Universidad Autónoma de Madrid, Spain.
Transcult Psychiatry. 2009 Sep;46(3):506-23. doi: 10.1177/1363461509344307.
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 a clinical case. Although the CF has considerable promise for revealing knowledge about patients, health practices, and health systems that is essential for clinical care, substantial research must be carried out to facilitate widespread use of the CF in clinical practice.
本文从精神科医师实践的角度出发，对 DSM-IV-TR 文化表述（CF）准则的一些局限性进行了综述。该文基于作者在 1996 年至 2007 年期间在马德里自治大学（西班牙）精神病学系讲授文化精神病学博士课程的经验。文中提出了两项建议，以方便一般临床医生使用 CF。这些建议为在精神病史中仅纳入最相关的临床信息提供了一个程序，然后是简短的文化表述。该方法通过一个临床案例进行了说明。尽管 CF 在揭示与临床护理至关重要的患者、卫生实践和卫生系统知识方面具有很大的潜力，但仍需要进行大量的研究，以促进 CF 在临床实践中的广泛应用。
