Abstract
In Quebec, transcultural psychiatry has made use of several theoretical approaches, and simultaneously been inspired more by European ethnopsychiatry, all-dominating American psychiatry, and critical North American anthropology. Through its questioning of several dominant approaches, it aims at providing fresh impetus for thinking, but runs the risk of recreating other certainties associated with competence and expertise. However, uncertainty is encountered on a daily basis in transcultural clinical practice. It can be viewed as an epiphenomenon, or as an instrument which in spite of certain dangers can play a major therapeutic role. Based on the experience of a clinical research team, the argument is put forward that uncertainty that is defined and contained within a clinical context can aid in treating the patient's condition, modify the approach by altering the power relationship, provide greater flexibility, and confer a role to ambiguity in the ethical questioning that is part of the clinical context.
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