Psychiatric diagnosis across cultural boundaries

作者：Joseph Westermeyer · 发表于：American Journal of Psychiatry · 年份：1985 · DOI：10.1176/ajp.142.7.798 · 被引用次数：121 · 研究领域：Mental Health and Psychiatry、Mental Health Treatment and Access、Child and Adolescent Psychosocial and Emotional Development

Diagnosis across cultural boundaries has become a practical rather than an esoteric matter as migration, the number of effective psychiatric therapies, and access to psychiatric care have increased. Cross-cultural diagnosis involves such theoretical considerations as diagnostic categories, pathoplasticity of psychiatric disorder, so-called culture-bound syndromes, "emic" (intracultural) versus "etic" (cross-cultural) conceptual frameworks, and different reporting of symptoms and expression of signs from one cultural group to another. Important clinical issues include distinguishing cultural belief systems from delusions and understanding the special problems of minority, migrant, and refugee patients.