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Culture and diagnosis
The culture we live in can lead to individual differences in diagnosis
E.g. UK (depression) and USA (schizophrenia)
Individual differences can arise from clinicians bias, this can have an impact on whether the treatment given in different cultural areas is in fact valid.
Race and Diagnosis
Race can lead to individual differences
E.g. Cochraine found people are more likely to be diagnosed with schizophrenia in African American
This could highlight individual differences in development of disorder because of genetics
Culture bound syndromes
Different cultures have different attitudes to mental disorders- affects how mental disorders diagnosed
Some cultures have disorders specific to that culture (culture bound syndrome) i.e.- penis panic- some males thought penises would retract into their bodies mainly in Africa & Asia - witchcraft.
Language
Issues wit translation in patient & psychiatrist speak different language - can cause issues when diagnosing a mental disorder
Andrade et. al. (2012) found that high social deprivation associated with substance use disorders in Sao Paulo , showing that economic background can affect individual disorders
Hearing voices
Lurhmann et. al. (2015) found hearing voices was seen as a negative experience in USA but positive in India, this may change the way people react to others saying they can hear voices and affect diagnosis- affecting validity
More similarities
Lin (1996) found when looking at the symptoms of schizophrenia, there were more similarities across cultures than differences - suggesting cultural differences would not lead to differences in diagnosis.
Lee (2006) used the DSM 4 in Korea to see if the DSM 4 was valid in non-western cultures – diagnoses for ADHD was found to be valid - culture does not affect diagnoses