Psychopathology without Borders: Transcultural psychiatry and implications in clinical presentation and practice

Introduction Existing as an emerging topic in the field and undergoing constant evolution, Transcultural Psychiatry addresses how social and cultural factors influence mental illness. During the second half of the twentieth century, phenomena such as globalization, massive migrations and immigratio...

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Main Authors: S. Jesus, A. R. Costa, G. Simões, A. I. Gomes, A. Tarelho, P. Garrido
Format: Article
Language:English
Published: Cambridge University Press 2023-03-01
Series:European Psychiatry
Online Access:https://www.cambridge.org/core/product/identifier/S092493382301742X/type/journal_article
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author S. Jesus
A. R. Costa
G. Simões
A. I. Gomes
A. Tarelho
P. Garrido
author_facet S. Jesus
A. R. Costa
G. Simões
A. I. Gomes
A. Tarelho
P. Garrido
author_sort S. Jesus
collection DOAJ
description Introduction Existing as an emerging topic in the field and undergoing constant evolution, Transcultural Psychiatry addresses how social and cultural factors influence mental illness. During the second half of the twentieth century, phenomena such as globalization, massive migrations and immigration, occurring in ever increasing frequency, continue to bring this topic to the forefront of discussion as challenges in the treatment of patients from varying cultural backgrounds emerge. Viewed from the biopsychosocial perspective, culture delineates a framework for the evaluation of various expressions of emotion and behaviour as well as defining the limits of what counts as disorder. As border restrictions are lifted, cases which present with these particularities are bound to increase, necessitating an increased attention to the influence that cultural and social factors play in the psychopathological clinical pictures which may present to the practitioner. Objectives The authors aim to briefly explore the concept of transcultural psychiatry and its importance in clinical presentation and practice with recourse to various clinical cases of international patients hospitalized in a Portuguese Psychiatry ward during a two-year period. Methods A brief non-systematized literature review was performed based on works most pertinent to the topic discussed. As compliment to the topic, a discussion of various clinical cases of hospitalized international patients is presented. Results Culture has been demonstrated to contribute to psychopathological presentations in a variety of forms, solidifying the old adage that ‘no man is an island’ and giving reason to the biopsychosocial approach applied in clinical practice. The impact of sociocultural factors is such that the DSM-5-TR includes in its classification culture-specific syndromes. The cases discussed demonstrate the various nuances necessary not only in exploring psychopathology, but also in implementing appropriate standards of care. Conclusions Transcultural psychiatry rises as a relatively recent topic as well as raising important philosophical, theoretical and technical challenges for mental health practitioners. Although existing as a subspecialty, each mental health practitioner should strive to be transcultural, taking into consideration the influence that these factors exert on mental illness. The patient should be evaluated with consideration to their cultural background, as well as not neglecting how the culture of the practitioner may influence the interpretation of psychopathological presentation. Disclosure of Interest None Declared
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spelling doaj.art-458390fa69444d83a6da0a5f15d5697c2023-11-17T05:07:38ZengCambridge University PressEuropean Psychiatry0924-93381778-35852023-03-0166S823S82310.1192/j.eurpsy.2023.1742Psychopathology without Borders: Transcultural psychiatry and implications in clinical presentation and practiceS. Jesus0A. R. Costa1G. Simões2A. I. Gomes3A. Tarelho4P. Garrido5Departamento de Psiquiatria e Saúde Mental, Centro Hospitalar do Baixo Vouga, Aveiro, PortugalDepartamento de Psiquiatria e Saúde Mental, Centro Hospitalar do Baixo Vouga, Aveiro, PortugalDepartamento de Psiquiatria e Saúde Mental, Centro Hospitalar do Baixo Vouga, Aveiro, PortugalDepartamento de Psiquiatria e Saúde Mental, Centro Hospitalar do Baixo Vouga, Aveiro, PortugalDepartamento de Psiquiatria e Saúde Mental, Centro Hospitalar do Baixo Vouga, Aveiro, PortugalDepartamento de Psiquiatria e Saúde Mental, Centro Hospitalar do Baixo Vouga, Aveiro, Portugal Introduction Existing as an emerging topic in the field and undergoing constant evolution, Transcultural Psychiatry addresses how social and cultural factors influence mental illness. During the second half of the twentieth century, phenomena such as globalization, massive migrations and immigration, occurring in ever increasing frequency, continue to bring this topic to the forefront of discussion as challenges in the treatment of patients from varying cultural backgrounds emerge. Viewed from the biopsychosocial perspective, culture delineates a framework for the evaluation of various expressions of emotion and behaviour as well as defining the limits of what counts as disorder. As border restrictions are lifted, cases which present with these particularities are bound to increase, necessitating an increased attention to the influence that cultural and social factors play in the psychopathological clinical pictures which may present to the practitioner. Objectives The authors aim to briefly explore the concept of transcultural psychiatry and its importance in clinical presentation and practice with recourse to various clinical cases of international patients hospitalized in a Portuguese Psychiatry ward during a two-year period. Methods A brief non-systematized literature review was performed based on works most pertinent to the topic discussed. As compliment to the topic, a discussion of various clinical cases of hospitalized international patients is presented. Results Culture has been demonstrated to contribute to psychopathological presentations in a variety of forms, solidifying the old adage that ‘no man is an island’ and giving reason to the biopsychosocial approach applied in clinical practice. The impact of sociocultural factors is such that the DSM-5-TR includes in its classification culture-specific syndromes. The cases discussed demonstrate the various nuances necessary not only in exploring psychopathology, but also in implementing appropriate standards of care. Conclusions Transcultural psychiatry rises as a relatively recent topic as well as raising important philosophical, theoretical and technical challenges for mental health practitioners. Although existing as a subspecialty, each mental health practitioner should strive to be transcultural, taking into consideration the influence that these factors exert on mental illness. The patient should be evaluated with consideration to their cultural background, as well as not neglecting how the culture of the practitioner may influence the interpretation of psychopathological presentation. Disclosure of Interest None Declaredhttps://www.cambridge.org/core/product/identifier/S092493382301742X/type/journal_article
spellingShingle S. Jesus
A. R. Costa
G. Simões
A. I. Gomes
A. Tarelho
P. Garrido
Psychopathology without Borders: Transcultural psychiatry and implications in clinical presentation and practice
European Psychiatry
title Psychopathology without Borders: Transcultural psychiatry and implications in clinical presentation and practice
title_full Psychopathology without Borders: Transcultural psychiatry and implications in clinical presentation and practice
title_fullStr Psychopathology without Borders: Transcultural psychiatry and implications in clinical presentation and practice
title_full_unstemmed Psychopathology without Borders: Transcultural psychiatry and implications in clinical presentation and practice
title_short Psychopathology without Borders: Transcultural psychiatry and implications in clinical presentation and practice
title_sort psychopathology without borders transcultural psychiatry and implications in clinical presentation and practice
url https://www.cambridge.org/core/product/identifier/S092493382301742X/type/journal_article
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