Oxford University Press eBooks,
Journal Year:
2025,
Volume and Issue:
unknown, P. 571 - 626
Published: Jan. 30, 2025
Abstract
The
medical
profession
has
a
high
prevalence
of
depression,
and
women
physicians
are
at
increased
risk
suicide.
A
proportion
times
experience
burnout,
many
moral
injury.
These
problems
have
become
more
prevalent
during
the
COVID-19
pandemic.
Internal,
external,
institutional
stigma
can
discourage
depressed
from
seeking
treatment.
Occupational
identity
often
is
primary
for
female
and/or
minority
physicians.
Others’
responses
to
their
non-professional
identities
involve
microaggressions,
harassment,
mistrust,
or
interpersonal
conflict.
professional
culture
prioritizing
others’
needs
lead
physicians’
neglecting
own
health
worsen
painful
work–life
conflicts.
Most
now
work
in
settings
with
organizational
cultures
that
conflict
traditional
“doctor
culture.”
While
personalized
treatment
address
some
barriers
physicians,
full
solution
will
require
changes
wider
recognition
cultural
structural
contributions
problem.
Oxford University Press eBooks,
Journal Year:
2025,
Volume and Issue:
unknown, P. 60 - 87
Published: Jan. 30, 2025
Abstract
Cultural
identity
is
intersectional:
It
includes
not
only
race
and
nationality
but
also
socioeconomic
class,
occupation,
religion,
gender,
age/generation,
life
stage.
Culture
usefully
characterized
dimensionally.
Hofstede
identified
dimensions
of
individualism/collectivism,
power
distance,
uncertainty
avoidance,
gender
role
differentiation,
short-term/long-term
orientation,
indulgence/restraint.
Trust
in
individuals
institutions,
as
well
social
capital—structural,
relational,
instrumental,
cognitive—moderate
the
emotional
effects
stress
adversity.
clinicians
enables
effective
treatment.
The
expression
depression
mediated
by
cultural
communication
styles,
with
their
high-context/low-context,
direct/indirect,
self-enhancing/self-effacing,
elaborate/understated.
Word
choices
metaphors—which
vary
culture—help
identify
depression,
indicate
its
severity,
reveal
suicide
risk.
Details
critical
for
accurate
diagnosis
treatment
can
be
“lost
translation.”
Oxford University Press eBooks,
Journal Year:
2025,
Volume and Issue:
unknown
Published: Jan. 1, 2025
Abstract
Seeing
Depression
through
a
Cultural
Lens,
the
collaborative
work
of
clinical
neuroscientist
and
scholar
comparative
culture,
examines
effects
cultural
identity
on
epidemiology,
phenomenology,
narratives
depression,
bipolar
spectrum,
suicide.
Culture
is
associated
with
emotional
communication
style,
“idioms
distress,”
conception
depression
disorders,
how
people
mood
disorders
might
be
stigmatized.
It
linked
to
structural
factors—environmental,
social,
economic
circumstances—that
create
or
mitigate
risk
sometimes
precipitate
episodes
illness,
facilitate
impede
treatment.
shapes
depressed
people’s
willingness
disclose
acknowledge
their
condition
seek
care,
relationships
clinicians,
acceptance
rejection
specific
treatments.
context
essential
understanding
underlies
motives
for
suicide,
facilitating
inhibiting
factors,
social
acceptability
death
by
availability
lethal
means
self-harm.
always
intersectional—comprising
elements
related
race
ethnicity;
gender;
age,
generation,
life
stage;
education;
class;
occupation;
migrant
minority
status;
region
residence;
religious
belief
practice.
Lens
explores
implications
each
these
dimensions
using
salient
concepts
form
sciences;
memorable
from
literature,
film,
clinic;
quantitative
findings
epidemiology
psychometrics.
offers
readers
framework
culturally
aware
assessment
management
bipolarity,
suicidal
in
individuals
populations.
Oxford University Press eBooks,
Journal Year:
2025,
Volume and Issue:
unknown, P. 23 - 47
Published: Jan. 30, 2025
Abstract
Current
diagnostic
criteria
for
major
depressive
disorder
(MDD)
do
not
capture
the
diversity
of
phenotypes
clinically
significant
depression.
Culture
can
entail
suppression,
normalization,
or
concealment
symptoms.
Clinically
depressed
people
who
are
“subsyndromal”
by
MDD
often
fall
in
a
“middle
zone”
between
normal
negative
emotion
and
frank
mental
illness.
Alternative
clinical
depression
proposed
that
better
accommodate
cultural
differences
as
well
variations
personality
pathophysiology.
Such
validate
illness
whose
subsyndromal
entails
functional
impairment,
persistent
distress,
suicide
risk.
Appreciation
middle
zone
clinicians
public
could
reduce
stigma
facilitate
its
timely
treatment.
