PSY-35 Lecture Notes - Lecture 29: Dsm-5, Mental Disorder, American Psychiatric Association

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Dsm-iv-tr was modi ed to enhance its cultural sensitivity in three ways: (1) by including in the main body of the manual a discussion of cultural and ethnic factors for each disorder; (2) by providing in the appendix a general framework for evaluating the role of culture and ethnicity; (3) by describing culture-bound syndromes in an appendix. La roche and colleagues (2015) differentiate between two types of cultural revisions present in dsm-5: 1) those that are an extension of previous revisions. 2) those that are related to the overall restructuring of dsm-5. The term culture-bound syndrome has been replaced in dsm-5 for various reasons, including the sense that the term culture-bound places too much emphasis on the particularity and limited nature of culturally distinct syndromes. The dsm-5 favours three terms ( cultural syndromes, cultural idioms, and cultural explanations ) because they are more relevant to clinical practice and accurate descriptions of cultural concepts of distress and dysfunction.

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