{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T01:54:35Z","timestamp":1782352475513,"version":"3.54.5"},"reference-count":23,"publisher":"Cambridge University Press (CUP)","issue":"1","license":[{"start":{"date-parts":[[2009,7,9]],"date-time":"2009-07-09T00:00:00Z","timestamp":1247097600000},"content-version":"unspecified","delay-in-days":6368,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Psychol. Med."],"published-print":{"date-parts":[[1992,2]]},"abstract":"<jats:title>SYNOPSIS<\/jats:title><jats:p>Diagnostic communication between doctors and patients is thought to differ radically between Japan and Western countries. To understand diagnostic disclosure to psychiatric patients, a questionnaire with six case vignettes was sent to practising psychiatrists in Japan (<jats:italic>N<\/jats:italic>= 166) and North America (<jats:italic>N<\/jats:italic>= 112). While over 90% of both groups would inform patients with affective and anxiety disorders of their diagnoses, only 70% of North Americans and less than 30% of Japanese would similarly inform patients with schizophrenia or schizophreniform disorders. The Japanese preferred alternative was to give a vague alternative diagnosis such as neurasthenia. North Americans would discuss differential diagnoses with the patient instead. Nearly all in both groups would inform the family, but North Americans would do so only with patient consent. For disorders for which there are effective treatments, diagnostic disclosure is common to both cultures; when prognosis is uncertain or the diagnosis is feared, as in schizophrenia, culturally constructed views of patienthood govern disclosure practice.<\/jats:p>","DOI":"10.1017\/s0033291700032803","type":"journal-article","created":{"date-parts":[[2009,7,9]],"date-time":"2009-07-09T14:12:49Z","timestamp":1247148769000},"page":"147-157","source":"Crossref","is-referenced-by-count":65,"title":["Diagnostic disclosure: a tale in two cultures"],"prefix":"10.1017","volume":"22","author":[{"given":"Patricia","family":"McDonald-Scott","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shizuo","family":"Machizawa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiroyuki","family":"Satoh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2009,7,9]]},"reference":[{"key":"S0033291700032803_ref017","doi-asserted-by":"crossref","first-page":"369","DOI":"10.1515\/9780824841522-023","volume-title":"Japanese Culture and Behavior","author":"Munakata","year":"1986"},{"key":"S0033291700032803_ref019","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1989.03420200070040"},{"key":"S0033291700032803_ref004","doi-asserted-by":"publisher","DOI":"10.1136\/jme.15.1.21"},{"key":"S0033291700032803_ref015","first-page":"511","volume":"19","author":"Machizawa","year":"1990","journal-title":"Japan Journal of Clinical Psychiatry"},{"key":"S0033291700032803_ref020","unstructured":"Ota K. (1989) \u2018Gensoku kokuchi\u2019 wo kihon ni (Making \u2018informing as principle\u2019 a standard.) Asahi Shimbun, 3 April 1989."},{"key":"S0033291700032803_ref013","first-page":"1","volume-title":"Health, Illness, and Medical Care in Japan","author":"Lock","year":"1987"},{"key":"S0033291700032803_ref006","doi-asserted-by":"publisher","DOI":"10.1007\/BF00046704"},{"key":"S0033291700032803_ref002","unstructured":"Asahi Shimbun (1989 b). Dokusha ga kangaeru: oishasan. (The \u2018readers\u2019 think about \u2018doctors\u2019.) 23 October, 1989."},{"key":"S0033291700032803_ref010","doi-asserted-by":"crossref","first-page":"409","DOI":"10.1176\/ajp.147.4.409","article-title":"The psychiatric patient's right to effective treatment: implications of Osheroff v. Chestnut Lodge","volume":"147","author":"Klerman","year":"1990","journal-title":"American Journal of Psychiatry"},{"key":"S0033291700032803_ref021","first-page":"469","article-title":"The Japanese family in relation to people's health","volume":"12A","author":"Samuma","year":"1978","journal-title":"Social Science and Medicine"},{"key":"S0033291700032803_ref007","volume-title":"Setsumei to doi\u2019 ni kansuru anketo. Shukei kekka hokokusho","year":"1990"},{"key":"S0033291700032803_ref008","volume-title":"Setsumei to doi\u2019 ni tsuite no hokoku","year":"1990"},{"key":"S0033291700032803_ref003","unstructured":"Asahi Shimbun (1990). Byoki: \u2018shinjitsu tsugeru\u2019 juyosa kyocho. (Illness: the importance of telling the truth emphasized. Symposium on informed consent.) 27 May, 1990."},{"key":"S0033291700032803_ref014","doi-asserted-by":"publisher","DOI":"10.1016\/0277-9536(82)90259-3"},{"key":"S0033291700032803_ref009","first-page":"89","volume-title":"Health, Illness, and Medical Care in Japan","author":"Kiefer","year":"1987"},{"key":"S0033291700032803_ref001","unstructured":"Asahi Shimbun (1989 a). \u2018Ishi no gan kokuchi\u2019 iken nibun. (Divided opinion on doctors informing the patient that he has cancer.) 3 April, 1989."},{"key":"S0033291700032803_ref005","volume-title":"White Paper on National Life","year":"1985"},{"key":"S0033291700032803_ref011","doi-asserted-by":"crossref","DOI":"10.1515\/9780824846404","volume-title":"Japanese Patterns of Behavior","author":"Lebra","year":"1976"},{"key":"S0033291700032803_ref012","volume-title":"Bunretsubyo wa Naoru ka","author":"Lin","year":"1982"},{"key":"S0033291700032803_ref016","unstructured":"Minami Nihon Shimbun (1990). 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Japan appears at standstill as concerns over Hirohito's health preoccupy nation. 27 September, 1988."}],"container-title":["Psychological Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0033291700032803","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,10,8]],"date-time":"2021-10-08T09:34:09Z","timestamp":1633685649000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0033291700032803\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1992,2]]},"references-count":23,"journal-issue":{"issue":"1","published-print":{"date-parts":[[1992,2]]}},"alternative-id":["S0033291700032803"],"URL":"https:\/\/doi.org\/10.1017\/s0033291700032803","relation":{},"ISSN":["0033-2917","1469-8978"],"issn-type":[{"value":"0033-2917","type":"print"},{"value":"1469-8978","type":"electronic"}],"subject":[],"published":{"date-parts":[[1992,2]]}}}