The DSM-IV Outline for Cultural Formulation: A Critical Demonstration With American Indian Children
| Autor: | Spero M. Manson, William H. Sack, James T. Thompson, Douglas K. Novins, Donald W. Bechtold, Debbie R. Carter |
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| Rok vydání: | 1997 |
| Předmět: |
Male
Cultural identity Cultural context Ethnic group MEDLINE Developmental psychology Manuals as Topic Child of Impaired Parents Cultural diversity Developmental and Educational Psychology Humans Medicine Parent-Child Relations Child Minority Groups Child Psychiatry business.industry Mental Disorders Social environment Cultural Diversity Professional-Patient Relations Race Relations Patient Acceptance of Health Care Case material Therapeutic relationship Psychiatry and Mental health Ethnopsychology Evaluation Studies as Topic Child Custody Indians North American Female Engineering ethics business Case Management |
| Zdroj: | Journal of the American Academy of Child & Adolescent Psychiatry. 36:1244-1251 |
| ISSN: | 0890-8567 |
| DOI: | 10.1097/00004583-199709000-00017 |
| Popis: | Objective The publication of DSM-IV is notable for the improved coverage of cultural issues in the diagnosis of mental disorders. In particular, Appendix 1 of DSM-IV includes an "Outline for Cultural Formulation" ( Outline ) which assists the clinician in evaluating the impact of an individual's cultural context on diagnosis and treatment. However, the capacity of the Outline to facilitate the development of comprehensive cultural formulations for children and adolescents has not been established. In this article the use of the Outline with American Indian children is reviewed critically. Method Based on the Outline , cultural case formulations for four American Indian children were developed and their comprehensiveness was assessed. Results Applied to the case material, the Outline provided a clear template for the development of cultural formulations. Nonetheless, several gaps in the material required by the Outline were identified, particularly in the areas concerning cultural identity and cultural elements of the therapeutic relationship. Conclusions Clinicians working with children should recognize the strengths as well as the limitations of the Outline and expand their cultural descriptions accordingly. Several additions to the text of the Outline that will facilitate the development of comprehensive cultural formulations specific to children and adolescents are proposed. |
| Databáze: | OpenAIRE |
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