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Cited by 100Mental Health Treatment and AccessCultural Competency in Health CareIndigenous Health, Education, and Rights

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Gender and Biomedical/Traditional Mental Health Utilization Among the Bedouin-Arabs of the Negev

Al-Krenawi, Alean, Graham, John R.·1999·Culture, Medicine and Psychiatry
DOI 10.1023/a:1005455809283
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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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Metadata

Authors
Al-Krenawi, A., & Graham, J. R.
Affiliations
University of Calgary (CA)
ORCID
Graham, John R.
Venue
Culture, Medicine and Psychiatry
Publisher
Springer Science and Business Media LLC
Published
1999-06
Volume
23
Issue
2
Pages
219-243
ISSN
  • 0165-005X (ISSN-L)
  • 1573-076X
DOI
10.1023/a:1005455809283
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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