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Culture and Psychiatric Evaluation: Operationalizing Cultural Formulation for DSM-5

Lewis-Fernandez, R; Aggarwal, NK; Baarnhielm, S; Rohlof, H; Kirmayer, LJ; Weiss, MG; Jadhav, S; ... Lu, F; + view all (2014) Culture and Psychiatric Evaluation: Operationalizing Cultural Formulation for DSM-5. Psychiatry: Interpersonal and Biological Processes , 77 (2) pp. 130-154. 10.1521/psyc.2014.77.2.130. Green open access

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Abstract

The Outline for Cultural Formulation (OCF) introduced with DSM-IV provided a framework for clinicians to organize cultural information relevant to diagnostic assessment and treatment planning. However, use of the OCF has been inconsistent, raising questions about the need for guidance on implementation, training, and application in diverse settings. To address this need, DSM-5 introduced a cultural formulation interview (CFI) that operationalizes the process of data collection for the OCF. The CFI includes patient and informant versions and 12 supplementary modules addressing specific domains of the OCF. This article summarizes the literature reviews and analyses of experience with the OCF conducted by the DSM-5 Cross-Cultural Issues Subgroup (DCCIS) that informed the development of the CFI. We review the history and contents of the DSM-IV OCF, its use in training programs, and previous attempts to render it operational through questionnaires, protocols, and semi-structured interview formats. Results of research based on the OCF are discussed. For each domain of the OCF, we summarize findings from the DCCIS that led to content revision and operationalization in the CFI. The conclusion discusses training and implementation issues essential to service delivery.

Type: Article
Title: Culture and Psychiatric Evaluation: Operationalizing Cultural Formulation for DSM-5
Open access status: An open access version is available from UCL Discovery
DOI: 10.1521/psyc.2014.77.2.130
Publisher version: http://dx.doi.org/10.1521/psyc.2014.77.2.130
Language: English
Additional information: This is an Accepted Manuscript of an article published by Taylor & Francis in Psychiatry on 15 December 2014, available online: http://www.tandfonline.com/10.1521/psyc.2014.77.2.130.
Keywords: science & technology, life sciences & biomedicine, psychiatry, psychiatry, sci, psychiatry, ssci, mental-health problems, help-seeking behavior, IV-TR outline, explanatory model, perceived discrimination, clinical encounter, African-Americans, ethnic-groups, rational men, competence
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Division of Psychiatry
URI: https://discovery.ucl.ac.uk/id/eprint/1437834
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