Year : 2013  |  Volume : 55  |  Issue : 3  |  Page : 308--309

Reply to Indian contribution to the cultural formulation interview and the DSM-5: Missing details from the position paper


KS Jacob1, RA Kallivayalil2, AK Mallik3, N Gupta4, JK Trivedi5, BN Gangadhar6, K Praveenlal7, V Vahia8, T.S Sathyanarayana Rao9,  
1 Department of Psychiatry, Christian Medical College, Vellore, Tamil Nadu, India
2 Department of Psychiatry, Pushpagiri Institute of Medical Sciences, Tiruvalla, Tamil Nadu, India
3 Department of Psychiatry, Burdwan Medical College, Burdwan, West Bengal, India
4 Department of Psychiatry, Government Medical College and Hospital, Chandigarh, India
5 Department of Psychiatry, C.S.M. Medical University, Lucknow, Uttar Pradesh, India
6 Department of Psychiatry, National Institute of Mental Health and Neurosciences, Bangalore, Karnataka, India
7 Department of Psychiatry, Kerala University of Health Sciences, Trichur, Kerala, India
8 Department of Psychiatry, Cooper Hospital, Mumbai, Maharashtra, India
9 Department of Psychiatry, JSS Medical College, JSS University, Mysore, Karnataka, India

Correspondence Address:
K S Jacob
Department of Psychiatry, Christian Medical College, Vellore, Tamil Nadu
India




How to cite this article:
Jacob K S, Kallivayalil R A, Mallik A K, Gupta N, Trivedi J K, Gangadhar B N, Praveenlal K, Vahia V, Rao TS. Reply to Indian contribution to the cultural formulation interview and the DSM-5: Missing details from the position paper.Indian J Psychiatry 2013;55:308-309


How to cite this URL:
Jacob K S, Kallivayalil R A, Mallik A K, Gupta N, Trivedi J K, Gangadhar B N, Praveenlal K, Vahia V, Rao TS. Reply to Indian contribution to the cultural formulation interview and the DSM-5: Missing details from the position paper. Indian J Psychiatry [serial online] 2013 [cited 2021 Sep 21 ];55:308-309
Available from: https://www.indianjpsychiatry.org/text.asp?2013/55/3/308/117161


Full Text

Sir,

The Diagnostic and Statistical Manual-5 (DSM-5) Task Force of the Indian Psychiatric Society thanks the authors for highlighting the Indian contribution to the validation of the Cultural Formulation Interview (CFI). The approach to cultural contextualization in the DSM-5 represents a substantial improvement in the cultural understanding of mental illness. The DSM-5 recognizes specific cultural idioms of distress and cultural syndromes (e.g., Dhat syndrome) found in specific cultural groups and contexts. It notes that cultural explanations affect clinical presentations, perceptions about causation, help seeking, treatment adherence and outcome. Culturally driven criterion modification, notes and considerations in diagnosis, allow for a culture sensitive assessment. Many issues emphasized by cross-cultural psychiatry have now found a place, albeit primarily in the introduction and appendices rather than in the main section of the manual. The CFI, a semi-structured interview, will empower clinicians in eliciting patient and informant perspectives and in increasing the cultural contextualization of mental distress and illness.

The process of assembling of the Task Force and its deliberations had to be completed within a span of 3 weeks so that the Indian Psychiatric Society (IPS) could submit its report to the American Psychiatric Association, within the short window allowed for comments. The very short time frame meant that all deliberations of the Task Force were by e-mail. In addition, members of the society were also invited, through e-IPS group, to send in their comments and suggestions. The Task Force examined all comments submitted and the issues were discussed in the position paper. We thank the authors for reiterating the Indian contribution to the CFI.