Discuss the differences between the etic and the emic approaches to psychiatric measurement and diagnoses. What are the strengths and weaknesses of each? The “etic” approach is thought as the most popular approach and considered “Universalist” approach. The advantage of Etic approach is that it is globally applicable; in this approach the measuring instruments and models of health are standardized. The disadvantage of this approach is that it does not consider the cultural and social contexts of psychiatric disorders (Merson, Black & Mills, 2012). Whereas, the “emic” approach focuses on the concept that culture plays an important role and that the phenomenon should be evaluated within a culture and its context, aiming to understand their significance …show more content…
Do you believe such syndromes will fade over time and, if so, why? The culture-bound syndromes are not easily classified under the internationally used psychiatric classifications. These are usually associated with a particular population or cultural areas. This means that some mental disorders are more common in certain cultures than in others and cultural factors do influence the mental disorders (Merson, Black & Mills, 2012). “Culture-bound syndrome is a broad rubric that encompasses certain behavioral, affective and cognitive manifestations seen in specific cultures” (Balhara, 2011). Some of these conditions are more prevalent than have been documented. Balhara (2011) recommends that these conditions of culture-bound syndromes should be relabeled and included in the mainstream of psychiatric diagnostic syndromes. These conditions have limited published literature because they are labeled culture bound syndromes. This further causes a limitation on understanding the management of such conditions. Balhara further states that, “The same argument could be extended to other current CBSs as the cases of functional somatic/functional affective/functional behavioral disorders. This would mean a more systematic study of these conditions that would help in improving the understanding and management of these conditions” (Balhara, 2011). This will help in better understanding of disease and will help fade these diseases over
Larsen, P. D., & Hardin, S. R. (2013). Culture and cultural competence. In I. M. Lubkin & P. D. Larsen (Eds.), Chronic Illness Impact and Intervention (8 ed., pp. 343-367). Burlington, MA: Jones & Bartlett Learning.
As an expat child having gown up and lived across three continents-politely labelled as a third culture kid, but in reality not belonging to any one culture-I doubt if my own parents would understand me let alone a doctor in another country. My mother suffers from trichotillomania and on visiting a psychiatrist in a foreign country, he mentioned not seeing this disease often in his country: he had made her feel at once both alienated and awkward, and not likely to trust his diagnosis or his treatment. I have seen her throwing her medication away- Pharmacotherapy cannot work without psychotherapy-and the demands of psychotherapy seem to be only increasing when you add a complex cultural element to it. Gold and his brother argue that both biological and social factors contribute to psychosis. In the field of psychiatric and behavioural sciences this would call for physicians skilled in appreciating all sorts of cultures and environments and while this may seem a tall order, a first step towards a solution would lie in acknowledging the role and importance of such external stimuli. Doctors cannot know it all but at least when they give a label it will be real. In a field where labels tend to stick and where the social stigma attached to mental illness is still considerable, it is worth while for doctors to make more informed diagnoses. Diagnoses that we can
Culture is a collection of religion, traditions, and beliefs that are passed down from generation to generation. Culture is created and maintained through the repetition of stories and behavior. It is never definite because it is continuously being modified to match current trends, however, historical principles are still relevant. With respect to mental illness, culture is crucial to how people choose to deal with society and the methods used to diagnose and cope with mental illnesses. In Watters’
The dominant biomedical model of health does not take into consideration lay perspectives (SITE BOOK). Lay perspectives go into detail about ordinary people’s common sense and personal experiences. A cultural perspective, like the Hmong cultures perspective on health, is considered a lay perspective. Unlike the Hmong culture, where illness is viewed as the imbalance between the soul and the body, the dominant biomedical model of health views health in terms of pathology and disease (SITE THE BOOK). Although the Hmong culture considers spiritual and environmental factors, the dominant biomedical model of health only looks at health through a biological perspective, and neglects the environment and psychological factors that affect health. Depression in the U.S. is a medical illness caused by neurochemical or hormonal imbalance and certain styles of thinking. Depression is the result of unfortunate experiences that the brain has difficulties processing (SITE 7). Unlike the Hmong culture, where Hmong’s who are diagnosed with depression report the interaction between a spirit, people diagnosed with depression in the Western culture report themselves to having symptoms such as feeling tired, miserable and suicidal (SITE
Measuring depression in different culture is a complicated task, “there is a need for tools for multicultural mental health primary in order to promote communication and improve clinical diagnosis” (Lehti et al, 2009). This results indicated that there is still a need for a tool to accurately measure depression in patients from different countries/cultures. Each culture is unique in its very own, and certain abnormal behavior can only be found in certain culture. For instance, in western society we have the histrionic personality disorder, in which an individual desperately seek out attention, while in Japan, there is a phenomenon called “hikikomori” is an abnormal behavior where a person would go great length to avoid any social contract at any means. This abnormal behavior is similar to the avoidant personality disorder, however hikikomori is more severe. “Hikikomori is used to refer to group of young people who have withdrawn from social life and have had no relationships outside of family for a period in excess of six months.” (Furlong, 2008). The long period of time to be withdrawn from society is quite serious and will have many psychological damage. Another factor that is important when looking at abnormal behavior is the gender. The gender of an individual have play an important role in shaping the diagnosis and the diagnostic feature of these symptoms.
