title: [Culture-Sensitive Aspects in Diagnostics of Mental Distress in Refugees - Two Commented Case Reports].
abstract: High levels of mental disorders, especially PTSD, are commonly known among groups of people forced to leave their homeland as a consequence of war-related experiences (e. g. armed conflict, torture or persecution). Depending on the cultural background the perceptions of illnesses vary, different symptom presentation and thereupon different coping strategies respectively expectations towards health care services exist. To minimize the danger of misdiagnosis by different experts working with refugees in the host countries, a culture-sensitive diagnostic approach is needed from the beginning. This article describes important aspects of culture-sensitive diagnostics by means of 2 commented case reports. Special focus is set on the aspect of linguistic and in a broader sense cultural comprehension between therapist, client and if necessary language mediator.
authors.affiliation: Medizinische Psychologie und Medizinische Soziologie, Universitätsklinikum Leipzig.
authors.forename: Yuriy
authors.initials: Y
authors.lastname: Nesterko
authors.affiliation: Medizinische Psychologie und Medizinische Soziologie, Universitätsklinikum Leipzig.
authors.forename: Marie
authors.initials: M
authors.lastname: Kaiser
authors.affiliation: Medizinische Psychologie und Medizinische Soziologie, Universitätsklinikum Leipzig.
authors.forename: Heide
authors.initials: H
authors.lastname: Glaesmer
mesh_terms: D000328:Adult; D003144:Communication Barriers; D065246:Culturally Competent Care; D003469:Culture; D005260:Female; D005858:Germany; D006801:Humans; D008016:Life Change Events; D008297:Male; D001523:Mental Disorders / Q000175:diagnosis* / Q000208:ethnology / Q000523:psychology*; D010817:Physician-Patient Relations; D011287:Prejudice; D012036:Refugees / Q000523:psychology*; D012933:Social Identification; D013001:Somatoform Disorders / Q000175:diagnosis / Q000208:ethnology / Q000523:psychology; D013313:Stress Disorders, Post-Traumatic / Q000175:diagnosis* / Q000208:ethnology / Q000523:psychology*; D059020:Suicidal Ideation; D014175:Translating