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Culture and chronic mental illness.

H P Lefley1

  • 1University of Miami School of Medicine, Department of Psychiatry, FL 33101.

Hospital & Community Psychiatry
|March 1, 1990
PubMed
Summary

Culture significantly influences chronic mental illness outcomes. Factors like reduced stigma and strong family support, rooted in cultural beliefs, may improve prognosis, especially for ethnic minorities in the US.

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Area of Science:

  • Cross-cultural psychiatry
  • Sociology of mental health

Background:

  • The course of chronic mental illness varies globally.
  • The argument that chronicity is a cultural artifact is debated.
  • Cultural factors may influence prognosis and patient roles.

Purpose of the Study:

  • To review the relationship between culture and chronic mental illness cross-nationally and cross-ethnically.
  • To examine if cultural factors mitigate chronicity.
  • To identify cultural strengths that may mediate mental illness outcomes.

Main Methods:

  • Cross-national and cross-ethnic comparative review.
  • Critical examination of existing arguments and literature.
  • Identification of mediating cultural factors.

Main Results:

  • Cultural beliefs minimizing stigma and the sick role may correlate with better prognosis.
  • Interdependence, kinship, and family support are identified as cultural strengths.
  • Cultural factors can mediate the course of mental illness.

Conclusions:

  • Culture plays a crucial role in the chronicity and prognosis of mental illness.
  • Culturally sensitive treatment modalities are essential for ethnic patients in the US.
  • Understanding cultural strengths can inform interventions for long-term psychiatric disability.

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