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160 Pages·2014·3.35 MB·English

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SOURCE (OR PART OF THE FOLLOWING SOURCE):
Type PhD thesis
Title The role of cultural background in diagnosing psychotic disorders:
Misclassification of psychiatric symptoms in Moroccan immigrants in the
Netherlands
Author(s) T. Zandi
Faculty AMC-UvA
Year 2014
FULL BIBLIOGRAPHIC DETAILS:
  http://hdl.handle.net/11245/1.406205
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Uitnodiging
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Email: [email protected]

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The role of cultural background in diagnosing
psychotic disorders
Misclassification of psychiatric symptoms in Moroccan immigrants
in the Netherlands
Het belang van culturele achtgrond bij de diagnose van
psychotische stoornissen
Fouten bij het vaststellen van psychiatrische symptomen
bij Marokkaanse immigranten in Nederland.
Tekleh Zandi
Cover design: Proefschriftmaken.nl || Uitgeverij BOXPress
Printed & Lay Out by: Proefschriftmaken.nl || Uitgeverij BOXPress
Published by: Uitgeverij BOXPress, ’s-Hertogenbosch
ISBN 978-90-8891-802-5
The role of cultural background in diagnosing
psychotic disorders
Misclassification of psychiatric symptoms in Moroccan immigrants
in the Netherlands
ACADEMISCH PROEFSCHRIFT
ter verkrijging van de graad van doctor
aan de Universiteit van Amsterdam
op gezag van de Rector Magnificus
prof. dr. D.C. van den Boom
ten overstaan van een door het college voor promoties ingestelde
commissie, in het openbaar te verdedigen in de Agnietenkapel
op vrijdag 7 februari 2014, te 14.00 uur
door
Tekleh Zandi
geboren te Zanjan, Iran
PROMOTIECOMMISSIE
Promotoren: Prof. dr. W. van den Brink
Prof. dr. R.S. Kahn
Copromotor: Dr. J.M. Havenaar
Overige leden: Prof. dr. L. de Haan
Prof. dr. F.A.M. Kortmann
Dr. C.J. Laban
Prof. dr. A.H. Schene
Prof. dr. J.A. Swinkels
Faculteit der Geneeskunde
Voor mijn moeder en vader

Contents:
Chapter 1 General introduction 9
Chapter 2 The need for culture sensitive diagnostic procedures: a study among
psychotic patients in Morocco. 55
Social Psychiatry and Psychiatric Epidemiology 2008, 43: 244-250.
Chapter 3 First contact incidence of psychotic disorders among native Dutch and
Moroccan immigrants in the Netherlands: influence of diagnostic bias. 73
Schizophrenia Research 2010, 119: 27-33.
Chapter 4 Predictive validity of a culturally informed diagnosis of schizophrenia:
a 30 month follow-up study with first episode psychosis. 91
Schizophrenia Research 2011, 133: 29-35.
Chapter 5 Effect of a cultural sensitive assessment on symptom profiles in native
Dutch and Moroccan patients with a first psychosis referral:
an exploration 113
Accepted; Transcultural Psychiatry
Chapter 6 General discussion 131
Samenvatting 141
Dankwoord 147
Curriculum vitae 151
Appendices 153
7
He left my room to not come back to the clinic any more…
He with a cap on his head, with his big black eyes he stared at me: “I am afraid, I am falling
apart, I feel my heart is coming to my throat, it is going to give up… I didn’t do anything right
in my life…. Some thing is moving under my skin! I don’t know what, but it feels as armies
of ants. Only darkness gives me some comfort to go outside, where nobody can look at me
anymore as an alien. I am troubled. They don’t like me, actually - he whispered - they disgust
me. Sleep doesn’t come to my eyes, nothing tastes the same as before. She stared at me!” I
asked him if he heard voices. He became angry: “Look at me, lady - he whispered - I think
you don’t understand at all how it does feel, to be far away from your mother as the eldest
son when she is dying! Why do you ask me nonsense? You think that all of us are foolish or
crazy, isn’t it?” And he shut the door (one of my first patients whom I could not include in
this study).
8