The Cultural
Formulation
In an effort to address the cultural dimensions of
clinical assess-ment, DSM-IV-TR introduced an outline for a cultural
formulation (Table 2.1). This outline covers major areas that a clinician
should explore in a comprehensive evaluation. These are integrated in a
formulation that helps to account for symptomatology, diagnosis, prognosis and
appropriate treatment. The formulation may go well beyond the DSM-IV-TR
categories to consider many sorts of problems and predicaments relevant to the
patient’s well-being.
The cultural formulation is merely intended as a
check-list or reminder to encourage the clinician to perform the needed
exploration and integration of a broad range of relevant social and cultural
information. Clearly, cultural considerations may apply to every aspect of the
clinical assessment and interview and must not be used only as an afterthought
to the standard psychiatric interview.
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