
- Vol 32 No 6
- Volume 32
- Issue 6
Introduction: Reflections on the Crossing of Cultures in Psychiatry
Special Reports have long been a mainstay feature of the monthly Psychiatric Times issues, but this two-part report on cultural competence and diversity is unique in both style and content.
Culture is the widening of the mind and of the spirit.
-Jawaharlal Nehru
It is not a tautology to write that this is a very special Special Report.
Looking from within that wider lens, each of these authors is able to make visible two often hidden aspects of the cultural landscape that illuminate the world within which psychiatrists, our patients, and colleagues dwell. First, culture is not, as sometimes simplistically described, a static singularity. Rather, all of us belong to a multitude of cultures dynamically crossing through our biology and beliefs, our ethnicity and ethos. When all is well, those cultures bring to the individual and the institution openness and resilience; when all is not well, they may tragically bring defensiveness and inflexibility. And second, psychiatry, as Luhrmann’s1 fieldwork found, is itself a set of cultures that interact and at times conflict.
[[{"type":"media","view_mode":"media_crop","fid":"38649","attributes":{"alt":"Cultures in Psychiatry. © Leonard Zhukovsky/Shutterstock.com","class":"media-image media-image-right","id":"media_crop_2624692316149","media_crop_h":"0","media_crop_image_style":"-1","media_crop_instance":"3859","media_crop_rotate":"0","media_crop_scale_h":"200","media_crop_scale_w":"125","media_crop_w":"0","media_crop_x":"0","media_crop_y":"0","style":"float: right;","title":"© Leonard Zhukovsky/Shutterstock.com","typeof":"foaf:Image"}}]]In all the negative commentary about DSM-5, the general consensus is that positive progress has been made in cultural assessment. In Part 1 of this Special Report, Ravi DeSilva, MD, MA, Neil Krishan Aggarwal, MD, MBA, MA, and Roberto Lewis-Fernández, MD, MTS, take psychiatric practitioners on a
Religion is one of the most universal and ancient cultural expressions. In their article “
Jay H. Shore, MD, MPH, W. J. Richardson Jr, BA, AAS, Byron Bair, MD, and Spero Manson, PhD, foster a similar effort of spiritual rapprochement in “
The impressive distance the culture of psychiatry has traveled in moving from the stigmatization of homosexuality as a disorder to inchoate recognition of the unique gifts and needs of the LGBT community. In the July issue, Part 2 brings the article “Cultural Competence and LGBT Issues in Psychiatry” by Vernon A. Rosario, MD, PhD. However, the author is quick, and right, to point out that psychiatry still has a way to go to deliver the open and affirming care the author embraces to these too often socially marginalized individuals.
In the article “
The article “
The June CME activity synergizes with these cultural reflections as Greg Sazima, MD, bravely and insightfully deconstructs our difficult patient interactions using transactional analysis in “
This Special Report is unique in a very special way. The Editors of Psychiatric Times are asking readers to extend this journey of reflection on culture outside the bounds of the Special Report and thoughtful essays in this issue. Please join us on the Internet (
Disclosures:
Dr Geppert is Chief of Consultation Psychiatry and Ethics at the New Mexico Veterans Affairs Health Care System in Albuquerque. She is also Professor in the department of psychiatry and Director of Ethics Education at the New Mexico School of Medicine.
References:
1. Luhrmann TM. Of Two Minds: The Growing Disorder in American Psychiatry. New York: Alfred A. Knopf; 2000.
2. Narrow WE, Clarke DE, Kuramoto SJ, et al. DSM-5 field trials in the United States and Canada, Part III: development and reliability testing of a cross-cutting symptom assessment for DSM-5. Am J Psychiatry. 2013;170:71-82.
3. Koenig HG. Religion and medicine I: historical background and reasons for separation. Int J Psychiatry Med. 2000;30:385-398.
Articles in this issue
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New Findings About Youth Suicideover 10 years ago
Clinical Considerations in Renal Failure, Depression, and Deliriumover 10 years ago
Can Climate Be Hazardous to Your Mental Health? A View From Historyover 10 years ago
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