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Clinical Manual of Cultural Psychiatry Clinical Manual of Cultural Psychiatry Second Edition This page intentionally left blank Clinical Manual of Cultural Psychiatry Second Edition Edited by Russell F. Lim, M.D., M.Ed. Washington, DC London, England Note: The authors have worked to ensure that all information in this book is accurate at the time of publication and consistent with general psychiatric and medical standards, and that information concerning drug dosages, schedules, and routes of administration is accurate at the time of publication and consistent with standards set by the U.S. Food and Drug Administration and the general medical community. As medical research and practice continue to advance, however, therapeutic standards may change. Moreover, specific situations may require a specific therapeutic response not included in this book. For these reasons and because human and mechanical errors sometimes occur, we recommend that readers follow the advice of physicians directly involved in their care or the care of a member of their family. Books published by American Psychiatric Publishing (APP) represent the findings, conclusions, and views of the individual authors and do not necessarily represent the policies and opinions of APP or the American Psychiatric Association. If you would like to buy between 25 and 99 copies of this or any other American Psychiatric Publishing title, you are eligible for a 20% discount; please contact Customer Service at [email protected] or 800-368-5777. If you wish to buy 100 or more copies of the same title, please e-mail us at [email protected] for a price quote. Copyright © 2015 American Psychiatric Association ALL RIGHTS RESERVED Manufactured in the United States of America on acid-free paper 181716151454321 Proudly sourced and uploaded by [StormRG] Second Edition Kickass Torrents | TPB | ET | h33t Typeset in Adobe Garamond and Helvetica. American Psychiatric Publishing A Division of American Psychiatric Association 1000 Wilson Boulevard Arlington, VA 22209-3901 www.appi.org Library of Congress Cataloging-in-Publication Data Clinical manual of cultural psychiatry / edited by Russell F. Lim.—Second edition. p. ; cm. Includes bibliographical references and index. ISBN 978-1-58562-439-3 (pbk. : alk. paper) I. Lim, Russell F., 1961– editor. [DNLM: 1. Mental Disorders—ethnology. 2. Community Psychiatry. 3. Cross- Cultural Comparison. WM 31] RC454 616.89—dc23 2014012210 British Library Cataloguing in Publication Data A CIP record is available from the British Library. Contents Contributors . xvii Foreword . xxi Francis G. Lu, M.D. Preface. xxv Acknowledgments . xxix Video Guide. xxxi www.appi.org/Lim 1 Assessment of Culturally Diverse Individuals: Introduction and Foundations . 1 Hendry Ton, M.D., M.S. and Russell F. Lim, M.D., M.Ed. Historical Perspective. 3 Critical Concepts . 4 Outline for Cultural Formulation . 6 Cultural Formulation Interview . 7 Historical Background. 8 Conclusion . 36 References . 37 2 Applying the DSM-5 Outline for Cultural Formulation and the Cultural Formulation Interview: A Resident’s/Early Career Psychiatrist’s Perspective . 43 Angel Caraballo, M.D., Jennifer Robin Lee, M.D., and Russell F. Lim, M.D., M.Ed. Cultural Identity of the Individual . 46 Cultural Concepts of Distress. 56 Psychosocial Stressors and Cultural Features of Vulnerability and Resilience . 60 Cultural Features of the Relationship Between the Individual and the Clinician. 68 Overall Cultural Assessment . 72 References . 74 3 Issues in the Assessment and Treatment of African American Patients . 77 Tracee Burroughs-Gardner, M.D., Annelle B. Primm, M.D., M.P.H., William B. Lawson, M.D., Ph.D., and Deborah Cohen, M.B.A. Historical Context . 79 Current Context . 81 Applying the Updated DSM-5 Outline for Cultural Formulation . 92 Conclusion . 117 References . 119 4 Issues in the Assessment and Treatment of Asian American Patients . 