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Letter to the Editor: What do we mean by "Asian"?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Transcultural Psychiatry)
Source: Transcultural Psychiatry - October 16, 2009 Category: Psychiatry Authors: Babbar, J. Tags: Articles Source Type: journals

Book Review: James B. Waldram, Revenge of the Windigo: The Construction of the Mind and Mental Health of North American Aboriginal Peoples. Toronto, ON: University of Toronto Press, 2004. 414 pp. Paper: $37.00 (US), ISBN 0802086004Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Transcultural Psychiatry)
Source: Transcultural Psychiatry - October 16, 2009 Category: Psychiatry Authors: BigFoot, D. S. Tags: Articles Source Type: journals

Book Review: Nancy Waxler-Morrison, Joan M. Anderson, Elizabeth Richardson, & Natalie A. Chambers (Eds.), Cross-Cultural Caring (2nd ed): A Handbook for Health Professionals. Vancouver, BC: University of British Columbia Press, 2005. 365 pp. Cloth: $95.00 (CDN), ISBN: 0774812559Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Transcultural Psychiatry)
Source: Transcultural Psychiatry - October 16, 2009 Category: Psychiatry Authors: Carnevale, F. Tags: Articles Source Type: journals

Book Review: Russell F. Lim (Ed.), Clinical Manual of Cultural Psychiatry. Washington, DC: American Psychiatric Publishers, 2006. 336 pp. Paper: $64.00 (US), ISBN 1585622567Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Transcultural Psychiatry)
Source: Transcultural Psychiatry - October 16, 2009 Category: Psychiatry Authors: Morrison, J. Tags: Articles Source Type: journals

DSM-IV-TR Cultural Formulation of Psychiatric Cases: Two Proposals for CliniciansEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article reviews some limitations of the current guideline for the DSM-IV-TR Cultural Formulation (CF) from the perspective of psychiatric practice that are based on the author’s experience conducting doctoral courses on cultural psychiatry from 1996 to 2007 in the Department of Psychiatry at the Universidad Autónoma de Madrid (Spain). Two proposals are presented for facilitating use of the CF by general clinicians. These proposals offer a procedure for embedding only the most relevant clinical information in a psychiatric history, followed by a brief cultural formulation. The approach is illustrated with ...
Source: Transcultural Psychiatry - October 16, 2009 Category: Psychiatry Authors: Caballero Martinez, L. Tags: Articles Source Type: journals

Use of the Cultural Formulation with RefugeesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article discusses the experiences of mental health professionals who applied the Cultural Formulation (CF) of the DSM-IV for assessment of psychopathology and treatment needs of refugees in the Netherlands. The CF approach proved to be a useful tool in the assessment and diagnostic phase of clinical treatment. However, patients reported problems with defining their own culture and providing explanations of illness and therapists had difficulty identifying culturally-based difficulties in the clinical relationship. Additional information was needed about working with interpreters, therapists’ attitudes towards th...
Source: Transcultural Psychiatry - October 16, 2009 Category: Psychiatry Authors: Rohlof, H., Knipscheer, J. W., Kleber, R. J. Tags: Articles Source Type: journals

Clinical Pitfalls in the Diagnosis of Ataque de Nervios: A Case StudyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Ataque de nervios (attack of nerves) is an idiom of distress generally thought of in relation to Caribbean Hispanics. The following case study discusses the presentation of ataque de nervios in a Colombian female. This case study provides insight into a different presentation of ataque de nervios in a new population that clinicians should be aware of in order to ensure accurate diagnosis. Ataque de nervios is a distinct syndrome that does not fully correspond with any single DSM-IV diagnosis. However, there is overlap between symptoms in this condition and those in conventional clinical diagnoses. Common problems in derivi...
Source: Transcultural Psychiatry - October 16, 2009 Category: Psychiatry Authors: Lizardi, D., Oquendo, M. A., Graver, R. Tags: Articles Source Type: journals

