Karolinska Institutet, Sweden.
Transcult Psychiatry. 2012 Apr;49(2):283-301. doi: 10.1177/1363461512442344.
This paper explores the contributions of the Cultural Formulation (CF) interview to an overall understanding of patients, and focuses on the narratives of 23 newly referred patients with migrant backgrounds seeking help at a psychiatric outpatient clinic in Stockholm. Through text content analysis methods we identified five themes: displacement in space and time; mental illness as a physical disability; life events as etiological factors; concealing as a coping strategy; and being lost in a fragmented health care system. Findings indicate the need to contextualize symptoms for an in-depth comprehension of patients' phenomenology. Both clinical and policy implications are discussed. The findings suggest that a section on migration and acculturation should be added to the cultural formulation in the next edition of DSM.
本文探讨了文化构念（CF）访谈对全面了解患者的贡献，并侧重于在斯德哥尔摩一家精神病门诊新转诊的 23 名具有移民背景的患者的叙述。通过文本内容分析方法，我们确定了五个主题：在空间和时间上的流离失所；精神疾病作为一种身体残疾；生活事件作为病因因素；隐瞒作为应对策略；以及在碎片化的医疗保健系统中迷失方向。研究结果表明，需要为深入了解患者的现象学而对症状进行语境化。讨论了临床和政策意义。研究结果表明，在下一版 DSM 中，应在文化构念中增加一个关于移民和文化适应的部分。
