Abstract
The authors report on 37 referrals seen for psychiatric consultation during visits to various islands in Micronesia. A large number demonstrated either organic mental disorders or con tributory medical illnesses. Observed differences between males and females are examined. In such cross-cultural settings, the authors emphasize the need for psychiatric expertise respon sive not only to the dimension of culture in evaluation and treatment, but also to the impor tance of vigilance for organic processes that may require special attention.
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References
1.
Engel, G.L.
The clinical application of the biopsychosocial model , Am J. Psychaitry
137 , 1980 , 535 -544 .
2.
Burke, A.W.
Physical illness in psychiatric hospital patients in Jamaica , Br J Psychiatry
121 , 1972 , 321 -322 .
3.
Davies, W.D.
Physical illness in psychiatric outpatients , Br J Psychiatry
111 , 1965 , 27 -37 .
4.
Gomez, E.A.
,
Aviles, M.
, Neurosyphilis in community mental health clinics: a case series J Clin Psychiatry
45 , 1984 , 127 -131 .
5.
LaBruzza, A.L.
Physical illness presenting as psychiatric disorder: guidelines for differential diagnosis, J Operational
Psychiatry
12 , 1981 , 24 -31 .
6.
LaWall, J.
Psychiatric presentations of seizure disorders , Am J. Psychiatry
133 , 1976 , 321 -323 .
7.
Lipowski, Z.J.
Psychiatry of somatic diseases: epidemiology, pathogenesis classification , Comp Psychiatry
16 , 1975 . 105 -124 .
8.
Kleinman, A.
Clinical relevance of anthropological and cross-cultural research: concepts and strategies , Am J Psychiatry
135 , 1978 , 427 -431 .
9.
Favazza, A.R.
,
Oman, M.
Overview: foundations of cultural psychiatry , Am J Psychiatry
135 , 1978 , 293 -303 .
10.
Tseng, W.S.
,
McDermott, J.F. Culture
,
Mind
and
Therapy
: An Introduction to Cultural Psychiatry , Brunner & Mazel , New York , 1981 .
11.
Trumball, R. Tin Roofs
and
Palau Trees
: A Report on the New South Seas , University of Washington Press , Seattle , 1977 .
12.
Koranyi, E.K.
Morbidity and rate of undiagnosed physical illnesses in a psychiatric clinic population , Arch Gen Psychiatry
36 , 1979 , 414 -419 .
13.
Allan, A.T.
,
Hunter, E.M.M.
Cross-cultural psychiatry in Micronesia: the consultants view , Int J of Soc Psych
13 , 1985 , 59 -66 .
14.
Dale, P.W.
, Prevalence of schizophrenia in the Pacific island population of Micronesia , J Psychiatric Res
16 , 1981 , 103 -111 .
15.
Marshall, M. Weekend Warriors
: Alcohol in a Micronesian Culture , Mayfield Publishing Co ., Palo Alto , 1979 .
16.
Hezel, F.X.
, Tragic end for troubled youth . Micronesian Reporter
24 (4 ): 8 -13 , 1976 .
17.
Rubinstein, D.H.
, Epidemic suicide among Micronesian adolescents , Social Science and Medicine
17 , 1983 , 657 -665 .
18.Hezel. F.X., Cultural patterns of Trukese suicide , Ethnology
23 , 1984 , 193 -206 .
