The role of culture in early interventions

2019 ◽  
pp. 17-26
Author(s):  
Antonio Ventriglio ◽  
Dinesh Bhugra
Keyword(s):  
Family Support ◽  
Psychiatric Symptoms ◽  
Explanatory Models ◽  
Intervention Strategies ◽  
Idioms Of Distress ◽  
Critical Threshold ◽  
Diagnostic Categories ◽  
Therapeutic Engagement ◽  
Marriage Problems

Cultures play a major role in shaping people’s behaviours and attitudes. They also shape individuals’ social and cognitive development, and the idioms of distress they use and the pathways into care they take. In addition, cultures shape the causation, precipitation, and perpetuation of psychiatric symptoms which may not always fit neatly into diagnostic categories. Cultures define what is normal and what is abnormal or deviant. This, in turn, will influence how diseases are recognized and what early intervention strategies are put into place. For psychoses, the untreated duration of mental illness can last for years depending upon the resources available and the models of illness. The preclinical state is often a non-state and offers a critical threshold, and, according to resources, cultures will often dictate, in subtle ways, what the threshold is in order to develop psychiatric services. In many cultures—depending upon the available services and the personality of individuals, as well as the level of family support—a risk assessment may well contribute to stress and may also affect the likelihood of getting health or other insurance. It may also lead to personal difficulties, such as marriage problems. Clinicians need to remember that cultural differences in communication between doctors and patients may well contribute to tensions and poor therapeutic engagement if the patients’ or their carers’ views and explanatory models are not taken into account.

scholarly journals Cultural factors and sexual dysfunction in clinical practice

2013 ◽  
Vol 19 (2) ◽  
pp. 144-152 ◽  
Author(s):  
Vishal Bhavsar ◽  
Dinesh Bhugra
Keyword(s):  
Sexual Dysfunction ◽  
Cultural Values ◽  
Help Seeking ◽  
Epidemiological Data ◽  
Explanatory Models ◽  
Cultural Factors ◽  
Child Rearing ◽  
Sex Partners ◽  
Therapeutic Engagement

SummaryAttitudes to sex and the perceived role of sexual activity are very strongly influenced by cultural values. Culturally determined gender roles influence relationships between different-sex partners, and cultural values affect attitudes towards sexual variation. Cultures define what is deviant and from where help is sought. Through differing patterns of child-rearing, cultures also affect individuals' cognitive development, world views and explanatory models of emotional distress. It is critical that clinicians are aware of the role of culture in defining sexual dysfunction and how cultural factors can be used in initiating treatment as well as in therapeutic engagement and alliance. Although epidemiological data on prevalence of sexual dysfunction across cultures are scanty, it is likely that prevalences vary, as will pathways into care and patterns of help-seeking. In this article we discuss the potential impact of culture on sexual dysfunction, and issues that clinicians, whether in specialist or in general services, need to be aware of in assessing and treating patients who present with sexual dysfunction.

Between Sacred and Medical Realities: Culturally Sensitive Therapy with Jewish Ultra-Orthodox Patients

1995 ◽  
Vol 8 (1) ◽  
pp. 159-173 ◽  
Author(s):  
Yoram Bilu ◽  
Eliezer Witztum
Keyword(s):  
Traumatic Stress ◽  
Psychiatric Patients ◽  
Culturally Sensitive ◽  
Explanatory Models ◽  
Therapeutic Interventions ◽  
Idioms Of Distress ◽  
Post Traumatic Stress ◽  
Post Traumatic

The ArgumentOne disconcerting aspect of the role of culture in shaping human suffering is the gap between the explanatory models of therapists and patients in multicultural settings. This gap is particularly noted in working with Jewish ultra–Orthodox psychiatric patients whose idioms of distress are often derived from a sacred reality not easily reconcilable with psychomedical reality. To meet the challenge to therapeutic efficacy that this incompatibility may pose, we propose a culturally sensitive therapy based on strategic principles that focus on the patient's mythic world and religious idioms of distress as the kernel of therapeutic interventions. Using one case of post–traumatic stress disorder (PTSD) as illustration, we seek to show how the religious symbols through which the patient's distress was articulated may be manipulated to effect cure. The case highlights the narrative quality of both illness construction and self–reconstruction.

scholarly journals The role of explanatory models of breast cancer in breast cancer prevention behaviors among Arab-Israeli physicians and laywomen

2020 ◽  
Vol 21 ◽  
Author(s):  
Michal Soffer ◽  
Miri Cohen ◽  
Faisal Azaiza
Keyword(s):  
Breast Cancer ◽  
Community Sample ◽  
Explanatory Models ◽  
Cluster Sampling ◽  
Cultural Perceptions ◽  
Arab Population ◽  
Barriers To Screening ◽  
The North ◽  
Health And Illness

