- Section 1 The Subject Matter of and Approach to Psychiatry
- 1.3 Psychiatry as a worldwide public health problem
- 1.4 The history of psychiatry as a medical specialty
- 1.5 Ethics and values
- 1.6 The psychiatrist as a manager
- 1.7 Descriptive phenomenology
- 1.8 Assessment
- 1.9 Diagnosis and classification
- 1.10 From science to practice
- Section 2 The Scientific Basis of Psychiatric Aetiology
- 2.3 The contribution of neurosciences
- 2.4 The contribution of genetics
- 2.5 The contribution of psychological science
- 2.6 The contribution of social sciences
- 2.7 The contribution of epidemiology to psychiatric aetiology
- Section 3 Psychodynamic Contributions to Psychiatry
- Section 4 Clinical Syndromes of Adult Psychiatry
- 4.4 Persistent delusional symptoms and disorders
- 4.5 Mood disorders
- 4.6 Stress-related and adjustment disorders
- 4.7 Anxiety disorders
- Section 5 Psychiatry and Medicine
- Section 6 Treatment Methods in Psychiatry
- 6.2 Somatic treatments
- Section 7 Social Psychiatry and Service Provision
- 7.1 Public policy and mental health
- 7.2 Service needs of individuals and populations
- 7.3 Cultural differences care pathways, service use, and outcome
- 7.4 Primary prevention of mental disorders
- 7.5 Planning and providing mental health services for a community
- 7.6 Evaluation of mental health services
- 7.7 Economic analysis of mental health services
- 7.8 Psychiatry in primary care
- 7.9 The role of the voluntary sector
- 7.10 Special problems
- Section 8 The Psychiatry of Old Age
- Section 9 Child and Adolescent Psychiatry
Cultural differences care pathways, service use, and outcome
- Chapter:
- Cultural differences care pathways, service use, and outcome
- Author(s):
Jim van Os
and Kwame McKenzie
- DOI:
- 10.1093/med/9780199696758.003.0183
This chapter discusses the influence of culture on the route an individual takes to access treatment for psychological distress and the treatment received. Culture is difficult to measure. All categories of cultural variables have different meanings and measure different things. Research into them leads to different hypotheses. Given this reality, there is no need to join the cul-de-sac argument of whether one or the other is the most important. In the discussion below, the roles of ethnicity and of socio-economic, political, community, national, and other factors that help to define the culture of an individual or a group are acknowledged. Associations with pathways to care, service use, and outcome will be presented.
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- Section 1 The Subject Matter of and Approach to Psychiatry
- 1.3 Psychiatry as a worldwide public health problem
- 1.4 The history of psychiatry as a medical specialty
- 1.5 Ethics and values
- 1.6 The psychiatrist as a manager
- 1.7 Descriptive phenomenology
- 1.8 Assessment
- 1.9 Diagnosis and classification
- 1.10 From science to practice
- Section 2 The Scientific Basis of Psychiatric Aetiology
- 2.3 The contribution of neurosciences
- 2.4 The contribution of genetics
- 2.5 The contribution of psychological science
- 2.6 The contribution of social sciences
- 2.7 The contribution of epidemiology to psychiatric aetiology
- Section 3 Psychodynamic Contributions to Psychiatry
- Section 4 Clinical Syndromes of Adult Psychiatry
- 4.4 Persistent delusional symptoms and disorders
- 4.5 Mood disorders
- 4.6 Stress-related and adjustment disorders
- 4.7 Anxiety disorders
- Section 5 Psychiatry and Medicine
- Section 6 Treatment Methods in Psychiatry
- 6.2 Somatic treatments
- Section 7 Social Psychiatry and Service Provision
- 7.1 Public policy and mental health
- 7.2 Service needs of individuals and populations
- 7.3 Cultural differences care pathways, service use, and outcome
- 7.4 Primary prevention of mental disorders
- 7.5 Planning and providing mental health services for a community
- 7.6 Evaluation of mental health services
- 7.7 Economic analysis of mental health services
- 7.8 Psychiatry in primary care
- 7.9 The role of the voluntary sector
- 7.10 Special problems
- Section 8 The Psychiatry of Old Age
- Section 9 Child and Adolescent Psychiatry