Diagnostic Issues in CrossCultural Settings Sherona Rawat Phd Community Psychology 2008 Prof. S. Ncgobo
Introduction • System of coding information • Cross Cultural method- experimental method • Concept of Personality • What is normality?
Similarity and differences • Different backgrounds • Transcent cultural biases • Several distinct syndromes appear to be characteristic for all cultures • Difficult to draw conclusions about the aetiology of most disorders
Different studies • • • •
Substance abuse Culture specific syndromes Chinese- Koro Eskimo- Piblokto
Influences • Culture • Depression • Dementia
• Dependent upon western diagnostic criteria
DSM-IV-TR • Outline of culture formulation and a glossary of Culture-bound syndromes • Claim that the syndromes are common among that particular community • Community preceded DSM in mading reference to such syndromes
Five guidelines • • • •
Cultural identity Cultural explanation Cultural contributing factors Cultural elements of relation between patient and clinician • Overall assessment
Conclusion • Understanding of concepts • Individual’s capabilities and capacity for therapeutic intervention • Professional responsibilities • Understanding ones self • Objective non-biased attitude • Respect, interest, care, concern and compassion