... J. H., & Manos, M. J. (2004). Abnormal Psychology: Current Perspectives 9th ed. In L. B. Alloy, J. H. Riskind, & M. J. Manos, The Behavioral, Cognitive, and Sociocultural Perspectives (pp. 75-104). New York: McGraw Hill.
31. pp. 281-294. Weisman, M.M., Livingston, B.M., Leaf, P.J., Florio, L.P., Holzer, C. (1991). Psychiatric Disorders in America?
...y of international trends. Social psychiatry and psychiatric epidemiology , 45 (9), 889 - 897.
The purpose of the assessment is to address the competence of different cultures. As a number of Haitian immigrants in to the United States, it continues to grow at a steady rate (DeSilva, Gonzales-Eastep, Grey, & Nicolas, 2006). It is very important that mental health providers become better informed, and develop the skill sets necessary to combine the providers’ and clients’ cultural backgrounds into the treatment (DeSilva, Gonzales-Eastep, Grey & Nicolas, 2006). I will be conducting an assessment on, Mrs. Hudson an Haitian American woman who was referred by her primary care doctor, because of symptoms that; she is experiencing when she leaves her home. This is Mrs. Hudson’s first time to a mental health counselor.
How will you contribute to the mission of the National Health Service Corps in providing care to underserved communities?
Culture has a huge influence on how people view and deal with psychological disorders. Being able to successfully treat someone for a mental illness has largely to do with what they view as normal in their own culture. In Western cultures we think that going to a counselor to talk about our emotions or our individual problems and/or getting some type of drug to help with our mental illness is the best way to overcome and treat it, but in other cultures that may not be the case. In particular Western and Asian cultures vary in the way they deal with psychological disorders. In this paper I am going to discuss how Asian cultures and Western cultures are similar and different in the way they view psychological disorders, the treatments and likelihood of getting treatment, culture bound disorders, and how to overcome the differences in the cultures for optimal treatments.
The Diagnostic and Statistical Manual of Mental Disorders (DSM) is the comprehensive guide to diagnosing psychological disorders. This manual is published by the American Psychiatric Association (APA) and is currently in its fifth revision. Moreover, the manual is utilized by a multitude of mental health care professionals around the world in the process of identifying individuals with disorders and provides a comprehensive list of the various disorders that have been identified. The DSM serves as the essential resource for diagnosis of mental disorders based off of the various signs and symptoms displayed by individuals while also providing a basic reference point for the treatment of the different disorders. The manual attempts to remain scientific in its approach to identifying the underlying symptoms of each disorder while meeting the needs of the different psychological perspectives and the various mental health fields. The DSM has recently gone through a major revision from the DSM-IV-TR to the DSM-5 and contains many significant changes in both the diagnosis of mental disorders and their classifications.
Today we will discuss how culture impacted on Kurdish community mental health. Kurds are an ethnic group who was originated in Iran, Iraq, Turkey and Syria. Many Turks immigrated to the other parts of the world to get away from the violence in their native countries and to secure a safe future for their children. Countries like Australia and Canada provide medical data on Kurd’s mental health. This data compares the information between the Kurds who immigrated and the ones that were born in these countries. Many immigrated Kurds have rep...
The ICD-10 Classification of Mental and Behavioural Disorders: Clinical Descriptions and Diagnostic Guidelines. Geneva: World Health Organization, 1992. Print.
Culture can be defined as behaviors exhibited by certain racial, religious, social or ethnic groups. Some factors in which culture may vary include: family structure, education, and socioeconomic status (Kodjo, 2009). Some may think cultural competence is something that has an end point, however, when the big picture is seen, it is a learning process and journey. From the writer’s perspective, the client-therapist relationship can be challenging. Culturally competent therapists must realize that behaviors are shaped by an individual’s culture. Many changes are taking place within the United States cultural makeup. Therapists and healthcare professionals are being challenged to provide effective and sensitive care for patients and their families. This type of culturally sensitive care requires the professional to be open and seek understanding in the patients diverse belief systems (Kodjo, 2009).