Abstract Background: ‘Explanatory Models’ (EMs) are frameworks through which individuals and groups understand diseases, are influenced by cultural and religious perceptions of health and illness, and influence both physicians and patients’ behaviors. Aims: To examine the role of EMs of illness (cancer-related perceptions) in physicians’ and laywomen’s behaviors (decision to recommend undergoing regular mammography, adhering to mammography) in the context of a traditional-religious society, that is, the Arab society in Israel. Methods: Two combined samples were drawn: a representative sample of 146 Arab physicians who serve the Arab population and a sample composed of 290 Arab women, aged 50–70 years, representative of the main Arab groups residing in the north and center of Israel (Muslims, Christians) were each randomly sampled (cluster sampling). All respondents completed a closed-ended questionnaire. Results: Women held more cultural cancer-related beliefs and fatalistic beliefs than physicians. Physicians attributed more access barriers to screening as well as fear of radiation to women patients and lower social barriers to screening, compared with the women’s community sample. Higher fatalistic beliefs among women hindered the probability of adherence to mammography; physicians with higher fatalistic beliefs were less likely to recommend mammography. Conclusions: The role of cultural perceptions needs to be particularly emphasized. In addition to understanding the patients’ perceptions of illness, physicians must also reflect on the social, cultural, and psychological factors that shape their decision to recommend undergoing regular mammography.

scholarly journals Bub1 mediates cell death in response to chromosome missegregation and acts to suppress spontaneous tumorigenesis

2007 ◽  
Vol 179 (2) ◽  
pp. 255-267 ◽  
Author(s):  
Karthik Jeganathan ◽  
Liviu Malureanu ◽  
Darren J. Baker ◽  
Susan C. Abraham ◽  
Jan M. van Deursen
Keyword(s):  
Cell Death ◽  
Chromosome Segregation ◽  
Physiological Role ◽  
Mitotic Checkpoint ◽  
Critical Threshold ◽  
Wild Type ◽  
Checkpoint Protein ◽  
Chromosome Missegregation ◽  
Mitotic Checkpoint Protein

The physiological role of the mitotic checkpoint protein Bub1 is unknown. To study this role, we generated a series of mutant mice with a gradient of reduced Bub1 expression using wild-type, hypomorphic, and knockout alleles. Bub1 hypomorphic mice are viable, fertile, and overtly normal despite weakened mitotic checkpoint activity and high percentages of aneuploid cells. Bub1 haploinsufficient mice, which have a milder reduction in Bub1 protein than Bub1 hypomorphic mice, also exhibit reduced checkpoint activity and increased aneuploidy, but to a lesser extent. Although cells from Bub1 hypomorphic and haploinsufficient mice have similar rates of chromosome missegregation, cell death after an aberrant separation decreases dramatically with declining Bub1 levels. Importantly, Bub1 hypomorphic mice are highly susceptible to spontaneous tumors, whereas Bub1 haploinsufficient mice are not. These findings demonstrate that loss of Bub1 below a critical threshold drives spontaneous tumorigenesis and suggest that in addition to ensuring proper chromosome segregation, Bub1 is important for mediating cell death when chromosomes missegregate.

MOTIVASI BELAJAR DITINJAU DARI DUKUNGAN KELUARGA DAN SCHOOL WELL-BEING

2021 ◽  
Vol 6 (2) ◽  
pp. 54-61
Author(s):  
Nur Ainy Sadijah
Keyword(s):  
Regression Analysis ◽  
Family Support ◽  
Sampling Method ◽  
Well Being ◽  
Learning Motivation ◽  
High Learning ◽  
Probability Sampling ◽  
Sense Of Security ◽  
The Family

