Hybridity and intersubjectivity in the clinical encounter: ImpacT on the Cultural Formulation

Transcultural Psychiatry

Volumn 49, Issue 1, 2012, Pages 121-139

  Aggarwal, Neil Krishan ^a  

^a NEW YORK STATE PSYCHIATRIC INSTITUTE   (United States)

Author keywords

cultural formulation; cultural theory; hybridity; identity; intersubjectivity; psychiatric history

Indexed keywords

ARTICLE; CULTURAL ANTHROPOLOGY; DIAGNOSTIC AND STATISTICAL MANUAL OF MENTAL DISORDERS; HEALTH CARE PERSONNEL; HUMAN; HUMAN RELATION; INDIVIDUALITY; MEDICAL HISTORY; MENTAL DISEASE; PHYSICAL EXAMINATION; PRACTICE GUIDELINE; PSYCHOLOGIC TEST; RELIGION;

ACCULTURATION; CULTURE; DEPRESSIVE DISORDER; DEPRESSIVE DISORDER, MAJOR; HUMANS; INDIA; MALE; PROFESSIONAL-PATIENT RELATIONS; SOCIAL IDENTIFICATION; STRESS DISORDERS, POST-TRAUMATIC; SUBSTANCE-RELATED DISORDERS; SUICIDAL IDEATION; UNITED STATES;

EID: 84857275777     PISSN: 13634615     EISSN: 14617471     Source Type: Journal    
DOI: 10.1177/1363461511433144     Document Type: Article

References (62)

