Hybridity and intersubjectivity in the clinical encounter

Impact on the Cultural Formulation

Dados Bibliográficos

ID2394882
AutoresNeil Krishan Aggarwal (0000-0001-9430-0861, Columbia University and The New York State Psychiatric Institute, autor correspondente)
Ano2012
Volume49
Fascículo1
Páginas121-139
Data de publicação2012-02-01
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoTranscultural Psychiatry (JOURNAL)
Identificadores do periódicoISSN: 1363-4615 • E-ISSN: 1461-7471
EditoraSAGE Publications Inc (PUBLISHER)
DOI10.1177/1363461511433144
PMID22218399
OpenAlexW1983791574
IdiomaEN
Citações recebidas11
Referências citadas49

Most case studies of the cultural formulation have focused on encounters with a single clinician. This article examines the assessment of a patient across different settings in which multiple clinicians developed separate understandings of the patient's identity. The formal cultural formulation prepared by the last clinician to work with the patient revealed a vastly different picture than what was previously recognized, reflecting both the impact of the identity of the clinician and the systematic evaluation process on the nature of the patient's responses. This suggests that cultural hybridity can stimulate new modes of inquiry as people integrate disparate cultural references to fashion a new identity. Intersubjectivity can also alter information elicited by clinicians. The conclusion highlights the need for practice guidelines for use of the cultural formulation across treatment settings

Aesthetics · Clinical Practice · Cultural diversity · Cultural identity · Epistemology · Hybridity · Intersubjectivity · Psychotherapist · Social science · Sociology · Anthropology · Counseling Practices and Supervision · Counseling, Therapy, and Family Dynamics · Medicine · Nursing · Psychology · Social Psychology · Social Representations and Identity