MENTAL HEALTH AND
          CULTURE
Disparity between Arab Perception and Western Treatment
OVERVIEW
• Mental     Health - What is it?

• Comparisonof Perception and Treatment between Western
 and Arab Culture of Mental Health Illnesses

• Cross     Effects of Religion/Gender/Language

• Effects   of Temporality

• Evaluation

• Conclusion
KEY TERMS
•   Islam- Pertaining to the religious teachings found in the Qur’an or historical records of
    Muhammad's life.

•   Muslim- Pertaining to Islamic culture but not always rooted in Islamic practice. (Ex. Arabesque
    architecture of Synagogue)

•   Arab Descent (Geographic)- Genealogical origins are linked to Northern Africa (Algeria, Egypt,
    Morocco) and Arabian Peninsula (Saudi Arabia, Iran, U.A.E.)

•   Idioms- Expressions rooted in one’s culture whose meaning doesn’t come from the words
    themselves (Ex. Raining cats and dogs)

•   Sapir-Whorf Hypothesis- The idea that a person’s linguistic background affects their perception of
    the world.

•   Dilemma of Assimilation- Series of conflicts arising when one’s past culture is different form their
    new location, resulting in a choice between maintenance and abandonment of cultural attitudes.
WHAT IS MENTAL HEALTH?

•   Mental Illness- Psychiatric or behavioral patterns not expected within developmental or cultural
    norms. (Ex. Depression, Anxiety, Schizophrenia)

•   Neurotransmitters- Chemicals in the brain that relay messages within the nervous system. (Ex.
    Serotonin, Nor-Epinephrine)

•   Psychotherapy- Use of psychological practices to modify or eliminate a mental illness without
    drugs/surgery. (Ex. Talk, music, or art therapy)

•   Psychologist vs. Psychiatrist- Psychologists do not prescribe drugs and often use psychotherapy to
    assist patients.

•   Problems with agreement and classification- DSM vs. International Statistical Classification
PERCEPTION DIFFERENCES
        (DIAGNOSTIC)
• Western   Perceptions of Mental Health

 • Biological/Technology

 • Psychosocial

 • Stress

 • Catastrophe

• Acceptance?
PERCEPTION DIFFERENCES
        (DIAGNOSTIC)

• Arab   Perceptions of Mental Health

 • Religion

 • Gender

 • Familial/Marital   Obligations

• Acceptance?
PERCEPTION DIFFERENCES
        (TREATMENT)

• Western   Expectations?

• Western   Methods?

 • Drugs

 • Therapy

 • Time
PERCEPTION DIFFERENCES
        (TREATMENT)
• Arab   Expectation

 • Cure

• Arab   Methods

 • Religion

 • Fulfilling   Roles

• Conflict   with Western Treatment
ANALYSIS WITHIN SCOPE OF
   RELIGION/GENDER/LANGUAGE

• How   do they interact?

 • Religion   and Gender

 • Gender     and Language

 • Religion   and Language

• What   if I move?
ANALYSIS REGARDING
            TEMPORALITY
• Passage   of Time

 • Effect   on Beliefs

 • Age

• Perception   of Time

 • Western     vs. Arab

• Distance   and Time
EVALUATION

• Questions   left-

 • What   happens when Arab treatment fails?

 • What   current research has been done?

 • What   education methods are put in place?

 • How   will the war affect their perception of mental health?
EVALUATION CONTINUED


• Suggestions

 • Cultural   education

 • Establishing   guidelines for open-minded therapists

 • Consensus      on Illness and what is normal
CONCLUSION

• Effect   of stigmas outside of mental health

• Cultural
         education offers treatment help, but don’t expect a
 change in perception

• The   need to break the cycle

• Personal   mental health views
WORKS CITED
Alansari, Bader M. 2005. "RELATIONSHIP BETWEEN DEPRESSION AND ANXIETY AMONG UNDERGRADUATE STUDENTS IN EIGHTEEN ARAB COUNTRIES: A
CROSS-CULTURAL STUDY." Social Behavior & Personality: An International Journal 33, no. 5: 503-512. Academic Search Premier, EBSCOhost (accessed April 2, 2010).

Al-Krenawi, Alean, and John R. Graham. 2000. "Culturally Sensitive Social Work Practice With Arab Clients in Mental Health Settings." Health & Social Work 25, no. 1: 9-22.
Academic Search Premier, EBSCOhost (accessed April 2, 2010).

Canino, Glorisa, and Margarita Alegría. 2008. "Psychiatric diagnosis – is it universal or relative to culture?." Journal of Child Psychology & Psychiatry 49, no. 3: 237-250. Academic
Search Premier, EBSCOhost (accessed March 30, 2010).

