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Acute psychotic reactions in Caribbean-born patients1

Published online by Cambridge University Press:  09 July 2009

Roland Littlewood  and
Maurice Lipsedge
Roland Littlewood*
Affiliation:
Department of Psychological Medicine, Guy's Hospital, London, and the Institute of Social Anthropology, University of Oxford
Maurice Lipsedge
Affiliation:
Department of Psychological Medicine, Guy's Hospital, London, and the Institute of Social Anthropology, University of Oxford
*
2Address for correspondence: Dr R. Littlewood, Wolfson College, Oxford OX2 6UD.
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Synopsis

A prospective study of patients with religious delusions identified 24 West Indian and West African patients. Those who had none of Schneider's first-rank symptoms of schizophrenia (principally West Indians) differed from those who did by virtue of early religious commitment, life-long religious experiences, an acute admission precipitated by social events, a greater chance of having their diagnosis changed, less than 10 different PSE syndromes, the absence of ‘twentieth-century’ delusions, and the presentation of malevolent witchcraft as the sole explanation of the episode. It is suggested that this group can usefully be considered as demonstrating an acute psychotic reaction of the type previously described in Africa and the Caribbean.

Type
Research Article
Information
Psychological Medicine , Volume 11 , Issue 2 , May 1981 , pp. 303 - 318
Copyright
Copyright © Cambridge University Press 1981

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Footnotes

1

Part of this research was presented at the Annual Meeting of the Royal College of Psychiatrists, London, 1977, a summary of which was published in the Bulletin of the College in November, 1977, under the title ‘Acute psychotic reactions in immigrants’.

