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Clinical Manual of Cultural Psychiatry

Clinical Manual of Cultural Psychiatry

Edited by Russell F. Lim, M.D.
2006
336 pages
ISBN 978-1-58562-256-6
Paperback Also Available In: eBook
Item #62256



Representing the clinical state of the art in culturally competent assessment and treatment, and providing important information on the four main racial/ethnic minority groups (African Americans, Asian Americans, Latinos/Hispanics, and Native Americans and Alaska Natives), the Clinical Manual of Cultural Psychiatry synthesizes the collected wisdom from the editor's 10 years of teaching cultural psychiatry with the professional experience of seven other contributors in using and teaching about DSM-IV's Outline for Cultural Formulation.

Following an initial chapter about how the influence of culture affects every level of the mental health system, and how clinicians can gain insight into the complex interplay between culture and mental illness to ultimately improve patient care, six subsequent chapters by 8 authors use numerous illustrations and clinical vignettes as they address


  • Issues for assessing and treating African Americans—Presents a framework and context for understanding African Americans and their attitudes, beliefs, and behaviors about mental health and mental illness. Raises awareness of racism, underdiagnosis, and misdiagnosis as they affect assessment and treatment.
  • Issues for assessing and treating Asian Americans—Details the need for an empathic, non-confrontational approach in evaluation and therapy to understand the Asian American patient's culture, health beliefs, and life philosophies and therefore improve the potential to engage them in treatment.
  • Issues for assessing and treating Latinos/Hispanics—Discusses the need for direct personal relatedness, perceived clinician warmth, and active family engagement in treatment as key skills in promoting the therapeutic alliance and participation among patients from this diverse and yet culturally cohesive group.
  • Issues for assessing and treating Native Americans—Provides social and historical information (e.g., context of past events such as massacres of entire villages, disease epidemics, and forced removal from ancestral lands; present factors such as social stressors and level of involvement in tribal life) for clinicians to build their understanding of this most underserved ethnic group in the US.
  • Issues in Ethnopsychopharmacology—Reviews clinical reports of ethnic variation with several different classes of psychotropic medications and examines the relationship of pharmacogenetics, ethnicity, and environmental factors (including the use of traditional herbal preparations) to pharmacologic treatment of minorities.
  • Three Appendices—Including "A Resident's Guide to Cultural Formulation," with assessment tips written by American Psychiatric Association (APA) Minority Fellows; an "Annotated Bibliography of Cultural Psychiatry and Other Topics; and a "Glossary of Culture-Bound Syndromes."

Clinicians must now meet accreditation standards involving cultural competence, making this groundbreaking clinical manual, with its three appendixes and index, indispensable for mental health care educators, students, residents, and practitioners. The Clinical Manual of Cultural Psychiatry will also prove invaluable for encouraging much-needed research, as we seek to better understand our increasingly diverse—and ever smaller—world.

Contributors. Preface. Foreword. Part I: Culture and Psychiatric Assessment. The assessment of culturally diverse individuals. Part II: Cultural Issues in Assessment and Treatment. African American patients. Asian American patients. Latino patients. American Indian and Alaska native patients. Part III: Culture, Psychopharmacological Treatment, and Case Formulation. Ethnopsychopharmacology. Conclusions: applying the DSM-IV-TR outline for cultural formulation. Appendices. Index.
"Quite rarely one finds a clinical manual so rich and inspiring that it reads like a true encyclopedia, without losing its practical, didactic value. Lim and the contributors of this book have covered authoritatively the most important clinical topics of today's cultural psychiatry. The comprehensiveness of the chapters, the case examples, tables and bibliography, and the gentle, cogent push for the use of DSM-IV-TR's Clinical Formulation, are outstanding."—Renato D. Alarcón, M.D., M.P.H., Professor of Psychiatry, Mayo Clinic College of Medicine; Chair, Division of Inpatient Psychiatry and Psychology; Medical Director, Mayo Psychiatry and Psychology Treatment Center, Mayo Clinic, Rochester, Minnesota

"The Clinical Manual of Cultural Psychiatry is comprehensive, richly documented, and clear. It captures subtleties necessary to understand sociocultural differences in life contexts of mentally ill people and in how they express symptoms of mental illness, yet remains down to earth and practical. It is a valuable contribution to the literature."—Lonnie R. Snowden, PhD., Director, Center for Mental Health Services Research; Professor of Social Welfare, University of California, Berkeley, California

"This practical book utilizes the DSM-IV Cultural Formulation Outline (Appendix I) as an organizing theme. Each of the authors employs case studies as a means to exemplify the concepts presented, alerting the reader to opportunities as well as pitfalls in cross cultural care. The result is a valuable guide that will inform the newest resident as well as the experienced psychiatrist."—Joe Westermeyer, M.D., Ph.D., Professor of Psychiatry and Adjunct Professor of Anthropology, University of Minnesota; Director of Mental Health Service, Minneapolis VA Medical Center

Russell F. Lim, M.D. is Associate Clinical Professor and Director of Diversity Education and Training in the Department of Psychiatry and Behavioral Sciences at the University of California, Davis, School of Medicine.