Dwairy, Marwan. 2009. "Culture analysis and metaphor psychotherapy with Arab-Muslim clients." Journal of Clinical Psychology 65, no. 2: 199-209. Academic Search Premier,
EBSCOhost (accessed April 2, 2010).

Gaebel, W., H. Z. and Anja E. Baumann. 2006. "The relationship between mental illness severity and stigma." Acta Psychiatrica Scandinavica 113, 41-45. Academic Search
Premier, EBSCOhost (accessed April 2, 2010).

Hall, Ronald, and Jonathan Livingston. 2006. "Mental Health Practice with Arab Families: The Implications of Spirituality vis-à-vis Islam." American Journal of Family Therapy 34,
no. 2: 139-150. Academic Search Premier, EBSCOhost (accessed April 2, 2010).

Hays, Danica G., Elizabeth A. Prosek, and Amy L. McLeod. 2010. "A Mixed Methodological Analysis of the Role of Culture in the Clinical Decision-Making Process." Journal of
Counseling & Development 88, no. 1: 114-121. Academic Search Premier, EBSCOhost (accessed April 2, 2010).

Karam, Elie G, Zeina N Mneimneh, Aimee N Karam, John A Fayyad, Soumana C Nasser, Somnath Chatterji, and Ronald C Kessler. 2006. "Prevalence and treatment of mental
disorders in Lebanon: a national epidemiological survey." Lancet 367, no. 9515: 1000-1006. Academic Search Premier, EBSCOhost (accessed April 2, 2010).

Okasha, A. 2003. "MENTAL HEALTH SERVICES IN THE ARAB WORLD." Arab Studies Quarterly 25, no. 4: 39-52. Academic Search Premier, EBSCOhost (accessed April 2,
2010).

Sayed, Mohamed A. 2003. "CONCEPTUALIZATION OF MENTAL ILLNESS WITHIN ARAB CULTURES: MEETING CHALLENGES IN CROSS-CULTURAL SETTINGS."
Social Behavior & Personality: An International Journal 31, no. 4: 333. Academic Search Premier, EBSCOhost (accessed April 2, 2010).

Sayed, Mohamed A. 2003. "Psychotherapy of Arab Patients in the West: Uniqueness, Empathy, and "Otherness." American Journal of Psychotherapy 57, no. 4: 445-459. Academic
Search Premier, EBSCOhost (accessed April 2, 2010).