References

Allers, R. (1920). Über psychogene Storungen in sprachfremder Umgebung. Zeitschrift für die gesamte Neurologie und Psychiatrie 60, 281–289.CrossRefGoogle Scholar
Argyle, M. & Beit-Hallahmi, B. (1975). The Social Psychology of Religion. Routledge and Kegan Paul: London.Google Scholar
Bagle, C. (1970). Relation of religion and racial prejudice in Europe. Journal for the Scientific Study of Religion 9, 219–225.CrossRefGoogle Scholar
Bleuler, E. (1924). Textbook of Psychiatry (transl. Brill, A. A.). MacMillan: London.Google Scholar
Bourque, L. B. & Back, K. W. (1969). Values and transcendental experiences. Social Forces 47, 34–38.CrossRefGoogle Scholar
Bowers, M. B. (1972). Acute psychosis induced by psychotomimetic drug abuse. I. Clinical findings. Archives of General Psychiatry 27, 437–440.CrossRefGoogle ScholarPubMed
Broen, W. E. (1955). Personality correlates of certain religious attitudes. Journal of Consulting Psychology 19, 64.CrossRefGoogle ScholarPubMed
Burke, A. W. (1974). Socio-cultural determinants of psychiatric disorder among women in Trinidad and Tobago. West Indian Medical Journal 23, 75–79.Google ScholarPubMed
Burke, A. (1975). Trends in Caribbean psychiatry. Part I: the problems. West Indian Medical Journal 24, 218–222.Google ScholarPubMed
Bustamante, J. A. (1969). La réaction psychotique aiguë, la transculturation, le sous-développement et les changements sociaux. Psychopathologie Africaine 5, 223–233.Google Scholar
Carothers, J. C. (1947). A study of mental derangement in Africans and an attempt to explain its peculiarities, more especially in relation to the African attitude to life. Journal of Mental Science 93, 548–596.CrossRefGoogle Scholar
Carpenter, W. T. & Strauss, J. S. (1974). Cross-cultural evaluation of Schneider's first-rank symptoms of schizophrenia: a report from the International Pilot Study of Schizophrenia. American Journal of Psychiatry 131, 682–687.CrossRefGoogle ScholarPubMed
Carpenter, W. T., Strauss, J. S. & Muleh, S. (1973). Are there pathognomic symptoms in schizophrenia? An empiric investigation of Schneider' first-rank symptoms. Archives of General Psychiatry 28, 847–852.CrossRefGoogle Scholar
Clive, V. B. & Richards, J. M. (1965). A factor-analytic study of religious belief and behaviour. Journal of Personality and Social Psychology 1, 569–578.Google Scholar
Cohen, S. M., Allen, M. G., Pollin, W. & Hrubee, Z. (1972). Relationship of schizo-affective psychosis to manic depressive psychosis and schizophrenia. Findings in 15:909 veteran pairs. Archives of General Psychiatry 26, 539–546.CrossRefGoogle ScholarPubMed
Collomb, H. (1965). Les bouffées delirantes en psychiatrie Africaine. Psychopathologie Africaine 1, 167–239.Google Scholar
Community Relations Commission (1976). Aspects of Mental Health in a Multi-Cultural Society. CRC: London.Google Scholar
Constant, J. (1972). Les bouffées delirantes en Guadeloupe: Essai d'analyse sémiologique, psychopathologique et culturelle à propos de 112 observations. Psychopathologie Africaine 8, 169–199.Google Scholar
Copeland, J. R. M. (1968). Aspects of mental illness in West African students. Social Psychiatry 3, 7–13.CrossRefGoogle Scholar
Devereux, G. (1961). Mohave Ethnopsychiatry and Suicide: the Psychiatric Knowledge and the Psychic Disturbances of an Indian Tribe. Bureau of American Ethnology Bulletin no. 175. The Smithsonian Institution: Washington, D.C.Google Scholar
Diop, M. (1967). La depression chez le noir Africain. Psychopathologie Africaine 3, 183–194.Google Scholar
Faergeman, P. M. (1963). Psychogenic Psychoses. Butterworths: London.Google Scholar
Field, M. J. (1958). Mental disorder in rural Ghana. Journal of Mental Science 104, 1043–1051.CrossRefGoogle ScholarPubMed
Fish, F. J. (1962). Schizophrenia. John Wright and Sons: Bristol.Google Scholar
Floru, L. (1975). Transkulturelle Aspekte der klinischepsychiatrischen Bilder ausländischer Arbeitnehmer (Gastarbeiter) und deren Bedeutung für die nervenarztliche Praxis. Confinia Psychiatricia 18, 193–206.Google Scholar
Fortes, M. & Meyer, D. Y. (1969). Psychosis and social change among the Tallensi of Northern Ghana. In Psychiatry in a Changing Society (ed. Foulkes, S. H. and Prince, G.), pp. 33–73. Tavistock: London.Google Scholar
Frost, I. (1938). Home sickness and immigrant psychoses: Austrian and German domestic servants. Journal of Mental Science 84, 801–847.CrossRefGoogle Scholar
