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Cultural Formulation - A Reader for Psychiatric Diagnosis (Hardcover)
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Cultural Formulation - A Reader for Psychiatric Diagnosis (Hardcover)
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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 impact 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 patients' 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 data base from which effective treatment can be
planned.
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