Management of Shame and Guilt in Work with Social Determinants of Menta Health-View Presentation

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Dr. Dunlap, a distinguished psychoanalyst and psychiatrist, presented a talk at an APA assembly in Washington, D.C., on the management of guilt and shame within mental health practice, emphasizing the importance of addressing social determinants of mental health. Highlighting her credentials and experience, Dr. Dunlap addressed the significance of social conditions such as poverty, discrimination, and education on mental health outcomes, underlining the necessity for healthcare providers to incorporate an awareness of these factors into their practice.<br /><br />She referenced influential resources, like APA's position statements, and the recognition of these social determinants within the DSM-5TR, noting efforts to reflect ethnic and racial considerations in psychiatric diagnosis. Dr. Dunlap acknowledged hospital surveys identifying that while many physicians see the impact of social determinants, there is a widespread call for more time and tools to address them effectively.<br /><br />She discussed the emotional challenges, such as guilt and shame, that clinicians face when dealing with these determinants, advocating for self-awareness and compassion to foster better patient relationships. By encouraging historical awareness and humility, Dr. Dunlap suggested that such understanding plays a critical role in overcoming professional barriers to equitable patient care. She concluded with practical strategies, including using screenings for social determinants and adverse childhood experiences in health practices, aiming to integrate these elements constructively into mental health services to better serve diverse patient populations.

Keywords

Dr. Dunlap

psychoanalyst

guilt and shame

social determinants

mental health

APA assembly

DSM-5TR

equitable patient care

adverse childhood experiences

diverse patient populations