A conceptual paradigm for understanding culture's impact on mental health: The cultural influences on mental health (CIMH) model

Hwang, Wei‐Chin; Myers, Héctor F.; Abe-Kim, Jennifer; Ting, Julia Y.

doi:10.1016/j.cpr.2007.05.001

Cited by 145 publications

(143 citation statements)

References 110 publications

Supporting

Mentioning

131

Contrasting

Unclassified

Order By: Relevance

“…Human labor and sex trafficking, for example, is a major global health problem [17] about which little has been done in the way of development of formal educational curricula [18]. Refugee populations suffer from a profound increased risk of mental illness due to at least two distinct types of stress [19,20]. First, many have suffered significant traumatic exposures.…”

Section: Challengesmentioning

confidence: 99%

Opportunities and Challenges of Global Mental Health

et al. 2016

View full text Add to dashboard Cite

Section: Challengesmentioning

confidence: 99%

Opportunities and Challenges of Global Mental Health

et al. 2016

View full text Add to dashboard Cite

“…Proper insight and understanding about culture's impact on mental health and treatment is crucially important to prevent disparities in assessment and treatment (Hwang et al, 2008). How we perceive the other culture is dependent on our view or looking lenses.…”

Section: Emic-etic Perspectivementioning

confidence: 99%

Culture, Psychiatry and Cultural Competence

Chowdhury¹

2012

Mental Illnesses - Understanding, Prediction and Control

View full text Add to dashboard Cite

“…Understanding cultural identification: Integrating the intersubjective approach with social identity theorizing. Journal of 46(10), 1291-1295. evidence of the importance of cultural influence in the etiology, expression, assessment, diagnosis, and treatment of psychopathology (see Hwang, Myers, Abe-Kim, & Ting, 2008;Kirmayer & Ryder, 2016;Marsella & Yamada, 2010;Tanaka-Matsumi & Draguns, 1997, for reviews). One of the first systematically reported cross-cultural differences in the study of culture and psychopathology was the apparent rarity of depression in Chinese cultures (Kleinman, 1982).…”

Section: Culture and Depressionmentioning

confidence: 99%

“…Model (CIMH; Hwang et al, 2008) and the Culturally Informed Illness Representation SelfRegulation Model (CIRSRM; Wong, Tran, Kim, Van Horn Kerne, & Calfa, 2010).…”

Section: Theoretical Understandings Of Cultural Variation In Depressimentioning

confidence: 99%

“…Specifically, the model states that cultural norms and beliefs shape the manner in which distress is expressed. That is, the sociocultural environment that one is in (i.e., one's cultural background) acts as a contextual backdrop, influencing cultural conceptions of illness (e.g., what an illness is), symptom recognition and tolerance, the mode in which it is expressed and communicated, and the social meanings associated with this expression and communication (Hwang et al, 2008;Marsella, 1980). The CIRSRM, on the other hand, argues that Asian cultural worldviews (i.e., mind-body holism, collectivism, and dialecticism) influence mental illness lay beliefs, which in turn, influence…”

Section: Theoretical Understandings Of Cultural Variation In Depressimentioning

confidence: 99%

See 1 more Smart Citation

Understanding depression across cultures: a social identity perspective

Chang¹

View full text Add to dashboard Cite

There is now considerable evidence showing that culture shapes psychological processes, and this extends to depression and psychopathology more generally. In particular, an understanding of the processes and mechanisms through which culture influences depression is important not only to clinical practice, but also in the designing of interventions to promote resilience to depression. For example, such cultural understanding helps therapists to determine whether and when clients will be influenced by culture and its norms, and accordingly, the impact on their expression, assessment, diagnosis, and treatment of depression. The present thesis adopts a social identity perspective to advance research on the cultural underpinnings of depression in three research streams that investigate (a) the symptomatic presentation of depression, (b) cultural factors associated with vulnerability, and (c) resilience, to depression.Much of the work on the relationship between culture and the expression of depression has centered on Asians" tendency to emphasize somatic symptoms of the condition over psychological symptoms. However, despite extensive investigation of Asian somatization, there has been little progress in explaining how and when culture affects depression expression. To address this gap, the studies in Chapter 2 drew on social identity principles and processes to explain when culture and its norms would affect somatization.Three studies were conducted to investigate the role of cultural identity on somatization; predicting that norm endorsement would occur only when individuals identified with their culture. The key finding was that among Asians, normative expectations of collectivism predicted somatization, but only when participants strongly identified with Asian culture.These findings highlight the centrality of identification processes to cultural influence on depression.Investigations of culture and depression expression tend to conceptualize the Western perspective as the frame of reference or norm. That is, Asian somatization is commonly viewed as dysfunctional in Western contexts, whereby Asians and their emphasis on somaticizing depression is often portrayed as "that which needs to be explained". In Chapters 3 and 4, we shifted focus to studying the effect of Western culture on depression, an arguably neglected area of research. More importantly still, the socially potent nature of cultural norms in exerting influence tends to be overlooked in the literature of this field. Hence, the studies in these chapters drew on a norm-based approach to characterize cultural influence, and investigated the effects of specific collective-level cultural factors (i.e., social norms) associated with vulnerability to depression among Westerners.iii Along these lines, the study reported in Chapter 3 examined whether and why social norms communicating the value of happiness (that happiness is desirable) could potentially make individuals feel worse (i.e., more depressed). We also investigated differences in these effect...

show abstract

A conceptual paradigm for understanding culture's impact on mental health: The cultural influences on mental health (CIMH) model

Cited by 145 publications

References 110 publications

Opportunities and Challenges of Global Mental Health

Opportunities and Challenges of Global Mental Health

Culture, Psychiatry and Cultural Competence

Understanding depression across cultures: a social identity perspective

Contact Info

Product

Resources

About