Cultural Psychiatry

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I had planned to make this month’s column about the best 10 advances in psychiatry during 2014. While some things changed for the better for our patients and their families-and our profession-I’ve been having a hard time with my list.

In this commentary, the author states, “We must get back to treating the whole person, not just his brain circuits. The brain is involved in all we do and what we are, but it is also itself influenced by our psychology and social context.” Care to weigh in?

After years of working with troubled individuals claiming to have been abducted by extraterrestrials, Harvard University Professor John Mack published a book. What made Mack and the book so controversial was the fact that he had come to accept that his patients’ stories were an accurate description of real events.

For this psychiatrist, learning a section of the Talmud known as Megillah brought to light an important exchange that has implications in therapy and psychopharmacology, regardless of theoretical stance.

Although 2 weeks of protected touring is hardly enough time to get a sense of Morocco, there was a familiar parallel to cross-cultural psychiatry. Let the patient tell you what they are about culturally, respect that particular point of view, relate to them as they wish, and support that with study.

Clown faces and masks are obvious disguises, but we also disguise ourselves in everyday and therapeutic life, and often therapy has to work through these disguises to get to the core.