Smid G E, Groen S, De La Rie S M, Kooper S
Tijdschr Psychiatr. 2019;61(12):879-883.
Ways of dealing with bereavement and grief are influenced by the norms of one's cultural identity. Cultural assessment of bereavement and grief is therefore needed for a comprehensive evaluation of grief-related psychopathology and for negotiating appropriate treatment. Cultural aspects of bereavement and grief include cultural traditions related to death, bereavement, and mourning as well as help seeking and coping. To facilitate clinical exploration of cultural aspects of bereavement and grief, the authors propose a set of brief, person-centered, and open-ended questions as a draft supplementary module to the DSM-5 Cultural Formulation Interview. Three case vignettes show how cultural assessment of bereavement and grief may contribute to diagnosis, treatment, and enhancing rapport in patients who seek help following the loss of loved ones.
应对丧亲和悲痛的方式受到个人文化身份规范的影响。因此，对丧亲和悲痛进行文化评估，对于全面评估与悲痛相关的精神病理学以及协商适当的治疗方法是必要的。丧亲和悲痛的文化方面包括与死亡、丧亲和哀悼相关的文化传统，以及求助和应对方式。为便于对丧亲和悲痛的文化方面进行临床探索，作者们提出了一组简短、以患者为中心且开放式的问题，作为《精神疾病诊断与统计手册》第5版文化定式访谈的补充模块草案。三个病例 vignettes 展示了对丧亲和悲痛进行文化评估如何有助于对在失去亲人后寻求帮助的患者进行诊断、治疗以及增进医患关系。 （注：vignettes 这个词在医学文献中常指病例 vignette，一般是对病例的简短描述，这里直接保留英文未翻译，因为中文里没有完全对应的简洁专业术语，如果要翻译可译为“病例描述”之类，但会稍显啰嗦，影响整体专业性表述风格。）
