Rogler L H
Albert Schweitzer University, Bronx, NY 10458, USA.
Psychiatry. 1996 Summer;59(2):145-55. doi: 10.1080/00332747.1996.11024756.
The fourth edition of the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) (American Psychiatric Association 1994) treats the concept of culture as directly relevant to the diagnostic task. In contrast, its predecessor, the DSM-III-R, restricted its coverage to two paragraphs of the concept, cautioning that when the manual was used with clients from different cultural groups, cultural factors could interfere with diagnosis. I believe that the adequacy of the cultural insertions in the DSM-IV should be debated but I also believe that the changes will be considered important. The premise of this article is that they are important. The objective is to show that the cultural insertions in DSM-IV can be organized and focused on important issues of research.
美国精神病学协会《精神疾病诊断与统计手册》第四版（DSM-IV）（美国精神病学协会，1994年）认为文化概念与诊断任务直接相关。相比之下，其前身《精神疾病诊断与统计手册》第三版修订本（DSM-III-R）对该概念的阐述仅局限于两段内容，并警告称，当该手册用于不同文化群体的患者时，文化因素可能会干扰诊断。我认为，应就DSM-IV中文化内容的充分性展开辩论，但我也认为这些变化将被视为重要的。本文的前提是它们很重要。目的是表明DSM-IV中的文化内容可以进行整理，并聚焦于重要的研究问题。
