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Gender and Biomedical/Traditional Mental Health Utilization Among the Bedouin-Arabs of the Negev
Abstract
Twenty Bedouin-Arab non-psychotic subjects in Israel (10 male, 10 female) utilized biomedical and traditional healing mental health care systems. Common patterns of utilization were observed: first to family/friends, then to a general practitioner, next to a traditional healer, and finally to a psychiatrist. Men were more familiar with the biomedical system, and women with the traditional. Women, more than men, made group utilization decisions; men, more than women, saw traditional healers outsider their home communities. Gender differences were found in symptomatology and in patient construction of etiology. The biomedical system successfully addressed physical symptoms. The traditional system struck a stronger therapeutic alliance, tended to diagnose more comprehensibly, and was perceived by many patients as being more clinically beneficial. Biomedical practitioners can learn from traditional healers how to read a client's ecological map, incorporate the family/community in treatment, and communicate in the patient's cultural idiom. In their search for models of traditional/biomedical system integration, scholars should turn to patients themselves, who are currently living such integration.
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“women in developing countries utilise formal health care to a lesser extent than men [15] and instead are more inclined towards traditional healing options [16].”
From The gendered experience with respect to health-seeking behaviour in an urban slum of Kolkata, India (2018) · cites this paper as [15]
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“Previous findings had highlighted that gender differences manifested in men being more inclined towards formal health care, whereas women were more inclined towards alternative health care [15, 22].”
From The gendered experience with respect to health-seeking behaviour in an urban slum of Kolkata, India (2018) · cites this paper as [15]
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Metadata
- Authors
- Al-Krenawi, A., & Graham, J. R.
- Affiliations
- University of Calgary (CA)
- ORCID
- Graham, John R.
- Venue
- Culture, Medicine and Psychiatry
- Published
- 1999-06
- Volume
- 23
- Issue
- 2
- Pages
- 219-243
- ISSN
- 0165-005X (ISSN-L)
- 1573-076X
- OpenAlex
- W117169547
- Cited by
- 100
- References
- 0
- Citations by year
- 2026: 2 · 2025: 1 · 2024: 3 · 2023: 4 · 2022: 2 · 2021: 3 · 2020: 3 · 2019: 5 · 2018: 5 · 2017: 2 · 2016: 2 · 2015: 4 · 2014: 9 · 2013: 5 · 2012: 7
- FWCI
- 0.70
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- Locations
- Culture Medicine and Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Cultural Competency in Health Care
- Social Sciences › Health › Indigenous Health, Education, and Rights
- Keywords
- gender differences, mental health service utilization, traditional healing, Bedouin Arabs, Negev, symptomatology, etiology of mental disorders, therapeutic relationship, integration of traditional and biomedical care, family involvement in treatment, cultural communication
- MeSH terms
- Adult, Mental Disorders, Culture, Female, Humans, Israel, Male, Medicine, Traditional, Mental Health Services, Sex Factors, Clinical Medicine, Arabs
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