individuals from the LGBTQIA+ community know the silence of hiding their true identities, fearing non-acceptance from society and loved ones. This fear can lead to profound trauma, with threats of excommunication, withdrawal of support, and physical harm looming. 

    Historically, the behavioral health field has contributed to these traumas. Homosexuality and diverse gender expressions were once deemed moral failings or mental disorders, subjected to punitive measures and conversion therapies. These harmful practices have left deep psychological scars, fostering environments of fear and shame. 

    However, the narrative is shifting. Modern understanding recognizes the capacity for diverse sexual and intimate expressions, acknowledging that many traits defy strict gender norms. This broader perspective opens new ways for therapists to support their clients. 

    Therapists play a crucial role in helping LGBTQIA+ clients heal from the trauma of secrecy and fear. The therapeutic environment must be a sanctuary where clients feel safe to express their identities without fear of judgment. Establishing this safe space begins with therapists demonstrating unconditional positive regard, empathy, and a deep understanding of the unique challenges faced by LGBTQIA+ individuals. An honest exploration of the therapist's own non-normative sexual and gender preferences can also be beneficial. 

    To repair the ruptures caused by past traumas, therapists can acknowledge and validate clients' experiences, helping them navigate the complexities of their identities and supporting them in building resilience. Therapy should address internalized negative beliefs from societal and familial rejection, fostering a positive self-concept. 

    Beyond individual therapy, therapists can advocate for systemic change by promoting inclusivity within their practices and communities. This involves educating others about the historical and ongoing challenges faced by LGBTQIA+ individuals and supporting policies that protect and affirm LGBTQIA+ rights. 

    Ultimately, LGBTQIA+ clients seek therapy environments where they can be authentically themselves. It is the therapist’s role to ensure their practice is a haven of safety, understanding, and respect, where clients can heal and thrive.

  • Tuesday, May 21, 2024 10:58 AM | Anonymous

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    By Kusum Punjabi, LMFT, Director of DEI

    The racial identifier ‘Asian’ huddles under one umbrella individuals from more than thirty different nations and ethnic groups. Each of these groups has its own customs, languages and cuisines that are distinct from one another.

    Being Taiwanese or Pakistani or Bhutanese is a distinct way of being. This way of being is preserved in America within families, and in homes.

    Most Asians consider their connection to their ancestral roots a source of pride and belonging, identifying more by ethnicity rather than by race.

    In America, members of Asian communities often occupy dual identities- the acculturated ‘American’ one and the one from their culture of origin.

    How children are parented within Asian families is often stereotyped in America. Customs such as close parental involvement or children’s obligation to parents is misunderstood when seen through a Eurocentric cultural lens.

    Studies have shown that children brought up in homes where their values are in alignment with the values of their parents turn out fine.

    It’s when one generation holds onto the traditional way, and the newer one feels pressured to assimilate, that problems begin to arise.

    The river of assimilation runs powerfully and cannot be stopped. And yet this is an opportunity for therapists to support their clients of Asian origin by leaning in to understand the role that family plays in their lives, and by critically examining Eurocentric psychologies and frames, before applying them to these families.

  • Thursday, March 28, 2024 11:05 AM | Liliana Ramos (Administrator)

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    By Kusum Punjabi, LMFT, Director of DEI

    The traditional chorus of male voices in the field of psychology has often drowned out the remarkable contributions that have been made by women to this field all along. 

    March being Women’s History Month is a good time as any to pay tribute to the many women, seen and unseen, who stand behind us in the work that we do. 

    Let’s first take a moment to remember the many unnamed women in ancient societies who attended to the mental health and wellbeing of their communities and loved ones. 

    The medicine women of ancient Egypt who appeased their gods so that mental health would be given back to those who had incurred their wrath. 

    Women caregivers in ancient China who domestically administered acupressure and herbs to balance the chi of their ailing ones, the women in the households of ancient India who prepared meals incorporating Ayurvedic principles, so that the three doshas of their family members would remain in balance, creating inner harmony and calm. 

    In ancient Greece, the oracle at Delphi comforted farmers and rulers alike with her guidance from beyond. In Native American societies, women were keepers of traditional herbal knowledge and rituals attending to the care of the ailing soul. 