Recognizing Cultural Identity in Mental Health Care: Rethinking the Cultural Formulation of a Somali PatientEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Although there are many ways to produce a cultural formulation that facilitates a culturally sensitive diagnosis and treatment for asylum seekers and refugees in mental health care, it is essential to gain trust and ‘recognize’ the patient. One way to achieve this recognition is through a cultural interview, in which cultural references of the health care provider and the patient are exchanged. This paper presents an example of such a process with a Somali migrant to the Netherlands, whose passivity and inactivity puzzled the psychiatrist. Gaining his trust and recognizing his cultural roots as a member of a So...
Source: Transcultural Psychiatry - October 16, 2009 Category: Psychiatry Authors: Groen, S. Tags: Articles Source Type: journals

A Qualitative Study of Clinicians' Use of the Cultural Formulation Model in Assessing Posttraumatic Stress DisorderEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The Cultural Formulation (CF) of the Diagnostic and Statistical Manual (DSM) provides a potential framework for improving the diagnostic assessment of Posttraumatic Stress Disorder (PTSD) in culturally diverse patients. We analyzed data from the Patient-Provider Encounter Study, a multi-site study that examines the process of diagnosis and clinical decision-making during an initial clinical intake session, in order to examine use of CF for PTSD diagnosis. We find that while the CF is generally used inconsistently or underutilized in routine community settings, when employed appropriately it may assist the formulation and i...
Source: Transcultural Psychiatry - October 16, 2009 Category: Psychiatry Authors: Fortuna, L. R., Porche, M. V., Alegria, M. Tags: Articles Source Type: journals

The Cultural Formulation: A Model to Combine Nosology and Patients' Life Context in Psychiatric Diagnostic PracticeEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article discusses the experience of adapting and applying the Outline for a Cultural Formulation in DSM-IV to the Swedish context. Findings from a research project on the Cultural Formulation highlight the value of combining psychiatric nosological categorization with an understanding of patients’ cultural life context in order to increase the validity of categorization and to formulate individualized treatment plans. In clinical care practitioners need models and tools that help them take into account patients’ cultural backgrounds, needs, and resources in psychiatric diagnostic practice. We present a sum...
Source: Transcultural Psychiatry - October 16, 2009 Category: Psychiatry Authors: Baarnhielm, S., Scarpinati Rosso, M. Tags: Articles Source Type: journals

Cultural Formulation GuidelinesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article offers a practical approach to preparing a Cultural Formulation as a component of culturally competent clinical care. We summarize the rationale for the four sections of the CF, describe the process of conducting culturally focused clinical interviews, and present examples of questions or lines of inquiry that can be used to collect the information needed to construct the CF. An online supplement provides case examples of cultural formulations applied to patients seen in the US. (Source: Transcultural Psychiatry)
Source: Transcultural Psychiatry - October 16, 2009 Category: Psychiatry Authors: Mezzich, J. E., Caracci, G., Fabrega, H., Kirmayer, L. J. Tags: Articles Source Type: journals

Editorial: The Cultural FormulationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Transcultural Psychiatry)
Source: Transcultural Psychiatry - October 16, 2009 Category: Psychiatry Authors: Lewis-Fernandez, R. Tags: Articles Source Type: journals

The Cultural Myth of Koro Conceptualization: Time for a RethinkEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Transcultural Psychiatry)
Source: Transcultural Psychiatry - June 17, 2009 Category: Psychiatry Authors: Marlowe, K. Tags: Article Source Type: journals

Mass Possession State in a Family SettingEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Transcultural Psychiatry)
Source: Transcultural Psychiatry - June 17, 2009 Category: Psychiatry Authors: Sethi, S., Bhargava, S. C. Tags: Article Source Type: journals

Book Review: Marie Connolly, Yvonne Crichton-Hill, & Tony Ward, Culture and Child Protection: Reflexive Responses. Ontario: UBC Press, 2006, 144pp. Paper: $27.95 (US), ISBN 1843102706Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Transcultural Psychiatry)
Source: Transcultural Psychiatry - June 17, 2009 Category: Psychiatry Authors: Hassan, G. Tags: Article Source Type: journals

Book Review: Mudita Rastogi & Elizabeth Wieling (Eds.), Voices of Color: First Person Accounts of Ethnic Minority Therapists. Thousand Oaks, CA: SAGE, 2005. 389 pp. Paper: $51.95 (US), ISBN 0761928901Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Transcultural Psychiatry)
Source: Transcultural Psychiatry - June 17, 2009 Category: Psychiatry Authors: Bell, C. C. Tags: Article Source Type: journals

