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• W200561034 abstract "One of the long-cherished aspirations in international psychiatry has been the development of a common language to allow clinicians and researchers from the four corners of the world to be able to truly communicate with each other (1,2). This should allow the development of universal concepts of causation and the standardization of strategies and techniques in diagnosis and treatment of mental disorders, while avoiding the influence of confounding variables that might cloud their true nature. This aspiration has been the source of tremendous advances for psychiatry. It moved forward the field in the understanding of genetic and other biological factors of mental illness, and increased the reliability of psychiatric diagnosis in clinical practice and research across the world.Taken to extremes, however, this aspiration can be the source of serious drawbacks. First, it may promote the generalization of reductionistic views of disease based on culturally biased cognitive schemas, which, if adapted to other cultures without consideration to local realities, may reach the level of ineffective myths without appropriate explanatory usefulness (3). In addition, this position may create the risky assumption that practitioners in developing areas of the world must accept and use uncritically theories and concepts about disease originated in the scientific centers of the developed world, with only marginal consideration to what is idiosyncratic to the particular patient who presents for diagnosis and care.Although great differences remain in the amount and quality of resources (human, financial and otherwise) devoted to the study of mental illness between the developed and the undeveloped world, in recent years the increase in international communications and the direct influence of projects such as the WPA's International Guidelines for Psychiatric Diagnosis have provided an opportunity for a more assertive incorporation of the views of practitioners from the developed and the developing world to the process of production of knowledge concerning the multidimensional nature of mental illness. Their participation has brought to the fore the discussion of issues such as the effect of culture in the generation and shaping of mental illnesses and effective ways of treating and preventing them, especially in individuals from 'disparate cultures' living in developed countries (4).This scenario has confronted mental health workers with new challenges. For those living in the undeveloped world, the main challenge remains the diligent incorporation of scientific methods and technology to gain in credibility concerning their views and the data coming from their local studies. They also must pay attention to ways in which advances in developed areas of the world can be incorporated locally in order to benefit the patients under their care while keeping connected to mainstream international psychiatry. For those practicing in the developed world, the main challenges remain taming ethnocentrism (5), and reviewing their self-fulfilling prophecies about the scientific production from the developing world. The goal should be to avoid the presumption that scientific contributions from developing countries are non-serious and flawed. An additional challenge is to commit scientists from developed areas to support such a production through collaborative participation and the effective transmission of scientific technology and methods to increase the quality of research in diagnosis and classification in those areas." @default.
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• W200561034 date "2003-02-01" @default.
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• W200561034 title "Broadening the international base for the development of an integrated diagnostic system in psychiatry." @default.
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