Transcultural Centre, Stockholm County Council, Sweden.
Transcult Psychiatry. 2012 Feb;49(1):105-20. doi: 10.1177/1363461511427781. Epub 2011 Dec 22.
Ethnography provides a method for psychiatric assessment to obtain an insight into the patient's culture, context, and life situation. The Outline for a Cultural Formulation (CF) is an ethnography-based, idiographic formulation intended to complement the multiaxial assessment in DSM-IV. Its contribution to routine clinical praxis will be discussed with reference to a case of a Syrian-born woman in Sweden. Using the CF in the clinical diagnostic process shifted understanding of the patient's suffering from a mainly somatic frame of reference to an emphasis on emotional and social aspects. The usefulness of ethnography in clinical psychiatric diagnostic practice is discussed.
人种学为精神科评估提供了一种方法，以深入了解患者的文化、背景和生活状况。文化构念大纲（CF）是一种基于人种学的、个体的构念，旨在补充 DSM-IV 的多轴评估。本文将通过一个在瑞典出生的叙利亚妇女的案例来讨论其在常规临床实践中的贡献。在临床诊断过程中使用 CF 将患者的痛苦理解从主要的躯体参考框架转变为强调情感和社会方面。本文还讨论了人种学在临床精神科诊断实践中的有用性。
