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Transcultural Psychiatry

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https://www.readbyqxmd.com/read/29553307/angry-characters-and-frightened-souls-patients-and-family-explanatory-models-of-bipolar-disorder-in-taiwan
#1
Yi-Feng Carol Lan, Diane C Zelman, Wen-Tao Chao
Bipolar disorder (BD) affects a significant proportion of Taiwanese individuals (Weissman et al., 1996; Yang, Yeh, & Hwu, 2012). Psychotropic medications are typically the mainstay of treatment for BD, and there is an abundance of international research on biological etiology and medication options. However, there is comparatively little research on psychosocial aspects of BD, including how it is understood and managed within families. As culture provides the context in which psychiatric disease is managed, there is a need to identify distinct Chinese psychosocial perspectives that might shed light on intervention options...
June 2018: Transcultural Psychiatry
https://www.readbyqxmd.com/read/29553303/validation-of-mental-health-screening-instruments-in-the-kashmir-valley-india
#2
Tambri Housen, Annick Lenglet, Cono Ariti, Shabnum Ara, Showkat Shah, Maqbool Dar, Arshad Hussain, Altaf Paul, Zahoor Wagay, Kerri Viney, Simon Janes, Giovanni Pintaldi
The present study aimed to culturally adapt, translate, and validate the Hopkins Symptom Checklist-25 (HSCL-25) and the Harvard Trauma Questionnaire-Posttraumatic Stress Symptoms Checklist (HTQ-16) prior to use in a cross-sectional mental health population survey in the Kashmir Valley. Cultural adaptation and translation of the HSCL-25 and the HTQ-16 employed multiple forms of transcultural validity check. The HSCL-25 and HTQ-16 were compared against a "gold standard" structured psychiatric interview, the Mini International Neuropsychiatric Interview (MINI)...
June 2018: Transcultural Psychiatry
https://www.readbyqxmd.com/read/29521578/physiologic-correlates-of-culture-bound-dissociation-a-comparative-study-of-brazilian-spiritist-mediums-and-controls
#3
Marco Aurélio Vinhosa Bastos, Paulo Roberto Haidamus de Oliveira Bastos, Igraíne Helena Scholz Osório, Sérgio Augusto Monteiro Pinheiro, Décio Iandoli, Giancarlo Lucchetti
Mediumship and spirit possession are cultural phenomena found in many societies worldwide. In Brazil, Spiritism (a tradition in which mediumship is emphasized) is the third largest religious denomination. The present study aimed to investigate physiologic correlates of nonpathological dissociative experiences by comparing 20 female spiritist mediums with several years of socially sanctioned practice to 20 female nonmedium control subjects from the same religious context. We measured plasma levels of hormones and neuroactive substances, as well as vital signs and heart rate variability (HRV) parameters, before and immediately after spirit communication...
April 2018: Transcultural Psychiatry
https://www.readbyqxmd.com/read/29508639/a-transcultural-study-of-hoarding-disorder-insights-from-the-united-kingdom-spain-japan-and-brazil
#4
Ashley E Nordsletten, Lorena Fernández de la Cruz, Elena Aluco, Pino Alonso, Clara López-Solà, José M Menchón, Tomohiro Nakao, Masumi Kuwano, Satoshi Yamada, Leonardo F Fontenelle, André Luís Campos-Lima, David Mataix-Cols
Though problematic hoarding is believed to be a universal human behavior, investigations of clinically-defined hoarding disorder (HD) have been confined almost exclusively to Western countries. The current investigation sought to describe and directly compare the features of individuals meeting diagnostic criteria for HD across four distinct cultural settings. Participants were 82 individuals meeting DSM-5 diagnostic criteria for HD, recruited and assessed by trained clinicians at one of four project sites: London, Barcelona, Fukuoka, and Rio de Janeiro...
