The Validity of DSM-IV Dissociative Disorders Categories in South-West Uganda

Van Duijl, Marjolein; Cardeña, Etzel; De Jong, Joop T. V. M.

doi:10.1177/1363461505052666

Cited by 62Psychosomatic Disorders and Their TreatmentsMental Health and PsychiatryCultural, Psychoanalytic, and Sociopolitical Reflections

The Validity of DSM-IV Dissociative Disorders Categories in South-West Uganda

Van Duijl, Marjolein, Cardeña, Etzel, De Jong, Joop T. V. M.·2005·Transcultural Psychiatry

DOI 10.1177/1363461505052666

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Abstract

There is little systematic research on the cross-cultural validity of the dissociative disorders, especially in non-western countries. This study evaluates the fit of the DSM-IV classification and concepts of these disorders with local concepts, experiences and local presentations in south-west Uganda. We conducted focus group discussions with medical students, traditional healers, religious leaders, counselors, community members and other health workers ( n = 48). They were supplemented by key informant interviews with religious people, traditional healers and leaders ( n = 11). The responses were subjected to thematic analysis. Dissociative amnesia and depersonalization were generally recognized and seen as the result of traumatic experiences and were useful categories in Uganda. However, dissociative fugue did not match local concepts and was confused with spirit possession and other conditions such as alcoholic fugues and dementia. The description of dissociative identity disorder was always interpreted as a possession trance disorder by the local healers. We found only partial support for the validity of the DSM-IV classification of dissociative disorders in Uganda.

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Authors: Van Duijl, M., Cardeña, E., & De Jong, J. T. V. M.
Affiliations: Center for Mental Health, Winschoten,
The University of Texas System (US)
Vrije Universiteit and Transcultural Psychosocial Organization, Amsterdam,
ORCID: Cardeña, Etzel
Venue: Transcultural Psychiatry
Publisher: SAGE Publications
Published: 2005-06
Volume: 42
Issue: 2
Pages: 219-241
ISSN: 1363-4615 (ISSN-L)
1461-7471
DOI: 10.1177/1363461505052666
OpenAlex: W2104552846
Cited by: 62
References: 33
Citations by year: 2025: 3 · 2024: 1 · 2023: 1 · 2020: 2 · 2019: 1 · 2018: 4 · 2017: 3 · 2016: 1 · 2015: 4 · 2014: 6 · 2013: 8 · 2012: 4
FWCI: 2.01
Type: journal article
Language: en
Open access: closed
Licence: journals.sagepub.com/page/policies/text-and-data-mining-license (tdm)
Locations: Transcultural Psychiatry (publishedVersion)
PubMed (publishedVersion)
Lund University Publications (Lund University) (submittedVersion)
Topics: Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
Social Sciences › Arts and Humanities › Philosophy › Mental Health and Psychiatry
Social Sciences › Cultural Studies › Cultural, Psychoanalytic, and Sociopolitical Reflections
Keywords: dissociative disorders, DSM-IV classification, cross-cultural validity, Uganda, traditional healers, spirit possession, dissociative amnesia, depersonalization, dissociative fugue, dissociative identity disorder, traumatic events
MeSH terms: Adult, Clergy, Cross-Cultural Comparison, Diagnosis, Differential, Dissociative Disorders, Female, Humans, Male, Medicine, Traditional, Middle Aged, Psychometrics, Religion and Psychology, Spiritualism, Statistics as Topic, Students, Medical, Students, Nursing, Uganda, Reproducibility of Results, Diagnostic and Statistical Manual of Mental Disorders

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The Validity of DSM-IV Dissociative Disorders Categories in South-West Uganda

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