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Record W2109042218 · doi:10.1177/1363461512444673

Rethinking cultural competence

2012· editorial· en· W2109042218 on OpenAlex

Why this work is in the frame

A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.

affAt least one author lists a Canadian institution in the pinned OpenAlex snapshot.
aboutThe title or abstract carries a Canadian signal from the geographic lexicon.

Bibliographic record

VenueTranscultural Psychiatry · 2012
Typeeditorial
Languageen
FieldSocial Sciences
TopicCultural Competency in Health Care
Canadian institutionsMcGill University
Fundersnot available
KeywordsCultural identityCultural competenceSociologyCultural diversityMental healthPsychological interventionGender studiesPsychologySocial sciencePsychotherapistAnthropologyPsychiatry

Abstract

fetched live from OpenAlex

In recent years, cultural competence has become a popular term for a variety ofstrategies to address the challenge of cultural diversity in mental health services.This issue of Transcultural Psychiatry presents papers from the McGill AdvancedStudy Institute in Cultural Psychiatry on ‘‘Rethinking Cultural Competencefrom International Perspectives,’’ which was held in Montreal, April 27and 28, 2010. Selected papers from the meeting have been supplemented withother contributions to the journal that fit the theme. Taken together, thesepapers show how conceptual analysis and critique of cultural competence canpoint toward ways to improve the cultural responsiveness, appropriateness andeffectiveness of clinical services, and in doing so contribute to reducinghealth disparities.Cultural diversity poses challenges to mental health services for many reasons.Culture influences the experience, expression, course and outcome of mentalhealth problems, help-seeking and the response to health promotion, preventionor treatment interventions. The clinical encounter is shaped by differencesbetween patient and clinician in social position and power, which are associatedwith differences in cultural knowledge and identity, language, religion and otheraspects of cultural identity. Specific ethnocultural or racialized groups may sufferhealth disparities and social disadvantage as a result of the meanings and mater-ial consequences of their socially constructed identities. In some instances, cul-tural processes may create or constitute unique social and psychological problemsor predicaments that deserve clinical attention. In culturally diverse societies,the dominant culture, which is expressed through social institutions, includingthe health care system, regulates what sorts of problems are recognized and whatkinds of social or cultural differences are viewed as worthy of attention.A large literature shows the importance of social determinants of healthincluding social status, employment, education, wealth and social support

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.001
metaresearch head score (Gemma)0.001
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMeta-epidemiology (narrow), Science and technology studies, Research integrity, Insufficient payload (model declined to judge)
Consensus categoriesResearch integrity
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: Not applicable
GenreCandidate signal: Editorial · Consensus signal: Editorial
Teacher disagreement score0.043
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0010.001
Meta-epidemiology (narrow)0.0010.001
Meta-epidemiology (broad)0.0010.001
Bibliometrics0.0000.001
Science and technology studies0.0020.001
Scholarly communication0.0000.001
Open science0.0020.000
Research integrity0.0030.004
Insufficient payload (model declined to judge)0.0010.001

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.042
GPT teacher head0.364
Teacher spread0.322 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it