Transcultural PsychiatryPub Date : 2025-08-01Epub Date: 2022-01-05DOI: 10.1177/13634615211049072
Simon Hanseung Choi, Clayton Hoi-Yun McClintock, Elsa Lau, Lisa Miller
{"title":"The impact of perceived relationship to ancestors on the association between self-transcendence and psychopathology: A cross-cultural examination.","authors":"Simon Hanseung Choi, Clayton Hoi-Yun McClintock, Elsa Lau, Lisa Miller","doi":"10.1177/13634615211049072","DOIUrl":"10.1177/13634615211049072","url":null,"abstract":"<p><p>Self-transcendence has been associated with lower levels of psychopathology. Most studies of self-transcendence have focused on samples of Western participants, and used scales addressing such concepts as self-awareness and feelings of oneness with the larger universe. However, a common Eastern notion of transcendence-perception of ongoing relationships with ancestors-has not been studied. We conducted a cross-cultural investigation of the association between self-transcendence, perceived degree of relationship to ancestors and depression and anxiety in the United States (N = 1499), China (N = 3,150), and India (N = 863). Degrees of perceived relationship to ancestors differed across countries, with the highest rates in India and China, and lowest rates in the United States. Self-transcendence was negatively associated with risks for depression and anxiety in the United States. In India, self-transcendence was also negatively associated with risks for depression and anxiety, and a strong perceived relationship with ancestors had further protective benefit. In China, those with a high level of perceived relationship to ancestors and a high level of self-transcendence exhibited lower levels of psychopathology. Results suggest that measures of relationship to ancestors might be included in future cross-cultural studies of transcendence.</p>","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":" ","pages":"461-477"},"PeriodicalIF":2.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39786566","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Transcultural PsychiatryPub Date : 2025-08-01Epub Date: 2021-12-13DOI: 10.1177/13634615211059698
Tiago Pires Marques
{"title":"Mental illness, personhood, and transcendence: Spiritual and religious assistance in Catholic psychiatric contexts.","authors":"Tiago Pires Marques","doi":"10.1177/13634615211059698","DOIUrl":"10.1177/13634615211059698","url":null,"abstract":"<p><p>In recent decades, there have been many calls for the inclusion of spirituality and religion (S/R) in therapeutic contexts. In some contexts, this has been an institutionalized form of spiritual and religious assistance (SRA). This article examines the concepts and practices involved in SRA services at three psychiatric institutions in Portugal, a country with strong Catholic roots but increasing efforts at secularity and recognition of religious diversity. The case of a user who contacted the SRA service allows us to better grasp this new practice in action. Although some SRA practices have similarities with mindfulness, a systematic comparison allows us to explore the links between SRA and the global dynamics related to S/R in mental health and the particularities of Catholic spirituality. In the contexts observed, the transition from the Catholic hospital chaplaincy system to the SRA model is developing through the integration of features of the Catholic spiritual tradition with concepts and practices drawn from the psychology of religious experience. The accompaniment of the 'whole person' emerges as the central concept of this form of SRA. Spirituality gains significance as an integrative approach to the subjectivity fragmented by the illness and the fragmentation of care across multiple clinical specialties. Furthermore, the prioritization of the spiritual needs expressed by users suggests that SRA combines well with the individualistic rationales and the technification of care in the field of mental health.</p>","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":" ","pages":"450-460"},"PeriodicalIF":2.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39592520","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Young adults' perceptions of their families' health beliefs and influence on mental health care seeking in rural South Africa.","authors":"Ntombenhle Mkhize, Sue-Ann Meehan, Graeme Hoddinott","doi":"10.1177/13634615251357731","DOIUrl":"10.1177/13634615251357731","url":null,"abstract":"<p><p>In South Africa, neuropsychiatric disorders rank third in their contribution to overall burden of disease. Stigma, lack of mental health awareness, and limited access to health services and to appropriate treatment contribute to the high level of unmet need for treatment of neuropsychiatric conditions. Little is known about how young adults make decisions to access mental health services and how their adult family members influence these decisions. This study explored young adults' perceptions of the influence their adult family members on their own mental health service uptake. We conducted semi-structured in-depth interviews with a convenience sample of 21 people (18-24 years) from KwaZulu-Natal Province (KZN). Thematic analysis of interviews found that: young people had partial knowledge of mental health conditions and services; both adult family members as well as peers and other community members influenced mental health care seeking behaviours. Participants who had accessed mental health services attested to their long-term benefit. Transition to adulthood was a time of mental health challenges. The results point to the need to scale up community-level awareness on mental health conditions in rural South Africa. This can include targeted education interventions to increase knowledge of mental health, and ways to adjust to the stresses of the transition to adulthood. More research is needed to further understand the gendered dimensions of peers' influence of mental health service uptake.