Book Review: Wen-Shing Tseng, Suk Choo Chang, & Masahisa Nishizono (Eds.), Asian Culture and Psychotherapy: Implications for East and West. Honolulu, HI: University of Hawai'i Press, 2005. 313 pp. Paper: $32.95 (US), ISBN 0824821335Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Transcultural Psychiatry)
Source: Transcultural Psychiatry - June 17, 2009 Category: Psychiatry Authors: Lo, H.-T. Tags: Article Source Type: journals

Strange, Incredible and Impossible Things: The Early Anthropology of Reginald ScotEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article considers whether his methods and writing might indeed correspond to what we recognise as the procedures of medical or psychiatric anthropology. (Source: Transcultural Psychiatry)
Source: Transcultural Psychiatry - June 17, 2009 Category: Psychiatry Authors: Littlewood, R. Tags: Article Source Type: journals

Autism in Saudi Arabia: Presentation, Clinical Correlates and ComorbidityEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article describes the reasons for referral and clinical characteristics of a sample of 49 children (37 males and 12 females) diagnosed with an autistic spectrum disorder at a tertiary referral center in Saudi Arabia. The diagnosis of autism was based on DSM-IV criteria supplemented by information obtained from parent and child interviews, rating scales, and examination of school and hospital records. Females were older than males at the time of referral. Eleven patients had a history of seizure disorder and one patient had a chromosome abnormality. Twenty-five patients were taking psychotropic medications and 14 patie...
Source: Transcultural Psychiatry - June 17, 2009 Category: Psychiatry Authors: Al-Salehi, S. M., Al-Hifthy, E. H., Ghaziuddin, M. Tags: Article Source Type: journals

The Role of Leisure in the Lives of Psychotic Patients: A Qualitative StudyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Quality of life is defined by indicators that measure the life patterns of a person or community in relation to an ideal model. Leisure is an important component of quality of life and a tool for rehabilitation for patients with chronic psychosis. This qualitative study evaluated the role of leisure in the life of patients living with psychosis. Interviews with patients and relatives indicate that sociability is an important value for both groups. Deeper analysis, however, indicates that sociability is a culturally learned concept for patients and does not relate to their real needs. Improvement of symptoms and respect of ...
Source: Transcultural Psychiatry - June 17, 2009 Category: Psychiatry Authors: Ponde, M. P., Peireira, C. T. M., Leal, B., Oliveira, S. C. Tags: Article Source Type: journals

Working Together for Public HealthEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Italy's recent economic growth and strategic position in the Mediterranean Sea have made it a prime destination for immigrants and asylum seekers in Europe. Despite its well-developed health care system, statistics on foreign citizens' health are worrisome. In 1998 public health services were extended to illegal immigrants, giving them the right to necessary urgent and non-urgent medical assistance, even for a prolonged period. This paper examines a two-year joint intervention project between Centre for the Study and Research of Public Health (Mental Health), Local Health Agency ROMA E (LHA RME) and the non-governmental or...
Source: Transcultural Psychiatry - June 17, 2009 Category: Psychiatry Authors: Martelli, P. Tags: Article Source Type: journals

What Research tells us about the Mental Health and Psychosocial Wellbeing of Sudanese Refugees: A Literature ReviewEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Sudan has long been one of the world's chief refugee-producing nations. Many researchers and practitioners have developed considerable interest in culturally-specific information on the mental health and wellbeing of Sudanese refugees. In this selective review of studies with Sudanese refugees, on mental health and psychosocial wellbeing, coping strategies and interventions, most quantitative studies found high rates of psychopathology, particularly PTSD and depression. However, some studies using mixed methods cautioned that while many Sudanese refugees have symptoms of traumatic stress, their functioning was not necessar...
Source: Transcultural Psychiatry - June 17, 2009 Category: Psychiatry Authors: Tempany, M. Tags: Article Source Type: journals

