Diagnostic Criteria in Clinical Settings: DSM-IV and Cultural Competence

About the Course:

This paper presents a case formulation of an American Indian client who presented depressive symptomology and a history of substance abuse. It attempts to demonstrate how the inclusion of cultural competence into the DSM-IV positively affects diagnosis and potential outcome. Note: This course material begins on page 52 of the article.


Michelle Christensen, Ph.D.

About the Author:

At the time of this publication, Michelle Christensen, Ph.D. was a professor and researcher at the University of Colorado Health Services Center, American Indian and Alaska Native Programs, in Denver, Colorado.

Course Objectives:

  1. to learn more about the use of DSM-IV in a cultural context

  2. to show how psychosocial environments relate to levels of functioning

  3. to demonstrate how a clinical case can be culturally formulated and explained

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