scholarly journals Cross-cultural psychiatric assessment

1997 ◽  
Vol 3 (2) ◽  
pp. 103-110 ◽  
Author(s):  
Dinesh Bhugra ◽  
Kamaldeep Bhui

Different cultures vary in their perceptions of mental illness (Karno & Edgerton, 1969), which can affect their utilisation of orthodox psychiatric facilities (Padilla et al, 1975; Sue, 1977). Mental health services may be seen by ethnic minorities as challenging the value of traditional support systems, reflecting dominant Western cultural values and harbouring implicitly racist psychological formulations. The clinician-patient interaction may become fraught with misunderstandings if the two parties come from different cultural backgrounds and bring distinct cultural expectations to the encounter.

Author(s):  
Anastasia Tarnovetskaia ◽  
Linda Hopper Cook

This paper explores the impact of cultural values, the role of the family, access to and usage of culturally acceptable health services for three distinct Canadian cultural groups. Specifically the paper examines the mind/body/spirit connection, the cultural impact of formal or informal social support, as well as access and willingness to seek help in the context of mental health among Canadian Aboriginals, Chinese and Asian Indian cultures. Three diseases that have been documented only within Canadian Aboriginal, Chinese and Asian Indian cultures are also examined. Through using examples from three separate and very distinct cultures, this paper hopes to foster a greater cross-cultural understanding of mental health and mental illness.


1971 ◽  
Vol 2 (2) ◽  
pp. 138-145 ◽  
Author(s):  
William J. Horvath

As long as mental illness is regarded as primarily a behavioral disorder, current and foreseeable manpower shortages in psychiatry make it necessary to increase the participation of nonmedical personnel in the treatment process. The controversy between those advocating behavioral treatment and those favoring the medical model cannot be resolved due to the fact that our current knowledge of the biologic roots of mental illness is inadequate. A breakthrough in research in this area could resolve the argument and solve the manpower problem by transferring psychiatric disorders into physiologic disease susceptible to medical treatment. Alternative models for the delivery of mental health services can be developed to allow for different possibilities in the outcome of research. Additional data is needed, especially on the costs and effectiveness of future therapies, before an evaluation of programs can be carried out.


Author(s):  
Manuel García-Goñi ◽  
Alexandrina P. Stoyanova ◽  
Roberto Nuño-Solinís

Background: Mental illness, multi-morbidity, and socio-economic inequalities are some of the main challenges for the public health system nowadays, and are further aggravated by the process of population aging. Therefore, it is widely accepted that health systems need to focus their strategies for confronting such concerns. With guaranteed access to health care services under universal coverage in many health systems, it is expected that all services be provided equally to patients with the same level of need. Methods: In this paper, we explore the existence of inequalities in the access to services of patients with mental illness taking into account whether they are multimorbid patients, their socioeconomic status, and their age. We take advantage of a one-year (2010–2011) database on individual healthcare utilization and expenditures for the total population (N = 2,262,698) of the Basque Country. Results: More comorbidity leads to greater inequality in prevalence, being the poor sicker, although with age, this inequality decreases. All health services are more oriented towards greater utilization of the poor and sicker, particularly in the case of visits to specialists and emergency care. Conclusions: Mental health inequalities in prevalence have been identified as being disproportionally concentrated in the least affluent areas of the Basque Country. However, inequalities in the utilization of publicly-provided health services present a pro-poor orientation. As this region has adopted a system-wide transformation towards integrated care, its mental health delivery model offers excellent potential for international comparisons and benchlearning.


2009 ◽  
Vol 24 (3) ◽  
pp. 313-318 ◽  
Author(s):  
Todd P. Gilmer ◽  
Victoria D. Ojeda ◽  
Dahlia Fuentes ◽  
Viviana Criado ◽  
Piedad Garcia

1997 ◽  
Vol 21 (8) ◽  
pp. 495-497 ◽  
Author(s):  
Fiona Stormont ◽  
Tom Craig ◽  
Zerrin Atakan ◽  
Peter Loader ◽  
Cindy Williams

There is an increasing body of research literature investigating the effects of parental mental illness on children. This study investigates the views of psychiatric in-patients on consequences of their admission to hospital and their mental illness for their children. The results suggest that the parents do not readily acknowledge that their children have problems, and that interventional approaches require good liaison between adult mental health services and child-focused agencies.


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