Problemas de Nervos: A Multivocal Symbol of Distress for Portuguese ImmigrantsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article outlines research on a previous unstudied form of suffering specific to the Portugese immigrant community: problemas de nervos. Thirty-two Portuguese immigrant women (in Waterloo, ON and Boston, MA) were interviewed and each completed a questionnaire. Cluster analysis demonstrated that problemas de nervos has many meanings. The study profiled symptoms, causes and therapies associated with four variations of this culture-specific form of distress: "mal da cabeca" meaning problems with/in the head (e.g., lack of control, visions); " aflição" meaning affliction (e.g., nervous attacks, heart problems...
Source: Transcultural Psychiatry - June 17, 2009 Category: Psychiatry Authors: James, S., Fernandes, M., Navara, G. S., Harris, S., Foster, D. Tags: Article Source Type: journals

Immigrants' Continuing Bonds with their Native Culture: Assimilation Analysis of Three InterviewsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Three case studies of immigrants to the US from China, Iraq, and Mexico were used to build a theory of acculturation in immigrants by integrating the continuing bonds model, which describes mourning in bereavement with the assimilation model, which describes psychological change in psychotherapy. Participants were interviewed about the loss of their native culture and their life in the US. One participant had not fully assimilated the loss of her native culture, but used her continuing bonds with her culture as a source of solace. Another participant used his continuing bonds with his culture as a source of solace, but the...
Source: Transcultural Psychiatry - June 17, 2009 Category: Psychiatry Authors: Henry, H. M., Stiles, W. B., Biran, M. W., Mosher, J. K., Brinegar, M. G., Banerjee, P. Tags: Article Source Type: journals

A Qualitative Study of Mental Health Problems among Children Displaced by War in Northern UgandaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In this study we used a previously developed rapid ethnographic assessment method to explore local perceptions of mental health problems among children and adults from the Acholi ethnic group displaced by the war in northern Uganda. We conducted 45 free list interviews and 57 key informant interviews. The rapid assessment approach appears to have worked well for interviewing caretakers and children aged 10—17 years. We describe several locally defined syndromes: two tam/par/kumu (depression and dysthymia-like syndromes), ma lwor (a mixed anxiety and depression-like syndrome), and a category of conduct problems referr...
Source: Transcultural Psychiatry - June 17, 2009 Category: Psychiatry Authors: Betancourt, T. S., Speelman, L., Onyango, G., Bolton, P. Tags: Article Source Type: journals

The Validity and Clinical Utility of Post-traumatic Stress Disorder in AfghanistanEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study examined the validity and utility of PTSD among 320 adults in Afghanistan. Findings support the validity of PTSD in this cultural context: PTSD symptoms were highly prevalent, shared common variance, and correlated as expected with exposure to traumatic stress. However, only limited support was found for the clinical utility of PTSD. Other types of psychiatric symptomatology, including depression and a culturally specific measure of general distress, correlated more highly with traumatic stress than did PTSD; and PTSD accounted for limited variance in functioning beyond that explained by depression and general d...
Source: Transcultural Psychiatry - June 17, 2009 Category: Psychiatry Authors: Miller, K. E., Omidian, P., Kulkarni, M., Yaqubi, A., Daudzai, H., Rasmussen, A. Tags: Article Source Type: journals

Call for Papers: Clinical Case Studies in Cultural PsychiatryEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Transcultural Psychiatry)
Source: Transcultural Psychiatry - March 17, 2009 Category: Psychiatry Tags: Article Source Type: journals

Book Review: Janis Hunter Jenkins and Robert John Barrett (Eds.), Schizophrenia, Culture, and Subjectivity: The Edge of Experience. Cambridge: Cambridge University Press, 2004. 357 pp. Paper: $32.99 (US), ISBN 0521536413; Cloth: $85.00 (US), ISBN 05218829550Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Transcultural Psychiatry)
Source: Transcultural Psychiatry - March 17, 2009 Category: Psychiatry Authors: Stanghellini, G. Tags: Article Source Type: journals

Book Review: Marleen S. Barr, (Ed.), Envisioning the Future: Science Fiction and the Next Millennium. Middletown, CT.: Wesleyan University Press, 2003. 214 pp. Paper: $22.95 (US), 0819566527; Cloth: $65.00 (US), 0819566519Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Transcultural Psychiatry)
Source: Transcultural Psychiatry - March 17, 2009 Category: Psychiatry Authors: Chambers, T. Tags: Article Source Type: journals

