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Discuss cultural and ethical considerations in diagnosis

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Discuss cultural and ethical considerations in diagnosis Powered By Docstoc
					Cultural and ethical
considerations in diagnosis

       By Mr Daniel Hansson
Ethical considerations

 Being mentally ill may mean that the
 individual is not to be held responsible
 for his or her actions
 Labeling
 Institutionalization
No personal responsibility


 May avoid punishment (e.g. the
 insanity defense)
 May lose his/her rights, such as the
 right to consent to treatment,
 institutionalization or the right to vote
 (e.g. United kingdom’s mental health
 act)
Institutionalization

 Feelings of powerlessness
 Depersonalization/deindividuation
 (Compare with Rosenhan &
 Zimbardo’s prison experiment)
 Dependency on doctor’s and nurses
 No normal interaction with staff
 members of the institution
Labeling

 Self fulfilling prophecies: People
 may act as they are expected to
 (similar to stereotype threat)
 Prejudice/stereotyping/discriminati
 on: People with psychological
 disorders may be discriminated
 Patient may think the “cure” is around
 the corner
Studies for ethical considerations in
diagnosis
 Rosenhan (1973)
 Farina et. al. (1980)
 Langer & Abelson (1974)
Cultural considerations in diagnosis

 Cultural differences in the display of
 certain disorders
 Cultural variations in the prevalence of
 disorders
 Possible stereotyping of ethnic groups
 may affect the validity of diagnosis
 Abnormality may be culturally
 constructed
 Culture bound syndromes
 Culture blindness: The problem of
 identifying symptoms of a psychological
 disorder if they are not the norm in the
 culture
Examples of studies for cultural
considerations in diagnosis
 Okello and Ekblad (2006)
 Tabassum et. al. (2000)
 Kleinman (1984)
 Marsella (2003)
 Jaeger (2002)
 Jenkins-Hall & Sacco (1993)

				
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posted:10/31/2011
language:English
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