Framing research on culture in psychiatric diagnosis: The case of the DSM-IV

Journal/Book: Psychiatry. 1996; 59: 72 Spring Street, New York, NY 10012. Guilford Press. 145-155.

Abstract: THE fourth edition of the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) (American Psychiatric Association 1994) treats the concept of culture as directly relevant to the diagnostic task. In contrast, its predecessor, the DSM-III-R, restricted its coverage to two paragraphs of the concept, cautioning that when the manual was used with clients from different cultural groups, cultural factors could interfere with diagnosis. I believe that the adequacy of the cultural insertions in the DSM-IV should be debated but I also believe that the changes will be considered important. The premise of this article is that they are important. The objective is to show that the cultural insertions in DSM-IV can be organized and focused on important issues of research.

Note: Article LH Rogler, Fordham Univ, Bronx, NY 10458 USA

Keyword(s): MENTAL-HEALTH; PUERTO-RICANS; LANGUAGE; ILLNESS; CONCORDANCE; PREVALENCE; DISORDERS; RICO

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