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Transcultural Psychiatry
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Limited Cultural Validity of the Composite International Diagnostic Interview’s Probe Flow Chart

Mark van Ommeren

Bhogendra Sharma

Center for the Victims of Torture, Nepal, Transcultural Psychosocial Organization, Amsterdam, Free University, Amsterdam

Ramesh Makaju

Suraj Thapa

Center for the Victims of Torture, Nepal

Joop de Jong

Transcultural Psychosocial Organization, Amsterdam, Free University, Amsterdam

The probe flow chart of the Composite International Diagnostic Interview (CIDI) was designed to assess psychiatric somatic complaints in various cultures. The CIDI’s probe flow chart does not appear to function properly in the Nepali context as the chart contains two assumptions that do not hold in Nepali culture, namely that: (i) respondents attribute their symptoms to mental, physical or substance-related processes, and (ii) doctors communicate diagnoses to their patients. The cultural validity of the CIDI is questioned.

Key Words: assessment • Bhutan • culture • psychopathology • refugees

Transcultural Psychiatry, Vol. 37, No. 1, 119-129 (2000)
DOI: 10.1177/136346150003700107
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M. H.-R. Hicks
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Transcultural Psychiatry, December 1, 2002; 39(4): 434 - 451.
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