Book Review: Wen-Shing Tseng & Jon Streltzer (Eds.), Cultural Competence in Clinical Psychiatry. American Psychiatric Publishing, 2004. 202 pp. Paper: $39.00 (US), ISBN 1585621250Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Transcultural Psychiatry)
Source: Transcultural Psychiatry - March 17, 2009 Category: Psychiatry Authors: Baarnhielm, S. Tags: Article Source Type: journals

Book Review: Carl Elliott & Tod Chambers (Eds.), Prozac as a Way of Life. Chapel Hill, NC: The University of North Carolina Press, 2004. 224 pp. Paper: $19.95 (US), ISBN 0807855510; Cloth: $39.95 (US), ISBN 0807828807Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Transcultural Psychiatry)
Source: Transcultural Psychiatry - March 17, 2009 Category: Psychiatry Authors: Cohen, S. Tags: Article Source Type: journals

Tense Prescriptions? Alzheimer Medications and the Anthropology of UncertaintyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article discusses the two major groups of Alzheimer medications, which are hotly debated in the specialized literature because of their doubtful efficacy. Examining this issue under the rubric of an `anthropology of uncertainty,' this article seeks to address the question: how do doctors prescribe medications given tensions created by uncertainty? A partial answer is drawn from research conducted in Brazil with local psychogeriatricians, which has documented a high degree of certainty regarding Alzheimer drugs and their benefits. I argue that one reason for this certainty is that `efficacy' has become increasingly non...
Source: Transcultural Psychiatry - March 17, 2009 Category: Psychiatry Authors: Leibing, A. Tags: Article Source Type: journals

Adolescent Experience of Psychotropic TreatmentEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article reports the exploratory findings of semi-structured and open-ended interviews carried out with 20 adolescents diagnosed with one or more psychiatric disorders, and who were currently prescribed psychiatric medications. Grounded theory coding procedures were used to identify themes related to adolescent subjective experience with psychiatric medications. The categories identified are interpreted as different points of view through which adolescents understand and take action upon their illness concerns; their need for medication treatment; their perceptions of how medications work; their responses to parental a...
Source: Transcultural Psychiatry - March 17, 2009 Category: Psychiatry Authors: Floersch, J., Townsend, L., Longhofer, J., Munson, M., Winbush, V., Kranke, D., Faber, R., Thomas, J., Jenkins, J. H., Findling, R. L. Tags: Article Source Type: journals

Uncanny Scripts: Understanding Pharmaceutical Emplotment in the Aboriginal ContextEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article outlines a new social reality of global psycho-pharmaceutical prescribing: the pharmaceutical family, or `phamily.' Ethnographic case studies from Manitoba, Canada (2002 to 2004) show how pharmaceutical emplotment, involving a synergy between cultural and drug scripts, can have uncanny consequences for vulnerable groups, such as Aboriginal children. Observations and interview transcripts of high prescribing doctors are analyzed to understand the prescribing logic of using psychoactive medication, such as methylphenidate, in young Aboriginal children diagnosed with FASD and/or ADHD. Pharmaceutical narratives ar...
Source: Transcultural Psychiatry - March 17, 2009 Category: Psychiatry Authors: Oldani, M. J. Tags: Article Source Type: journals

`Consumers are Patients!' Shared Decision-making and Treatment Non-compliance as Business OpportunityEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article describes an aspect of the progressive insertion of commercial interests into the relationship between patients and their clinicians, with particular reference to psychiatry. Treatment noncompliance, a long-standing problem for healthcare professionals, has lately drawn the attention of the pharmaceutical and allied industries as a site at which to improve return on investment (ROI). Newly founded corporate `compliance departments' and specialized consultancies that regard noncompliance as a form of marketing failure are seeking to rectify it with reinvigorated models and strategies. This intervention stands t...
Source: Transcultural Psychiatry - March 17, 2009 Category: Psychiatry Authors: Applbaum, K. Tags: Article Source Type: journals

The Unlicensed Lives of Antidepressants in India: Generic Drugs, Unqualified Practitioners, and Floating PrescriptionsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Antidepressant uses have been rising rapidly over the past decades. Two main theories have been advanced to explain this. One claims that socio-economic change causes a global rise of depressive illness. The other holds that European and North American corporations are aggressively marketing antidepressants to expand their global reach. Both theories assume that multinational capitalism drives rising depression rates. Based on ethnographic data from India, this article shows that antidepressants are increasingly used in this country as well, but for reasons than have been little explored yet. Taking fluoxetine (Prozac) as ...
Source: Transcultural Psychiatry - March 17, 2009 Category: Psychiatry Authors: Ecks, S., Basu, S. Tags: Article Source Type: journals

