WHAT IS ITS IMPORTANCE DURING CLINICAL ASSESSMENT ? 5 MARKS
C ) WRITE ABOUT ITS DOMAINS ? 2 MARKS
A 8 A ) DEFINITION
1 Cultural formation is a process that trains citizens in the knowledge of their country and their common humanity while giving them moral and intellectual virtues.
2 Cultural formation is not simply a matter of knowledge. While knowledgeable citizens do know how politics works, the history of their nation and the values that their nation promotes, this knowledge is not enough to culture a citizen.
3 A cultured person is not simply a knowledgeable person. He is also a good person.
4 Cultured people have strong characters. Therefore, cultural formation includes the formation of the virtues both moral and intellectual.
5 In regards to knowledge, there are two areas that a cultured person knows
A ) First, she knows what every human being ought to know.
B ) Second, she knows what every citizen ought to know.
C ) Knowledge as a human being is the knowledge of human rights, responsibilities and nature.
6 In regards to virtue, a cultured person is virtuous in two ways -
A ) The first is privately (Privately, a cultured person is honest, trustworthy and loyal. He acts justly with others, helps strangers and obeys the law ) and
B ) the second is Publicly, such a person promotes civic virtue, good government and charity
- One does not expect the cultured person to be a hero.
2 Heroism is above and beyond such things. But the cultured person is expected to be a good example in all ways. He is someone that a little child could emulate and be proud of.
7 Cultural formation is a process.
A ) It begins with a person who is not cultured and transforms them into a cultured person.
B ) It is not a short process done overnight, but a long process that begins from birth.
C ) A teacher who is not cultured cannot bring about this transformation in anyone else.
B ) IMPORTANCE DURING CLINICAL ASSESSMENT
INTRODUCTION
1 The cultural perspective on psychiatric diagnosis has experienced uneven levels of reception and actual implementation , in spite of uniform pronouncements from the leading bodies of organized psychiatry and mental health across the world
2 The nature of the World Health Organization (WHO) as an entity serving all the countries in the world (which, in turn, are officially committed to follow its rules, norms and recommendations), and its primary concern with the public health impact of all diseases, makes the consideration of culture in diagnosis a more likely occurrence
3 The range of possible interactions between culture and its components with clinical phenomena in general, and psychiatric diagnosis in particular, is broad and multifaceted.
4 It uses concepts and instruments from the social and biological sciences, to advance a full understanding of psychopathological events and their management by patients, families, professionals and the community at large
IN DETAIL
1 This cultural formation has a role in clinical psychiatry as it is also referred to as comparative , cross talk or transcultural or social psychiatry
2 Cultural psychiatry is not an antibiological psychiatry, simply because it recognizes the difference between etiology (probably biological) and pathogenesis (probably psycho-socio-cultural) of mental phenomena ( vv imp )
A ) and accepts contributions of neurosciences as both reinforcing and clarifying factors in normality and pathology.
B ) so , the recognition of cultural components in psychiatric diagnosis for all would be a great step
3 The patient’s cultural background and identity must be thoroughly understood by the clinician, and its impact duly recognized and evaluated. Involving a crucial set of factors, culture plays several roles in the diagnostic process **
4 cultural factors ( v imp ) plays a powerful pathogenic impact as triggers of psychopathology such as -
A ) role of violence in televisions as a cause of violent behaviour in children and adolescents
B ) severity of impact ( as high or low in communities )
5 cultural factors plays a role in identifying culture bound syndromes such as -
A ) For the purposes of a culturally-based diagnosis, the identification of environmental pathogenic factors is essential.
B ) Such factors include family life (deserving a special focus, as done above
C ) it reflects issues of self-image and subsequent self-esteem, interaction styles, social disposition and skills, level of performance, even subtly disguised yearnings for change, or clear therapeutic targets vv imp
D ) helps in.management as it shows us coping styles *
E ) helps us in identifying prognosis and its impact
6 Culture also shapes patients’ perceptions of care, including what types of treatment are acceptable and for how long
7 Culture affects the clinical encounter for every patient, not only underserved minority groups, and cultural formulation therefore is an essential component of any comprehensive assessment.
8 Plays a role in identifying particular stressors in family leading to improvement in outcome
9 Helpful in distinguishing PTSD sufferors or Schizophrenic individuals as they are misdiagnosed to have psychiatric disorders **
C ) DOMAINS OF CULTURAL FORMATION
1 cultural identity of the individual -
it can be assess by cultural factors in development - its involvement with culture of origin and host culture
2 cultural explanations of the individual illness -
A ) It includes help seeking plan of an individual
B ) It assesses meaning and severity of symptoms in relation to cultural norms
3 cultural factors related to psychosocial environment and levels of functioning -
It shows social stressors , social support , level of functioning and disability
4 cultural elements of relationship between clinician and patient
5 overall cultural assessment for diagnosis and care