Escobar Major Psychiatric Disorders

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1. Psychiatric diagnoses can also be seen as universalistic phenomenon spread worldwide, with major disorders present in most cultures (Escobar & Vega, 2006).

Hmmm…. Correct me if I’m misunderstand what the Escobar is arguing in regards to the universalism of major diagnostic disorders and the clinical approach should be taken in the evaluation and assessment of cultural diverse population (cultural ethnic minority, women, LBGT, teens). The Escobar article argues that major psychiatric disorders are universal because they have core symptoms that cluster traits that are specific to underlying mental disorders. If this argument hold true, then the set of DSM criteria for any of the major diagnostic disorders are unchanging factors in the
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Therefore, the clinician must consider in cultural factors that the change threshold level of pathological versus normal behavior. I have a few concerns about this article that will discussed follows.

Most of the authors of this week’s resources are so preoccupied with getting the respect of the medical community that they fail to provide common sense advice on an approach in evaluating and assessing suspect traits of mental disorders. The theoretical approach of Escobar, (2006) and Gloria, (1996) speak of disparities of the clinical assessment and diagnosis of psychopathic disorders in culturally and socially diverse client. They hold on tight to the universalistic perspective that;

1. Mental disorders are caused by internal dysfunction which originates from exposure to negative environment; and

2. Risk and protective factor related to onset of the disorder may affect how the traits/symptom is manifested across cultural and social contexts.

3. Therefore, the clinician should make a distinction between conduct behaviors that manifest traits of internal (physiological) dysfunction mental disorder from those that are reflection of negative environment.

Bird (1996) critiqued the universalistic perspective

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