Pills that Swallow Policy: Clinical Ethnography of a Community Mental Health Program in Northern IndiaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
India's National Mental Health Program (NMHP) was initiated in 1982 with the objective of promoting community participation and accessible mental health services. A key component involves central government calculation and funding for psychotropic medication. Based on clinical ethnography of a community psychiatry program in north India, this article traces the biosocial journey of psychotropic pills from the centre to the periphery. As the pill journeys from the Ministry of Health to the clinic, its symbolic meaning transforms from an emphasis on accessibility and participation to the administration of a discrete `treatme...
Source: Transcultural Psychiatry - March 17, 2009 Category: Psychiatry Authors: Jain, S., Jadhav, S. Tags: Article Source Type: journals

From Descartes to Desipramine: Psychopharmacology and the SelfEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Despite the remarkably widespread use of the new generation of antidepressants, almost everything we know about their effects comes from animal studies and clinical trials in which the sole parameter of interest is depressive symptomatology. Almost nothing is known about the effects that antidepressants have on cognition, affect, or motivation when used over a period of months or years. Nor do we understand what effects, if any, antidepressants have on what we think of as the self. In this article, we argue that neither psychiatry nor philosophy, in their current state, are well equipped to think about these issues. In ord...
Source: Transcultural Psychiatry - March 17, 2009 Category: Psychiatry Authors: Gold, I., Olin, L. Tags: Article Source Type: journals

Trussed in Evidence? Ambiguities at the Interface between Clinical Evidence and Clinical PracticeEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article considers the dominance that randomized controlled trials (RCTs) of psychotropic agents currently have in relation to the practice of psychiatry in mental health and primary care settings. In contemporary psychiatry, data of marginal significance based on rating scale measures are privileged as evidence that treatments are effective, while judgments of drug effects based on clinical practice are downgraded. The dominance of RCTs has also led to an increasing promotion of rating scales in clinical practice, described here as `rating scale mongering.' The logical consequence of current interpretations of RCT dat...
Source: Transcultural Psychiatry - March 17, 2009 Category: Psychiatry Authors: Healy, D. Tags: Article Source Type: journals

Editorial: From Amrita to Substance D: Psychopharmacology, Political Economy, and Technologies of the SelfEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Transcultural Psychiatry)
Source: Transcultural Psychiatry - March 17, 2009 Category: Psychiatry Authors: Kirmayer, L. J., Raikhel, E. Tags: Article Source Type: journals

Acknowledgement of ReviewersEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Transcultural Psychiatry)
Source: Transcultural Psychiatry - December 17, 2008 Category: Psychiatry Tags: Article Source Type: journals

Book Review: James Georgas, Lawrence G. Weiss, Fons J.R. van de Vijver, & Donald H. Saklofske (Eds.), Culture and Children's Intelligence: Cross-Cultural Analysis of the WISC-III. San Diego: Academic Press, 2003. 336 pp. Cloth: $89.95 (US), ISBN 0122800559Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Transcultural Psychiatry)
Source: Transcultural Psychiatry - December 17, 2008 Category: Psychiatry Authors: Thombs, B. D. Tags: Article Source Type: journals

Book Review: Paul McHugh, The Mind Has Mountains: Reflections on Society and Psychiatry. Baltimore: Johns Hopkins Press, 2005. 252 pp. Cloth: $25.00 (US), ISBN 0801882494Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Transcultural Psychiatry)
Source: Transcultural Psychiatry - December 17, 2008 Category: Psychiatry Authors: Paris, J. Tags: Article Source Type: journals

Book Review: Nadia Taysir Dabbagh, Suicide in Palestine: Narratives of Despair. Northampton, MA: Interlink, 2005. 280 pp. Paper: $17.95 (US), ISBN 1566566037Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Transcultural Psychiatry)
Source: Transcultural Psychiatry - December 17, 2008 Category: Psychiatry Authors: Moghadam, A. Tags: Article Source Type: journals