April 2018: Transcultural Psychiatry
https://www.readbyqxmd.com/read/29493429/parenting-styles-and-emerging-adult-depressive-symptoms-in-cebu-the-philippines
#5
Rebecca S Hock, Tamar Mendelson, Pamela J Surkan, Judith K Bass, Catherine P Bradshaw, Michelle J Hindin
Incidence of depressive disorders and symptoms increases during the transition to adulthood. The parenting relationship is a potential target for interventions to reduce risk for depression in offspring during this time period, and a four-category typology of parenting styles (authoritative, permissive, authoritarian, and neglectful) has been found to correlate with offspring psychological functioning. The majority of studies, however, have examined this four-category parenting style typology in Western populations...
April 2018: Transcultural Psychiatry
https://www.readbyqxmd.com/read/29455628/ng%C3%A4-whak%C3%A4-whitinga-standing-at-the-crossroads-how-m%C3%A4-ori-understand-what-western-psychiatry-calls-schizophrenia
#6
Melissa Taitimu, John Read, Tracey McIntosh
This project explored how Māori understand experiences commonly labelled "schizophrenic" or "psychotic". Semi-structured interviews were conducted with 57 Māori participants who had either personal experiences labelled as "psychosis" or "schizophrenia", or who work with people with such experiences; including tangata whaiora (users of mental health services), tohunga (traditional healers), kaumatua/kuia (elders), Māori clinicians, cultural support workers and students...
April 2018: Transcultural Psychiatry
https://www.readbyqxmd.com/read/29411686/what-is-at-stake-exploring-the-moral-experience-of-stigma-with-indian-australians-and-anglo-australians-living-with-depression
#7
Bianca Brijnath, Josefine Antoniades
This article applies the framework of moral experience to examine the cultural experience of stigma with Indian-Australians and Anglo-Australians living with depression in Melbourne, Australia. To date few studies have examined this dynamic in relation to mental illness and culture, and no studies have applied this framework in a culturally comparative way. Based on 58 in-depth interviews with people with depression recruited from the community, we explicate how stigma modulates what is at stake upon disclosure of depression, participants' lived experience following that disclosure, and how practices of health-seeking become stigmatised...
April 2018: Transcultural Psychiatry
https://www.readbyqxmd.com/read/29405843/conceptualizing-depression-in-vietnam-primary-health-care-providers-explanatory-models-of-depression
#8
Jill Murphy, Elliot Goldner, Kitty K Corbett, Marina Morrow, Vu Cong Nguyen, Dang Thuy Linh, Pham Thi Oanh
The purpose of this qualitative study was to elicit the explanatory models (EMs) of primary healthcare providers (PHPs) in Vietnam in order to (a) understand if and how the concept of depression is understood in Vietnam from the perspective of nonspecialist providers and community members, and (b) to inform the process of introducing services for depression in primary care in Vietnam. We conducted semistructured interviews with 30 PHPs in one rural and one urban district of Hanoi, Vietnam in 2014. We found that although PHPs possess low levels of formal knowledge about depression, they provide consistent accounts of its symptoms and aetiology among their patient population, suggesting that depression is a relevant concept in Vietnam...
April 2018: Transcultural Psychiatry
https://www.readbyqxmd.com/read/29400136/cultural-concepts-of-the-person-and-mental-health-in-africa
#9
Lonzozou Kpanake
People in different cultures have different concepts of the person that underlie self-understanding and self-representation. These concepts influence many aspects of individuals' life experience, including illness and expectations toward recovery. Psychotherapies aim to promote adaptive change in experience and behavior. This goal is embedded in a social and cultural context that promotes or sanctions a particular notion of personhood. If every system of psychotherapy depends on implicit models of personhood, which varies cross-culturally, then the goals and methods of therapeutic change must consider the cultural concept of the person...