</p>","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":" ","pages":"13634615251357731"},"PeriodicalIF":2.7,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12672933/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144754877","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Florin Cristea, Putu Aryani, Saskia Duchow, Pujo Semedi, Thomas Stodulka
{"title":"Research on severe mental illness in Indonesia: A scoping review.","authors":"Florin Cristea, Putu Aryani, Saskia Duchow, Pujo Semedi, Thomas Stodulka","doi":"10.1177/13634615251342638","DOIUrl":"https://doi.org/10.1177/13634615251342638","url":null,"abstract":"<p><p>Indonesia is a country of immense socio-cultural and economic diversity in Southeast Asia. Over the past century, Indonesia epitomized a colonial and post-colonial scientific laboratory for developing early interventions in international health, transcultural psychiatry, and Global Mental Health (GMH). Psychological and psychiatric anthropology have greatly benefited from research on the interplay between culture, mental health, and illness in Indonesia. Given the impact research on severe mental illnesses (SMI) in Indonesia has had on the development of GMH and adjacent disciplines, this review aims first, to provide a systematic review of the scope of SMI research in Indonesia. Second, it aims to identify potential gaps in the literature, cross-country collaborative networks, and traveling concepts of mental health and illness. Third, it points to entanglements between cultural concepts and illness experiences. We focused our search on the PubMed database and discovered 110 relevant records to review. We found a heterogenous body of literature that shows the complexities of being confronted with or living with SMI in Indonesia. We also identified a reliance on high-resource settings for mostly quantitative research. Some limitations appear to be, accounting for cultural hyperdiversity, limiting population samples, and relatively few geographical areas covered in the studies. Inspired by recent commentaries in Global Health research, we suggest more solidarity with low-resource settings and more horizontal approaches in international mental health and illness research. Ultimately, we highlight the need for GMH research and researchers working in contexts of hyperdiversity to ask more culturally sensitive questions.</p>","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":" ","pages":"13634615251342638"},"PeriodicalIF":2.5,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144498432","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Transcultural PsychiatryPub Date : 2025-06-01Epub Date: 2025-03-04DOI: 10.1177/13634615241312768
Ahisha Jones-Lavallée, Yvan Leanza
{"title":"Training on the Cultural Formulation Interview and self-assessed cultural competence in practitioners working in student counseling services.","authors":"Ahisha Jones-Lavallée, Yvan Leanza","doi":"10.1177/13634615241312768","DOIUrl":"10.1177/13634615241312768","url":null,"abstract":"<p><p>The use of the Cultural Formulation Interview (CFI), a semi-structured 16-item cultural assessment developed for the DSM-5, has not yet been evaluated in the context of post-secondary education campuses (Cégeps and universities). The aim of this study was to assess whether a 2-h training session on the CFI improved cultural competence in clinicians working in student counseling centers throughout the province of Québec as well as to evaluate the clinicians' attitudes toward the adoption of the CFI and their perceptions of the tool's feasibility, acceptability, and clinical utility. Thirty-nine clinicians from seven Cégeps and universities completed the pre-training questionnaires, participated in the 2-h training session, and then completed the post-training questionnaires. Paired-samples t tests were used to compare change in the scores of self-reported cultural competence pre and post training. Clinicians favorably rated the assessment tool, and most clinicians (89%) reported that they planned to incorporate the CFI into their routine clinical practice. There was an increase in multicultural counseling knowledge post training session, as well as a decrease in the multicultural counseling relationship subscale. Potential barriers to the use of CFI were also identified. More research is needed to explore the use of the CFI in different clinical contexts, as well as to evaluate the impact of cultural competence training on clinical practice.</p>","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":" ","pages":"402-410"},"PeriodicalIF":2.