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Aspects of Clinical Psychiatry in Sub-Saharan Africa

Published online by Cambridge University Press:  29 January 2018

G. Allen German
G. Allen German*
Affiliation:
Makerere University, P.O. Box 7072, Kampala, Uganda, East Africa
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Extract

Baan was referring to the underdeveloped world, or the ‘third world’ as it is often called. This review is concerned with psychiatry in a small part of it—Sub-Saharan Africa—that part of the African continent inhabited by black Africans. At the time of writing, the term is used more specifically to describe independent black Africa, excluding South Africa—hence a bloc of cultures and sub-cultures with ethnic, economic, religious and customary patterns very different from those of the continents of Europe and North America where the bulk of current data and theory about psychiatric disorders has been obtained and expanded. In view of such major differences in factors long thought to influence the occurrence and nature of psychiatric illnesses, the patterns of these disorders in Sub-Saharan Africa are important in clarifying theories about psychiatric disease despite the paucity of adequate research carried out to date.

Type
Research Article
Information
The British Journal of Psychiatry , Volume 121 , Issue 564 , November 1972 , pp. 461 - 479
Copyright
Copyright © Royal College of Psychiatrists, 1972 

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References

Aall-Jilek, L. M. (1965). ‘Epilepsy in the Wapogoro tribe in Tanganyika.’ Acta psychiat, Scand., 41, 57–86.Google Scholar
Assael, M., and German, G. A. (1970). ‘Changing society and mental health in Eastern Africa.’ Israel Annals of Psychiatry, 8, 52–74.Google Scholar
Asuni, T. (1961). ‘Suicide in Western Nigeria,’ in First Pan-African Psychiatric Conference Report (ed. Lambo). Abeokuta, Nigeria.Google Scholar
Asuni, T., and Pillutla, V. S. (1967). ‘Schizophrenia-like psychoses in Nigerian epileptics.’ Brit. J. Psychiat., 113, 1375–9.CrossRefGoogle ScholarPubMed
Aubin, H. (1939). ‘Introduction a l'étude de la psychiatrie chez les noirs.’ Annales Médico-Psychologiques, 97, 1–29.Google Scholar
Baan, P. (1968). ‘Sir Aubrey Lewis and the Institute of Psychiatry,’ in Studies in Psychiatry (eds. Shepherd and Davies). London.Google Scholar
Bert, J. (1951). ‘Psychoses chez le noir à propos de quelques observations.’ Médecine Tropicale, 11, 57–60.Google Scholar
Bird, A. V., Heinz, H. J., and Klintworth, G. (1962). ‘Convulsive disorders in Bantu mine workers.’ Epilepsia, Amst., 3, 175–87.Google ScholarPubMed
Boroffka, A. (1964). ‘Psychiatrie in Nigeria.’ New. Psychiat., 176, 103–4.Google Scholar
Bowman, K. M., and Rose, M. (1959). ‘What is schizophrenia?’ in Schizophrenia, an Integrated Approach (ed. Auerback). New York.Google Scholar
Carothers, J. C. (1948). ‘A study of mental derangement in Africans, and an attempt to explain its peculiarities, more especially in relation to the African attitude to life.’ J. ment. Sci., 93, 548–96.Google Scholar
Carothers, J. C. (1951). ‘Frontal lobe function and the African.’ J. ment. Sci., 97, 12–48.CrossRefGoogle ScholarPubMed
Carothers, J. C. (1953). The African Mind in Health and Disease: a Study of Ethnopsychiatry. Monograph series, World Health Organization, Geneva, No. 17.Google Scholar
Collomb, H. (1956). ‘Introduction à la psychiatrie tropicale.’ Médecine Tropicale, 16, 141–51.Google Scholar
Collomb, H., and Plas, R. (1958). ‘Les états délirants aigus.’ Médicine Tropicale, 18, 1–6.Google Scholar
