Culture, cultural factors and psychiatric diagnosis: review and projections
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Culture, cultural factors and psychiatric diagnosis: review and projectionsDiagnosis is probably the dominant topic of discussion and debate in the psychiatric field today.The announcement of the publication of new editions of the two best known classifications, the DSM-V and the ICD-11, for 2012 and 2014 respectively, has generated a predictable, at times heated exchange of opinions, suggestions, criticisms, and research initiatives.A variety of activities (conferences, meetings, symposia) across the world, and joint declarations of harmonious work at the international level, have kept a momentum that, most likely, will not cease until long after the actual publications.It is expected that the new nomenclatures will incorporate significant changes in structure, diagnostic modalities, clinical evaluation approaches, definition and scope of disorders, and measurements of severity and level of functioning.Contributions from neurosciences and social sciences, clinical and epidemiological research, and a public health perspective will hopefully be included at realistic levels.Last but not least, national government agencies, insurance companies, the pharmaceutical industry, and worldwide medical and professional organizations as well as the public at large are keeping a close eye on the whole process (1-3).The cultural perspective on psychiatric diagnosis has experienced uneven levels of reception and actual implementation (4), in spite of uniform pronouncements from the leading bodies of organized psychiatry and mental health across the world, professing respect and due consideration of cultural factors in the elaboration of previous, current, and future nomenclatures.Assuming the sincerity of such statements, this article will attempt an objective examination of why, what, how and when should culture be an integral part of diagnosis in psychiatry.After a brief review of general basic concepts of diagnosis, the paper will focus on history, evolution and current status of the two main classification systems in today's psychiatry.An examination of basic concepts of culture and cultural factors in psychiatric diagnosis will, then, be fol-
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The topics discussed in the article are important for clinical practice worldwide, not only for ethnic minorities or exotic lands.
“Embora a maior parte deste artigo se baseie em contribuições da América Latina, os temas discutidos aqui não são relevantes apenas para minorias étnicas ou terras exóticas, um preconceito comum em relação à psiquiatria cultural 63 , mas também são importantes para a prática clínica ao redor do mundo”
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- Authors
- ALARCÓN, R. D.
- Affiliations
- Mayo Clinic (US)
- Corresponding author
- ALARCÓN, RENATO D.
- ORCID
- ALARCÓN, RENATO D.
- Venue
- World Psychiatry
- Publisher
- Wiley
- Published
- 2009-10
- Volume
- 8
- Issue
- 3
- Pages
- 131-139
- ISSN
- 1723-8617 (ISSN-L)
- 2051-5545
- PMC
- PMC2755270
- OpenAlex
- W1704517559
- Cited by
- 208
- References
- 60
- Citations by year
- 2026: 11 · 2025: 17 · 2024: 14 · 2023: 17 · 2022: 12 · 2021: 21 · 2020: 17 · 2019: 9 · 2018: 5 · 2017: 15 · 2016: 10 · 2015: 12 · 2014: 11 · 2013: 11 · 2012: 7
- FWCI
- 76.50
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- World Psychiatry (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Arts and Humanities › Philosophy › Mental Health and Psychiatry
- Social Sciences › Sociology and Political Science › Cultural Competency in Health Care
- Social Sciences › Cultural Studies › Cultural, Psychoanalytic, and Sociopolitical Reflections
- Keywords
- psychiatric classification, DSM-5, ICD-11, diagnostic terminology, history of psychiatric diagnosis, cross-cultural psychiatry
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