Schizophrenic Delusions Among Koreans, Korean-Chinese and Chinese: a Transcultural Study

Kim, Kwang-Iel; Li, Donggen; Jiang, Zhenzi; Cui, Xing Ji; Lin, Luchun; Kang, Jiang Ju; Park, Kang Kyu; Chung, Eun Kee; Kim, Chul-Kyu

doi:10.1177/002076409303900305

Cited by 49 publications

(28 citation statements)

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“…In comparison with 1912, Steinebrunner et al [13] pointed out that the type of poison increased in variety to include smoke damage and narcotic drugs. Fujimori [3] in Japan and Kim [4] in Korea attributed the lower incidence of delusions of poisoning in their countries as compared with China to the difference in the history of culture involving food and poison. The Japanese term 'Doku', meaning poison, is originally restricted to food alone, while the German term 'Gift' has a more extensive meaning including poison gas, etc.…”

Section: Themes Of Delusionmentioning

confidence: 99%

“…The latter may derive from the grouporiented self in Japanese 'shame culture'. There are only limited data on the contents of schizophrenic delusions compared among different cultural areas [1][2][3][4]. Previous studies on this issue were carried out from the Western viewpoint, only covering patients in developing countries such as Africa or Java [5], or based on questionnaires with unspecified diagnostic criteria.…”

mentioning

confidence: 99%

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Transcultural Study of Schizophrenic Delusions

Tateyama

Hashimoto²,

Bartels

et al. 1998

Psychopathology

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Schizophrenic delusions of 324 inpatients in Tokyo, 101 in Vienna, and 150 in Tübingen (Germany) were compared according to the same classifications. Among the three areas, about 80% of the patients had equally ‘negative’ delusions (injury and/or belittlement), and about one-fourth had ‘positive’ delusions of grandeur. Transcultural influences were found in the detailed contents of the ‘negative’ delusions; specific and direct themes of persecutory delusion, i.e., delusions of poisoning, and religious themes of guilt/sin were conspicuous in Europe, while amorphous delusions of reference such as ‘being slandered’ were predominant in Japan. The latter may derive from the group-oriented self in Japanese ‘shame culture’.

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Section: Themes Of Delusionmentioning

confidence: 99%

mentioning

confidence: 99%

Transcultural Study of Schizophrenic Delusions

Tateyama

Hashimoto²,

Bartels

et al. 1998

Psychopathology

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“…He called delusions of persecution and grandiosity 'typical', 'fundamental' or 'primordial delirium'. The significance of these two themes in the context of schizophrenic delusions is confirmed by transcultural comparative studies [21,[29][30][31]. Each of them showed that persecution is the most frequent delusional theme, followed by grandiosity.…”

Section: Discussionmentioning

confidence: 78%

“…The basic hypothesis could be that there are only a few themes that can be found in all periods and cultures. These contents are persecution, grandiosity, religion, guilt, hypochondria, jealousy and love [3,4,21,29,30,32]. They seem to be of an extraordinary anthropological importance for the experience of the world and the person, for the organization of human relationships and the expression of hopes and fears, which are important especially in pathological conditions like schizophrenic delusions.…”

Section: Discussionmentioning

confidence: 99%

Old Wine in New Bottles?

Stompe

Ortwein-Swoboda²,

Schanda³

2003

Psychopathology

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A number of recent case reports published during the last 20 years described a quick inclusion of new technologies and cultural innovations into schizophrenic delusions which led many of the authors to the conclusion that the ‘Zeitgeist’ is creating new delusional contents. On the other hand, long-term comparisons and comparative transcultural studies on delusions showed, despite a certain degree of variability, a stability of delusional themes over longer periods of time. Combining anthropological and historical theories of the development of societies with a differentiated psychopathological approach (Klosterkötter’s three-stage model of the formation of schizophrenic delusions), we were able to resolve the problem of the ostensibly divergent results: there are only a few themes of extraordinary anthropological importance for the organization of human relationships which can be found in every epoch and in different cultures (persecution, grandiosity, guilt, religion, hypochondria, jealousy, and love). With the exception of persecution and grandiosity, these themes showed a certain variability over time and between cultures. The ‘new’ themes, referring to the development of modern technology and the rapid changes of ‘cultural patterns’ turned out to be only the shaping of the basic delusional themes on the 3rd stage of Klosterkötter’s phase model (concretization).

