The Culture of Mental Illness and Psychiatric Practice in Africa
The Culture of Mental Illness and Psychiatric Practice in Africa

Author: Emmanuel Kwaku Akyeampong

Publisher: Indiana University Press

Published: 2015-05-01

Total Pages: 362

ISBN-13: 0253013046

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In many African countries, mental health issues, including the burden of serious mental illness and trauma, have not been adequately addressed. These essays shed light on the treatment of common and chronic mental disorders, including mental illness and treatment in the current climate of economic and political instability, access to health care, access to medicines, and the impact of HIV-AIDS and other chronic illness on mental health. While problems are rampant and carry real and devastating consequences, this volume promotes an understanding of the African mental health landscape in service of reform.

Culture And Common Mental Disorders In Sub-Saharan Africa
Culture And Common Mental Disorders In Sub-Saharan Africa

Author: Vickram Patel

Publisher: Psychology Press

Published: 2013-10-31

Total Pages: 148

ISBN-13: 1317840917

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The influence of culture on mental illness has been the subject of considerable academic investigation and debate in recent years. This debate has provoked concerns about the validity and reliability of older methodologies which emphasised either universal characteristics of disorders which were heavily biased towards Euro-American systems, or the culturally relativist approach which saw psychological disorders as products largely of their own culture. The "new" cross-cultural psychiatry proposed that the integration of ethnographic and epidemiological techniques be required to enable a culture sensitive psychiatric model to emerge. This monograph describes a series of research studies conducted in primary care in Harare, Zimbabwe, focusing on the most frequent of all psychological disorders, Common Mental Disorders (CMD). The four consecutive studies are unique in several respects, most notably, the involvement of both biomedical and traditional health care providers at all stages, the development of an indigenous measure of CMD for use in epidemiological investigations, the examination of the relationship between local and biomedical models of psychological disorder and the sociodemographic and economic risk factors for CMD. The experiences and findings of these studies provide new directions in our understanding of the contribution of culture to the presentation, assessment, classification and risk factors for CMD in primary care in an urban African setting. The methodology used also sets out a model for epidemiological research in other areas of mental health in different cultural settings.

Culture And Common Mental Disorders In Sub-Saharan Africa
Culture And Common Mental Disorders In Sub-Saharan Africa

Author: Vickram Patel

Publisher: Psychology Press

Published: 2013-10-31

Total Pages: 145

ISBN-13: 1317840925

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The influence of culture on mental illness has been the subject of considerable academic investigation and debate in recent years. This debate has provoked concerns about the validity and reliability of older methodologies which emphasised either universal characteristics of disorders which were heavily biased towards Euro-American systems, or the culturally relativist approach which saw psychological disorders as products largely of their own culture. The "new" cross-cultural psychiatry proposed that the integration of ethnographic and epidemiological techniques be required to enable a culture sensitive psychiatric model to emerge. This monograph describes a series of research studies conducted in primary care in Harare, Zimbabwe, focusing on the most frequent of all psychological disorders, Common Mental Disorders (CMD). The four consecutive studies are unique in several respects, most notably, the involvement of both biomedical and traditional health care providers at all stages, the development of an indigenous measure of CMD for use in epidemiological investigations, the examination of the relationship between local and biomedical models of psychological disorder and the sociodemographic and economic risk factors for CMD. The experiences and findings of these studies provide new directions in our understanding of the contribution of culture to the presentation, assessment, classification and risk factors for CMD in primary care in an urban African setting. The methodology used also sets out a model for epidemiological research in other areas of mental health in different cultural settings.

Contemporary Issues in Mental Health Care in sub-Saharan Africa
Contemporary Issues in Mental Health Care in sub-Saharan Africa

Author: Omigbodun, Olayinka

Publisher: Book Builders

Published: 2018-03-13

Total Pages: 266

ISBN-13: 9789211597

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Seventy percent of the global burden of mental disorders is located in low and middle income countries (LMIC),including sub-Saharan Africa (SSA). However, in Africa,only 0.62% of the national health budget is allocated to mental health compared to a global median of 2.8% and 5% in Europe. The government is the source of funding in 62%of patients with severe mental disorder in the World Health Organisation (WHO), Africa Region, the lowest of all the WHO regions, and lower compared to a global median of 79%. This is compounded by poor resources, with mental health outpatient facilities in WHO Africa Region being less that 10% of the global median. To address these problems, the WHO launched its Mental Health Action Gap Programme (mhGAP) in 2008, to scale-up mental health services in low and middle income countries (LMIC). The book is directed to all policy makers in sub-Saharan Africa to aid decision making about the urgent need for sustainable and relevant mental health care strategies, and the important areas that need priority. The book should be helpful to local and international researchers in formulating research questions relevant to the African continent and it will be of interest to medical practitioners and students in the region as adjunct to standard text books.

