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Chapter 34. Ethnic, Cultural, and Religious Issues

Mary Lynn Dell, M.D., M.T.S., Th.M.
DOI: 10.1176/appi.books.9781585623921.464560

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Excerpt

Over the past 30 years, North America has experienced unparalleled changes in the ethnicities and nationalities that residents claim as their primary identity or background. Racial groups officially recognized by the 2000 U.S. Census included white, black or African American, Native American or Alaska Native, Asian, Native Hawaiian and other Pacific Islander, and other. Of these, African Americans comprised the largest group of persons of color, followed by Hispanics/Latinos. The total U.S. population increased by 13.2% between 1990 and 2000, with several nonwhite groups making significant gains in absolute numbers and percentages (U.S. Bureau of the Census 2001). A substantial and ever-growing percentage of children and families, whether permanent residents or transients, are immersed in a "home" of family-of-origin culture while surrounded by a variety of U.S. local and national environments. The explosion of cultural, ethnic, and religious diversity of society and its implications for patient care require our intentional study and consideration.

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Table Reference Number
TABLE 34–1. Four important cytochrome P450 (CYP) enzymes in cultural psychopharmacology
Table Reference Number
TABLE 34–2. Major faith traditions: important facts
Table Reference Number
TABLE 34–3. FICA religion/spirituality screening tool
Table Reference Number
TABLE 34–4. BELIEF religion/spirituality screening tool

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1.
According to the Committee on Cultural Psychiatry for the Group for the Advancement of Psychiatry, which concept is accurately defined by the description "It encompasses one's identity with a group of people sharing common origins, history, customs, and beliefs?"
2.
The term cultural-bound syndromes was introduced in 1967 and is currently included in Appendix I of DSM-IV-TR (American Psychiatric Association 2000). Which of the following characteristics accurately describes the disorders under this category?
3.
Which of these terms is accurately defined by the statement "the biological processes of drug absorption, distribution, metabolism, and excretion?"
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