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12171032/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143544140","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Experiences of resettled Iraqi and Syrian refugee young people and families with a mental health triage and assessment service.","authors":"Alicia J King, Katherine Monson, Christine Migliorini, Lenice Murray, Carol Harvey","doi":"10.1177/13634615241296970","DOIUrl":"10.1177/13634615241296970","url":null,"abstract":"<p><p>The Refugee Access Service (RAS) is a triage, assessment and referral service established in Melbourne, Australia to ensure timely and appropriate mental health support for young refugees. This qualitative study sought to explore the experiences of young people aged 12-25 years, and their families, newly arrived from Iraq and Syria, who had contact with the RAS, for the purposes of further programme development. Semi-structured interviews were conducted with participants, either individually or in family groups. Thematic analysis was used to identify themes. Four key themes were identified. These were that mental health help-seeking of newly arrived young people and families is influenced by cultural norms; that trauma, grief and loss influence mental health service needs; that settlement challenges influence mental health service needs; and that the cultural responsiveness of mental health care is important to young people and families. Results highlight ways in which this service, and similar models, can improve to better meet the needs of young refugees and their families. Services should be developed in partnership with the wider operating environment. This will improve providers' understanding of communities they serve. It will also promote pathways between, and collaboration with, different types of services.</p>","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":" ","pages":"379-388"},"PeriodicalIF":2.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12171029/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142814741","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Transcultural PsychiatryPub Date : 2025-06-01Epub Date: 2025-03-24DOI: 10.1177/13634615251323054
Floret Maame Owusu, Nobutoshi Nawa, Yu Par Khin, Takeo Fujiwara
{"title":"Cultural interplay shaping the well-being of Ghanaian migrants in Japan during the COVID-19 pandemic.","authors":"Floret Maame Owusu, Nobutoshi Nawa, Yu Par Khin, Takeo Fujiwara","doi":"10.1177/13634615251323054","DOIUrl":"10.1177/13634615251323054","url":null,"abstract":"<p><p>Ghanaian migrants in Japan, who make up the second-largest population of African migrants in the country, may have faced heightened racial prejudice and challenges during the COVID-19 pandemic, impacting their well-being. This study explored cultural factors shaping the well-being of Ghanaians living in Japan during the COVID-19 pandemic through a qualitative study using the socioecological model. From June 2022 to August 2022, 18 in-depth interviews and 2 focus group discussions were conducted among Ghanaian migrants in Japan. Interviews were audio recorded and transcribed, and an inductive thematic approach was used to analyze the data. At the individual level, the internalized face mask culture, financial constraints, reluctance to access mental healthcare services, and hesitancy toward COVID-19 vaccine played major roles in the well-being of Ghanaian migrants. Adherence to social distancing and coping using religious and social circles influenced their well-being at the interpersonal level. At the community and societal levels, important influences on well-being were language barriers, discrimination and COVID-19-related stigma, and trust in Japan's healthcare system. In conclusion, while Ghanaian migrants in Japan faced challenges during the pandemic, affecting them physically and psychologically, they were able to cope through the religious and social ties from Ghana that they maintained.</p>","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":" ","pages":"389-401"},"PeriodicalIF":2.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143701850","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Transcultural PsychiatryPub Date : 2025-06-01Epub Date: 2024-11-11DOI: 10.1177/13634615241272997
Yen-Ling Chen, Andrew J Freeman, Kuan-Ju Huang, Shane W Kraus
{"title":"Perceptions of youth internalizing symptoms: Cross-cultural comparisons between Taiwanese and U.S. mothers.","authors":"Yen-Ling Chen, Andrew J Freeman, Kuan-Ju Huang, Shane W Kraus","doi":"10.1177/13634615241272997","DOIUrl":"10.1177/13634615241272997","url":null,"abstract":"<p><p>This study was designed to examine how cultural values affected mothers' perceptions of internalizing symptoms in youth, comparing Taiwanese and U.S. samples. We hypothesized that mothers' self-reported East Asian cultural values (e.g., conformity, emotional self-control, face culture) would mediate the relationship between their country of residence and perceptions of youth's depressed mood and anhedonia. Participants were 310 mothers from the United States and 294 mothers from Taiwan. All participants responded to questions regarding their adherence to specific East Asian cultural values. Four brief vignettes about a male adolescent experiencing internalizing symptoms were presented to all participants. After reading each vignette, participants rated their perceptions of the adolescent's symptoms. Results from a series of multilevel structural equation models indicated that Taiwan mothers reported more East Asian cultural values (conformity, emotional self-control, face culture) compared to U.S. mothers, which in turn led to rating youth internalizing problems as less acceptable, more impairing, and more problematic to the family, and feeling less proud and more ashamed of the youth. There was also an inconsistent mediation effect of East Asian cultural values on the relationship between country and rating of anhedonia. The mediation pathway was non-significant for the rating of depressed mood. In conclusion, to improve cultural understanding, researchers and clinicians should consider the driving force of the observed between-group differences to ensure appropriate conceptual frameworks in a cross-cultural context. Cross-cultural differences in ratings of youth symptoms highlight the importance of a culturally sensitive approach to assessing symptoms and functional impairment in different cultural groups.