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Transcultural Psychiatry
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DSM-IV, Culture and Mood Disorders: A Critical Reflection on Recent Progress

Spero M. Manson

University of Colorado Health Sciences Center

Arthur Kleinman

Harvard School of Medicine

The Diagnostic and Statistical Manual, Edition IV (DSM-IV) represents a significant advance over past editions in terms of attention to the role of culture in the assessment process. A major share of this accomplishment is due to the work of the National Institute of Mental Health Group on Culture and Diagnosis which orchestrated a large body of knowledge and diverse array of scientists to argue for a more culturally informed approach. This paper focuses on the nature and form of the debate as it unfolded with respect to the mood disorders. Specifically, it considers the Culture and Diagnosis Group's recommendations as to the cultural features of mood disorders to be included in DSM-IV, critically appraises the outcomes and suggests directions for future efforts along these lines.

Key Words: culture • diagnosis • DSM-IV • mood disorders • psychiatry

Transcultural Psychiatry, Vol. 35, No. 3, 377-386 (1998)
DOI: 10.1177/136346159803500304
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