In recent years, the held of cultural psychiatry has gained recognition and
accumulated evidence of its clinical relevance. This article examines the
intersections of culture and psychopathology and describes five independent
but interrelated clinical dimensions that identify and define culture as:
a) an interpretive/explanatory tool, b) a pathogenic/pathoplastic agent, c)
a diagnostic/nosological factor, d) a therapeutic/protective element, and
e) a service/management instrument. Along these lines, conceptual boundarie
s, clinical findings, specific applications, and research implications for
each of the dye dimensions are systematically reviewed. Cultural psychiatry
adds significantly to the comprehensiveness of psychiatric evaluation and
management and addresses prominent issues regarding understanding, classifi
cation, diagnosis, and competent treatment of most psychiatric disorders in
every society and region of the world. Based on the strength of these clin
ical dimensions, and on the related educational and research efforts, cultu
ral psychiatry can also contribute decisively to the design of comprehensiv
e mental health policies.