127 Nang Du, M.D. and Russell F. Lim, M.D., M.Ed. Overview of the Asian American Population . 128 Immigration Patterns . 128 Assessment and Therapeutic Techniques: Using the DSM-5 Outline for Cultural Formulation and the Cultural Formulation Interview With Asian Americans . 134 Conclusion . 174 References . 174 Suggested Readings . 181 5 Issues in the Assessment and Treatment of Latino Patients . 183 Amaro J. Laria, Ph.D. and Roberto Lewis-Fernández, M.D. Social Demographics and History of U.S. Migration Patterns . 184 Applying the DSM-5 Outline for Cultural Formulation. 196 Overall Cultural Formulation. 235 Conclusion . 239 References . 241 6 Issues in the Assessment and Treatment of American Indian and Alaska Native Patients . 251 Candace M. Fleming, Ph.D. and Russell F. Lim, M.D., M.Ed. Current Status . 254 Historical Issues That Relate to Mental Health. 255 Mental Health Needs and Service System Issues . 258 Applying the DSM-5 Outline for Cultural Formulation. 260 Conclusion . 279 References . 280 7 Cultural Issues in Women’s Mental Health. 287 Lisa Andermann, M.Phil., M.D., FRCPC and Kenneth P. Fung, M.D., M.Sc., FRCPC Women’s Mental Health and the Women’s Movement: A Brief History . 288 Epidemiology and Psychopathology. 305 Clinical Assessment . 306 Developmental Issues in the Woman’s Life Cycle . 307 DSM-5 Outline for Cultural Formulation . 321 DSM-5 Cultural Formulation Interview . 331 Conclusion . 332 Cultural Assessment of Gender: Summary of Key Clinical Skills. 332 References . 334 8 Sexual Orientation: Gay Men, Lesbians, and Bisexuals . 339 Marshall Forstein, M.D., Jason Lambrese, M.D., and Tauheed Zaman, M.D. Disclosure of Sexual Orientation to Providers . 343 Epidemiology of Homosexuality . 343 Psychiatric Disorders and Suicide in Lesbian, Gay, and Bisexual People. 347 History of Homosexuality . 349 Sexual Identity Terminology . 358 Cultural Identity of the Individual: Development of a Lesbian, Gay, or Bisexual Identity . 359 Common Issues for Lesbian, Gay, or Bisexual People Presenting for Treatment Throughout the Life Cycle . 375 Assessment . 379 Conclusion . 387 References . 388 9 Transgender and Gender Nonconforming Patients . 397 Dan H. Karasic, M.D. Transgender Identity Formation . 399 Transition Care and the WPATH Standards of Care, Version 7 . 400 Transgender Patients in Health Care Settings . 402 Case Discussion: Outline for Cultural Formulation. 405 Conclusion . 408 References . 409 10 Religious and Spiritual Assessment. 411 David M. Gellerman, M.D., Ph.D. Performing a Spiritual Assessment . 413 Using the Outline for Cultural Formulation to Organize the Spiritual Assessment . 417 Conclusion . 429 References . 430 11 Ethnopsychopharmacology. 435 David C. Henderson, M.D. and Brenda Vincenzi, M.D. Introduction to the Pharmacogenetics of Drug-Metabolizing Enzymes . 437 Ethnic Variation in Medication Response. 437 Pharmacogenetics of Drug-Metabolizing Enzymes . 442 Cytochrome P450 Enzymes and Environmental Factors . 454 Importance of Nonpharmacological Factors. 459 Conclusion . 460 References . 462 12 Conclusion: Applying the Updated DSM-5 Outline for Cultural Formulation and Cultural Formulation Interview . 469 Russell F. Lim, M.D., M.Ed. Outline for Cultural Formulation . 470 Cultural Formulation Interview . 473 Final Thoughts . 474 References . 475 Appendix 1: DSM-5 Outline for Cultural Formulation, Cultural Formulation Interview, and Supplementary Modules . 477 Outline for Cultural Formulation . 477 Cultural Formulation Interview (CFI). 479 Cultural Formulation Interview (CFI)—Informant Version . 487 Supplementary Modules to the Core Cultural Formulation Interview (CFI) . 493 Appendix 2: DSM-5 Glossary of Cultural Concepts of Distress . 519 Ataque de nervios. 519 Dhat syndrome . 521 Khyâl cap . 522 Kufungisisa. 523 Maladi moun. 525 Nervios . 527 Shenjing shuairuo. ..
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