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Culture as a determinant of health essay
Cultural factors in health care
Cultural factors in health care
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Have you ever given someone the evil eye, or run amok? Have you or someone you know ever fell out? Some of these phrases are common with children or people throughout the country, but to other cultures these are serious issues that require attention. Culture Bound Syndrome is an illness, or behavior within a particular culture. However, in research of CBS I found that it is possible for these illnesses to spread among other cultures. Why do medical anthropologist have an interest in CBS? More importantly, what are these illnesses that plague these cultures? Medical anthropologist uses the subfields biology, cultural, linguistics, and social with the focus of health. Culture bound syndrome has distinct cultural influences, and can be a cross …show more content…
Anorexia and Bulimia are indeed mental disorders, but does not seem to be a medical problem in all cultures. Some cultures welcome weight and can be a sign of a healthy person, or someone who is wealthy. According to cross cultural studies, published in the journal Current Anthropology have revealed that “cultures share the idea that fat or obesity is a basis for judging the social and personal qualities of an individual” (pp. …show more content…
In Spain and Latin America the evil eye is a culture bound syndrome that a certain look can bring about a supernatural curse, or bad luck, possibly even illness and death. Commonly something that affects children. As a child, my siblings and I would get in trouble for giving each other the evil eye. I do not remember where we learned it from, and had no clue that the evil eye was considered dangerous to other cultures. The Navajo indigenous people of America have a disease within their culture called ghost sickness. This disease is defined as a person who is possessed by the deceased. The symptoms include loss of appetite, weakness, nightmares, and feelings of terror. However, in other cultures ghost sickness could be looked at as PTSD or anxiety symptoms. There is only one way to treat this disease, through performing a ritual with the other tribe
..., p.261) With this knowledge of the culture that one works in, the health care worker can better see the differences with the cultures of the patients that they are taking care of. Hopefully this understanding will lead to less conflict and better healing.
However, these views don’t take social process into consideration. Therefore, they organized a self-help group for bulimics and anorexics known as BANISH in order to determine what societal aspects cause these disorders. The author’s group consisted mostly of college age females which is significant because this is group primarily affected by these disorders. Interestingly, the backgrounds of the women in the BANISH group are strikingly similar in that they are excellent students, good children who have very close parental relationships, from “functional” families - all having been brought up with an emphasis on thin physical appearance. The authors also allude to the fact that in today’s society, slimness is considered attractive and most worthy, while being overweight is viewed as both morally and physically wrong. Society labels heavy people as “lazy, obscene, and unhealthy”. (244) It is noted that when members of the group lost weight, they reported feeling more accepted and
In the book The Spirit Catches you and you Fall Down, ethnocentrism can also be seen. Throughout the book the family and the doctors have different ideas of medicine/healing techniques are often disagreed on. It’s important for the doctor to see that biomedicine has its own intentions of saving patient through standard procedures and beliefs. Understanding those terms will shed some light on the culture of the patient, which has their own intentions, beliefs, and rules as well. Breaking down ethnocentrism to find an agreement is a good goal to accomplish in order have successful prognosis and healing. In addition, shedding the ethnocentrism will allow the doctors to see the different cultural beliefs and not judge right away. Although, some cultural remedies may not always work, it’s wrong for people to have the mindset of ethnocentrism without even considering their beliefs first.
As an expat child having gown up and lived across three continents-politely labelled as a third culture kid, but in reality not belonging to any one culture-I doubt if my own parents would understand me let alone a doctor in another country. My mother suffers from trichotillomania and on visiting a psychiatrist in a foreign country, he mentioned not seeing this disease often in his country: he had made her feel at once both alienated and awkward, and not likely to trust his diagnosis or his treatment. I have seen her throwing her medication away- Pharmacotherapy cannot work without psychotherapy-and the demands of psychotherapy seem to be only increasing when you add a complex cultural element to it. Gold and his brother argue that both biological and social factors contribute to psychosis. In the field of psychiatric and behavioural sciences this would call for physicians skilled in appreciating all sorts of cultures and environments and while this may seem a tall order, a first step towards a solution would lie in acknowledging the role and importance of such external stimuli. Doctors cannot know it all but at least when they give a label it will be real. In a field where labels tend to stick and where the social stigma attached to mental illness is still considerable, it is worth while for doctors to make more informed diagnoses. Diagnoses that we can
Kleinman, A. 1980. Patients and Healers in the Context of Culture: An Exploration of the Borderland between Anthropology, Medicine, and Psychiatry. University of California Press.
A shaman is appointed to be the head of the tribe. Spirituality is a very important, everyday thing. The tribe is constantly at war with demons. There are ritual hallucinogens that are used for contact with spirits and the spirit world. The spirits control events in life which the shaman attempt to harness. The shaman gains the powers of these spirits by going to the spirit world, and he uses these to put curses on enemy shamans and heal tribe members from the vices of demons. Diseases and illnesses are causes by the demons and as such can only be heal by spiritual power.
“Anorexia Nervosa, AN, the most visible eating disorder, is a serious psychiatric illness characterized by an inability to maintain a normal body weight or, in individuals still growing, failure to make expected increases in weight (and often height) and bone density.” (cite textbook) The behaviors and cognitions of individuals with AN adamantly defend low body weight.
