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考察文化定式访谈对幼儿的有效性:一个临床实例

Examining the effectiveness of the Cultural Formulation Interview with young children: A clinical illustration.

作者信息

La Roche Martin J, Bloom Jill Betz

机构信息

Boston Children's Hospital and Harvard Medical School.

William James College.

出版信息

Transcult Psychiatry. 2020 Aug;57(4):515-524. doi: 10.1177/1363461518780605. Epub 2018 Jun 29.

DOI:10.1177/1363461518780605
PMID:29956584
Abstract

After years of extensive research, the Cultural Formulation Interview (CFI) was released in the fifth edition of the (DSM-5). Similar to its predecessor, the Outline of the Cultural Formulation (OCF), the CFI aims to refine the psychiatric assessment process by systematically examining cultural factors. However, in contrast to the OCF which employs open-ended questions, the CFI uses a semi-structured interview format. Unfortunately, children and adolescents have only been included in a handful of OCF and CFI studies, which raises questions about their applicability with youth, particularly young children (11 years or younger). In this article, we start examining the usefulness of the CFI with young children and propose recommendations to enhance its benefits by suggesting the development of a supplementary module specifically designed for young children. These ideas are illustrated with the assessment of a 6-year-old boy of Somali descent.

摘要

经过多年的广泛研究,文化定式访谈(CFI)在《精神疾病诊断与统计手册》第五版(DSM-5)中发布。与它的前身文化定式大纲(OCF)类似,CFI旨在通过系统考察文化因素来完善精神科评估过程。然而,与采用开放式问题的OCF不同,CFI采用半结构化访谈形式。遗憾的是,儿童和青少年仅被纳入少数OCF和CFI研究中,这引发了关于它们对青少年尤其是幼儿(11岁及以下)适用性的问题。在本文中,我们开始探讨CFI对幼儿的有用性,并通过建议开发专门为幼儿设计的补充模块来提出增强其益处的建议。通过对一名索马里裔6岁男孩的评估来说明这些想法。

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