Diagnostic Criteria for Schizophrenia and Related Psychotic Disorders: Integration and Suppression of Cultural Evidence in DSM-IV

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Abstract
This paper documents the work of the NIMH Culture and Diagnosis Committee on schizophrenia from its inception in 1991 through publication of the final version of DSM-IV. Detailed comparisons are made between the committee's suggested text and the final published text of the manual, both for general cultural considerations regarding schizophrenia and for specific diagnostic criteria. The paper concludes with a critical assessment of the successes and failures of DSM-IV as a culturally relevant document and a restatement of the rationale for the centrality of culture to any understanding of schizophrenia.