Arab Mental Health

  • 1.
    MENTAL HEALTH AND CULTURE Disparity between Arab Perception and Western Treatment
  • 2.
    OVERVIEW • Mental Health - What is it? • Comparisonof Perception and Treatment between Western and Arab Culture of Mental Health Illnesses • Cross Effects of Religion/Gender/Language • Effects of Temporality • Evaluation • Conclusion
  • 3.
    KEY TERMS • Islam- Pertaining to the religious teachings found in the Qur’an or historical records of Muhammad's life. • Muslim- Pertaining to Islamic culture but not always rooted in Islamic practice. (Ex. Arabesque architecture of Synagogue) • Arab Descent (Geographic)- Genealogical origins are linked to Northern Africa (Algeria, Egypt, Morocco) and Arabian Peninsula (Saudi Arabia, Iran, U.A.E.) • Idioms- Expressions rooted in one’s culture whose meaning doesn’t come from the words themselves (Ex. Raining cats and dogs) • Sapir-Whorf Hypothesis- The idea that a person’s linguistic background affects their perception of the world. • Dilemma of Assimilation- Series of conflicts arising when one’s past culture is different form their new location, resulting in a choice between maintenance and abandonment of cultural attitudes.
  • 4.
    WHAT IS MENTALHEALTH? • Mental Illness- Psychiatric or behavioral patterns not expected within developmental or cultural norms. (Ex. Depression, Anxiety, Schizophrenia) • Neurotransmitters- Chemicals in the brain that relay messages within the nervous system. (Ex. Serotonin, Nor-Epinephrine) • Psychotherapy- Use of psychological practices to modify or eliminate a mental illness without drugs/surgery. (Ex. Talk, music, or art therapy) • Psychologist vs. Psychiatrist- Psychologists do not prescribe drugs and often use psychotherapy to assist patients. • Problems with agreement and classification- DSM vs. International Statistical Classification
  • 5.
    PERCEPTION DIFFERENCES (DIAGNOSTIC) • Western Perceptions of Mental Health • Biological/Technology • Psychosocial • Stress • Catastrophe • Acceptance?
  • 6.
    PERCEPTION DIFFERENCES (DIAGNOSTIC) • Arab Perceptions of Mental Health • Religion • Gender • Familial/Marital Obligations • Acceptance?
  • 7.
    PERCEPTION DIFFERENCES (TREATMENT) • Western Expectations? • Western Methods? • Drugs • Therapy • Time
  • 8.
    PERCEPTION DIFFERENCES (TREATMENT) • Arab Expectation • Cure • Arab Methods • Religion • Fulfilling Roles • Conflict with Western Treatment
  • 9.
    ANALYSIS WITHIN SCOPEOF RELIGION/GENDER/LANGUAGE • How do they interact? • Religion and Gender • Gender and Language • Religion and Language • What if I move?
  • 10.
    ANALYSIS REGARDING TEMPORALITY • Passage of Time • Effect on Beliefs • Age • Perception of Time • Western vs. Arab • Distance and Time
  • 11.
    EVALUATION • Questions left- • What happens when Arab treatment fails? • What current research has been done? • What education methods are put in place? • How will the war affect their perception of mental health?
  • 12.
    EVALUATION CONTINUED • Suggestions • Cultural education • Establishing guidelines for open-minded therapists • Consensus on Illness and what is normal
  • 13.
    CONCLUSION • Effect of stigmas outside of mental health • Cultural education offers treatment help, but don’t expect a change in perception • The need to break the cycle • Personal mental health views
  • 14.
    WORKS CITED Alansari, BaderM. 2005. "RELATIONSHIP BETWEEN DEPRESSION AND ANXIETY AMONG UNDERGRADUATE STUDENTS IN EIGHTEEN ARAB COUNTRIES: A CROSS-CULTURAL STUDY." Social Behavior & Personality: An International Journal 33, no. 5: 503-512. Academic Search Premier, EBSCOhost (accessed April 2, 2010). Al-Krenawi, Alean, and John R. Graham. 2000. "Culturally Sensitive Social Work Practice With Arab Clients in Mental Health Settings." Health & Social Work 25, no. 1: 9-22. Academic Search Premier, EBSCOhost (accessed April 2, 2010). Canino, Glorisa, and Margarita Alegría. 2008. "Psychiatric diagnosis – is it universal or relative to culture?." Journal of Child Psychology & Psychiatry 49, no. 3: 237-250. Academic Search Premier, EBSCOhost (accessed March 30, 2010). Dwairy, Marwan. 2009. "Culture analysis and metaphor psychotherapy with Arab-Muslim clients." Journal of Clinical Psychology 65, no. 2: 199-209. Academic Search Premier, EBSCOhost (accessed April 2, 2010). Gaebel, W., H. Z. and Anja E. Baumann. 2006. "The relationship between mental illness severity and stigma." Acta Psychiatrica Scandinavica 113, 41-45. Academic Search Premier, EBSCOhost (accessed April 2, 2010). Hall, Ronald, and Jonathan Livingston. 2006. "Mental Health Practice with Arab Families: The Implications of Spirituality vis-à-vis Islam." American Journal of Family Therapy 34, no. 2: 139-150. Academic Search Premier, EBSCOhost (accessed April 2, 2010). Hays, Danica G., Elizabeth A. Prosek, and Amy L. McLeod. 2010. "A Mixed Methodological Analysis of the Role of Culture in the Clinical Decision-Making Process." Journal of Counseling & Development 88, no. 1: 114-121. Academic Search Premier, EBSCOhost (accessed April 2, 2010). Karam, Elie G, Zeina N Mneimneh, Aimee N Karam, John A Fayyad, Soumana C Nasser, Somnath Chatterji, and Ronald C Kessler. 2006. "Prevalence and treatment of mental disorders in Lebanon: a national epidemiological survey." Lancet 367, no. 9515: 1000-1006. Academic Search Premier, EBSCOhost (accessed April 2, 2010). Okasha, A. 2003. "MENTAL HEALTH SERVICES IN THE ARAB WORLD." Arab Studies Quarterly 25, no. 4: 39-52. Academic Search Premier, EBSCOhost (accessed April 2, 2010). Sayed, Mohamed A. 2003. "CONCEPTUALIZATION OF MENTAL ILLNESS WITHIN ARAB CULTURES: MEETING CHALLENGES IN CROSS-CULTURAL SETTINGS." Social Behavior & Personality: An International Journal 31, no. 4: 333. Academic Search Premier, EBSCOhost (accessed April 2, 2010). Sayed, Mohamed A. 2003. "Psychotherapy of Arab Patients in the West: Uniqueness, Empathy, and "Otherness." American Journal of Psychotherapy 57, no. 4: 445-459. Academic Search Premier, EBSCOhost (accessed April 2, 2010).

Editor's Notes

  • #5 Arab’s don’t make a distinction between Psychologists
  • #12 Leading into how political and social changes affect the topic...