Gordon, E. B. (1965). Mentally ill West Indian immigrants. British Journal of Psychiatry 111, 877–887.CrossRefGoogle ScholarPubMed
Hirsch, S. J. & Hollender, M. H. (1969). Hysterical psychosis: clarification of the concept. American Journal of Psychiatry 125, 909–915.CrossRefGoogle Scholar
Hunt, R. A. (1968). The interpretation of the religious scale of the Allport–Vernon–Lindzey study of values. Journal for the Scientific Study of Religion 7, 65–77.CrossRefGoogle Scholar
Jablensky, A. & Sartorius, N. (1975). Culture and schizophrenia. Psychological Medicine 5, 113–124.CrossRefGoogle ScholarPubMed
Jaspers, K. (1963). General Psychopathology (transl. Hoenig, J. and Hamilton, M. W.). Manchester University Press: Manchester.Google Scholar
Jilek, W. G. & Jilek-Aall, L. (1970). Transient psychoses in Africans. Psychiatrica clinica 3, 337–364.Google ScholarPubMed
Kendell, R. E. & Gourlay, A. J. (1970). The clinical distinction between the affective psychoses and schizophrenia. British Journal of Psychiatry 117, 261–266.CrossRefGoogle Scholar
Kiev, A. (1963). Beliefs and delusions of West Indian immigrants to London. British Journal of Psychiatry 109, 356–363.CrossRefGoogle ScholarPubMed
Kiev, A. (1964). Psychotherapeutic aspects of Pentecostal Sects among West Indian immigrants to England. British Journal of Sociology 15, 129–138.CrossRefGoogle Scholar
Kiev, A. (1972). Transcultural Psychiatry. Penguin: Harmondsworth.Google Scholar
Kirkpatrick, C. (1949). Religion and humanitarianism: a study of institutional implications. Psychological Monographs 63, no. 304.CrossRefGoogle Scholar
Kleist, K. (1928). Über zykloide, paranoid und epileptoide Psychosen und über die Frage der Degenerationspsychosen. Schweizer Archiv für Neurologie und Psychiatric 23, 3–37. Translated as: Cycloid, paranoid and epileptoid psychoses and the problems of degenerative psychoses. In Themes and Variations in European Psychiatry (ed. Hirsch, S. R. and Shepherd, M.), pp. 295–331. John Wright: Bristol (1974).Google Scholar
Lambo, T. A. (1955). The role of cultural factors in paranoid psychosis among the Yoruba tribe. Journal of Mental Science 101, 239–266.CrossRefGoogle Scholar
Lambo, T. A. (1960). Further neuropsychiatric observations in Nigeria: with comments on the need for epidemiological study in Africa. British Medical Journal ii, 1696–1704.CrossRefGoogle Scholar
Lambo, T. A. (1965). Schizophrenic and borderline states.In Ciba Foundation Symposium on Transcultural Psychiatry (ed. de Reuck, A. V. S. and Porter, R.), pp. 62–84. Churchill: London.CrossRefGoogle Scholar
Leff, J. P., Fischer, M. & Bertelsen, A. (1976). A cross-national epidemiological study of mania. British Journal of Psychiatry 129, 428–442.CrossRefGoogle ScholarPubMed
Leonhard, K. (1959). Aufreilung der endogenen Psychosen (second edn). Academic Verlag: Berlin.Google Scholar
Littlewood, R. & Lipsedge, M. (1981). Some social and phenomenological characteristics of psychotic immigrants. Psychological Medicine 11, 289–302.CrossRefGoogle ScholarPubMed
Lucas, C. J., Sainsbury, P. & Collins, J. G. (1962). A social and clinical study of delusions in schizophrenia. Journal of Mental Science 108, 747–758.CrossRefGoogle ScholarPubMed
Magnan, V. (1893). Leçons cliniques. Bataille: Paris.Google Scholar
Markovic, M., Tomasek, B., Jevtic-Todorovic, J. & Stanisic, P. (1973). Psychoses chez les Emigrants: Tableau clinique et characteristiques de la personalité pré-émigrante. Annales Médico-Psychologiques 131, 341–347.Google Scholar
McCabe, M. S. (1976). Symptom differences in reactive psychoses and schizophrenia with poor prognosis. Comprehensive Psychiatry 17, 301–307.CrossRefGoogle ScholarPubMed
Mellor, C. S. (1970). I. The frequency of schizophrenics on admission to hospital. First-rank symptoms of schizophrenia. II. Differences between first-rank symptoms. British Journal of Psychiatry 117, 15–23.CrossRefGoogle Scholar
Murphy, H. B. M. (1967). Cultural aspects of the delusion. Studium Generale 20, 684–692.Google ScholarPubMed
Murphy, H. B. M., Wittkower, E. D., Fried, J. & Ellenberger, H. (1963). A cross-cultural survey of schizophrenic symptomatology. International Journal of Society Psychiatry 9, 237–249.CrossRefGoogle ScholarPubMed
