Culture and Psychiatric Diagnosis: A DSM-IV® Perspective

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American Psychiatric Pub, Oct 1, 2002 - Medical - 384 pages
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The United States will no longer have a Caucasian majority in the second half of the 21st century. Evidence shows that misdiagnosis of mental disorders occurs more frequently in minority populations. Thus, the domestic and international utility of DSM-IV and its companions will depend on their suitability for use with various cultures.

A key feature of this volume is the collaboration of cultural experts, members of the National Institute of Mental Health (NIMH ) Culture and Diagnosis Group, nosologists, and members of the DSM-IV Task Force and Work Groups. The NIMH and the American Psychiatric Association held a conference on Culture and Psychiatric Diagnosis to prepare for DSM-IV. Culture and Psychiatric Diagnosis developed from that meeting to enhance the cultural validity of DSM-IV.

If clinicians are to become culturally sensitive, they must understand the criteria that define a disorder and consider the cultural context of the person being examined. They can then ascertain whether the criteria are applicable in the present cultural context of the patient. Culture and Psychiatric Diagnosis will benefit all clinicians treating minority patients because it documents and clarifies how cultural factors influence psychopathology; the manifestations, assessment, and course of mental disorders, and the response to treatment.

 

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Contents

Cultural and Historical Foundations of Psychiatric Diagnosis
3
How Is Culture Important for DSMIV?
15
African American Perspectives
27
Native American Perspectives
31
Asian American Perspectives
35
Hispanic Perspectives
39
Nosological Perspectives
43
Organic and Psychotic Disorders
47
Nosological Comments on Eating and Sexual Disorders
209
Adjustment and Stress Disorders
213
Adjustment Disorder in DSMIV Cultural Considerations
215
Cultural Comments on Adjustment and Stress Disorders
227
Cultural Comments on Adjustment Disorders
233
Nosological Comments on Culture and Adjustment Disorders
237
Personality Disorders
241
Culture and Personality Disorders
243

Cultural Influences on the Diagnosis of Psychotic and Organic Disorders
49
Cultural Comments on Organic and Psychotic Disorders I
63
Cultural Comments on Organic and Psychotic Disorders II
71
Nosological Comments on Culture and Organic and Psychotic Disorders
75
SubstanceRelated Disorders
79
Culture and the Diagnostic Classification of SubstanceRelated Disorders
81
Cultural Comments on Substance Related Disorders
91
International Comments on SubstanceRelated Disorders
93
Mood and Anxiety Disorders
97
Culture and DSMIV Implications for the Diagnosis of Mood and Anxiety Disorders
99
Cultural Comments on Mood and Anxiety Disorders I
115
Cultural Comments on Mood and Anxiety Disorders II
123
Nosological Comments on Culture and Mood and Anxiety Disorders
131
Somatoform and Dissociative Disorders
135
Culture and the Diagnosis of Somatoform and Dissociative Disorders
137
Cultural Comments on Somatoform and Dissociative Disorders I
151
Cultural Comments on Somatoform and Dissociative Disorders II
159
Nosological Comments on Cultural Diversity of Dissociative and Somatoform Disorders
163
Eating and Sexual Disorders
169
A CrossCultural Review of Eating Disorders in Regard to DSMIV
171
Cultural Comments on Eating Disorders
187
Cultural Sensitivity and the Sexual Disorders of DSMIV Review and Assessment
191
Cultural Comments on Personality Disorders I
253
Cultural Comments on Personality Disorders II
259
Nosological Comments on Culture and Personality Disorders
263
ChildhoodOnset Disorders
267
Cultural and Ethnic Considerations in the DSMIV Diagnosis and Classification of ChildhoodOnset Disorders
269
Cultural Comments on ChildhoodOnset Disorders I
277
Cultural Comments on ChildhoodOnset Disorders II
279
Nosological Comments on Culture and ChildhoodOnset Disorders
283
CultureBound Syndromes
287
The CultureBound Syndromes and Psychiatric Diagnosis
289
Cultural Comments on Culture Bound Syndromes I
309
Cultural Comments on Culture Bound Syndromes II
313
Nosological Comments on CultureBound Syndromes
321
Multiaxial Issues
325
Culture and Multiaxial Diagnosis
327
Cultural Comments on Multiaxial Issues
335
International Comments on Multiaxial Issues
339
Nosological Comments on Multiaxial Diagnosis
343
Epilogue Knowledge Power and Diagnosis
347
Index
353
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About the author (2002)

Juan E. Mezzich, M.D., Ph.D., is Chair of the NIMH Culture and Diagnosis Group and Professor of Psychiatry and Head of the Division of Psychiatric Epidemiology, Mount Sinai School of Medicine, City University of New York.

Arthur Kleinman, M.D., is Professor of Anthropology and Psychiatry and Chair of the Department of Social Medicine at Harvard University, Boston, Massachusetts.

Horacio Fabrega, Jr., M.D., is Professor of Psychiatry and Anthropology at the University of Pittsburgh, Pittsburgh, Pennsylvania.

Delores L. Parron, Ph.D., is Associate Director for Special Populations at the National Institute of Mental Health, Rockville, Maryland.

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