Cultural Issues

Question 1

Cultural Concepts in Psychiatry

Answer 1

• Cultural Bound Syndrome: Cluster of illness/symptoms in a cultural group
• Cultural Idiom of Distress: The way a cultural group explains their symptoms
• Cultural explanation: Perceived cause of symptoms, illness, distress by cultural folk healers

Question 2

Cultural Formualtion Interview

Answer 2

• Set of 16 questions set forth by the DSM-5 used to assess the impact of culture on a patients clinical presentation
• Four Domains
  
  • • Cultural definition of the problem
  • • Cultural perceptions of the cause, context, and support
  • • Cultural factors affecting self-coping and past help seeking
  • • Cultural factors affecting current help seeking

Question 3

Culturally and Linguistically Appropriate Services (CLAS)

Answer 3

• 14 CLAS standards
• Standard 4: offer and provide language assistance services at no cost to the client, at all points of contact, during all hours of operation
• Standard 5: Provide clients in their preferred language both verbal and written notices informing them of their rights to language assistance services
• Standard 6: Assure competence of language assistance services; Family should not be used except upon request of the client.

Question 4

CYP 450 ethnic diversity

Answer 4

• American/European: 5% poor metabolizers of P450 & 2C19
• African American: 19% poor metabolizers of P450 & 2C19
• Asian: 20% poor metabolizers of P450 & 2C19
• Hispanic: 5% poor metabolizers of P450 & 2C19
• Native American: 0% poor metabolizers of P450
• Arabic: 10% poor metabolizers of P450 & 2C19

Question 5

Cultural Diversity in Health Practices

Answer 5

• American/European: Scientific cure
• Asian: Yin/Yang; complementary forces
• Hispanic: Hot and cold conditions
• Native American: ceremonies, herbal remedies, healers
• Arabic: abstain from pork, herbal remedies and rituals