Murphy, H. B. M., Wittkower, E. D. & Chance, N. A. (1967). Cross-cultural inquiry into the symptomatology of depression: a preliminary report. International Journal of Social Psychiatry 3, 6–15.Google Scholar
Perris, C. (1974). A study of cycloid psychoses. Acta psychiatrica scandinavica, Supplement 253, 1–77.Google ScholarPubMed
Poppleton, P. K. & Pilkington, G. W. (1963). The measurement of religious attitudes in a university population. British Journal of Social and Clinical Psychology 3, 20–36.CrossRefGoogle Scholar
Post, F. (1971). Schizo-affective symptomatology in late life. British Journal of Psychiatry 118, 437–445.CrossRefGoogle ScholarPubMed
Pouget, R., Cirba, R., Chiariny, J. F. & Castelnau, D. (1975). Troubles psychiatriques chez les français musulmans immigrés. Annales Médico-Psychologiques 133, 541–561.Google Scholar
Prince, R. (1967). The changing picture of depressive syndromes in Africa. Canadian Journal of African Studies 1, 177–192.Google Scholar
Ranney, M. H. (1850). On insane foreigners. American Journal of Insanity 7, 53–63.Google Scholar
Risso, M. & Böker, W. (1964). Delusions of being bewitched: a contribution to the understanding of delusional disorders in south Italian labourers in Switzerland. Bibliotheca psychiarrica et neurologica 124, 1–82.Google Scholar
Rosenberg, B. A. (1974). The psychology of the spiritual sermon. In Religious Movements in Contemporary America (ed. Zaretsky, I. I. and Leone, M. P.), pp. 135–149. Princeton University Press: Princeton.Google Scholar
Rothenberg, A. (1964). Puerto Rico and aggression. American Journal of Psychiatry 120, 962–970.CrossRefGoogle ScholarPubMed
Royes, K. (1962). The incidence and features of psychoses in a Caribbean community.In Proceedings of the Third World Congress of Psychiatry,Montreal,1961, Vol. 2, pp. 1121–1125.Google Scholar
Rwegellera, G. G. C. & Mambwe, C. C. (1977). Diagnostic classification of first-ever admissions to Chainama Hills Hospital, Lusaka, Zambia. British Journal of Psychiatry 130, 573–580.CrossRefGoogle ScholarPubMed
Sartorius, N., Jablensky, A. & Shapiro, R. (1977). Two year follow-up of the patients included in the WHO International Pilot Study of Schizophrenia. Psychological Medicine 7, 529–541.CrossRefGoogle Scholar
Schneider, K. (1959). Clinical Psychopathology (transl. Hamilton, M. W.). Grune and Stratton: New York.Google Scholar
Sheldrick, C., Jablensky, A., Sartorius, N. & Shepherd, M. (1977). Schizophrenia succeeded by affective illness. Catamnestic study and statistical enquiry. Psychological Medicine 7, 619–624.CrossRefGoogle ScholarPubMed
Stainbrook, E. (1952). Some characteristics of the psychopathology of schizophrenic behaviour in Bahian society. American Journal of Psychiatry 109, 330–335.CrossRefGoogle ScholarPubMed
Swift, C. R. & Asuni, L. (1975). Mental Health and Disease in Africa. Medicines in the Tropics Series. Churchill: Edinburgh.Google Scholar
Taylor, M. A. & Abrams, R. (1975). Manic depressive illness and good prognosis schizophrenia. American Journal of Psychiatry 132, 741–742.Google ScholarPubMed
Tewfik, G. I. & Okasha, A. (1965). Psychosis and immigration. Postgraduate Medical Journal 41, 603–612.CrossRefGoogle ScholarPubMed
Tooth, G. (1950). Studies in Mental illness in the Gold Coast. Colonial Research Publication No. 6. HMSO: London.Google Scholar
Vaillant, G. (1964). Prospective prediction of schizophrenic remission. Archives of General Psychiatry 11, 509–518.CrossRefGoogle ScholarPubMed
Weinberg, S. K. (1965). Cultural aspects of manic depression West Africa. Journal of Health and Human Behaviour 6, 247–253.CrossRefGoogle ScholarPubMed
Weinstein, E. A. (1962). Cultural Aspects of Delusions. Collier-Macmillan: London.Google Scholar
Wing, J. K., Cooper, J. E. & Sartorius, N. (1974). Measurement and Classification of Psychiatric Symptoms. Cambridge University Press: Cambridge.Google Scholar
Wintrob, R. M. (1968). Sexual guilt and culturally sanctioned delusions in Liberia, West Africa. American Journal of Psychiatry 125, 89–95.CrossRefGoogle ScholarPubMed
World Health Organization (1975). Schizophrenia: A Multi-National Study. Public Health Papers No. 63. WHO: Geneva.Google Scholar
Yap, P. M. (1969). The culture-bound reactive syndromes. In Mental Health Research in Asia and the Pacific (ed. Caudill, W. and Lin, T. Y.), pp. 33–53. University Press of Hawaii, Honolulu.CrossRefGoogle Scholar