Culture-Based Disorders, Psychotherapy, and Breakthroughs: Darlene Cecille H. Tadal
Culture-Based Disorders, Psychotherapy, and Breakthroughs: Darlene Cecille H. Tadal
Psychotherapy, and
Breakthroughs
Darlene Cecille H. Tadal
Culture Concepts of
Distress
Psychiatricand Somatic symptoms
that are considered disease only
within a specific society or culture
No objective Biochemical alteration
No structural alteration of organs or
functions
The disease is not recognized by other
culture
Ataque de nervios “Attack of
nerves”
Latino descent
Distress is a sense of being out of
control
Comes from Accumulated
Stressors
Happen as a result of a stressful
event relating to family
Symptoms:
Intense Emotional Upset
Depersonalization
Derealization
Amnesia
Seizure-like or fainting episodes;
and
Suicidal gestures
Related Conditions in DSM-5
Panic Attack/Panic Disorder
Specified/Unspecified Dissociative Disorder
Conversion Disorder
Intermittent Explosive Disorder
Specified/Unspecified Anxiety Disorder
Specified/Unspecified Trauma
Stressor Related Disorder
Dhat Syndrom
South Asia
Commonly in Male
Attributing various symptoms to semen
loss
Anxiety and Distress over loss of Dhat
Symptoms
Anxiety
Fatigue
Weakness
Weight loss
Impotence
Multiple somatic complains
Depressive mood
Related conditions in DSM-5
Major depressive disorder
Persistent depressive disorder (dysthymia)
Generalized anxiety disorder
Somatic symptom disorder
Illness anxiety disorder
Erectile disorder, early (premature) ejaculation
Other specified or unspecified sexual dysfunction
Academic problem
Khyal Cap “Wind Attacks”
Cambodians
Concept of a wind-like substance may
rise in the body, along with blood and
caused serious effect
Frequently triggered by worrisome
thoughts
Sometimestriggered by odors, going to
crowded places, or riding a car
Symptoms
Compression of lungs
Shortness of breath
Asphyxia
Entering the cranium to cause tinnitus
Dizziness
Blurry vision
Fatally syncope
Related conditions in DSM-5:
Panic attack/panic disorder
Generalized anxiety disorder
Agoraphobia
Posttraumatic stress disorder
Illness anxiety disorder.
Kufungisisa “Thinking too
much”
Shona of Zimbabwe
Explanation of anxiety, depression, and
somatic problems
Involves ruminating of upsetting
thoughts
Indicative of social and interpersonal
difficulties
Related conditions in DSM-5
Major depressive disorder
Persistent depressive disorder (dysthymia)
Generalized anxiety disorder
Posttraumatic stress disorder
Obsessive-compulsive disorder
Persistent complex bereavement disorder
(further study).
Maladi moun “humanly caused
illness” or “sent sickness”
Haitian communities
Explanation for diverse medical and
psychiatric disorders
Caused by interpersonal envy or malice
sent by enemies syndrome is caused by
interpersonal envy or malice sent by
enemies
Related conditions in DSM5:
Delusional disorder, persecutory
type
Schizophrenia with paranoid
features
Nervios “nerves”