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Chapter 36. Treatment of Culturally Diverse Populations

Francis Lu, M.D.; Roberto Lewis-Fernández, M.D.; Annelle Primm, M.D., M.P.H.; Russell Lim, M.D., M.Ed.; Neil Aggarwal, M.D., M.B.A., M.A.
DOI: 10.1176/appi.books.9781585625031.265527

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Excerpt

The concept of the “Treatment of Culturally Diverse Populations” has evolved over time in the field of psychiatry. Emil Kraepelin, well known as the principal designer of modern psychiatric nosology, is less well known for his pioneering work in comparative sociocultural psychiatry. Based on his trips to Asia and Africa, Kraepelin commented on certain differences in the incidence and presentation of psychopathological phenomena that he considered to be due to ethnic-cultural characteristics or social conditions (Jilek 1995). In DSM-5, “Culture refers to systems of knowledge, concepts, rules, and practices that are learned and transmitted across generations. Culture includes language, religion and spirituality, family structures, life-cycle stages, ceremonial rituals, and customs, as well as moral and legal systems” (American Psychiatric Association 2013, p. 749).

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Definition of cultural and linguistic competence
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National standards for culturally and linguistically appropriate services (CLAS)
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Essential attitudes of cultural competence
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Essential skills of cultural competence: DSM-5 Outline for Cultural Formulation (OCF)
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Essential skills of cultural competence: DSM-5 Cultural Formulation Interview (CFI)

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