This paper addresses the extent to which the recommendations of a Child Committee of the Group on Culture and Diagnosis of the DSM-IV Task Force were incorporated into the DSM-IV text. After a brief introduction and a description of the importance of including cultural variables in childhood psychiatric disorders, we review the cultural recommendations for specific childhood disorders and discuss those areas that were included and those that were omitted in the DSM-IV text. The last section addresses the need for empirical data on culture-bound syndromes in children and on the cultural mechanisms that may explain onset and prognosis of these disorders.
American Psychiatric Association . (1987). Diagnostic and statistical manual of mental disorders (3rd ed. revised). Washington, DC: American Psychiatric Association Press.
2.
American Psychiatric Association . (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: American Psychiatric Association Press.
3.
Bird, H. , Canino, G., Rubio-Stipec, M., Gould, M. S., Ribera, J., Sesman, M., Woodbury, M., Huertas-Goldman, S., Pagan, A., Sainchez-Lacay, A., & Moscoso, M. (1988). Estimates of the prevalence of childhood maladjustment in a community survey in Puerto Rico. Archives of General Psychiatry, 45, 1120-1126.
4.
Bird, H. R. , Yager, T. J., Staghezza, B., Gould, M. S., Canino, G., & Rubio-Stipec, M. (1990).Impairment in the epidemiological measurement of childhood psychopathology in the community. Journal of the American Academy of Child and Adolescent Psychiatry, 29, 796-803.
5.
Canino, G. , Canino, I., & Arroyo, W. (1997). Cultural considerations in the classification of mental disorders in children and adolescents. DSM-IV sourcebook (Vol. 3, pp. 873-883). Washington, DC: American Psychiatric Association Press.
6.
Canino, I. , & Spurlock, J. (1994). Culturally diverse children and adolescents: Assessment, diagnosis, and treatment. New York: Guilford Press.
7.
Cervantes, R. , & Arroyo, W. (1995). Cultural considerations in the use of DSM-IV with Hispanic children and adolescents. In A. M. Padilla (Ed.), Hispanic psychology: Critical issues in theory and research. Newburry Park, CA: Sage.
8.
Coombs, R. H. , Paulson, M. J., & Richardson, M. A. (1991). Peer vs parental influence in substance use among Hispanic and Anglo children and adolescents. Journal of Youth and Adolescence, 20, 73-88.
9.
Fisher, P. , Wicks, J., Schaeffer, D., Piacentini, J., & Lapkin, J.(1992). Diagnostic Interview Schedulefor Children (DISC), Version 2.3, Users' manual. New York: NY State Psychiatric Institute.
10.
Gonzalez, V. (1994). A model of cognitive, cultural, and linguistic variables affecting bilingual Hispanic children's development of concepts and language. Hispanic Journal of Behavioral Sciences, 16(4), 396-421.
11.
Good, B. J. (1992/1993). Culture, diagnosis, and comorbidity. Culture, Medicine and Psychiatry, 16, 427-447.
12.
Guarnaccia, P. J. , & Rodriguez, O. (1996). Concepts of culture and their role in the development of culturally competent mental health services. Hispanic Journal of Behavioral Sciences, 18(4), 419-443.
13.
Harwood, R. L. , Miller, J. L., & Irizarry, N. L. (1995). Culture and attachment; Perceptions of the child in context. New York: Guilford Press.
14.
Kleinman, A. (1988). Rethinking psychiatry: From cultural category to personal experience. New York: The Free Press.
15.
Lewis-Fernandez, R. , & Kleinman, A. (1995). Cultural psychiatry: Theoretical, clinical, and research issues. Psychiatric Clinics of North America, 18(3), 433-448.
16.
Mezzich, J. E. , Kleinman, A., Fabrega, H., Parron, D. L., Good, B. J., Lin, K. M., & Manson, S. M. (1997). Cultural issuesfor DSM-IV. In T. Widiger, A. J. Frances, H. A. Pincus, R. Ross, M. B. First & W. Davis (Eds.) DSM-IV Source Book (Vol. 3, pp. 861-866). Washington, DC: American Psychiatric Association Press.
17.
Mezzich, J. E. , & Lewis-Fernandez, R. (in press). Cultural considerations in psychopathology. In A. Tasman, J. Kay, & J. Lieberman (Eds.), Psychiatry. Philadelphia, PA: WB Saunders.
18.
Rotheram, M. , & Phinney, J. (1990). Patterns of social expectation among Black and Mexican American children. Child Development, 61, 542-556.
19.
Rutter, M. (1989). Pathways from childhood to adult life. Journal of Child Psychology and Psychiatry, 30, 23-51.
20.
Shaffer, D. , Fisher, P., Dulcan, M., Davis, D., Piacentini, J., Schwab-Stone, M., Lahey, B., Bourdon, K., Jensen, P., Bird, H., Canino, G., & Regier, D. (1996). The NIMH Diagnostic Interview Schedule for Children Version 2.3 (DISC 2.3): Description, acceptability, prevalence rates, and performance in the MECA study. Journal of the American Academy of Child & Adolescent Psychiatry, 35(7), 865-877.
21.
Shaffer, D. , Gould, M. S., Brasic, J., Ambrosini, P., Fisher, P., Bird, H., & Aluwahlia, S. (1983). A Children's Global Assessment Scale (C-GAS). Archives of General Psychiatry, 40, 1228-1231.
22.
Shannon, S. M. (1990). English in the Barrio: The quality of contact among immigrant children. Hispanic Journal of Behavioral Sciences, 12(3), 256-276.
23.
Taylor, O. L. , & Payne, K. T. (1983). Culturally valid testing: A proactive approach. Topics in Language Disorders, 3(3), 8-20.
24.
Wakefield, J. C. (1992). Disorder as harmful dysfunction: A conceptual critique of DSM-III-R's definition of mental disorder. Psychological Review, 99(2), 232-247.
25.
Wakefield, J. C. (1996). DSM IV, are we making diagnostic progress?Contemporary Psychology, 41(7), 646-652.
