Dimensions and Implications of Cultural Identity

Oxford University Press eBooks, Год журнала: 2025, Номер unknown, С. 60 - 87

Опубликована: Янв. 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.”

Язык: Английский

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Seeing Depression Through A Cultural Lens

Oxford University Press eBooks, Год журнала: 2025, Номер unknown

Опубликована: Янв. 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.

Язык: Английский

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Preface

Oxford University Press eBooks, Год журнала: 2025, Номер unknown, С. xv - xxii

Опубликована: Янв. 30, 2025

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Faces of Clinical Depression

Oxford University Press eBooks, Год журнала: 2025, Номер unknown, С. 23 - 47

Опубликована: Янв. 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.

Язык: Английский

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Unnatural Deaths

Oxford University Press eBooks, Год журнала: 2025, Номер unknown, С. 99 - 112

Опубликована: Янв. 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.

Язык: Английский

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