1. Aggarwal N K. (2007). Exploring identity, culture, and suffering with a Sikh refugee. Social Science & Medicine, 65, 1654-1665.
2. Alarcón R D, Alegría M, Bell C C, Boyce C, Kirmayer L J, Lin K M, Wisner K L (2004) Beyond the funhouse mirrors: Research agenda on culture and psychiatric diagnosis. In: KupferD J, FirstM B, RegierD A, (Eds). A research agenda for DSM-V. Washington, DC: American Psychiatric Association, 219-281.
3. Bäärnhielm S, Rosso M S. (2009). The cultural formulation: A model to combine nosology and patients’ life context in psychiatric diagnostic process. Transcultural Psychiatry, 46, 406-428.
4. Benjamin J. (1990). An outline of intersubjectivity: The development of recognition [Supplemental material]. Psychoanalytic Psychology, 7, 33-46.
5. Bhabha H. (2006). The location of culture. New York, NY: Routledge Classics.
6. Bonovitz C. (2005). Locating culture in the psychic field: Transference and countertransference as cultural products. Contemporary Psychoanalysis, 41, 55-76.
7. Bot H (1990) Transference and countertransference in cross-cultural therapies. In: SternE M, (Ed). Psychotherapy and the poverty patient. London, UK: Psychology Press, 85-104.
8. Bray R M, Hourani L L. (2007). Substance use trends among active duty military personnel: Findings from the United States Department of Defense health related behavior surveys, 1980-2005. Addiction, 102, 1092-1101.
9. Brody H (2002) “My story is broken; Can you help me fix it?”: Medical ethics and the joint construction of narrative. In: FulfordK W M, DickensonD, MurrayT H, (Eds). Healthcare ethics and human values: An introductory text with readings and case studies. Malden, MA: Blackwell Publishers, 130-140.
10. Caballero Martínez L. (2009). DSM-IV-TR cultural formulation of psychiatric cases: Two proposals for clinicians. Transcultural Psychiatry, 46, 506-523.
11. Chalder T, Hotopf M, Unwin C, Hull L, Ismail K, David A, Wessely S. (2001). Prevalence of Gulf War veterans who believe they have Gulf War syndrome: Questionnaire study. British Medical Journal, 323, 473-476.
12. Comas-Díaz L, Jacobsen F M. (1991). Ethnocultural transference and countertransference in the therapeutic dyad. American Journal of Orthopsychiatry, 61, 392-402.
13. Crapanzano V. (1977). The life history in anthropological fieldwork. Anthropology and Humanism Quarterly, 2, 3-7.
14. Crapanzano V. (1984). Life histories. American Anthropologist, 86, 953-960.
15. Davis-Floyd R, St. John G. (1998). From doctor to healer: The transformative journey. Piscataway, NJ: Rutgers University Press.
16. Dunn J. (1995). Intersubjectivity in psychoanalysis: A critical review. International Journal of Psycho-Analysis, 76, 723-738.
17. Ewing K P. (1997). Arguing sainthood: Modernity, psychoanalysis, and Islam. Durham, NC: Duke University Press.
18. Fairman C M. (2007). Fuck. Cardozo Law Review, 28, 1711-1772.
19. Fischer N. (1971). An interracial analysis: Transference and countertransference significance. Journal of the American Psychoanalytic Association, 19, 736-745.
20. Fisher J A, Bowman M, Thomas T. (2003). Issues for South Asian Indian patients surrounding sexuality, fertility, and childbirth in the US health care system. Journal of the American Board of Family Medicine, 16, 151-155.
21. Garro L C. (1994). Narrative representations of chronic illness experience: Cultural models of illness, mind, and body in stories concerning the temporomandibular joint (TMJ). Social Science & Medicine, 38, 775-788.
22. Gerson S. (2004). The relational unconscious: A core element of intersubjectivity, thirdness, and clinical process. Psychoanalytic Quarterly, 73, 63-98.
23. Good B J, Good M J D (1993) “Learning Medicine”: The constructing of medical knowledge at Harvard Medical School. In: LindenbaumS, LockM, (Eds). Knowledge, power, & practice: The anthropology of medicine and everyday life. Berkeley: University of California Press, 81-107.
24. Good B J, Herrera H, Good M J D, Cooper J. (1982). Reflexivity and countertransference in a psychiatric cultural consultation clinic. Culture, Medicine & Psychiatry, 6, 281-303.
25. Government of India, Ministry of Home Affairs. (2001). Census of India: Statement 1: Abstract of speakers’ strength of languages and mother tongues – 2001. Retrieved from http://www.censusindia.gov.in/Census_Data_2001/Census_Data_Online/Language/Statement1.htm.
26. Greenburg N, Langston V, Gould M. (2007). Culture: What is its effect on stress in the military? Military Medicine, 172, 931-935.
27. Groleau D, Young A, Kirmayer L J. (2006). The McGill Illness Narrative Interview (MINI): An interview schedule to elicit meanings and modes of reasoning related to illness experience. Transcultural Psychiatry, 43, 671-691.
28. Hafferty F W. (1998). Beyond curriculum reform: Confronting medicine's hidden curriculum. Academic Medicine, 73, 403-407.
29. Haley R W, Kurt T L, Hom J. (1997). Is there a Gulf War syndrome? Searching for syndromes by factor analysis of symptoms. Journal of the American Medical Association, 277, 215-222.