Questionnaire-based
screening
tests
like
nine-item
Patient
Health
Questionnaire,
Center
Epidemiologic
Studies
Depression
Scale,
Beck
Inventory
function
if
cut
points
modified
according
to
culture
their
translations
from
English
other
languages
consider
connotations
explicit
meanings
items.
Oxford University Press eBooks,
Journal Year:
2025,
Volume and Issue:
unknown, P. 99 - 112
Published: Jan. 30, 2025
Abstract
Suicide
and
other
“unnatural
deaths”
are
the
most
dramatic
expression
of
mortality
depression,
more
deaths
from
depression
bipolar
spectrum
disorders
can
be
attributed
to
self-neglect
careless
risk-taking.
A
framework
for
relating
culture
suicide
combines
Joiner’s
interpersonal
theory
with
neuropsychiatric
existential
considerations
availability
highly
lethal
means:
an
interpersonal-neuropsychiatric
model.
Collectivist
accentuates
thwarted
belongingness
in
those
ostracized
or
bullied.
shame
and/or
“face”
contribute
perceived
burdensomeness.
Cultural
normalization,
rationalization,
romanticization
increases
acquired
capacity
suicide.
Activation
inhibition,
pain
pleasure
relate
its
structural
correlates.
Mediators
include
formal
education
informal
acculturation,
normalized
trauma,
lifestyle-related
occupation-related
illness
injury,
culturally
sanctioned
substance
use.
Religious
spiritual
perspectives
national,
regional,
ethnic
cultures
associated
hope
reasons
live.
Oxford University Press eBooks,
Journal Year:
2025,
Volume and Issue:
unknown, P. 161 - 198
Published: Jan. 30, 2025
Abstract
The
phenomenology
and
treatment
of
depression
the
bipolar
spectrum
are
described
in
three
systems
traditional
medicine,
two
which
currently
practiced:
classical
Greco-Roman
Chinese
medicine
(TCM),
Arabic
Islamic
medicine.
These
other
(e.g.,
Ayurvedic
medicine)
contribute
content
to
modern
complementary,
alternative,
integrative
(CAIM).
conceive
as
a
mind–body
illness,
comprehensive,
holistic,
non-stigmatized,
dimensional
(rather
than
categorical)
way.
Depression
phenotypes
distinguished
by
TCM
have
been
correlated
with
distinct
biomarkers.
Traditional
holistic
treatments
include
changes
diet,
activity,
environment
well
herbal
medicaments
physical
like
acupuncture
massage.
CAIM
includes
evidence-based
alternatives
complements
mainstream
that
many
patients
find
acceptable.
They
can
help
depressed
reach
maintain
remissions.
Oxford University Press eBooks,
Journal Year:
2025,
Volume and Issue:
unknown, P. 342 - 379
Published: Jan. 30, 2025
Abstract
Korea
has
the
highest
suicide
rate
of
all
high-income
countries:
28.91
per
100,000
population
in
2019—with
disproportionally
high
rates
women
and
older
adults.
Cultural
features
contributing
to
suicide,
often-undiagnosed
depression,
include
normalization
traumatic
experiences,
including
family
intimate
partner
violence;
transgenerational
effects
historical
trauma;
widespread
binge
drinking;
intense
academic,
occupational,
romantic
competition
that
produces
many
“losers”;
preoccupation
with
“face”
external
appearance;
gender
inequality.
two
“national
emotions”—han
jeong.
Han
is
a
form
righteous
anger
grim
resolve
yearning
for
vengeance.
Jeong
attachment
entails
both
protective
social
capital
risk
unhealthy
dependency.
Hwa-byung,
distinctive
expression
depression
most
common
midlife,
reflects
an
excess
han.
The
interpersonal
dimension
deserves
special
attention
Koreans.
Oxford University Press eBooks,
Journal Year:
2025,
Volume and Issue:
unknown, P. 3 - 22
Published: Jan. 30, 2025
Abstract
Depression
takes
diverse
forms,
each
with
distinctive
epidemiology,
phenomenology,
and
optimal
treatments.
In
case
of
depression,
culture
is
background;
unique
individual
circumstances
are
foreground.
Exemplary
cases
described.
historical
contemporary
Japan,
older
people
often
devalued
socially
excluded;
this
can
lead
to
“lonely
deaths”
from
self-neglect
or
unnatural
deaths
including
suicides.
China’s
long-standing
tradition
authoritarian
parenting
burdensome
filial
obligation
underlies
depression
in
younger
adults.
American
regions
have
depression-relevant
cultural
differences
as
large
those
between
nations.
Utah,
high
gender
inequality
associated
a
prevalence
young
women.
Connecticut
income
wealth
entail
problematic
substance
use
among
lower
socioeconomic
class.
Cultural
awareness,
knowledge
different
communication
styles,
empower
clinicians
make
more
accurate
diagnoses
build
therapeutic
relationships.