Cultural Competence, Evidence-Based Medicine, and Evidence-Based Practices

doi:10.1176/appi.ps.58.12.1588

Psychiatr Serv 58:1588-1590, December 2007
doi: 10.1176/appi.ps.58.12.1588
© 2007 American Psychiatric Association



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Open Forum

Cultural Competence, Evidence-Based Medicine, and Evidence-Based Practices

Rob Whitley, Ph.D.

Cultural competence and evidence-based medicine are two powerfuldiscourses that have become core components of contemporarypsychiatry. Evidence-based medicine has particularly influencedpsychiatry by spawning the enthusiastic creation and adoptionof evidence-based practices. Despite their prominence, theseparadigms have stood somewhat in isolation from each other.This Open Forum explores the relationship between these twoconceptual paradigms, paying particular attention to implicationsfor evidence-based practices. The author aims to stimulate agreater degree of mutual engagement and integration of theseparadigms by examining epistemological, philosophical, and methodologicaloverlap and discrepancy. Both paradigms can stretch and enricheach other in a positive manner. This could help achieve a situationwhere cultural competency becomes more evidence based and evidence-basedmedicine becomes more culturally competent. Such action wouldhelp bring to fruition a shared aim of both discourses—morehumane, just, and effective patient-centered care.

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