Cultural Formulation: A Reader for Psychiatric Diagnosis

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Juan E. Mezzich, Giovanni Caracci
Jason Aronson, 2008 - 288 halaman
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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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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
Index
277
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Tentang pengarang (2008)

Juan E. Mezzich, M.D., Ph.D. is currently President of the World Psychiatric Association. An author or co-author of over 200 scientific journal articles and book chapters, he is professor of psychiatry and director of the Division of Psychiatric Epidemiology and International Center for Mental Health at the Mount Sinai School of Medicine, New York University.

Giovanni Caracci, M.D. is professor of psychiatry at Mount Sinai School of Medicine, New York University. Formally he was vice chair of the department of psychiatry at the University of Medicine and Dentistry of New Jersey. He lectures widely on urban medicine.

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