Misdiagnoses often occur because
of cultural, age differences, manner of speech and slang. They are problems which crop up making a
diagnosis difficult. In certain cultures
what may be considered acceptable behavior or normal for the people, such as
anorexia, which is more frequently found in America and is tied to the American
viewpoint of a female’s body image.
Spirit possession is common in
Africa and other parts of the world with hallucinations that in the United
States is considered to being psychotic symptoms, however, they are a group
belief and in that group are normal.
The different speech patterns
associated with age and slang used by the younger generation often causes
misdiagnosis. The term “going out” may
be mistaken by an older professional as having agoraphobia, the fear of open
spaces, and has the problem of going out of a dwelling. To the younger generation the term “going
out” means to party or go to a club or a dance.
The cultures of ethnic
minorities influence many aspects of mental illness, including how patients
from other cultures communicate and express their symptoms, their coping skills,
their family and community supports, and their willingness to seek treatment.
The cultures of the doctor and the service organization influence diagnosis,
treatment. Cultural and social influences play important roles in the ability
to properly address a person’s mental state and subsequently the outcome of
treatment.
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