Collomb, H., and Zwingelstein, J. (1961). ‘Depressive states in an African community (Dakar),’ in First Pan-African Psychiatric Conference Report (ed. Lambo). Abeokuta, Nigeria.Google Scholar
Collomb, H. (1965). ‘Assistance psychiatrique en Afrique. Expérience sénégalaise.’ Psychopath. Afric., 1, 11–84.Google Scholar
Dembovitz, N. (1945). ‘Psychiatry amongst West African troops.’ Journal of the Royal Army Medical Corps, 84, 70–4.Google Scholar
Diop, M. (1967). ‘La dépression chez le noir africain.’ Psychopath. Afric., 3, 183–94.Google Scholar
Ey, H. (1963). Manuel de Psychiatrie. Paris.Google Scholar
Faeroeman, P. M. (1963). Psychogenic Psychoses. London.Google Scholar
Fallers, L. A., and Fallers, M. C. (1960). ‘Homicide and suicide in Busoga,’ in African Homicide and Suicide (ed. Bohannan). Princeton, New Jersey.Google Scholar
Field, M. J. (1962). Search for Security. An Ethno-Psychiatric Study of Rural Ghana. Chicago.Google Scholar
Forster, E. F. B. (1958). ‘A short psychiatric review from Ghana,’ in Mental Disorders and Mental Health in Africa South of the Sahara. CCTA/CSA—WFMH—WHO meeting of specialists on mental health, Bukavu. London.Google Scholar
Fortes, M., and Mayer, D. Y. (1969). ‘Psychosis and social change among the Tallensi of Northern Ghana,’ in Psychiatry in a Changing Society (eds. Foulkes and Stewart-Prince). London.Google Scholar
Gelfand, M. (1947). The Sick African. Cape Town.Google Scholar
Gelfand, M. (1957). ‘Epilepsy in the African.’ Cent. Afr. J. Med., 3. 11–12.Google ScholarPubMed
German, G. A. (1969). ‘Paganism, faith and mental illness.’ Uganda Pract., 2, 4–8.Google Scholar
German, G. A., and Arya, O. P. (1969). ‘Psychiatric morbidity amongst a Ugandan student population.’ Brit. J. Psychiat., 115, 1323–9.CrossRefGoogle Scholar
German, G. A., Assael, M., and Muhangi, J. (1970). ‘Psychiatric disorders associated with study in the mid-adolescent years.’ Reported to 2nd Pan-African Psychiatric Workshop, Mauritius. In press.Google Scholar
German, G. A., Assael, M. (1971). ‘Achievement stress and psychiatric disorder amongst students in Uganda.’ Israel Annals of Psychiatry, 9, 30–8.Google ScholarPubMed
German, G. A. (1972). ‘Psychiatric syndromes,’ in Medicine in a Tropical Environment (eds. Shaper, Hurt and Kibuka-Musoke). London: B.M.A. In press.Google Scholar
Giel, R., and Van Luijk, J. N. (1969). ‘Psychiatric morbidity in a small Ethiopian town.’ Brit. J. Psychiat., 115, 149–62.CrossRefGoogle Scholar
Griesinger, W. (1845). Pathologie und Therapie der psychischen Krankheiten. Reprint. Amsterdam, 1964.Google Scholar
Haworth, A. (1968). ‘Schizophrenia, hysteria and other barriers to communication,’ in Deuxième Colloque Africain de Psychiatrie. Paris.Google Scholar
Jilek, W. G., and Jilek-Aall, L. (1970a). ‘Transient psychoses in Africans.’ Psychiat. Clin., 3, 337–64.Google Scholar
Jilek, W. G., and Jilek-Aall, L. (1970b). ‘The problem of epilepsy in a rural Tanzanian tribe.’ Afr. J. med. Sci., 1, 305–7.Google Scholar
Kagwa, B. H. (1964). ‘The problem of mass hysteria in East Africa.’ E. Afr. med. J., 41, 560–6.Google Scholar
Kagwa, B. H. (1965). ‘Observations on the prevalence and types of mental diseases in East Africa.’ E. Afr. med. J., 42, 673–82.Google ScholarPubMed
Kennedy, A., and Neville, J. (1957). ‘Sudden loss of memory.’ Brit. med. J., 2, 428–33.Google Scholar
Kessel, W. I. N. (1960). ‘Psychiatric morbidity in a London general practice.’ Brit. J. prev. soc. Med., 14, 16–22.Google Scholar
Kidd, C. B., and Caldbeck-Meenan, J. (1966). ‘Psychiatric morbidity among students at two different universities.’ Brit. J. Psychiat., 112, 57–64.Google Scholar