Ramadan Fasting Triggering Koro-like Symptoms during Acute Alcohol Withdrawal: A Case Report from OmanEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article describes a case of koro-like symptoms from Oman associated with alcohol withdrawal and illustrates how the socio-cultural practices of Ramadan-fasting affected the patterning and timing of presentation of severe alcohol withdrawal symptoms. The patient was severely distressed by the delusion that his penis had been amputated. The acute anxiety involving this delusion appears to be conceptually and phenomenologically similar to koro. (Source: Transcultural Psychiatry)
Source: Transcultural Psychiatry - December 17, 2008 Category: Psychiatry Authors: Al-Sinawi, H., Al-Adawi, S., Al-Guenedi, A. Tags: Article Source Type: journals

Karo-Kari: A Form of Honour Killing in PakistanEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Karo-Kari is a type of premeditated honour killing, which originated in rural and tribal areas of Sindh, Pakistan. The homicidal acts are primarily committed against women who are thought to have brought dishonour to their family by engaging in illicit pre-marital or extra-marital relations. In order to restore this honour, a male family member must kill the female in question. We conducted a systematic review of the published literature other sources on karo-kari and related forms of honour killing or violence against women. Media and non-governmental organization reports were utilized for case studies and analysis. Altho...
Source: Transcultural Psychiatry - December 17, 2008 Category: Psychiatry Authors: Patel, S., Gadit, A. M. Tags: Article Source Type: journals

Arab Culture and Mental Health CareEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This selective review describes recent literature and the author's experience with mental illness and mental health care, and the impact of cultural transformation on mental health in some Arab Islamic cultures, particularly in Egypt, Qatar and Kuwait. Traditional extended Arab families provide a structure for their members that may sometimes prevent and or compensate for the effects of parental loss and mental disability. The role of traditional families in the care of members and in medical decision-making is discussed. The impact of cultural change on Arab culture is also examined, as is the effect of intergenerational ...
Source: Transcultural Psychiatry - December 17, 2008 Category: Psychiatry Authors: Fakhr El-Islam, M. Tags: Article Source Type: journals

Cultural Factors in the Diagnosis and Treatment of Traumatised Migrant Patients from TurkeyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The process of migration may be associated not only with great hope, but also with distressing experiences that can lead to trauma and posttraumatic stress disorders. Although some of the symptoms induced by trauma are common across cultures, the strategies used to deal with them are often culture-specific. In the following paper, we consider the unique aspects of trauma-focused psychotherapy in patients with a history of migration. We discuss a variety of culture-specific factors with the help of two case histories. (Source: Transcultural Psychiatry)
Source: Transcultural Psychiatry - December 17, 2008 Category: Psychiatry Authors: Schouler-Ocak, M., Reiske, S.-L., Rapp, M. A., Heinz, A. Tags: Article Source Type: journals

The Experience of `Mental Trauma' and its Transcultural ApplicationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article critically examines the notion of `mental trauma' as it has been used by psychosocial intervention programmes addressing the aftermath of the 2004 Asian tsunami. The objective is to shed light on the guidelines' implicit and explicit assumptions about how people are expected to act and feel after a disaster, thereby implying a certain `metaphysic' of emotional experience. It will be argued that feelings can not be separated from intersubjective and public spheres, for they shape and motivate expression and experience. Instead, it is necessary to explore the particular ways in which cultural meaning and social ...
Source: Transcultural Psychiatry - December 17, 2008 Category: Psychiatry Authors: von Peter, S. Tags: Article Source Type: journals

Daily Stressors, War Experiences, and Mental Health in AfghanistanEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Working in Afghanistan's capital city of Kabul, the authors assessed the relative contribution of daily stressors and war-related experiences of violence and loss to levels of depression, PTSD, impaired functioning, and a culturally specific measure of general psychological distress. For women, daily stressors were a better predictor than war experiences of all mental health outcomes except for PTSD; for men, daily stressors were a better predictor of depression and functional impairment, while war experiences and daily stressors were similarly predictive of general distress. For men, daily stressors moderated the relation...
Source: Transcultural Psychiatry - December 17, 2008 Category: Psychiatry Authors: Miller, K. E., Omidian, P., Rasmussen, A., Yaqubi, A., Daudzai, H. Tags: Article Source Type: journals