CHAPTER ONE

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Overview: Culture andPsychopathology

Wen-Shing Tseng, M.D.

PRELUDE: CASE VIGNETTES

Mental health clinicians frequently encounter cases with unusual clinical pictures that are different from textbook or standard classification categories and are puzzling to the clinicians in making their assessments. For instance, when an Asian patient complained of an “empty heart,” the doctor needed to clarify whether the patient was suffering from the medical problem of a weak heart, with other cardiac-related somatic symptoms such as palpitations or shortness of breath, or from a low spirit, with feelings of emptiness and depression.

In a hospital ...

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