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Comment & Response
March 24/31, 2020

Cultural Influences in Psychiatry—Reply

Author Affiliations
  • 1Department of Psychiatry, The Zucker Hillside Hospital, Glen Oaks, New York
  • 2Department of Psychiatry and Molecular Medicine, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, New York
  • 3Department of Child and Adolescent Psychiatry, Charité Universitätsmedizin, Berlin, Germany
JAMA. 2020;323(12):1193-1194. doi:10.1001/jama.2020.1094

In Reply Both Dr Aggarwal and Ms Deshmukh and colleagues answer our question of whether transcultural psychiatry is possible1 with a resounding “yes.”

Aggarwal points out that diagnosis is an act of “double interpretation,” that prior research exists indicating how culture influences the type and severity of psychiatric diagnoses, that the DSM-52 recognizes the local shaping of distress and illness expression, and that the CFI in the DSM-5 has faced translation and interpretation challenges in a field trial.3