Avtor/Urednik     Zalokar, J
Naslov     Schizophrenia and immigration - a diagnostic reassessment of Yugoslav immigrants in Australia
Tip     članek
Vir     Socijal Psihijatr
Vol. in št.     Letnik 18, št. 1
Leto izdaje     1990
Obseg     str. 41-50
Jezik     eng
Abstrakt     This paper documents the results of a diagnostic reassessment of a series of fifty Yugoslav immigrants in Australia who had a diagnosis of schizophrenia at the time of reassessment. After a comprehensive psychiatric examination, conducted in the patients native languages, the diagnosis of schizophrenia was confirmed in only 26 per cent of the group. This finding casts doubt on the validity of previous reports of high rates of schizophrenia in Yugoslav and other immingrants. Anumber of factors which may contribute to the incorrect diagnostic assessment by foreign psychiatrists are discussed. These include: 1. the lack of a common language between clinician and patient, 2. the common use in clinical practice of a broad, vaguely defined concept of schizophrenia, 3. the misinterpretation of suspicious behaviour and paranoid symptoms which occur frequently in immigrants, 4. the clinician's unfamiliarity with the patient's culture and the attribution of a psycho-pathological significance to culturally appropriate behaviours, and 5. the influence of neuroleptic side effects which can cause "pseudo-praecox Gefuhl"
Deskriptorji     SCHIZOPHRENIA
EMIGRATION AND IMMIGRATION
YUGOSLAVIA
AUSTRALIA
ADULT
MIDDLE AGE