Cross-cultural Psychiatry: A Practical Guide This page intentionally left blank Cross-cultural Psychiatry: A Practical Guide Dinesh Bhugra MA MSc MB BS MPhil FRCPsych PhD Senior Lecturer in Psychiatry, Institute of Psychiatry, London, UK Kamaldeep Bhui BSc MSc MB BS MRCPsych MD Dip Clin Psychotherapy Senior Lecturer in Social & Epidemiological Psychiatry, St Bartholomew's and Royal London Medical and Dental School, London, UK A member of the Hodder Headline Group LONDON Co-published in the USA by Oxford University Press Inc., New York First published in Great Britain in 2001 by Arnold, a member of the Hodder Headline Group, 338 Euston Road, London NW1 3BH http://www.arnoldpublishers.com Co-published in the USA by Oxford University Press Inc., 198 Madison Avenue, New York, NY10016 Oxford is a registered trademark of Oxford University Press © 2001 Arnold All rights reserved. No part of this publication may be reproduced or transmitted in any form or by any means, electronically or mechanically, including photocopying, recording or any information storage or retrieval system, without either prior permission in writing from the publisher or a licence permitting restricted copying. In the United Kingdom such licences are issued by the Copyright Licensing Agency: 90 Tottenham Court Road, London W1P 0LP. Whilst the advice and information in this book are believed to be true and accurate at the date of going to press, neither the authors nor the publisher can accept any legal responsibility or liability for any errors or omissions that may be made. In particular (but without limiting the generality of the preceding disclaimer) every effort has been made to check drug dosages; however, it is still possible that errors have been missed. Furthermore, dosage schedules are constantly being revised and new side-effects recognized. For these reasons the reader is strongly urged to consult the drug companies' printed instructions before administering any of the drugs recommended in this book. British Library Cataloguing in Publication Data A catalogue record for this book is available from the British Library Library of Congress Cataloging-in-Publication Data A catalog record for this book is available from the Library of Congress ISBN 0 340 76379 5 1 2 3 4 5 6 7 8 9 10 Publisher: Georgina Bentliff Production Editor: Anke Ueberberg Production Controller: Bryan Eccleshall Composition by Saxon Graphics Ltd, Derby Printed and bound in Great Britain by Redwood Books Ltd, Trowbridge What do you think about this book? Or any other Arnold title? Please send your comments to
[email protected] Contents Foreword Introduction Chapter 1 Clinical assessment of patients Introduction Theoretical background Migration Acculturation Generational differences Practical implications Psychiatric assessment Standard ment