Categorical Ethnicity and Mental Health Literacy in New Zealand

Marie, Dannette; Forsyth, Darryl; Miles, Lynden K.

doi:10.1080/1355785042000250085

Cited by 13 publications

(10 citation statements)

References 67 publications

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“…A more complex approach to understanding the role of community-based culture and their influence on health and health care is essential to the understanding of unmet need, delay, and low utilization rates that trouble providers and policymakers. As Marie et al (2004) conclude in New Zealand, the “assumed” relationship between “categorical ethnicity” (e.g., in their case, Maori/non-Maori) and mental health literacy that undergirds public social policies appear to be fundamentally misdirected. For major depression, most majority and minority-identified individuals in their study could correctly identify the “disorder” from a vignette.…”

Section: Discussionmentioning

confidence: 98%

Constructing illness: How the public in eight Western nations respond to a clinical description of “schizophrenia”

Ólafsdóttir

Pescosolido

2011

Social Science & Medicine

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According to classic and contemporary social theory, the community is crucial to how individuals respond to the onset of health problems. Cultural response to symptoms provides the foundation for lay diagnosis; offers a gauge for marking individual and societal health literacy; and reflects the cultural embeddedness of modern medical knowledge. Using data collected between 2004 and 2007 from the Stigma in Global Context – Mental Health Study (SGC-MHS) on the recognition of schizophrenia from vignettes describing individuals meeting DSM-IV criteria, we examine the nature and correlates of lay diagnosis. Focusing on Western societies in the SGC-MHS, we ask three questions regarding problem recognition in Bulgaria (N=255), Cyprus (N=253), Germany (N=382), Hungary (N=352), Iceland (N=291), Spain (N=327), Great Britain (N=289), and the United States (N=449). What is the cross-national variation in recognition of schizophrenia as a mental illness? Is lay diagnosis associated with individuals’ socio-demographic characteristics and/or their evaluation of underlying causes? Are lay diagnoses likely to shape the nature and direction of the illness career? We find lay diagnosis of “mental illness” to be high across these Western nations with some, though modest, difference across countries. Variation for the more specific diagnosis of “schizophrenia” is greater, though fairly consistent in country ordering. Lay diagnoses are shaped most consistently by attributions, inconsistently by socio-demographics, and generally associated with respondents’ treatment recommendations and expected outcomes. In light of assumptions about public beliefs and knowledge that often underlie research, community efforts, clinical programs, and health policy, these findings suggest that a greater understanding of the complexities of lay diagnosis is warranted.

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Section: Discussionmentioning

confidence: 98%

Constructing illness: How the public in eight Western nations respond to a clinical description of “schizophrenia”

Ólafsdóttir

Pescosolido

2011

Social Science & Medicine

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“…For example, Parker et al. [14] reported ‘more similarities than differences’ between health professionals in Australia and Singapore, and Marie, Forsyth and Miles [15] found little variation between Maori and non‐Maori identification of depression and associated treatment beliefs. Despite this, the current findings indicated that it is unlikely that the instruments currently used to measure mental health literacy are sufficiently sensitive to capture perceptions of mental health across all cultural groups, nor bridge language barriers.…”

Section: Discussionmentioning

confidence: 99%

Quantification and examination of depression‐related mental health literacy

Dunn¹,

Goldney

Grande³

et al. 2009

Evaluation Clinical Practice

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“…In total, 162 papers containing relevant information could be identified. If necessary, native speakers were contacted to provide translations.…”

Section: Methodsmentioning

confidence: 99%

Public attitudes towards psychiatry and psychiatric treatment at the beginning of the 21st century: a systematic review and meta‐analysis of population surveys

et al. 2017

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Public attitudes towards psychiatry are crucial determinants of help-seeking for mental illness. It has been argued that psychiatry as a discipline enjoys low esteem among the public, and a "crisis" of psychiatry has been noted. We conducted a systematic review and meta-analysis of population studies examining public attitudes towards various aspects of psychiatric care. Our search in PubMed, Web of Science, PsychINFO and bibliographies yielded 162 papers based on population surveys conducted since 2000 and published no later than 2015. We found that professional help for mental disorders generally enjoys high esteem. While general practitioners are the preferred source of help for depression, mental health professionals are the most trusted helpers for schizophrenia. If respondents have to rank sources of help, they tend to favor mental health professionals, while open questions yield results more favorable to general practitioners. Psychiatrists and psychologists/psychotherapists are equally recommended for the treatment of schizophrenia, while for depression psychologists/psychotherapists are more recommended, at least in Europe and America. Psychotherapy is consistently preferred over medication. Attitudes towards seeking help from psychiatrists or psychologists/psychotherapists as well as towards medication and psychotherapy have markedly improved over the last twenty-five years. Biological concepts of mental illness are associated with stronger approval of psychiatric help, particularly medication. Self-stigma and negative attitudes towards persons with mental illness decrease the likelihood of personally considering psychiatric help. In conclusion, the public readily recommends psychiatric help for the treatment of mental disorders. Psychotherapy is the most popular method of psychiatric treatment. A useful strategy to further improve the public image of psychiatry could be to stress that listening and understanding are at the core of psychiatric care.Key words: Public attitudes, psychiatry, psychotherapy, psychotropic medication, depression, schizophrenia, systematic review, metaanalysis (World Psychiatry 2017;16:50-61) In recent years, the notion of a crisis of psychiatry has spread in professional circles. In scientific journals, the question has been asked whether psychiatry is "on the ropes" 1 and "psychiatrists are an endangered species" 2 . Numerous internal threats to psychiatry (e.g., feeling of loss of autonomy, competing views which highlight biological or social factors, or tension between generalists and specialists) as well as external threats (e.g., changes related to health care and medical education policies, intrusion of other health professional groups into the territory which psychiatry claims for itself) have been identified 1,2 . There is also growing concern about the poor image of the discipline in the eyes of the general public as well as of medical students, health professionals and the media 3,4 . Psychiatrists increasingly feel underestimated as well as stigmatized and discr...

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Categorical Ethnicity and Mental Health Literacy in New Zealand

Cited by 13 publications

References 67 publications

Constructing illness: How the public in eight Western nations respond to a clinical description of “schizophrenia”

Constructing illness: How the public in eight Western nations respond to a clinical description of “schizophrenia”

Quantification and examination of depression‐related mental health literacy

Public attitudes towards psychiatry and psychiatric treatment at the beginning of the 21st century: a systematic review and meta‐analysis of population surveys

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