    In Africa, women invoked ancestral spirits to heal troubled individuals and the community as a whole, in Ubuntu. The female storytellers and art-makers of aboriginal Australia healed mental disturbance in their communities through making their art. 

    Standing on the shoulders of these ancients, are the pioneering psychologists, theorists and social activists of modern societies, including those whose contributions have been overshadowed or attributed to their male counterparts. Let’s take a moment to honor some of them here. This list is far from exhaustive, but it’s better than silence. 

    In the psychoanalytical tradition, Karen Horney challenged Freud’s perspectives on women, while Anna Freud extended them to working with children. Melanie Klein’s groundbreaking object relations theory put the mother back at the center of the child’s world. Years later, Jessica Benjamin made psychoanalysis relational. 

    In the Jungian tradition, Marie-Louise von Franz’s work on fairytales, dream and alchemy and Emma Jung’s work on the grail legend were shaping contributions to the field. Clarissa Pinkola Estés’ work at the intersection of Jungian psychology, mythology and storytelling set a path for women on how to reclaim their instinctual selves.

    In cognitive psychology, Elizabeth Loftus studied the malleability of human memory and her findings have significantly impacted the understanding of eyewitness testimony. Carol Dweck introduced the concepts of fixed and growth mindsets, and Barbara Fredrickson developed the broaden and build theory emphasizing that positive emotions expand cognition and behavior, leading to increased well-being and health. 

    In the humanistic tradition, Charlotte Bühler’s work emphasized the importance of personal meaning and goals in motivating our behavior, while Elizabeth Kubler-Ross’s work on the stages of grief introduced an empathic and support-focused approach to the process of dying. 

    Virginia Satir’s humanistic approach to counseling emphasized communication, emotional honesty and the importance of creating a growth fostering environment within the family. 

    Laura Perls was an equal partner in the creation of Gestalt Therapy, although the figure in the limelight was often her charismatic, intense and confrontational husband Fritz. 

    In developmental psychology, Marie Ainsworth’s ‘strange situation’ experiments brought attachment theory into the practical realm. In clinical psychology, Marsha Linehan developed DBT that has helped thousands. In somatic psychology, Pat Ogden’s Sensorimotor Psychotherapy expanded how trauma was administered to. 

    In Couples Therapy, Sue Johnson, Ellyn Bader, Helen Hunt, Esther Perel and Julie Gottman have each created or contributed to an important approach to their field. 

    Mamie Phipps Clark’s research on race and self esteem played a crucial role in the desegregation of US schools. Martha E. Bernal, the first Latinx woman to receive a psychology PhD in the US made significant contributions to minority mental health.

    Kimberlé Crenshaw, scholar of critical race theory,  coined the term "intersectionality," providing a critical framework for understanding how overlapping identities impact access to mental health services and the experience of mental health issues.

    Dr. Dana Beyer, a trans woman, has been a spokesperson for transgender mental health, particularly with regards to having access to gender affirming care. Beverly Greene focuses on the intersections of race, gender and sexual orientation in psychotherapy.

    Many of the women named so far have operated in a Western context, and many others have worked and continue to do so at its border or outside it. Their contributions have helped understand mental health from a more diverse cultural lens. 

    In the US, Gwendolyn Puryear Keita has advocated for the inclusion of psychological research on women and ethnic minorities, influencing policy and practice in mental health. In Mexico, Rebeca Eriksen has integrated indigenous healing practices into contemporary psychotherapeutic techniques, and in Japan, Chikako Ozawa-de Silva explores the intersection of cultural anthropology and mental health, particularly the integration of Buddhist practices in addressing mental health issues. And on and on…

    This list is far from complete. It is a partial glimpse of a giant patchwork quilt, stitched together from various fabrics, that extends back in time and sideways to cover the whole of the earth. 

    It bears witness to the collective impact women have had and continue to have on the field of mental health, a view that our internalized patriarchal biases can keep us from seeing. 

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SCV-CAMFT               P.O. Box 60814, Palo Alto, CA 94306               mail@scv-camft.org             408-721-2010

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