Psychosis and immigration

Tewfik, G. I.; Okasha, Ahmed

doi:10.1136/pgmj.41.480.603

Cited by 43 publications

(17 citation statements)

References 10 publications

(6 reference statements)

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“…Sixty per cent of all West Indian and West African patients were paranoid, a finding that agrees with Gordon (8) and Tewfik and Okasha (21). Taking the rates of nonparanoid schizophrenia, the rate for West Indians and West Africans was the same as that for the British-born.…”

supporting

confidence: 78%

“…Most British studies demonstrate increased rates among West Indians (8,9,11,17,21) and West Africans (5, 19). Rates of diagnosed mental illness are affected by the type of diagnoses chosen; the perception of symptomatology, possibly confused with transcultural factors (paranoia and witchcraft beliefs), have been commonly noted among migrants (5,7,8,21,22); and the practice of combining diagnoses to obtain statistical significance, with inevitable loss of phenomenological definition. In these studies the term 'affec tive illness' includes both reactive and endogenous depression.…”

mentioning

confidence: 99%

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Migration, Ethnicity and Diagnosis

Littlewood¹,

Lipsedge²

1978

Psychopathology

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Various studies have demonstrated an increase in mental illness in black immigrants in Britain. A retrospective study of hospital records suggests that if the culturally atypical features of paranoid and religious flavour are taken into consideration, rates are then similar to those of the British-born. An interim report from an ongoing prospective study, using the Present State Examination and a Religious Interest Questionnaire, suggests that some of the black patients with diagnoses of schizophrenia might be more reasonably considered to have acute psychotic reactions or bouffées délirantes. The relative significance of culturally significant features as consitituting an entity or merely being pathoplastic is briefly discussed.

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supporting

confidence: 78%

mentioning

confidence: 99%

Migration, Ethnicity and Diagnosis

Littlewood¹,

Lipsedge²

1978

Psychopathology

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“…USA and UK, Cooper et al [1972] found great disparity between project diagnosis and hospital staff diagnosis in New York. The disparity is greater between differ ent cultures [Lambo, 1965;Pfeiffer, 1967;Tewfik and Okasha, 1965]. Rin and Lin [1962], dealing with Formosan aborigines, concluded that the clinical picture of schizo phrenia is characterised by acute onset, short duration and usually a complete recovery.…”

Section: Discussionmentioning

confidence: 99%

First Rank Symptoms and Diagnosis of Schizophrenia in Developing Countries

Ahmed¹,

Naeem²

1984

Psychopathology

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Schneider’s first rank symptoms (FRS) among schizophrenics in Karachi are compared with samples from Saudi Arabia and the UK. Although the incidence of one or more FRS were very close to Saudi Arabia, the individual FRS were different, and somatic passivity was similar to the UK. It is concluded that cultural factors are more important than religious affinity in determining symptomatology. The results could be due to selection of schizophrenic patients on Western parameters. The place of FRS in developing countries and the changing concept of schizophrenia is discussed.

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“…Obeah, apparently, does not emigrate. Tewfik and Okasha (1965) studied the pattern of mental illness in 124 West Indians (74 men, 50 women) at an English mental hospital. They found a relative excess of paranoid illnesses (characterized by false fears and suspicions of persecution) and illnesses with paranoid somatic symptomatology, compared with English patients.…”

Section: Race and Mental Health In Britainmentioning

confidence: 99%

Migration, Race and Mental Health: A Review of Some Recent Research

Bagley

1968

Race

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has suggested the need for further research in this area. Two subjects discussed by Bottoms were the relevance of the Mertonian theory of the gap between culturally prescribed goals, and culturally available means for reaching these goals (creating the condition of 'anomie') as a cause of delinquency; and the possibility that emigrants from Commonwealth countries contained a higher proportion of the mentally abnormal, for example schizophrenics, so that in the host community this factor might predispose immigrants to higher delinquency rates than the rest of the population.The purpose of the present note is to discuss these two questions, in the light of recent American and British research on deviance taking the form of identifiable mental illjress,° rather than delinquency.At the same time, the review of recent research should indicate the direction of work in this area.

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Psychosis and immigration

Cited by 43 publications

References 10 publications

Migration, Ethnicity and Diagnosis

Migration, Ethnicity and Diagnosis

First Rank Symptoms and Diagnosis of Schizophrenia in Developing Countries

Migration, Race and Mental Health: A Review of Some Recent Research

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