Hostname: page-component-cd9895bd7-gvvz8 Total loading time: 0 Render date: 2024-12-28T04:29:39.205Z Has data issue: false hasContentIssue false

Alternative routes to healing in Bangladesh

Published online by Cambridge University Press:  02 January 2018

Michael Radford*
Affiliation:
Birmingham & Solihull Mental Health Trust; Honorary Senior Lecturer, Birmingham Medical School
Rights & Permissions [Opens in a new window]

Extract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

The mission to find ‘the secret of the village’ is one attraction of engaging in mental health services in Bangladesh. Over the last 15 years much attention in world psychiatry has been given to the fairly robust finding that the prognosis of people with established and severe mental illness is better in ‘developing countries’ than in ‘developed’ ones (e.g. World Health Organization, 1979; Leff et al, 1990; Jablensky et al, 1992). Earlier assumptions that ‘developing’ is a simple variable were almost certainly a result of racist ignorance (Kulhara, 1994). Developing countries are not homogeneous. The variation in mental health outcomes seems to be clearer in more remote villages and tribal areas (Chatterjee et al, 2003), especially those that have less contact with Western (colonial) models of psychiatry and ways of life. More studies on this topic across a wider range of rural and urban settings would have much to offer. Is there something poisonous that comes with lots of expensive services? Or is there something missing?

Type
Thematic paper – Traditional medicines in psychiatry
Creative Commons
Creative Common License - CCCreative Common License - BYCreative Common License - NCCreative Common License - ND
This is an Open Access article, distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives licence (http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits noncommercial re-use, distribution, and reproduction in any medium, provided the original work is unaltered and is properly cited. The written permission of Cambridge University Press must be obtained for commercial re-use or in order to create a derivative work.
Copyright
Copyright © The Royal College of Psychiatrists 2005

References

Bhui, K. (2001) Epidemiology and social issues. In Psychiatry in Multicultural Britain (eds Bhugra, D. & Cochrane, R.), pp. 4974. London: Gaskell.Google Scholar
Chatterjee, S., Patel, V., Chatterjee, A., et al (2003) Evaluation of a community-based rehabilitation model for chronic schizophrenia in rural India. British Journal of Psychiatry, 182, 5762.Google Scholar
Edgerton, R. B. & Cohen, A. (1994) Culture and schizophrenia: the DOSMD challenge. British Journal of Psychiatry, 164, 222231.Google Scholar
Halliburton, M. (2004) Finding a fit: psychiatric pluralism in South India and its implications for WHO studies of mental disorder. Transcultural Psychiatry, 41, 8098.Google Scholar
Higginbotham, N. & Marsella, A. J. (1988) International consultation and the homogenization of psychiatry in Southeast Asia. Social Science and Medicine, 27, 553561.CrossRefGoogle ScholarPubMed
Jablensky, A., Sartorius, N., Ernberg, G., et al (1992) Schizophrenia: manifestations, incidence and course in different cultures. Psychological Medicine (monograph supplement 20).CrossRefGoogle Scholar
Kulhara, P. (1994) Outcome of schizophrenia: some trans-cultural observations with special reference to developing countries. European Archives of Psychiatry and Clinical Neurosciences, 244, 227253.CrossRefGoogle Scholar
Leff, J., Sartorius, N., Jablensky, A., et al (1990) The International Pilot Study of Schizophrenia: five year follow up findings. In Search for Causes of Schizophrenia, Vol. II (eds Haffner, H. & Guttaz, W. F.). Berlin: Springer.Google Scholar
Lewis, A. (1953) Health as a social concept. British Journal of Sociology, 4, 109124.Google Scholar
Peet, M. (2004) International variations in the outcome of schizophrenia and the prevalence of depression in relation to national dietary practices: an ecological analysis. British Journal of Psychiatry, 184, 404408.Google Scholar
Radford, M. D. (2000) Getting the ‘nuts’ and the ‘bolts’ together. In At the Core of Mental Health Practice: Key Issues for Practitioners, Managers and Trainers (ed. Bailey, D.). London: Pavilion.Google Scholar
Thara, R., Padmavati, R. & Srinivasan, T. N. (2004) Focus on psychiatry in India. British Journal of Psychiatry, 184, 366373.Google Scholar
Tooth, B., Kalyansunderaram, V. & Glover, H. (1997) Recovery from Schizophrenia: A Consumer Perspective. Centre for Mental Health Nursing Research, Queensland University of Technology.Google Scholar
World Health Organization (1979) Schizophrenia: An International Follow-Up Study. Chichester: Wiley.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.