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Transcultural Psychiatry
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A Vietnamese Man with Selective Mutism: The Relevance of Multiple Interacting `Cultures' in Clinical Psychiatry

Michael Hollifiel

University of New Mexico School of Medicine, mhollifield{at}salud.unm.edu

Cynthia Geppert

University of New Mexico School of Medicine

Yuam Johnson

University of New Mexico School of Medicine

Carol Fryer

University of New Mexico School of Medicine

Multiple cultural variables have effects on the psychobiology and behavioral manifestations of illness, as do patient and physician perceptions of illness. The interaction among these variables is at the heart of clinical psychiatry. This case of a Vietnamese man with selective mutism under-scores the relevance of the `cultures' of medicine, psychiatry, and war and trauma on the manifestations of illness and illness perceptions by patient and physician. The discussion focuses on how these cultures interact and play a crucial role in formulating diagnosis and treatment planning. Sugges-tions are given for shifts in medical education that will encourage relevant cultural paradigms to make their way into educational and clinical systems, which in turn should improve cultural competence in clinical psychiatry.

Key Words: clinical measurement • culture • medicine • methods • psychiatry • transcultural • trauma

Transcultural Psychiatry, Vol. 40, No. 3, 329-341 (2003)
DOI: 10.1177/13634615030403002
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[Abstract] [PDF]