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“…In other studies, the effect of sociodemographic and cultural variables on types of delusions have be investigated (3)(4)(5)(6)(7)(8). Results of these studies support the view that, even though patients in different cultures show similar clinical presentations, the content of their symptoms can be traced back to regional or cultural themes.…”

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confidence: 99%

Sanrı ve varsanı tiplerinin şizofreni ve şizoaffektif bozuklukta tedavi yanıtına etkisi

Kılıçaslan¹,

Acar²,

Ekşioğlu³

et al. 2016

Dusunen Adam

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The effect of delusion and hallucination types on treatment response in schizophrenia and schizoaffective disorder Objective: While there are numerous studies investigating what kind of variables, including sociodemographic and cultural ones, affect the delusion types, not many studies can be found that investigate the impact of delusion types on treatment response. Our study aimed at researching the effect of delusion and hallucination types on treatment response in inpatients admitted with a diagnosis of schizophrenia or schizoaffective disorder. Method: The patient group included 116 consecutive inpatients diagnosed with schizophrenia and schizoaffective disorder according to DSM-IV-TR in a clinical interview. Delusions types were determined using the classification system developed by Gross and colleagues. The hallucinations were recorded as auditory, visual and auditory-visual. Response to treatment was assessed according to the difference in the Positive and Negative Syndrome Scale (PANSS) scores at admission and discharge and the duration of hospitalization. Results: Studying the effect of delusion types on response to treatment, it has been found that for patients with religious and grandiose delusions, statistically the duration of hospitalization is significantly longer than for other patients. On the other hand, in patients with a delusion of being bewitched, the difference between their PANSS scores at admission and discharge was lower. The types of hallucination did not affect the difference in PANSS scores nor the duration of treatment. However, in case of visual hallucinations, PANSS scores for psychotic exacerbation were higher. Conclusion: This study shows the association of negative treatment response with delusions of grandiosity and being bewitched and religious delusions. It can be said that delusion types in the schizophrenia spectrum may affect the duration of hospitalization and treatment response. Keywords: Delusion, hallucination, schizophrenia, schizoaffective disorder, treatment response ÖZET Sanrı ve varsanı tiplerinin şizofreni ve şizoaffektif bozuklukta tedavi yanıtına etkisiAmaç: Sanrı tiplerinin sosyodemografik ve kültürel ne gibi değişkenlerden etkilendiği konusunda fazla sayıda çalışma olmasına rağmen sanrı tipinin tedaviye yanıtına etkisi konusunda fazla sayıda çalışma bulunmamaktadır. Biz bu çalışmada sanrı ve varsanı tiplerinin şizofreni ve şizoaffektif bozukluk tanısı ile yatarak tedavi gören hastalarda, tedavi yanıtına etkisini araştırmayı amaçladık. Yöntem: Çalışmamıza şizofreni ve şizoaffektif bozukluk tanılarıyla ardışık olarak yatarak tedavi gören ve klinik görüşme sonucunda Ruhsal Bozuklukların Tanısal ve Sayımsal El Kitabı Yeniden Gözden Geçirilmiş Dördüncü Baskı (DSM-IV-TR) tanı ölçütlerine göre şizofreni ve şizoaffektif bozukluk tanısı doğrulanan 116 hasta alındı. Sanrı tiplerini belirlemek amacıyla Gross ve arkadaşlarının sanrı sınıflandırma sistemi kullanıldı. Varsanılar işitsel, görsel, işitsel-görsel olarak kaydedildi. Hastaların tedavi yanıtı ise yatış...

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Schizophrenic Delusions Among Koreans, Korean-Chinese and Chinese: a Transcultural Study

Cited by 49 publications

References 1 publication

Transcultural Study of Schizophrenic Delusions

Transcultural Study of Schizophrenic Delusions

Old Wine in New Bottles?

Sanrı ve varsanı tiplerinin şizofreni ve şizoaffektif bozuklukta tedavi yanıtına etkisi

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