4.4 Review

Psychiatric colonialism, PTSD and the Western psychiatric diagnostic tradition . . . is one man's food another man's poison?

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SAGE PUBLICATIONS LTD
DOI: 10.1177/00207640231193286

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PTSD; psychological trauma; transcultural psychiatry; MHGap

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Sadly, many parts of the world, especially poorer areas with inadequate health infrastructure, are familiar with Psychological Trauma. Western Aid Organisations often enter these areas, bringing with them a western psychiatric tradition of diagnosis and therapy, which may not be suitable in different cultures. The imposition of a western system of diagnosis and treatment could undermine local culture and harm the patients. This is discussed in relation to the WHO's Mental Health Gap initiative (MHGap).
Sadly, much of the world is no stranger to Psychological Trauma, particularly in poorer areas with poor health infrastructure. Western Aid Organisations frequently deploy to such areas bringing with them a western psychiatric tradition of nosology and therapy which may not be appropriate in other cultures. We argue that imposing a western system of diagnosis and treatment may not only undermine local culture but may also be bad for the patient. We discuss this with reference to the WHO's Mental Health Gap initiative (MHGap).

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