Psychiatric consultation in Micronesia: the question of organicity

The authors report on 37 referrals seen for psychiatric consultation during visits to various islands in Micronesia. A large number demonstrated either organic mental disorders or contributory medical illnesses. Observed differences between males and females are examined. In such cross-cultural settings, the authors emphasize the need for psychiatric expertise responsive not only to the dimension of culture in evaluation and treatment, but also to the importance of vigilance for organic processes that may require special attention.