Depression in a Latino Man in New York

Columbia University, New York, New York, United States
American Journal of Psychiatry (Impact Factor: 12.3). 05/2014; 171(5):506-508. DOI: 10.1176/appi.ajp.2013.13101292
Source: PubMed


This case illustrates some of the issues that may affect a Latino patient's presentation. Although the patient's constellation of symptoms are classically representative of major depression, the patient also raises themes regarding the process of immigration, subsequent challenges in acculturation and identification with the host culture versus the culture of origin, and culture-specific notions about causes of symptoms. In addition to some of the special features of stigma in Latino cultures, the prominence of physical concerns in the presentation and the use of traditional healers contribute to the complexity of selecting appropriate interventions for this young man.

Download full-text


Available from: Renato D. Alarcón, Sep 12, 2015
12 Reads
  • [Show abstract] [Hide abstract]
    ABSTRACT: Explores the phenomena of somatization among Hispanic peoples and the relationship of somatization to illness in general and to psychiatric illness in particular, using an ethnomedical approach. The use of "somatic complaint syndrome" (SCS) or "somatization" is proposed to reflect the prioritizing of cultural concerns. SCSs among Hispanic peoples more often mirror and intend redress of the imbalances and disorder encountered in interpersonal spheres of experience; they aim at an ideal of tranquility and positive affect in social life. Ethnographic data outline factors that form the background for the Hispanic propensity to present with and experience SCSs. (PsycINFO Database Record (c) 2012 APA, all rights reserved)
    Transcultural Psychiatric Research Review 01/1990; 27(1):5-29. DOI:10.1177/136346159002700101
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: Disparities in health can result from the clinical encounter between a doctor and a patient. This paper studies three possible mechanisms: prejudice of doctors in the form of being less willing to interact with members of minority groups, clinical uncertainty associated with doctors' differential interpretation of symptoms from minority patients or from doctor's distinct priors across races, and stereotypes doctors hold about health-related behavior of minority patients. Within a unified conceptual framework, we show how all three can lead to disparities in health and health services use. We also show that the effect of social policy depends critically on the underlying cause of disparities.
    Journal of Health Economics 02/2003; 22(1):89-116. DOI:10.1016/S0167-6296(02)00098-X · 2.58 Impact Factor
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: This paper aims to provide conceptual justifications for the inclusion of culture and cultural factors in psychiatric diagnosis, and logistic suggestions as to the content and use of this approach. A discussion of the scope and limitations of current diagnostic practice, criticisms from different quarters, and the role and relevance of culture in the diagnostic encounter, precede the examination of advantages and disadvantages of the approach. The cultural content of psychiatric diagnosis should include the main, well-recognized cultural variables, adequate family data, explanatory models, and strengths and weaknesses of every individual patient. The practical aspects include the acceptance of "cultural discordances" as a component of an updated definition of mental disorder, and the use of a refurbished cultural formulation. Clinical "telescoping" strategies to obtain relevant cultural data during the diagnostic interview, and areas of future research (including field trials on the cultural formulation and on "culture bound syndromes"), are outlined.
    World psychiatry: official journal of the World Psychiatric Association (WPA) 10/2009; 8(3):131-9. DOI:10.1002/j.2051-5545.2009.tb00233.x · 14.23 Impact Factor
Show more