Culture can be defined as behaviors exhibited by certain racial, religious, social or ethnic groups. Some factors in which culture may vary include: family structure, education, and socioeconomic status (Kodjo, 2009). Some may think cultural competence is something that has an end point, however, when the big picture is seen, it is a learning process and journey. From the writer’s perspective, the client-therapist relationship can be challenging. Culturally competent therapists must realize that behaviors are shaped by an individual’s culture. Many changes are taking place within the United States cultural makeup. Therapists and healthcare professionals are being challenged to provide effective and sensitive care for patients and their families. This type of culturally sensitive care requires the professional to be open and seek understanding in the patients diverse belief systems (Kodjo, 2009).
The Ghost-Dance Religion and the Sioux Outbreak of 1890. London: University of Nebraska Press, 1991. Neihardt, John G. “The Sun Dance.” 28 Jan 2002 http://www.wayne.esu1.k12.ne.us/neihardt/sun.html> Voget, Fred W. The Shoshoni-Crown Sun Dance. New York: University of Oklahoma Press, 1984.
Cultural genograms are useful in expanding one’s awareness of the effects of culture on an individual. In turn, this can aid in understanding how other people are a product of his or her culture as well. Cultural genograms are a beneficial tool in providing culturally competent care in nursing. It is essential to remember that there is not an individual culture that is considered to be correct or the standard, but that every culture has a unique view on practices in life. Being culturally sensitive is a critical element in providing culturally competent care.
Being narrow-minded and not being able to take a look at a situation from another person’s point of view can interfere with many situations in life. Culture varies from person to person, province to province, and country to country. Making the adjustment to be able to make adjustments to things such as healthcare to accommodate someone because of their culture is important. Cultural differences will be apparent in all hospital settings no matter where you travel to, so being mindful of it all will go a long way so that the treatment is done correctly and culturally competently. While healthcare may seem as the most important time where culture is sensitive, as Dettwyler sees during her time in Mali, culture affects all parts of life.
Jean Giddens (2013) defines culture as “a pattern of shared attitudes, beliefs, self-definitions, norms, roles, and values that can occur among those who speak a particular language, or live in a defined geographical region.” (Giddens, 2013). A person’s culture influences every aspect that person’s life. Beliefs affected by culture include how someone interacts within the family, how to raise children, the types of foods eaten, the style of clothes chosen, which religion is practiced, and the style of communication (including verbal, and body language, slang used etc.) (Giddens, 2013). In addition to these beliefs, health care practices are also affected by culture. The cause
Bulimia nervosa is a slightly less serious version of anorexia, but can lead to some of the same horrible results. Bulimia involves an intense concern about weight (which is generally inaccurate) combined with frequent cycles of binge eating followed by purging, through self-induced vomiting, unwarranted use of laxatives, or excessive exercising. Most bulimics are of normal body weight, but they are preoccupied with their weight, feel extreme shame about their abnormal behavior, and often experience significant depression. The occurrence of bulimia has increased in many Western countries over the past few decades. Numbers are difficult to establish due to the shame of reporting incidences to health care providers (Bee and Boyd, 2001).
Culture-bound syndrome is a broad normality that incorporates certain behavioral, affective and cognitive phenomenon seen in different cultures. The phenomena are irregular from the common behavior that the individual of that culture might exhibit. The dynamic nature of the category makes it difficult to define and has lead a dispute on what would be the most proper name and definition for it. The DSM-IV (appendix I, p.844) defines culture-bound syndrome: recurrent, locality-specific patterns of aberrant behavior and disturbing experience that may or may not be linked to a particular DSM-IV diagnostic category. Many of these patterns are indigenously considered to be “illness”, or at least disorders, and most have local culture names. People
Out of all mental illnesses found throughout the world, eating disorders have the highest mortality rate. Anorexia nervosa is one of the more common eating disorders found in society, along with bulimia nervosa. Despite having many definitions, anorexia nervosa is simply defined as the refusal to maintain a normal body weight (Michel, 2003). Anorexia nervosa is derived from two Latin words meaning “nervous inability to eat” (Frey, 2002). Although anorexics, those suffering from anorexia, have this “nervous inability to eat,” it does not mean that they do not have an appetite—anorexics literally starve themselves. They feel that they cannot trust or believe their perceptions of hunger and satiation (Abraham, 2008). Anorexics lose at least 15 percent of normal weight for height (Michel, 2003). This amount of weight loss is significant enough to cause malnutrition with impairment of normal bodily functions and rational thinking (Lucas, 2004). Anorexics have an unrealistic view of their bodies—they believe that they are overweight, even if the mirror and friends or family say otherwise. They often weigh themselves because they possess an irrational fear of gaining weight or becoming obese (Abraham, 2008). Many anorexics derive their own self-esteem and self-worth from body weight, size, and shape (“Body Image and Disordered Eating,” 2000). Obsession with becoming increasingly thinner and limiting food intake compromises the health of individuals suffering from anorexia. No matter the amount of weight they lose or how much their health is in jeopardy, anorexics will never be satisfied with their body and will continue to lose more weight.