Cultural Issues in the DSM-5 Webinar Materials Available


On December 10, 2015, the Diversity Interest Group presented the second webinar in a series, Cultural Issues in the DSM-5?: The ?Outline for Cultural Formulation and the?  Cultural Formulation Interview.

In 2013, the American Psychiatric Association's DSM-5 included an Outline for Cultural Formulation (OCF), revised from the one included in DSM-IV, and a new Cultural Formulation Interview (CFI) of 16 questions to help clinicians obtain information for the OCF. The OCF includes ( 1) cultural identity, (2) cultural concepts of distress, (3) cultural stressors and supports, (4) cultural features of the clinician-patient relationship, and (5) overall assessment for diagnosis and treatment planning.

Francis LuFrancis Lu, MD, Kim Professor in Cultural Psychiatry, Emeritus, UC Davis, reviewed the rationale for these two clinical tools to incorporate cultural issues in diagnosis and treatment, a roadmap to where cultural issues appear in DSM-5, and an overview of the OCF and CFI.

A copy of the slide deck and a link to the webinar recording are available from these links.

We were unable to get to all the questions at the end of the webinar. Dr. Lu graciously agreed to answer the last two. Those questions and answers appear below.

What affect may substance use disorders have on Cultural Formulation? How can co-occurring disorder treatment and recovery assure cultural issues?

 The Cultural Formulation can be used with all patients with a mental disorder including substance abuse/dependence disorders. The use of the OCF and CFI surfaces the cultural issues that can lead to a more culturally responsive treatment plan that hopefully will be more effective. A great book with 20 chapters on substance abuse in different racial/ethnic cultures is ?Ethnocultural Factors in Substance Abuse Treatment edited by Shulamith Lala Ashenberg Straussner. Guilford Press, 2002. Other books I found at that look interesting are:

1)Substance Use Disorders in Lesbian, Gay, Bisexual, and Transgender Clients: Assessment and Treatment (Foundations of Social Work Knowledge Series)  by Sandra C. Anderson. Columbia Univ. Press, 2009, 2) Lowinson and Ruiz's Substance Abuse: A Comprehensive Textbook Fifth Edition, ?edited ?by Pedro Ruiz  ?and?  Eric Strain. Lippincott, Williams & Wilkins, 2011. See pages 813-936 with 12 chapters in specific populations (See Amazon product page to see chapter titles). ?

How can this material can be used for Muslims families  who might be dealing with radicalization of family members?

? This is a very timely question. Use of the OCF and CFI begins the process of understanding the cultural issues. They alert the clinician to what the cultural identity and cultural stressors might? be for the patient and family. Just knowing that they might consider themselves Muslim or Arab or Islamic begins the process of exploring more using the Supplementary Modules on "Religious, Spirituality, Religion and Moral Traditions?" and "Immigrants and Refugees" among others. Books that look useful: 1) "Counseling Muslims: Handbook of Mental Health Issues and Interventions" edited by Sameera Ahmed and Mona M. Amer. Routledge, 2013, 2) "Handbook of Arab American Psychology" edited ?by Mona M. Amer ?and ?Germine H. Awad?. Routledge?, 2015, 3) "Mental Health in the War on Terror: Culture, Science, and Statecraft?" by Neil K. Aggarwal?. Columbia Univ. Press, 2015?