The role of the family has the influence to overcome all obstacles both from internal and external students in realizing all the ideals and hopes. Family support can increase learning motivation, sense of security and attention of students who are still in school. The form of family expression through empathy and acceptance helps students with enthusiasm to manifest individual enthusiasm in the learning process. High learning motivation is also caused by school well-being which is used by school institutions to understand all the basic needs for students and hope that individuals feel satisfaction, well-being and comfort in school with all the processes so as to reduce low learning motivation, this makes students feel prosperous, happy, happy in studying at school. This study aims to determine the effect of family support and school well-being on learning motivation in students of SMP Negeri 1 Telukjambe Timur Karawang. The number of samples used was 205 students of SMP Negeri 1 grades 7 and 8 East Telukjambe using probability sampling method. Based on the multiple regression analysis test that there is an influence between family support and school well-being on the learning motivation of students of SMP Negeri 1 Telukjambe Timur Karawang grades 7 and 8 with a Sign value. 0.000 <0.005, which means that family support and school well-being affect students' learning motivation by 23.1%. Keywords: Learning motivation, family support, school well-being Peran keluarga memiliki pengaruh untuk mengatasi segala rintangan baik dari internal maupun ekternal siswa dalam mewujudkan semua cita-cita dan harapan. Dukungan keluarga mampu meningkatkan motivasi belajar, rasa aman dan perhatian siswa yang masih duduk dibangku sekolah. Bentuk ungkapan keluarga melalui empati dan penerimaan membantu siswa dengan semangat untuk mewujudkan semangat individu dalam proses belajarnya. Motivasi belajar yang tinggi juga di sebabkan oleh school well-being yang, dijadikan oleh institusi sekolah untuk memahami segala kebutuhan mendasar bagi siswa dan berharap individu merasakan kepuasan, kesejahteraan dan kenyamanan di sekolah dengan segala prosesnya sehingga mengurangi rendahnya motivasi belajar hal ini membuat siswa merasa sejahtera, senang, bahagia di dalam menuntut ilmu di sekolah. penelitian ini bertujuan untuk mengetahui pengaruh dukungan keluarga dan school well-being terhadap motivasi belajar pada siswa SMP Negeri 1 Telukjambe Timur Karawang. Jumlah sampel yang digunakan 205 siswa SMP Negeri 1 kelas 7 dan 8 Telukjambe Timur dengan menggunakan metode probability sampling. Berdasarkan uji analisis regresi berganda bahwa terdapat pengaruh antara dukungan keluarga dan school well-being terhadap motivasi belajar siswa SMP Negeri 1 Telukjambe Timur Karawang kelas 7 dan 8 dengan nilai Sign. 0,000 < 0,005 yang artinya dukungan keluarga dan school well-being mempengaruhi motivasi belajar siswa sebesar 23.1%. Kata Kunci: Motivasi belajar, dukungan keluarga, school well-being

Cytology of Nonneoplastic Occupational and Environmental Diseases of the Lung and Pleura

2007 ◽  
Vol 131 (11) ◽  
pp. 1700-1708 ◽  
Author(s):  
Rodolfo Laucirica ◽  
Mary L. Ostrowski
Keyword(s):  
Respiratory Tract ◽  
Lung Diseases ◽  
Asbestos Exposure ◽  
Cell Hyperplasia ◽  
Cytologic Examination ◽  
Diagnostic Categories ◽  
Etiologic Agents ◽  
Limited Experience ◽  
Occupational Lung Diseases

Abstract Context.—Cytologic examination of the respiratory tract has been a useful diagnostic tool when evaluating neoplastic lesions of the respiratory tract. However, we have limited experience in the application of this technique in the management of nonneoplastic occupational and environmental diseases of the lung and pleura. This review focuses on the cytologic characteristics of a variety of occupational lung diseases, grouping them into 2 broad diagnostic categories: reactive cellular changes and noncellular elements. The former includes entities such as reactive mesothelial proliferation, goblet cell metaplasia, Creola bodies, and reserve cell hyperplasia, and the latter encompasses Curschmann spirals, Charcot-Leyden crystals, and asbestos bodies. Objective.—To illustrate the cytologic features of several nonneoplastic occupational and environmental diseases and correlate the cytology with various etiologic agents. Data Sources.—Case-derived material and literature review. Conclusions.—The role of cytology in the diagnosis of nonneoplastic occupational and environmental lung diseases is limited. This may be because more than one agent can elicit a similar host reaction and/or the offending agent can be associated with more than one pathologic process. However, in the appropriate clinical and radiographic setting, the cytology can render valuable diagnostic information. Examples include pulmonary alveolar proteinosis in patients with acute silicoproteinosis and asbestos bodies in bronchoalveolar lavage samples of patients with asbestos exposure.

scholarly journals With a little help from my family: A mixed-method study on the outcomes of family support and workload

2016 ◽  
Vol 12 (4) ◽  
pp. 584-603 ◽  
Author(s):  
Alessandro Lo Presti ◽  
Fulvia D’Aloisio ◽  
Sara Pluviano
Keyword(s):  
Life Satisfaction ◽  
Family Support ◽  
Mixed Method ◽  
Job Roles ◽  
Kinship Support ◽  
Complex Picture ◽  
Survey Results ◽  
Depth Interviews ◽  
Method Approach

Our aim was to investigate some predictors and outcomes of family-to-work enrichment (FWE) via a mixed-method approach. We sampled 447 married employees of an Italian factory. Survey results from Study 1 showed that emotional support from family positively predicted FWE, while this latter mediated the associations between the former on one side, and work engagement and life satisfaction on the other. Moreover, extra-household support directly associated positively with life satisfaction. Evidence from 20 anthropological in-depth interviews (Study 2) returned a more complex picture, highlighting the gendered role of partners inside couples, the importance of kinship support, the sense and the value of filiation and parenthood in their connection with job roles, the complex and continuous interplay between family and life domains. In combination, results from both studies stressed the importance of family support; additionally, evidences from Study 2 suggested that FWE could be better understood taking into account crossover dynamics and the compresence of work-to-family enrichment and conflict. In sum, these studies contributed to shed light on FWE dynamics, an under-researched topic in Italy, whose knowledge could be of great empirical and practical value.

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