Culture and major depression. Current challenges in the diagnosis of mood disorders

Although the religious and spiritual dimensions of life are among the most important cultural factors structuring human experience, behavior, and illness patterns, mainstream psychiatry has tended either to ignore or pathologize the religious and spiritual issues that clients bring into treatment. To redress this lack of sensitivity, the authors of this article propose a new diagnostic category to the DSM-IV Task Force entitled "Religious or Spiritual Problem" (V62.61). It is hoped that the acceptance of this category will increase the accuracy of diagnostic assessments, reduce iatrogenic harm from misdiagnosis, and increase mental health professionals' respect for individual beliefs and values.