title: The Clinical Ethnographic Interview: a user-friendly guide to the cultural formulation of distress and help seeking.
abstract: Transcultural nursing, psychiatry, and medical anthropology have theorized that practitioners and researchers need more flexible instruments to gather culturally relevant illness experience, meaning, and help seeking. The state of the science is sufficiently developed to allow standardized yet ethnographically sound protocols for assessment. However, vigorous calls for culturally adapted assessment models have yielded little real change in routine practice. This paper describes the conversion of the Diagnostic and Statistical Manual IV, Appendix I Outline for Cultural Formulation into a user-friendly Clinical Ethnographic Interview (CEI), and provides clinical examples of its use in a sample of highly distressed Japanese women.
authors.affiliation: School of Nursing, University of Michigan, Ann Arbor, MI 48109, USA. starnaul@umich.edu
authors.forename: Denise
authors.initials: D
authors.lastname: Saint Arnault
authors.forename: Shizuka
authors.initials: S
authors.lastname: Shimabukuro
mesh_terms: D000884:Anthropology, Cultural / Q000379:methods*; D003469:Culture; D039721:Diagnostic and Statistical Manual of Mental Disorders; D005260:Female; D006801:Humans; D007406:Interview, Psychological / Q000379:methods*; D001523:Mental Disorders / Q000175:diagnosis* / Q000208:ethnology; D010342:Patient Acceptance of Health Care / Q000208:ethnology* / Q000523:psychology; D011570:Psychiatry / Q000379:methods*