Cultural concepts of distress and psychiatric disorders: Understanding symptom experience and expression in context
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Individual distress is often expressed using idioms and metaphors located within the meaningful and local social world and is structured around local cultural affordances that shape individual attention and express existential concerns using meaningful themes.
“This demonstrates how individual distress is often expressed using idioms and metaphors located within the meaningful and local social world (Lewis-Fernández and Kirmayer, 2019) and is structured around local cultural affordances (Ramstead et al., 2016) that shape individual attention and express existential concerns using meaningful themes.”
From “I was trying to save the world”: delusion-like ideation and associated impacts reported by Western practitioners of Buddhist meditation (2025) · cites this paper as Lewis-Fernández and Kirmayer, 2019
Alignment of the intervention with participants' cultural concepts of distress, perceived barriers to seeking help, and most pressing needs is a critical determinant of intervention uptake and adherence.
“Another critical determinant of intervention uptake and adherence is the alignment of the intervention with participants’ cultural concepts of distress [65], perceived barriers to seeking help and most pressing needs.”
From Effects of a self-guided digital mental health self-help intervention for Syrian refugees in Egypt: A pragmatic randomized controlled trial (2024) · cites this paper as [65]
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References 51 · Cited by 166
- Authors
- Lewis-Fernández, R., & Kirmayer, L. J.
- Affiliations
- Columbia University, New York State Psychiatric Institute
- McGill University (CA)
- Venue
- Transcultural Psychiatry
- Publisher
- SAGE Publications
- Published
- 2019-07-26
- Volume
- 56
- Issue
- 4
- Pages
- 786-803
- ISSN
- 1363-4615 (ISSN-L)
- 1461-7471
- OpenAlex
- W2966689100
- Cited by
- 166
- References
- 51
- Citations by year
- 2026: 22 · 2025: 17 · 2024: 30 · 2023: 45 · 2022: 16 · 2021: 24 · 2020: 10 · 2019: 2
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Transcultural Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Arts and Humanities › Philosophy › Mental Health and Psychiatry
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Social Sciences › Psychology › Clinical Psychology › Psychology and Mental Health
- Keywords
- cultural concepts of distress, mental illness, symptom experience, presenting symptoms, cross-cultural psychiatry, cultural context of mental illness
- MeSH terms
- Mental Disorders, Humans, Language, Stress, Psychological, Diagnostic and Statistical Manual of Mental Disorders, Resilience, Psychological
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