Use of the Cultural Formulation with Refugees

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 the culture of the patient and towards their own culture, patients' previous experiences with discrimination and inaccessibility of care, gender issues, and specific cultures and subcultures. A more structured approach to conducting the CF is recommended. We developed the "Cultural Formulation Interview" for this purpose. The adaptations are aimed at improving the CF for use with refugee populations, as well as for more general use in transcultural psychiatry

Cultural diversity · Culturally sensitive · Health care · Health professionals · Interpreter · Mental health · Political science · Psychiatry · Psychopathology · Psychotherapist · Refugee · Sociology · Anthropology · Child and Adolescent Psychosocial and Emotional Development · Clinical Psychology · Medicine · Mental Health Treatment and Access · Migration, Health and Trauma · Psychology · Social Psychology

• A rasch model to test the cross-cultural validity in the positive and negative syndrome scale (PANSS) across six geo-cultural groups

  Open Access•Anzalee Khan, Christian Yavorsky et al.•BMC Psychology•2013

  Incluir item

• Health care seeking among detained undocumented migrants

  Open Access•Tina Dorn, Manon Ceelen et al.•BMC Public Health•2011

  Incluir item

• Symptom vs context

  Open Access•Linda Silvius, Katrina V Antezana J et al.•Frontiers in Psychiatry•2024

  Incluir item

• Clinician Reasoning in the Use of Cultural Formulation to Resolve Uncertainty in the Diagnosis of Psychosis

  Open Access•Ademola Adeponle, Ademola B Adeponle et al.•Culture Medicine and Psychiatry•2014

  Incluir item

• Cultural Identity Among Afghan and Iraqi Traumatized Refugees

  Open Access•Simon P N Groen, Annemiek Richters et al.•Culture Medicine and Psychiatry•2018

  Incluir item

• Barriers to Implementing the DSM-5 Cultural Formulation Interview

  Open Access•Neil Krishan Aggarwal, Andel Veronica Nicasio et al.•Culture Medicine and Psychiatry•2013

  Incluir item

• Main topics in transcultural psychiatric research in the Netherlands during the past decade

  Open Access•Cornelis J Laban, Rob Van Dijk•Transcultural Psychiatry•2013

  Incluir item

• Patient identity narratives through the cultural formulation interview in a New York City outpatient clinic

  Open Access•Neil Krishan Aggarwal, Daniel Chen et al.•Medical Anthropology Quarterly•2023

  Incluir item

• Facets of clinical stigma after attempted suicide in Mumbai, India

  Mitchell G Wei, Mitchell G Weiss et al.•Anthropology and Medicine•2020

  Incluir item

• Anthropology in the Clinic

  Open Access•A Kleinman, Peter Benson•PLoS Medicine•2006

  Incluir item

• Impact of a Long Asylum Procedure on the Prevalence of Psychiatric Disorders in Iraqi Asylum Seekers in The Netherlands

  Cornelis J Laban, Hajo B P E Gernaat et al.•The Journal of Nervous and Mental…•2004

  Incluir item

• The invention of post-traumatic stress disorder and the social usefulness of a psychiatric category

  Open Access•Derek Summerfield•BMJ•2001

  Incluir item

• Patients and Healers in the Context of Culture

  A Kleinman•Patients and Healers in the…•1980

  Incluir item

• Patients and Healers in the Context of Culture

  Open Access•A Kleinman•Patients and Healers in the…•2023

  Incluir item

• Ethnocultural transference and countertransference in the therapeutic dyad

  Lillian Comas-Diaz, Frederick M Jacobsen•American Journal of Orthopsychiatry•1991

  Incluir item

• The Harmony of Illusions

  Alma H Young, Allan Young•Harmony of Illusions•1996

  Incluir item

• Acculturation and Adaptation in a New Society

  Open Access•J W Berry•International Migration•1992

  Incluir item