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Buy Cultural Formulation and Glossary
Buy Cultural Formulation and Glossary
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21.4 In which of the following clinical situations would the Cultural Formulation
Interview (CFI) not be directly useful?
A. The clinician and the patient come from very different cultural backgrounds.
B. The clinician and patient have a shared belief system regarding the nature
of the problem and the appropriate therapeutic approach.
C. The patient presents with a symptom complex that is distressing but does
not fit any DSM-5 diagnosis.
D. The clinician is finding it difficult to get a sense of the severity of the patient’s presenting problems.
E. The clinician and patient are having trouble agreeing on an approach to
treatment.
21.5 The DSM-5 Cultural Formulation Interview (CFI) is intended not only as an
adjunct to diagnosis but also as a holistic clinical approach to the patient.
Which of the following clinician communications would be consistent with the
spirit of the CFI?
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A. “I want you to understand the medical approach to depression, so we can
clarify any misunderstandings you may have.”
B. “You need not worry, I have worked with many Latino patients who have
been depressed, and I know how Latinos think about this.”
C. “There is no need to feel ashamed—depression is an illness, like asthma,
and it affects everybody in a similar way.”
D. “How does your family view your illness?”
E. “The most important thing is to take medication regularly, and the depression will go away, just as an infection would disappear with antibiotics.”
21.6 In DSM-5 the term cultural concepts of distress encompasses three main types of
concepts. Which of the following options correctly lists these three subtypes?
A. Cultural syndromes, cultural idioms of distress, cultural explanations or
perceived causes.
B. Cultural identity, culture-bound syndromes, cultural bias.
Cultural Formulation and Glossary—QUESTIONS | 143
C. Cultural boundaries, cultural identity, cultural arts.
D. Culturally based sexuality, culture-based faith, cultural causes.
E. Culturally recognized etiologies, cultural grievances, cultural healers.
21.7 Information on cultural concepts to improve the comprehensiveness of clinical
assessment is contained in various locations in DSM-5. Which of the following
is not one of those locations?
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A. The Cultural Formulation Interview (CFI) section of the “Cultural Formulation” chapter in Section III.
B. The “Glossary of Cultural Concepts of Distress” in the Appendix.
C. Culturally relevant information embedded in the DSM-5 criteria and text
for specific disorders.
D. The Z and V codes in the “Other Conditions That May Be a Focus of Clinical
Attention” chapter at the end of Section II.
E. The DSM-5 multiaxial diagnostic system.
21.8 Which of the following statements about ataque de nervios is false?
A. Ataque is a cultural syndrome as well as a cultural idiom of distress.
B. Ataque is related to panic disorder, other specified or unspecified dissociative disorder, conversion disorder (functional neurological symptom disorder), and other specified or unspecified trauma- and stressor-related
disorder.
C. Ataque is most often associated with withdrawn and reserved behaviors
and limited interaction.
D. Ataque often involves a sense of being out of control.
E. Community studies have found ataque to be associated with suicidal ideation, disability, and outpatient psychiatric service utilization.
21.9 Which of the following statements about dhat syndrome is false?
A. It is a cultural syndrome found in South Asia.
B. It is related to widespread ideas regarding the harmful effects of loss of semen on sexual as well as general health.
C. The central feature of dhat syndrome is distress about loss of semen, to which
is attributed diverse symptoms, including fatigue, weakness, and depressive mood.
D. The syndrome is most common among young men of lower socioeconomic
status.
E. The estimated rate of dhat syndrome in men attending general medical clinics in Pakistan is 30%.
144 | Cultural Formulation and Glossary—QUESTIONS
21.10 A 22-year-old man from Zimbabwe presents to a clinic with a complaint of anxiety and pain in his chest. He tells the clinician that the cause of his symptoms
is kufungisisa, or “thinking too much.” Which of the following statements about
kufungisisa is true?
A. In cultures in which kufungisisa is a shared concept, thinking a lot about
troubling issues is considered to be a helpful way of dealing with them.
B. The term kufungisisa is used as both a cultural explanation and a cultural idiom of distress.
C. Kufungisisa involves concerns about bodily deformity.
D. Kufungisisa is related to schizophrenia.
E. B and C.
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