Lambo, T. A. (1955). ‘The role of cultural factors in paranoid psychoses among the Yoruba.’ J. ment. Sci., 101, 239–65.CrossRefGoogle Scholar
Lambo, T. A. (1960). ‘Further neuropsychiatric observations in Nigeria.’ Brit. med. J., 2, 1–24.CrossRefGoogle ScholarPubMed
Lambo, T. A. (1962). ‘Important areas of research in tropical neurology,’ in First Pan-African Psychiatric Conference Report (ed. Lambo). Abeokuta, Nigeria.Google Scholar
Lambo, T. A. (1965a). ‘Schizophrenia and borderline states,’ in Transcultural Psychiatry, Ciba Foundation Symposium (eds. De Reuck and Porter). London.CrossRefGoogle Scholar
Lambo, T. A. (1965b). ‘Epidemiology and prevention in the developing countries,’ in Psychiatric Disorders in the Aged. W.P.A. Symposium, Geigy. Manchester.Google Scholar
Lambo, T. A. (1968). ‘Schizophrenia, its features and prognosis in the African,’ in Deuxième Colloque Africain de Psychiatrie. Paris.Google Scholar
Laubscher, B. J. F. (1937). Sex, Custom and Psychopathology: a Study of South African Pagan Natives. London.Google Scholar
Leiohton, A. M., Lambo, T. A., Hughes, C. C., Leighton, D. C., Murphy, J. M., and Macklin, D. B. (1963). Psychiatric Disorder amongst the Yoruba. New York.Google Scholar
Lewis, A. (1958). ‘Social psychiatry,’ in Lectures on the Scientific Basis of Medicine, 6, 116–42.Google Scholar
Lewis, A. (1961). Inaugural speech of the scientific session, in First Pan-African Psychiatric Conference Report (ed. Lambo). Abeokuta, Nigeria.Google Scholar
MacSearraigh, E. J. M. (1969). ‘Chronic neurological syndromes and alcohol induced hypoglycaemia—a hypothesis.’ E. Afr. Med. J., 46, 208–10.Google Scholar
Martin, F. M., Brotherston, J. H. F., and Chave, S. P. W. (1957). ‘Incidence of neurosis in a new housing estate.’ Brit. J. prev. and soc. Med., 11, 196–202.Google Scholar
Masawe, A., and German, G. A. (1972). ‘Parenchymal neurosyphilis in psychiatric practice in Uganda.’ Afr. J. med. Sci. In press.Google Scholar
Mbanefo, S. E. (1971). ‘The general practitioner and psychiatry,’ in Psychiatry and Mental Health Care in General Practice. University of Ibadan, Department of Psychiatry and Neurology.Google Scholar
Meynert, T. (1889). ‘Amentia, die Verwirrtheit.’ Jb. Psychiat., 9, 1–112.Google Scholar
Muhangi, J. (1971). ‘The nature and prevalence of psychotic states in elderly people in a rural area in Uganda.’ Paper read to Third Pan-African Psychiatric Workshop. Abeokuta, Nigeria. Proceedings to be published. Mimeograph available from Department of Psychiatry, Makerere University, Kampala.Google Scholar
Muhangi, J. (1972). ‘Preliminary report on “mass hysteria” in an Ankole school.’ E. Afr. med. J. In press.Google Scholar
Mundy-Gastle, A. C. (1970). ‘Epilepsy and the electroencephalogram in Ghana.’ Afr. J. med. Sci., 1, 221–36.Google Scholar
Murphy, H. B. M., and Raman, A. C. (1971). ‘The chronicity of schizophrenia in indigenous tropical peoples: results of a twelve-year follow-up sruvey.’ Brit. J. Psychiat., 118, 489–97.Google Scholar
Muwazi, E. M., and Trowell, H. C. (1944). ‘Neurological disease among African natives of Uganda: a review of 269 cases.’ E. Afr. med. J., 21, 2–19.Google Scholar
Namboze, J. M., Assael, M., German, G. A., and Bennett, J. (1972). ‘Psychiatric disorder in a group of rural, pregnant, African women.’ J. soc. and comm. Med. In press.Google Scholar
Orley, J. H. (1968). ‘Cultural correlates of mental illness amongst the Baganda.’ Mimeograph. Available from the Department of Psychiatry, Makerere University, Kampala.Google Scholar
Orley, J. H. (1970a). Culture and Mental Illness, p. 24. Nairobi: East African Publishing House.Google Scholar
