Culture and chronic mental illness

H. P. Lefley

Research output: Contribution to journalArticle

100 Citations (Scopus)

Abstract

The relationship of culture to chronic mental illness is reviewed in a cross-national and cross-ethnic perspective. The author critically examines the argument, based on differential prognosis for serious mental illness in developing and industrial countries, that chronicity is a cultural artifact. Key questions include whether cultural beliefs and practices that minimize social stigma, self-divaluation, and patients' assumption of the sick role are linked to better prognosis. World view, religion, alternative healing resources, alues of interdependence, extended kinship structure, family support, and professionals' willingness to work collaboratively with families are viewed as cultural strengths that may help to mediate the course of mental illness. Issues that are relevant to treatment of long-term psychiatric disability in ethnic patients in the United States include interethnic differences in the distribution of cases and service utilization patterns, diagnostic and medication issues, and development of culturally relevant treatment modalities.

Original languageEnglish
Pages (from-to)277-286
Number of pages10
JournalHospital and Community Psychiatry
Volume41
Issue number3
StatePublished - Jan 1 1990
Externally publishedYes

Fingerprint

Chronic Disease
Sick Role
Social Stigma
Religion
Artifacts
Developing Countries
Psychiatry
Therapeutics

ASJC Scopus subject areas

  • Psychiatry and Mental health

Cite this

Culture and chronic mental illness. / Lefley, H. P.

In: Hospital and Community Psychiatry, Vol. 41, No. 3, 01.01.1990, p. 277-286.

Research output: Contribution to journalArticle

Lefley, HP 1990, 'Culture and chronic mental illness', Hospital and Community Psychiatry, vol. 41, no. 3, pp. 277-286.
Lefley, H. P. / Culture and chronic mental illness. In: Hospital and Community Psychiatry. 1990 ; Vol. 41, No. 3. pp. 277-286.
@article{0123c00b0def45208d4964fb52fc90de,
title = "Culture and chronic mental illness",
abstract = "The relationship of culture to chronic mental illness is reviewed in a cross-national and cross-ethnic perspective. The author critically examines the argument, based on differential prognosis for serious mental illness in developing and industrial countries, that chronicity is a cultural artifact. Key questions include whether cultural beliefs and practices that minimize social stigma, self-divaluation, and patients' assumption of the sick role are linked to better prognosis. World view, religion, alternative healing resources, alues of interdependence, extended kinship structure, family support, and professionals' willingness to work collaboratively with families are viewed as cultural strengths that may help to mediate the course of mental illness. Issues that are relevant to treatment of long-term psychiatric disability in ethnic patients in the United States include interethnic differences in the distribution of cases and service utilization patterns, diagnostic and medication issues, and development of culturally relevant treatment modalities.",
author = "Lefley, {H. P.}",
year = "1990",
month = "1",
day = "1",
language = "English",
volume = "41",
pages = "277--286",
journal = "Psychiatric Services",
issn = "1075-2730",
publisher = "American Psychiatric Association",
number = "3",

}

TY - JOUR

T1 - Culture and chronic mental illness

AU - Lefley, H. P.

PY - 1990/1/1

Y1 - 1990/1/1

N2 - The relationship of culture to chronic mental illness is reviewed in a cross-national and cross-ethnic perspective. The author critically examines the argument, based on differential prognosis for serious mental illness in developing and industrial countries, that chronicity is a cultural artifact. Key questions include whether cultural beliefs and practices that minimize social stigma, self-divaluation, and patients' assumption of the sick role are linked to better prognosis. World view, religion, alternative healing resources, alues of interdependence, extended kinship structure, family support, and professionals' willingness to work collaboratively with families are viewed as cultural strengths that may help to mediate the course of mental illness. Issues that are relevant to treatment of long-term psychiatric disability in ethnic patients in the United States include interethnic differences in the distribution of cases and service utilization patterns, diagnostic and medication issues, and development of culturally relevant treatment modalities.

AB - The relationship of culture to chronic mental illness is reviewed in a cross-national and cross-ethnic perspective. The author critically examines the argument, based on differential prognosis for serious mental illness in developing and industrial countries, that chronicity is a cultural artifact. Key questions include whether cultural beliefs and practices that minimize social stigma, self-divaluation, and patients' assumption of the sick role are linked to better prognosis. World view, religion, alternative healing resources, alues of interdependence, extended kinship structure, family support, and professionals' willingness to work collaboratively with families are viewed as cultural strengths that may help to mediate the course of mental illness. Issues that are relevant to treatment of long-term psychiatric disability in ethnic patients in the United States include interethnic differences in the distribution of cases and service utilization patterns, diagnostic and medication issues, and development of culturally relevant treatment modalities.

UR - http://www.scopus.com/inward/record.url?scp=0025274707&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0025274707&partnerID=8YFLogxK

M3 - Article

C2 - 2179100

AN - SCOPUS:0025274707

VL - 41

SP - 277

EP - 286

JO - Psychiatric Services

JF - Psychiatric Services

SN - 1075-2730

IS - 3

ER -