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.

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.