Praxical.Psych
Assessment

Cultural formulation interview

Bring the patient’s own cultural framing of their problem into the formulation instead of assuming it.

Early in assessment; essential whenever clinician and patient differ in background, and useful when they do not.15 fields

How this document is used well

This template follows the domain structure of the cultural formulation approach used in contemporary diagnostic practice: the patient’s definition of the problem; their understanding of its causes and context; the factors affecting coping and help-seeking; and factors affecting the current clinical relationship. Questions here are written for teaching and are not a reproduction of any published instrument.

Cultural humility over cultural competence

The multicultural orientation framework distinguishes cultural humility (an other-oriented stance of openness about identity), cultural opportunities (moments when identity becomes available for discussion), and cultural comfort (the therapist’s ease when it does). Missed cultural opportunities predict poorer outcomes; the failure is usually the therapist changing the subject.

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Shows why each item is asked
The problem as the patient defines it
Cause, context and support
Coping and past help-seeking
The clinical relationship itself

1 required field outstanding: Clinician reflection: my own position, assumptions, and where I might be missing something

Educational use only

Praxical.Psych is a teaching tool. It is not medical, clinical, psychological or legal advice, not a diagnosis, not treatment, not supervision, and not a credential. Nothing here creates a clinician–patient or solicitor–client relationship. Every patient, case, transcript and simulated session is fictional. Clinical and legal requirements vary by jurisdiction and change over time — verify anything that bears on a real decision against your own regulator, statute and current professional guidance, and consult a qualified professional.

Do not enter real patient information. If you or someone else is in crisis: US & Canada 988 · UK & Ireland 116 123 · Australia 13 11 14 · elsewhere findahelpline.com · immediate danger, your local emergency number.

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Praxical.Psych is an educational tool. It teaches the theory, evidence base and clinical method of psychotherapy at the level of an advanced survey course, and it lets you rehearse a complete session in a simulator.

It is not medical, clinical, psychological or legal advice. It cannot diagnose or treat anyone, and it does not state the law where you practise — requirements differ by jurisdiction and change. Nothing here creates a clinician–patient or solicitor–client relationship.

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If you are in crisis

In the US and Canada, call or text 988. In the UK and Ireland, call 116 123 (Samaritans). Elsewhere, find a local line at findahelpline.com. In immediate danger, use your local emergency number.

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