Cultural considerations in the assessment and treatment of religious and spiritual problems.

摘要: Scott Peck, a psychiatrist who has written several books on the spiritual dimensions of life, including best-selling The Road Less Traveled, gave an invited address which drew standing-room only audience at 1992 Annual Meeting American Psychiatric Association. He pronounced that psychiatrists are "ill-equipped" to deal with either religious/spiritual pathology or health. Continuing neglect issues, he claimed, would perpetuate predicaments related psychiatry's traditional these issues: "occasional, devastating misdiagnosis; not infrequent mistreatment; increasingly poor reputation; inadequate research and theory; limitation psychiatrists' own personal development." In recent years, there have been number developments begun redress cultural insensitivity religious life. 1990, APA Committee Religion Psychiatry initiated Position Statement entitled "Guidelines Regarding Possible Conflict Between Psychiatrists' Religious Commitments Practice." These guidelines emphasized "psychiatrists should maintain respect for their patient's beliefs ... impose religious, antireligious, ideologic systems patients, nor they substitute such ritual accepted diagnostic concepts therapeutic practice." reinforce importance acknowledging respecting differences in between clinicians patients. More recently, Accreditation Council Graduate Medical Education published new "Special Requirements Residency Training Psychiatry," incorporated changes mandating instruction about gender, ethnicity, sexual orientation, beliefs. Finally, inclusion "religious problem" as category first time DSM-IV acknowledges issues can be focus psychiatric consultation treatment. John McIntyre, MD, former President, Harold Pincus, Director APA's Office Research, observed this entry was "a sign profession's growing sensitivity religion but diversity generally." It is hoped will increase accuracy assessments, reduce iatrogenic harm from misdiagnosis, mental health professional's individual values.