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Global mental health and the National Institute of Mental Health Research Domain Criteria

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  • Stevan Merill Weine
  • Scott Langenecker
  • Aliriza Arenliu

Abstract

Background: The National Institute of Mental Health (NIMH) Research Domain Criteria (RDoC) project presents innovative ways of investigating mental illness based on behavioral and neurobiological measures of dimensional processes. Although cultural psychiatrists have critiqued RDoC’s implications and limitations for its under-developed focus on context and experience, RDoC presents opportunities for synergies with global mental health. It can capture aspects of clinical or sub-clinical behavior which are less dependent upon Diagnostic and Statistical Manual of Mental Disorders (5th ed.; DSM-5 ) and perhaps better elucidate the role of culture in disease expression and resilience. Aim/Results: This article uses the example of migration to describe several starting points for new research: (1) providing components for building an investigable conceptual framework to understand individual’s mental health, resilience and adjustment to migration challenges or social adversities in low- and middle-income countries (LMICs) and (2) identifying measurable factors which determine resilience or vulnerability, to guide development and evaluation of targeted prevention, treatment and recovery strategies for mental health in LMICs. Conclusion: In such ways, RDoC frameworks could help put the new cutting edge neurobiological dimensional scientific advances in a position to contribute to addressing mental health problems amid social adversities in LMICs. However, this would require a much-expanded commitment by both RDoC and global mental health researchers to address contextual and experiential dimensions.

Suggested Citation

  • Stevan Merill Weine & Scott Langenecker & Aliriza Arenliu, 2018. "Global mental health and the National Institute of Mental Health Research Domain Criteria," International Journal of Social Psychiatry, , vol. 64(5), pages 436-442, August.
    • Handle: RePEc:sae:socpsy:v:64:y:2018:i:5:p:436-442
    DOI: 10.1177/0020764018778704
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    References listed on IDEAS

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    1. Crick Lund & Mark Tomlinson & Mary De Silva & Abebaw Fekadu & Rahul Shidhaye & Mark Jordans & Inge Petersen & Arvin Bhana & Fred Kigozi & Martin Prince & Graham Thornicroft & Charlotte Hanlon & Ritsuk, 2012. "PRIME: A Programme to Reduce the Treatment Gap for Mental Disorders in Five Low- and Middle-Income Countries," PLOS Medicine, Public Library of Science, vol. 9(12), pages 1-6, December.
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    3. Nadia Kadri & Norman Sartorius, 2005. "The Global Fight against the Stigma of Schizophrenia," PLOS Medicine, Public Library of Science, vol. 2(7), pages 1-1, July.
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