Orley, J. H. (1970b). ‘Epilepsy in Uganda (rural): a study of eighty-three cases.’ Afr. J. of med. Sci., 1, 155–60.Google Scholar
Orley, J. H. (1972). ‘A prospective study of 372 consecutive admissions to Butabika Hospital, Kampala, Uganda.’ E. Afr. med. J. In press.Google Scholar
Planques, L., and Collomb, H. (1957). ‘Les psychoses des noirs.’ Rev. Corps Santé milit., 13, 194–205.Google Scholar
Powell, S. J., Proctor, E. M., Wilmot, A. J., and Macleod, I. N. (1966). ‘Cysticercosis and epilepsy in Africans: a clinical and serological study.’ Ann. trop. Med. and Parasitol., 60, 152–8.Google Scholar
Prince, R. (1960). ‘The “Brain-fag” syndrome in Nigerian students.’ J. ment. Sci., 106, 559–70.Google Scholar
Prince, R. (1962). ‘Functional symptoms associated with study in Nigerian students.’ West. Afr. med. J., 11, 198–206.Google Scholar
Prince, R. (1968). ‘The changing picture of depressive syndromes in Africa. Is it fact or diagnostic fashion?’ Canadian J. of African Studies, 1, 177–92.Google Scholar
Rainaut, J. (1958). ‘Un aspect des psychoses transitoires en milieu africain: la bouffée aiguë confusionnelle et anxieuse,’ in Mental Disorders and Mental Health in Africa South of the Sahara. CCTA/CSA—WFMH—WHO meeting of specialists on mental health, Bukavu. London.Google Scholar
Salles, P. (1961). ‘Aspects pratiques des psychoses aiguës transitoires chez le noir d'Afrique centrale.’ Médecine Tropicale, 21, 1–10.Google Scholar
Shelley, H. M., and Watson, W. H. (1936). ‘An investigation concerning mental disorder in the Nyasaland natives.’ J. ment. Sci., 82, 701–30.Google Scholar
Shepherd, M., and Cooper, B. (1964). ‘Epidemiology and mental disorder: a review.’ J. Neurol., Neurosurg. Psychiat., 27, 277–90.CrossRefGoogle ScholarPubMed
Shepherd, M., Cooper, B., Brown, A. C., and Kalton, G. W. (1966). Psychiatrie Illness in General Practice. London.Google Scholar
Slater, E., and Beard, A. W. (1963). ‘The schizophrenialike psychoses of epilepsy: (i) psychiatric aspects.’ Brit. J. Psychiat., 109, 95–112.Google Scholar
Slater, E. (1965). ‘Diagnosis of hysteria.’ Brit. med. J., i, 1395–9Google Scholar
Smartt, C. G. F. (1956). ‘Mental maladjustment in the East African.’ J. ment. Sci., 102, 441–66.Google Scholar
Smartt, C. G. F. (1964). ‘Short term treatment of the African psychotic.’ Central Afr. J. Med., 10, No. 9 (supplement).Google ScholarPubMed
Srole, L., Langer, T. S., Michael, S. T., Opler, M. K., and Rennte, T. A. C. (1962). Mental Health in the Metropolis: The Midtown Manhattan Survey. New York.Google Scholar
Stransky, E. (1904). ‘Zur Lehre von der Dementia praecox.’ Cbl. Nervenheilk. Psychiat., 15, 1–19.Google Scholar
Stransky, E. (1907). ‘Zur Amentiafrage.’ Cbl. Nervenheilk. Psychiat., 18, 809–16.Google Scholar
Tewfik, G. I. (1958). ‘Problems of mental illness in Uganda,’ in Mental Disorders and Mental Health in Africa South of the Sahara. CCTA/CSA—WFMH—WHO meeting of specialists on mental health, Bukavu. London.Google Scholar
Tooth, G. (1950). Studies in Mental Illness in the Gold Coast. London.Google Scholar
Vyncke, J. C. (1957). Psychoses et Nevroses en Afrique Centrale. Académie royale des sciences coloniales, classe des sciences naturelles et médicales. Brussells.Google Scholar
Wolff, H. G., and Curran, D. (1935). ‘Nature of delirium and allied states: the dysergastic reaction.’ Arch. Neurol. and Psychiat., 33, 1175–1215.Google Scholar
Wood, J. F. (1968). ‘A half-century of growth in Ugandan psychiatry,’ in Uganda Atlas of Disease Distribution (eds. Hall and Langlands). Kampala.Google Scholar
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