</p>","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":" ","pages":"366-378"},"PeriodicalIF":2.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630497","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Transcultural PsychiatryPub Date : 2025-06-01Epub Date: 2024-10-30DOI: 10.1177/13634615241272930
Amanda Daluwatta, Kathryn Fletcher, Chris Ludlow, Greg Murray
{"title":"Help-seeking intentions and depression treatment beliefs amongst Sri Lankan Australians: A survey following a mental health literacy framework.","authors":"Amanda Daluwatta, Kathryn Fletcher, Chris Ludlow, Greg Murray","doi":"10.1177/13634615241272930","DOIUrl":"10.1177/13634615241272930","url":null,"abstract":"<p><p>There is evidence that Asian migrants in Australia may be relatively reluctant to seek professional help for depression. Reluctance may be related to poor mental health literacy, including limited knowledge of help-seeking options and treatments, and a preference to seek help from informal networks. This study investigated Sri Lankan Australians' knowledge about managing depression by examining their hypothetical help-seeking intentions and perceptions about interventions and help-providers' helpfulness. Following Jorm's mental health literacy framework, participants (<i>N </i>= 374) were presented with a vignette of a Sri Lankan Australian exhibiting symptomatology consistent with Major Depressive Disorder, and asked to indicate their intentions to seek help by responding to the question: \"If you had Mr Silva's problem, what would you do?\". Participants also rated the likely helpfulness of various professional and informal helpers and interventions in addressing a problem akin to Mr Silva's. Participants reported being likely to seek help from GPs (35.8%), psychologists (25.7%) and friends (24.3%). Additionally, those who intended to seek informal help were significantly less likely to seek professional help, and vice versa. Furthermore, psychologists (94.1%), counsellors (93.3%), close friends (92.5%) and compatriots (91.4%) were most frequently categorised as helpful. Given participants' high endorsement of psychiatric treatment, psychological treatment, and self-help strategies such as engaging in enjoyable activities, it would be helpful for clinicians to emphasise the benefits of these interventions for managing depression. Additionally, recognising some participants' inclination towards religious practices and helpers, clinicians can consider integrating these help-seeking behaviours into therapeutic approaches. Future research is warranted to examine the predictors of help-seeking intentions.</p>","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":" ","pages":"354-365"},"PeriodicalIF":2.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12171073/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142548316","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Transcultural PsychiatryPub Date : 2025-06-01Epub Date: 2025-02-24DOI: 10.1177/13634615251314590
Neil Krishan Aggarwal
{"title":"Decolonizing psychiatry: An example from Hinduism and psychoanalysis.","authors":"Neil Krishan Aggarwal","doi":"10.1177/13634615251314590","DOIUrl":"10.1177/13634615251314590","url":null,"abstract":"<p><p>In 2021, university scholars hosted a conference titled \"Dismantling Global Hindutva,\" which prompted Hindu activists to criticize psychoanalysts for superimposing colonial frameworks onto Hindus. Indian media organizations have questioned the validity of psychoanalysis as scholars uncover the complicity of psychoanalysts with the British Empire. Drawing upon concepts in cultural psychiatry, this article operationalizes <i>ontological perspectivism</i> as a way to decolonize the application of psychological theories among historically-marginalized communities. It presents three perspectives on psychological phenomena. It begins with analyzing the first psychoanalytic study on Hindu scriptures by the psychoanalyst-British colonial administrator Owen Berkeley-Hill through his autobiography, writings from contemporaries, the study itself, and subsequent citations. This study served as model for future work in psychoanalysis that portrayed Hindus in ways that Hindu activists now criticize. Next, the essay presents translations of Sanskrit commentaries on the same scriptures from Hindu philosophers to see how observant Hindus have received their tradition. Finally, it examines writings from contemporary psychoanalysts and psychiatrists who have tried reconciling mental health theories and Hinduism. <i>Ontological perspectivism</i> offers an approach for intercultural dialogues among scholars in distinct intellectual traditions to develop a postcolonial psychiatry.</p>","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":" ","pages":"341-353"},"PeriodicalIF":2.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143484478","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}