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Transcultural Psychiatry Essay

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Transcultural psychiatry studies how culture influences presentations of mental disorders and response to treatment. The understanding of concepts in transcultural psychiatry is crucial for psychiatrists in training in the UK, given the multicultural and multi-ethnic nature of UK society.

One of the pioneers of transcultural psychiatry, or “comparative psychiatry” as it used to be called, was Emil Kraepelin. In 1904, he travelled to Southeast Asia to study the local population and developed his “comparative etnopsychiatry”. He later conducted comparative studies in American Indian, African-American and Latin American patients in the US, Mexico and Cuba. (Jilek, 1995)
More recently, the DSM-IV (APA, 1994) was the first classification of mental disorders that incorporated cultural aspects, by recognising how culture can influence the expression and assessment of certain disorders, providing an outline of cultural formulation of diagnosis, and including culture-bound syndromes in the classification. This classification received some criticism for addressing culture as a factor only in certain minority groups, and for listing culture-bound disorders in the “Appendix”, rather than in one of the main sections (Alarcon 2009). This view of culture-bound disorders as restricted to the non-Western world is debated by some who argue that, for example, anorexia nervosa could be considered a culture-bound syndrome of the Western world (Keel & Klump, 2003).
But what is culture?
Culture

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