Depression in a Latino Man in New York
ABSTRACT 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.
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ABSTRACT: Somatic symptoms are a common presentation of mental disorders or psychological distress worldwide, and may often coexist with depressive and anxiety symptoms, thus accounting for what might be the most frequent psychiatric syndrome in primary care. Indeed, physical symptoms accompanying the clinical presentations of a variety of mental disorders may be considered as universal 'idioms of distress' that may vary across cultures, depending on attitudes and explanations embedded in each one of them. These variations in symptom presentations are the result of various interacting factors that ultimately determine how individuals identify and classify bodily sensations, perceive illness, and seek medical attention. This chapter examines the impact of culture on the experiencing of somatic symptoms, based on an inclusive review of the topic from ethnic, nosological, clinical and social perspectives. Particular attention is paid to the association of somatic symptoms with mood symptoms, since depressive disorders appear to be the most common, costly and disabling psychiatric entities worldwide. The review shows that racial/ethnic variations in somatic symptoms in the context of depression are common, and seem to be related to depression severity. Sociocultural factors, particularly stigma, may influence the unique emphasis placed on somatic symptoms within depression, and may account for some racial/ethnic differences in somatic symptom reporting.Advances in psychosomatic medicine 01/2013; 33:64-74. DOI:10.1159/000350057
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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)01/1990; DOI:10.1177/136346159002700101
Journal of Nervous & Mental Disease 12/2000; 188(11):736-40. DOI:10.1097/00005053-200011000-00003 · 1.81 Impact Factor