“…Numerous studies demonstrate how people from various cultural or ethnic backgrounds are more likely to use spiritual explanations as a predominant factor in their understanding of psychosis (e.g., Pakistani – Zafar et al ., ; UK Black African or Black Carribean – Codjoe, Byrne, Lister, McGuire, & Valmaggia, ). Spiritual explanatory models of illness were assessed longitudinally by Huguelet, Mohr, Gilliéron, Brandt, and Borras (); using five a priori factors, they found that when conceptualized as an explanatory model rather than a coping style, each factor could be either positive or negative, dependent upon how the participant integrated the framework into their experience. They found that the nature of explanatory frameworks changed over time, but found no association between the kind of framework adopted and clinical outcome.…”