April 2018: Transcultural Psychiatry
https://www.readbyqxmd.com/read/29299979/communities-being-well-for-family-well-being-exploring-the-socio-ecological-determinants-of-well-being-in-an-inuit-community-of-northern-quebec
#10
Sarah L Fraser, Valérie Parent, Véronique Dupéré
Inuit communities of Canada experience many disparities in health and psychosocial context. Research in community psychology has shown associations between such socio-ecological factors and individual well-being. The objective of the study was to explore how community-level determinants of well-being influence family well-being in a northern community of Nunavik, Quebec. A total of 14 participants were interviewed. A thematic inductive analysis was conducted to extract community determinants of family well-being from the data...
February 2018: Transcultural Psychiatry
https://www.readbyqxmd.com/read/29264995/assessing-knowledge-and-attitudes-about-mental-illness-in-ningxia-china
#11
Hanhui Chen, Zhizhong Wang, Michael Robert Phillips
To assess the effectiveness of China's recent moves to increase community mental health literacy and decrease stigma, we developed the Mental Health Knowledge Questionnaire (MHKQ) and the Mental Health Attitude Questionnaire (MHAQ). Preliminary versions were assessed in pilot studies and revised versions were included in an interviewer-administered community survey of a representative sample of 2425 adult residents of Ningxia Province and a re-test survey in 188 individuals. Internal consistency, factor structure and test-retest reliability were assessed for three measures: (a) the 25-item MHKQ (alpha = ...
February 2018: Transcultural Psychiatry
https://www.readbyqxmd.com/read/29035144/risk-factors-for-multiple-suicide-attempts-among-roma-in-hungary
#12
Mónika Ditta Tóth, Szilvia Ádám, Tamás Zonda, Emma Birkás, György Purebl
In recent years, suicide rates in Hungary have been among the highest in the European Union. Attempted suicide rates in the Roma population are 2-3 times higher than in the non-Roma population. Since individuals making multiple attempts have a higher pro-bability of eventual death by suicide, and there are limited data on suicidal behaviour of the Roma population, the aim of this study was to explore the sociodemographic and psychological background factors of multiple suicide attempts in the Hungarian Roma population...
February 2018: Transcultural Psychiatry
https://www.readbyqxmd.com/read/29035137/a-review-of-mental-health-treatment-dropout-by-ethnic-minority-youth
#13
Anna M de Haan, Albert E Boon, Joop T V M de Jong, Robert R J M Vermeiren
A large proportion of treatments in youth mental health care are prematurely terminated by the patient. Treatment dropout can have severe consequences. Since ethnic minority youth are treated less often for mental disorders than other youth, it is important to analyse their risk for dropout and to determine if there are ethnicity-specific determinants. This review aimed to provide an overview of the findings from empirical studies on child and adolescent therapy dropout by ethnic minority and to determine if there were ethnicity-specific dropout determinants...
February 2018: Transcultural Psychiatry
https://www.readbyqxmd.com/read/28948878/development-and-evaluation-of-diversity-oriented-competence-training-for-the-treatment-of-depressive-disorders
#14
Gabriela A Sempértegui, Jeroen W Knipscheer, Marrie H J Bekker
Studies in Europe indicate that some ethnic minorities have higher rates of mental disorders and less favorable treatment outcomes than their counterparts from majority groups. To date, efforts regarding training to reduce disparities have mainly focused on ethnocultural competences of therapists, with less attention paid to other aspects of diversity, such as sex/gender and socioeconomic status. In this study, we aim to determine the effectiveness of a population-specific, diversity-oriented competence training designed to increase therapists' competencies to integrate aspects of diversity features in clinical assessment, diagnosis, and treatment of depressive disorders in Turkish- and Moroccan-Dutch patients...
February 2018: Transcultural Psychiatry
https://www.readbyqxmd.com/read/28847227/-our-lifestyle-is-a-mix-match-traditional-healers-talk-about-suicide-and-suicide-prevention-in-south-africa
#15
Jason Bantjes, Leslie Swartz, Sithembile Cembi
Practitioners of traditional African medicine (traditional healers) are an important part of the health care system in South Africa, yet their voices are often absent from discussions about public health. In this context, we set out to investigate how a group of traditional healers in South Africa understand suicide and suicide prevention. In-depth, semistructured interviews were conducted with 6 traditional healers and analysed using thematic content analysis. The traditional healers report they are frequently consulted by suicidal individuals and they are confident about their ability to help people in a suicidal crisis...
