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Transcultural approach to psychotic episodes. About a case

Published online by Cambridge University Press:  01 September 2022

C. Martín Villarroel ,
L. Carpio García ,
L. Santolaya López ,
G. Belmonte García ,
M. Sánchez Revuelta ,
J. Matsuura  and
E.F. Benavides Rivero
C. Martín Villarroel*
Affiliation:
Complejo Hospitalario Universitario de Toledo, Psiquiatría, Toledo, Spain
L. Carpio García
Affiliation:
Complejo Hospitalario Universitario de Toledo, Psiquiatría, Toledo, Spain
L. Santolaya López
Affiliation:
Complejo Hospitalario Universitario de Toledo, Psiquiatría, Toledo, Spain
G. Belmonte García
Affiliation:
Complejo Hospitalario Universitario de Toledo, Psiquiatría, Toledo, Spain
M. Sánchez Revuelta
Affiliation:
Complejo Hospitalario Universitario de Toledo, Psiquiatría, Toledo, Spain
J. Matsuura
Affiliation:
Complejo Hospitalario Universitario de Toledo, Psiquiatría, Toledo, Spain
E.F. Benavides Rivero
Affiliation:
Complejo Hospitalario Universitario de Toledo, Psiquiatría, Toledo, Spain
*
*Corresponding author.

Abstract

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Introduction

Cultural differences influence understanding and therapeutic adherence of migrant patients, therefore it is very important to acquire cultural competence.

Objectives

The objective of this paper is to study, from the following case, the effect of cultural competence in approach to psychosis in migrant patients.

Methods

A bibliographic search was performed from different database (Pubmed, TripDatabase) about the influence of culture on psychosis and its resolution. A 25-year-old Moroccan man who came to Spain two years ago fleeing his country and suffered violence in different countries until he arrived. He lived on the street until they offered him a sheltered house with other Moroccans. He felt lack of acceptance and loss of his roots. In this context, he developed a first psychotic episode in which he described “the presence of a devil”.

Results

He distrusted antipsychotic treatment and believed “that devil” was still inside him, being convinced that he needed a Muslim healer to expel him. We followed up with the patient and a cultural mediator, better understanding his cultural reality, uprooting and traumas, and he could feel understood and trust us. During the process, he decided to go to the Muslim healer who performed a symbolic rite for which he felt he “expelled the devil”, while accepting antipsychotics. With all this, the psychotic symptoms and their acculturation process improved.

Conclusions

It is very important that psychiatrists have cultural competence to understand the context of migrant patients, and to be able to provide them with the best treatment.

Disclosure

No significant relationships.

Keywords

PsychosismigrationacculturationCultural competence
Type
Abstract
Information
European Psychiatry , Volume 65 , Special Issue S1: Abstracts of the 30th European Congress of Psychiatry , June 2022 , pp. S636
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of the European Psychiatric Association
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