hardcultural humilitycultural formulationrefugeeDSM-5-TRexplanatory modeltraditional healing
A PMHNP is conducting an initial psychiatric evaluation of a 38-year-old female refugee from East Africa who was resettled in the United States eight months ago. The patient was referred by her primary care provider for symptoms of nightmares, hypervigilance, and social withdrawal. Through an interpreter, the patient describes her distress as a spiritual affliction caused by the traumatic events she witnessed and states that she has been consulting with a traditional healer from her community. She is reluctant to accept a psychiatric diagnosis. Which approach best demonstrates cultural humility in this clinical encounter?