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  • Title: [A theoretical model for transcultural psychiatry].
    Author: Kortmann F.
    Journal: Tijdschr Psychiatr; 2011; 53(6):355-64. PubMed ID: 21674448.
    Abstract:
    BACKGROUND: Patients of non-Western origin quite often fail to complete their course of treatment. The reasons are generally unclear. aim To suggest ways of tackling the problems in transcultural psychiatric practice. METHOD: A theoretical model is presented, derived from clinical practice. The model provides insight into essentials of transcultural psychiatry. The model is based on the following: two interpretations of the concept of culture, an elaboration of the university-relativity dichotomy and a subdivision of the clinician’s work into three sections. These sections are: building a trusting relationship, making a diagnosis and carrying out treatment suited to the patient’s needs. RESULTS: The psychiatrist’s attitude to his patient varies according to the phase of treatment, sometimes it is more relativistic, at other times it is more universalistic. CONCLUSION: The compliance of non-Western patients will probably increase when the clinician adopts a more relativistic approach during the phase of building a relationship with the patient and probably also during some parts of the treatment phase so that he can come closer to meeting the patient’s expectations.
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