High levels of mental disorders, especially PTSD, are commonly known among groups of people forced to leave their homeland as a consequence of war-related experiences (e. g. armed conflict, torture or persecution). Depending on the cultural background the perceptions of illnesses vary, different symptom presentation and thereupon different coping strategies respectively expectations towards health care services exist. To minimize the danger of misdiagnosis by different experts working with refugees in the host countries, a culture-sensitive diagnostic approach is needed from the beginning. This article describes important aspects of culture-sensitive diagnostics by means of 2 commented case reports. Special focus is set on the aspect of linguistic and in a broader sense cultural comprehension between therapist, client and if necessary language mediator. © Georg Thieme Verlag KGStuttgart · New York.

PTSD cultur-sensitive diagnostics Refugees Migration

cultural anthropology communication barrier Physician-Patient Relations Communication Barriers Germany comprehension refugee Social Identification human Life Change Events Refugees life event linguistics priority journal psychiatric diagnosis ethnology Mental Disorders mental disease Humans psychology male case report female cultural factor Article doctor patient relationship translating (language) adult Translating posttraumatic stress disorder Prejudice distress syndrome Stress Disorders, Post-Traumatic Culturally Competent Care diagnostic error transcultural care Somatoform Disorders somatoform disorder social behavior Culture suicidal ideation