February 2018: Transcultural Psychiatry
https://www.readbyqxmd.com/read/29757091/striving-for-liminality-eating-disorders-and-social-suffering
#16
Karin Eli
In this article, I argue that eating disorders constitute a form of social suffering, in which sufferers embody liminality as a response to, and a reflection of, oppressive sociality, structural violence, and institutional constraints. Based on the illness narratives of people with anorexia nervosa, bulimia nervosa, and their subclinical variants in Israel, the analysis draws the experiential, the social, and the structural into critical focus. These narratives, which delineate lived experiences of self-starving, bingeing, and purging, and the attendant viscerality of hunger, fullness, and emptiness, reveal how participants developed an embodied drawing inward and away, being at once within and without society for extended periods of time, through eating disordered practices...
January 1, 2018: Transcultural Psychiatry
https://www.readbyqxmd.com/read/29749280/beyond-china-s-drug-century-yunnan-s-first-therapeutic-community-and-narratives-of-drug-treatment-and-mental-health-care
#17
Sandra Teresa Hyde
China is experiencing rapid cultural change and new forms of sociability that are accompanied by social problems and novel humanitarian interventions that have been formulated to address those problems. The pressure related to the rapid transformation of the countryside into mid-level cities has led to recreational drug-use as a means of escape. These illegal drugs have greased the wheels of what I call an affective biopolitics that has influenced Chinese citizens. Carlos Rojas argues that development in China results from the effects of discrete protocols, or practices that stem from tensions between capital and labor, governmentality and biopolitics, and nationalism and globalization...
January 1, 2018: Transcultural Psychiatry
https://www.readbyqxmd.com/read/29638191/shifting-views-and-building-bonds-narratives-of-internationally-adopted-children-about-their-dual-culture
#18
Laelia Benoit, Aurélie Harf, Laura Sarmiento, Sara Skandrani, Marie Rose Moro
American literature on international adoption suggests that adoptees' pride in the culture of their birth country improves their self-esteem and helps them to cope with experiences of racism. Parents are therefore encouraged to teach their adopted children multicultural skills to improve their psychological well-being. French psychologists, on the contrary, suggest that adoptees should feel fully members of their adoptive country and families. These practices shed light on the respective multicultural and universalist paradigms in the US and France...
January 1, 2018: Transcultural Psychiatry
https://www.readbyqxmd.com/read/29633909/cultural-expressions-of-depression-and-the-development-of-the-indonesian-depression-checklist
#19
Herlina Siwi Widiana, Katrina Simpson, Lenore Manderson
Depression may manifest differently across cultural settings, suggesting the value of an assessment tool that is sensitive enough to capture these variations. The study reported in this article aimed to develop a depression screening tool for Indonesians derived from ethnographic interviews with 20 people who had been diagnosed as having depression by clinical psychologists at primary health centers. The tool, which we have termed the Indonesian Depression Checklist (IDC), consists of 40 items. The tool was administered to 125 people assessed to have depression by 40 clinical psychologists in primary health centers...
January 1, 2018: Transcultural Psychiatry
https://www.readbyqxmd.com/read/29623777/what-keeps-maya-from-eating-a-case-study-of-disordered-eating-from-north-india
#20
Tanja Ahlin
Anthropologists have paid much attention to food and eating practices in India, but surprisingly few scholars in any discipline have examined eating disorders. This article presents an ethnographic case study of disordered eating, based on a story of a young female pharmacist from one of the Northern Indian states. Advocating ethnography as an essential method to uncovering the multiple facets of "not eating," I first show how this phenomenon may reflect resistance to Brahmanical patriarchy, especially the institution of arranged marriage...
January 1, 2018: Transcultural Psychiatry
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