Shea Munyi, Yang Lawrence H, Leong Frederick T L
Department of Psychology, California State University, Los Angeles.
Asian Am J Psychol. 2010 Sep;1(3):212-223. doi: 10.1037/a0020951.
Culture shapes the nature, experience, and expression of psychopathology and help-seeking behavior across ethnically diverse groups. Although the study of psychopathology among Asian Americans has advanced, clinicians remain in need of culturally appropriate tools for the assessment and diagnosis of severe mental disorders including psychotic symptoms among Asian Americans. In this article, we present a brief overview of two culturally relevant conceptual tools: a) the Cultural Formulation Model, and b) the Multicultural Case Conceptualization approach. We use a case scenario to illustrate the integration of these two approaches in providing culturally responsive clinical conceptualization, assessment and treatment of a Korean American immigrant suffering from prominent psychiatric symptoms. We intend this discussion to engender further empirical work to advance our knowledge of the manifestation and experience of severe mental illness including psychotic disorders among Asian Americans, and contribute to culturally competent prevention and intervention of chronic and persistent mental illness within this group.
文化塑造了不同种族群体中心理病理学的本质、体验和表现，以及求助行为。尽管对亚裔美国人心理病理学的研究已经取得进展，但临床医生仍需要适合文化背景的工具来评估和诊断严重精神障碍，包括亚裔美国人中的精神病性症状。在本文中，我们简要概述两种与文化相关的概念工具：a）文化表述模型，以及b）多元文化案例概念化方法。我们用一个案例来阐述这两种方法在为一名患有明显精神症状的韩裔美国移民提供具有文化敏感性的临床概念化、评估和治疗中的整合。我们希望通过这次讨论引发更多实证研究工作，以增进我们对亚裔美国人中严重精神疾病（包括精神障碍）的表现和体验的了解，并有助于对该群体中的慢性和持续性精神疾病进行具有文化胜任力的预防和干预。
