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How cultural factors along with mental health diagnoses influence the treatment of a stroke patient with no previous mental health history: a case report

Published online by Cambridge University Press:  19 July 2023

P. Setién Preciados*
Affiliation:
Psychyatry, Hospital Universitario Príncipe de Asturias, Alcalá de Henares, Spain
E. Arroyo Sánchez
Affiliation:
Psychyatry, Hospital Universitario Príncipe de Asturias, Alcalá de Henares, Spain
A. Sanz Giancola
Affiliation:
Psychyatry, Hospital Universitario Príncipe de Asturias, Alcalá de Henares, Spain
I. Romero Gerechter
Affiliation:
Psychyatry, Hospital Universitario Príncipe de Asturias, Alcalá de Henares, Spain
M. Martín Velasco
Affiliation:
Psychyatry, Hospital Universitario Príncipe de Asturias, Alcalá de Henares, Spain
*
*Corresponding author.

Abstract

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Introduction

Mental health awareness campaigns in the past few years have vastly improved how medical professionals treat mental health patients. However, prejudices and ignorance still interfere in medical practice. In this context, with the case presented we can see that even in presumed mental health diagnoses along with cultural factors (race, language…), the best medical assistance is not ensured.

Objectives

Review how different intersectional factors can determine the treatment patients receive at hospitals.

Methods

Presentation of a patient’s case and review of existing literature, in regards to the influence of race, language barriers and mental health diagnoses when attending patients.

Results

The patient is presumed to suffer from a mental health condition after a battery of initial tests with inconclusive results do not demonstrate an organic origin. Instead of continuing with the medical study, the patient is disregarded as psychiatric even though his profile doesn´t fit beforehand of a fictitious or conversion disorder. The fact that there are also cultural factors in play (race and language) probably unconsciously influence how the medical team treats this patient’s case. Cultural social factors persistently present as barriers in clinical practice.

Conclusions

Race, language barriers and mental health diagnoses as well as other intersectional factors do have a great impact in the treatment patients receive. There is yet a lot to do when it comes to educating health professionals if we want to offer the best medical assistance.

Disclosure of Interest

None Declared

Type
Abstract
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 (https://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), 2023. Published by Cambridge University Press on behalf of the European Psychiatric Association
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