Cited by 166Mental Health and PsychiatryMental Health Treatment and AccessPsychology and Mental Health

Cultural concepts of distress and psychiatric disorders: Understanding symptom experience and expression in context

Lewis-Fernández, Roberto, Kirmayer, Laurence J.·2019·Transcultural Psychiatry

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Crossref · 10.1177/1363461519861795

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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.”
  • 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.”

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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
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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