Document Detail


Diagnosis and distress in Navajo healing.
MedLine Citation:
PMID:  18974670     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In contemporary Navajo society, traditional Navajo ceremonies, Native American Church prayer meetings, and Navajo Christian faith healing are all highly sought-after resources in the everyday pursuit of health and well-being. What is the nature of affliction among patients who turn to such forms of religious healing? Are these patients typically afflicted with psychiatric disorder? In this article we discuss 84 Navajo patients who participated in the Navajo Healing Project during a period in which they consulted one of these forms of healing. We present diagnostic results obtained from the Structured Clinical Interview for DSMIV (SCID) administered to these patients. We then present an ethnographically augmented analysis comparing the research diagnosis obtained via the SCID with a clinical diagnosis, with the diagnosis given by religious healers, and with the understanding of their own distress on the part of patients. These analyses demonstrate how a cultural approach contributes to the basic science and clinical understandings of affliction as well as to discussion of the advantages and limitations of DSM categories as descriptors of distress and disorder.
Authors:
Thomas J Csordas; Michael J Storck; Milton Strauss
Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural    
Journal Detail:
Title:  The Journal of nervous and mental disease     Volume:  196     ISSN:  1539-736X     ISO Abbreviation:  J. Nerv. Ment. Dis.     Publication Date:  2008 Aug 
Date Detail:
Created Date:  2008-10-31     Completed Date:  2008-11-18     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0375402     Medline TA:  J Nerv Ment Dis     Country:  United States    
Other Details:
Languages:  eng     Pagination:  585-96     Citation Subset:  AIM; IM    
Affiliation:
Department of Anthropology, University of California, San Diego, La Jolla, California 92093-0532, USA. tcsordas@ucsd.edu
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Aged, 80 and over
Alcoholism / diagnosis,  ethnology,  psychology,  rehabilitation
Anxiety Disorders / diagnosis,  ethnology,  psychology,  rehabilitation
Ceremonial Behavior
Christianity
Comorbidity
Cross-Sectional Studies
Depressive Disorder, Major / diagnosis,  ethnology,  psychology,  rehabilitation
Diagnostic and Statistical Manual of Mental Disorders
Faith Healing / psychology*
Female
Humans
Indians, North American / psychology*
Male
Medicine, Traditional*
Mental Disorders / diagnosis,  ethnology*,  psychology,  rehabilitation
Mescaline
Middle Aged
Religion and Psychology*
Somatoform Disorders / diagnosis,  ethnology,  psychology,  rehabilitation
Southwestern United States
Stress Disorders, Post-Traumatic / diagnosis,  ethnology,  psychology,  rehabilitation
Substance-Related Disorders / diagnosis,  ethnology,  psychology,  rehabilitation
Grant Support
ID/Acronym/Agency:
R01 MH50394/MH/NIMH NIH HHS
Chemical
Reg. No./Substance:
54-04-6/Mescaline
Comments/Corrections
Comment In:
J Nerv Ment Dis. 2008 Oct;196(10):725-6   [PMID:  18852615 ]

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