Taking the Psychiatrist to School: The Development of a Dream-A-World Cultural Therapy Program for Behaviorally Disturbed and Academically Underperforming Primary School Children in Jamaica

Frederick W. Hickling

I started working in psychiatry in Jamaica in 1970. The legacy of 300 years of British slavery and colonialism that left an archaic 3000-bed lunatic asylum in a horrendous and appalling condition, and four trained psychiatrists for an island population of nearly two million, resulted in a devastating avalanche of adult mental illness. The neglect of mental illness of Jamaican children was an invisible problem in public discourse or consciousness, and the few psychiatrists of the period had no framework to link mental illness in adults to an antecedent matrix of mental pathology in children. This chapter will describe the development of Dream-A-World Cultural Therapy (DAW CT) and its variant Dream-A-World Cultural Resilience (DAW CR) from psychohistoriographic cultural therapy (PCT) that emerged after independence from British colonialism to address academically underachieving and behaviorally dysfunctional primary school children in Jamaica in an attempt to tackle the epidemic of transgressive and violent behavior in adolescents and young adults.

F.W. Hickling (и)

Caribbean Institute of Mental Health and Substance Abuse (CARIMENSA), University of the West Indies, Jamaica, West Indies

© The Author(s) 2017

R.G. White et al. (eds.), The Palgrave Handbook of Sociocultural Perspectives on Global Mental Health, DOI 10.1057/978-1-137-39510-8_29

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