30. Hoge C W, Auchterlonie J L, Milliken C S. (2006). Mental health problems, use of mental health services, and attrition from military service after returning from deployment to Iraq or Afghanistan. Journal of the American Medical Association, 295, 1023-1032.
31. Hoge C W, Castro C A, Messer S C, McGurk D, Cotting D I, Koffman R L. (2004). Combat duty in Iraq and Afghanistan, mental health problems, and barriers to care. New England Journal of Medicine, 351, 13-22.
32. Holmes D E. (1992). Race and transference in psychoanalysis and psychotherapy. International Journal of Psycho-Analysis, 73, 1-11.
33. Holmes D E. (1999). Race and countertransference: Two “blind spots” in psychoanalytic perception. Journal of Applied Psychoanalytic Studies, 1, 319-332.
34. Hutchinson J, Banks-Williams L. (2006). Clinical issues and treatment considerations for new veterans: Soldiers of the wars in Iraq and Afghanistan. Primary Psychiatry, 13, 66-71.
35. Hutnyk J. (2005). Hybridity. Ethnic and Racial Studies, 28, 79-102.
36. Ismail K, Everitt B, Blatchley N, Hull L, Unwin C, David A, Wessely S. (1999). Is there a Gulf War syndrome? Lancet, 353, 179-182.
37. Jaya J, Hindin M J. (2009). Premarital romantic partnerships: Attitudes and sexual experiences of youth in Delhi, India. International Perspectives on Sexual and Reproductive Health, 35, 97-104.
38. Khatri A A. (1975). The adaptive extended family in India today. Journal of Marriage and Family, 37, 633-642.
39. Kilshaw S. (2009). Impotent warriors: Gulf War syndrome, vulnerability and masculinity. Oxford, UK: Berghahn Books.
40. Kirshner L A. (2006). The work of René Kaes: Intersubjective transmission in families, groups, and culture. Journal of the American Psychoanalytic Association, 54, 1005-1013.
41. Kleinman A, Benson P. (2006). Anthropology in the clinic: The problem of cultural competency and how to fix it. PLoS Medicine, 3, e294–e294. doi: 10.1371/journal.pmed.0030294.
42. Kolkow T T, Spira J L, Morse J S, Grieger T A. (2007). Post-traumatic stress disorder and depression in health care providers returning from deployment to Iraq and Afghanistan. Military Medicine, 172, 451-455.
43. Kurien P (1998) Becoming American by becoming Hindu: Indian Americans take their place at the multicultural table. In: WarnerR S, WittnerJ G, (Eds). Gatherings in diaspora: Religious communities and the new immigration. Philadelphia, PA: Temple University Press, 37-70.
44. Kurien P. (2005). Being young, brown, and Hindu: The identity struggles of second-generation Indian Americans. Journal of Contemporary Ethnography, 34, 434-469.
45. Lewis-Fernández R. (1996). Cultural formulation of psychiatric diagnosis. Culture, Medicine & Psychiatry, 20, 133-144.
46. Lewis-Fernández R. (2009). The cultural formulation. Transcultural Psychiatry, 46, 379-382.
47. Lewis-Fernández R, Díaz N. (2002). The cultural formulation: A method for assessing cultural factors affecting the clinical encounter. Psychiatric Quarterly, 73, 271-295.
48. Lu F G. (2006). DSM-IV outline for cultural formulation: Bringing culture into the clinical encounter. Focus, 4, 9-10.
49. Mezzich J E, Caracci G, Fabrega H, Kirmayer L J. (2009). Cultural formulation guidelines. Transcultural Psychiatry, 46, 383-405.
50. Milliken C S, Auchterlonie J L, Hoge C W. (2007). Longitudinal assessment of mental health problems among active and reserve component soldiers returning from the Iraq war. Journal of the American Medical Association, 298, 2141-2148.
51. Olivelle P. (1981). Contributions to the semantic history of Sanyāsa. Journal of the American Oriental Society, 101, 265-274.
52. Raguram R, Weiss M G, Channabasavanna S M, Devins G M. (1996). Stigma, depression, and somatization in South India. American Journal of Psychiatry, 153, 1043-1049.
53. Ramu G N. (1972). Geographic mobility, kinship and the family in South India. Journal of Marriage and Family, 34, 147-152.
54. Reger M A, Gahm G A, Swanson R D, Duma S J. (2009). Association between number of deployments to Iraq and mental health screening outcomes in US Army soldiers. Journal of Clinical Psychiatry, 70, 1266-1272.
55. Sayers S L, Farrow V A, Ross J, Oslin D W. (2009). Family problems among recently returned military veterans referred for a mental health evaluation. Journal of Clinical Psychiatry, 70, 163-170.
56. Sheidlower J. (2009). The F-word. Oxford, UK: Oxford University Press.
57. Stolorow R D. (1988). Intersubjectivity, psychoanalytic knowing, and reality. Contemporary Psychoanalysis, 24, 331-337.
58. Stolorow R D. (1991). The intersubjective context of intrapsychic experience: A decade of psychoanalytic inquiry. Psychoanalytic Inquiry, 11, 171-184.
59. Stolorow R D, Atwood G E, Ross J M. (1978). The representational world in psychoanalytic therapy. International Review of Psycho-Analysis, 5, 247-256.
60. Ton H, Lim R F (2006) The assessment of culturally diverse individuals. In: LimR F, (Ed). Clinical manual of cultural psychiatry. Washington, DC: American Psychiatric Publishing, 3-31.
61. Yi K. (1998). Transference and race: An intersubjective conceptualization. Psychoanalytic Psychology, 15, 245-261.
62. Young R. (1995). Colonial desire: Hybridity in theory, culture, and race. New York, NY: Routledge.