Culture and Common Mental Disorders in Sub-Saharan Africa
Culture and Common Mental Disorders in Sub-Saharan Africa

Author: Vikram Patel

Publisher: Psychology Press

Published: 1998

Total Pages: 228

ISBN-13: 9780863775161

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The "epigenetic puzzle" which is schizophrenia, forms the focus of this monograph. The authors approach the non-affective psychoses on a broad epidemiological base, ascertaining cases of so-called "functional" psychosis over a quarter of a century.

Oxford Textbook of Public Mental Health
Oxford Textbook of Public Mental Health

Author: Dinesh Bhugra

Publisher: Oxford University Press

Published: 2018-09-13

Total Pages: 617

ISBN-13: 0192511408

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Prevention of mental illness and mental health promotion have often been ignored in the past, both in undergraduate and postgraduate curricula. Recently, however, there has been a clear shift towards public mental health, as a result of increasing scientific evidence that both these actions have a serious potential to reduce the onset of illness and subsequent burden as a result of mental illness and related social, economic and political costs. A clear distinction between prevention of mental illness and mental health promotion is critical. Selective prevention, both at societal and individual level, is an important way forward. The Oxford Textbook of Public Mental Health brings together the increasing interest in public mental health and the growing emphasis on the prevention of mental ill health and promotion of well-being into a single comprehensive textbook. Comprising international experiences of mental health promotion and mental well-being, chapters are supplemented with practical examples and illustrations to provide the most relevant information succinctly. This book will serve as an essential resource for mental and public health professionals, as well as for commissioners of services, nurses and community health visitors.

Psychiatric Diagnosis
Psychiatric Diagnosis

Author: Juan E. Mezzich

Publisher: Springer Science & Business Media

Published: 1994-09-09

Total Pages: 374

ISBN-13: 9780387942216

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Advances in the standardization, precision and thoroughness of psychiatric diagnosis are being supplemented with attention to personalized or ideographic descriptive approaches. This promises not only to enhance the clinician's understanding of a case but to allow a fuller and more effective use of the evolving range of therapeutic possibilities. To reflect these developments, the Section on Classification, Diagnostic Assessment and Nomenclature of the World Psychiatric Association has prepared this volume which is organized around five prominent themes in contemporary psychiatric diagnosis: -major regional perspectives - ICD-10 - comprehensive diagnosis through the multiaxial model - treatment planning and organization of health services - the role and challenges of psychiatric diagnosis in primary health care.

The Handbook of Forensic Mental Health in Africa
The Handbook of Forensic Mental Health in Africa

Author: Adegboyega Ogunwale

Publisher: Routledge

Published: 2021-06-17

Total Pages: 305

ISBN-13: 1000405052

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The Handbook of Forensic Mental Health in Africa traces the history of forensic mental health in Africa, discussing the importance of considering cultural differences when implementing Western-validated practices on the continent while establishing state-of-the-art assessment and treatment of justice-involved persons. Experts in the field of forensic mental health throughout Africa explore the current state of forensic mental health policy and service provision, as well as the unique ethical challenges which have arisen with the recent growth of interest in the field. The African and international research literature on violence risk assessment, competency to stand trial, malingering assessment, Not Guilty by Reason of Insanity (NGRI) evaluations, report writing as an expert witness and mental health legislation in the context of forensic practice are explored throughout. Finally, future directions for forensic mental health in Africa are discussed for juvenile, female and elderly offenders. This text is ideal for mental health, criminal justice and legal professionals working in clinical, research and policy contexts.

Culture and Mental Health
Culture and Mental Health

Author: Sussie Eshun

Publisher: John Wiley & Sons

Published: 2009-02-11

Total Pages: 368

ISBN-13: 1444305816

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Culture and Mental Health takes a critical look at theresearch pertaining to common psychological disorders, examininghow mental health can be studied from and vary according todifferent cultural perspectives. Introduces students to the main topics and issues in the areaof mental health using culture as the focus Emphasizes issues that pertain to conceptualization,perception, health-seeking behaviors, assessment, diagnosis, andtreatment in the context of cultural variations Reviews and actively encourages the reader to consider issuesrelated to reliability, validity and standardization of commonlyused psychological assessment instruments among different culturalgroups Highlights the widely used DSM-IV-TR categorization ofculture-bound syndromes

Unmet Need in Psychiatry
Unmet Need in Psychiatry

Author: Gavin Andrews

Publisher: Cambridge University Press

Published: 2000-01-06

Total Pages: 464

ISBN-13: 1139429760

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This book considers ways to resolve the imbalance between the demand and supply of mental health services. Treatment services in most countries reach only a minority of people identified as suffering from a mental disorder. Few countries can provide adequate health services for all the mentally ill, yet none has developed a rational system to decide who should be treated. The questions are clear. Could we develop a staged treatment process to reach all in need? If not, how do we decide who to treat? What should the criteria be for deployment of scarce treatment resources? How do we determine such criteria? What are the ethical implications of applying such criteria? In this pioneering work, an international team of eminent psychiatrists, epidemiologists, health administrators, economists and health planners examine these questions. The result will inform and encourage all concerned with the equitable provision of mental health care.