Cultural Formulation: A Reader for Psychiatric DiagnosisJuan E. Mezzich, Giovanni Caracci The publication of the Cultural Formulation Outline in the DSM-IV represented a significant event in the history of standard diagnostic systems. It was the first systematic attempt at placing cultural and contextual factors as an integral component of the diagnostic process. The year was 1994 and its coming was ripe since the multicultural explosion due to migration, refugees, and globalization on the ethnic composition of the U.S. population made it compelling to strive for culturally attuned psychiatric care. Understanding the limitations of a dry symptomatological approach in helping clinicians grasp the intricacies of the experience, presentation, and course of mental illness, the NIMH Group on Culture and Diagnosis proposed to appraise, in close collaboration with the patient, the cultural framework of the patient's identity, illness experience, contextual factors, and clinician-patient relationship, and to narrate this along the lines of five major domains. By articulating the patient's experience and the standard symptomatological description of a case, the clinician may be better able to arrive at a more useful understanding of the case for clinical care purposes. Furthermore, attending to the context of the illness and the person of the patient may additionally enhance understanding of the case and enrich the database from which effective treatment can be planned. This reader is a rich collection of chapters relevant to the DSM-IV Cultural Formulation that covers the Cultural Formulation's historical and conceptual background, development, and characteristics. In addition, the reader discusses the prospects of the Cultural Formulation and provides clinical case illustrations of its utility in diagnosis and treatment of mental disorders. Book jacket. |
Contents
Historical and Conceptual Background of the Cultural Formulation | 1 |
Psychiatric Diagnosis A Cultural Perspective | 3 |
The Cultural Context of Diagnosis and Therapy A View from Medical Anthropology | 27 |
HelpSeeking Pathways A Unifying Concept in Mental Health Care | 51 |
On Illness Meanings and Clinical Interpretation Not Rational Man but a Rational Approach to Man the SuffererMan the Healer | 69 |
On Culturally Enhancing the DSMIV Multiaxial Formulation | 73 |
Cultural Comments on Multiaxial Issues | 81 |
Development and Characteristics of the Cultural Formulation | 85 |
Framing Research on Culture in Psychiatric Diagnosis The Case of the DSMIV | 151 |
The Place of Culture in DSMIV | 167 |
Using DSMIV Cultural Formulation to Enhance Psychodynamic Understanding | 183 |
Introducing the Cultural Formulation to Mental Health Care in Stockholm Sweden | 195 |
The Cultural Interview in the Netherlands The Cultural Formulation in Your Pocket | 203 |
Clinical Case Illustrations on the Cultural Formulation | 215 |
Psychosis Following QiGong in a Chinese Immigrant | 217 |
Diagnosis and Treatment of Nervios and Ataques in a Female Puerto Rican Migrant | 227 |
Cultural Formulation Development and Critical Review | 87 |
Cultural Formulation of Psychiatric Diagnosis | 93 |
Cultural Formulation and Comprehensive Diagnosis Clinical and Research Perspectives | 105 |
Issues in the Assessment and Diagnosis of Culturally Diverse Individuals | 115 |
Reflections and Prospects on the Cultural Formulation | 149 |
Treatment of an Indian Woman with Major Depression by a Latina Therapist A Cultural Formulation | 237 |
Depression and Back Pain in a Young Male Turkish Immigrant in Basel Switzerland A Cultural Formulation | 249 |
Sakit jiwa Ngamuk and Schizoaffective Disorder in a Javanese Woman A Cultural Formulation | 263 |
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Common terms and phrases
acculturation affect African Americans American Psychiatric Association American Psychiatric Press Anik Anik's anthropology assessment ataques behavior classification clinical condition clinician concept context countertransference criteria cross-cultural cultural axis cultural factors Cultural Formulation cultural identity culturally diverse Culture and Diagnosis culture of origin culture-bound syndromes diag diagnostic system disease domain DSM-III DSM-IV epidemiological ethnic groups evaluation experience explain explanatory models Fabrega feelings functioning Guarnaccia guidelines help-seeking Hispanics idioms of distress immigrants individuals interpretation interview involved issues Javanese Kleinman language Latino major depression meaning medical anthropology Medicine ment mental health mental illness Mezzich mother multiaxial nervios norms nosology Osman pathway patient person perspective problems psychiatric diagnosis psychiatric disorders psychiatric illness psychodynamic psychological psychopathology psychosocial psychotherapy psychotic Puerto Rican Qi-gong relationship relevant Rogler role schizophrenia somatic stressors structure symptoms therapist therapy tion traditional treatment tural understanding Yogyakarta York