Document Detail

Psychiatric evaluation and psychotherapy in the patient's second language.
MedLine Citation:
PMID:  8726488     Owner:  NLM     Status:  MEDLINE    
Use of a patient's second language in psychiatric evaluation and treatment has a variety of effects. Patients frequently undergo psychiatric evaluation in their second language, yet competence in a second language varies depending on the phase of illness. Evaluation of bilingual patients should ideally be done in both their languages, preferably by a bilingual clinician or by a monolingual clinician with the help of an interpreter trained in mental health issues. Cultural nuances may be encoded in language in ways that are not readily conveyed in translation, even when the patient uses equivalent words in the second language. The monolingual clinician may clarify these nuances through consultation with a clinician who shares the patient's first language and culture or with an interpreter. In psychotherapy, patients may use a second language as a form of resistance, to avoid intense affect. Therapists may use language switching to overcome this resistance and to decrease emotional intensity, if necessary. Psychotherapy can also be affected by the attitudes toward speaking that are part of the patient's culture. Discussions with bilingual and bicultural consultants can elucidate these effects for the therapist who is unfamiliar with the patient's culture.
M A Oquendo
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Psychiatric services (Washington, D.C.)     Volume:  47     ISSN:  1075-2730     ISO Abbreviation:  Psychiatr Serv     Publication Date:  1996 Jun 
Date Detail:
Created Date:  1996-10-31     Completed Date:  1996-10-31     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9502838     Medline TA:  Psychiatr Serv     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  614-8     Citation Subset:  IM    
Columbia University, New York, New York, USA.
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MeSH Terms
Cultural Characteristics
Defense Mechanisms
Ethnic Groups / psychology*
Mental Disorders / diagnosis,  ethnology*,  therapy
Patient Care Team
Personality Assessment*
Physician-Patient Relations
Treatment Outcome
Comment In:
Psychiatr Serv. 1996 Sep;47(9):1001-2   [PMID:  8875672 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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