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Edited by
David Kingdon, University of Southampton,Paul Rowlands, Derbyshire Healthcare NHS foundation Trust,George Stein, Emeritus of the Princess Royal University Hospital
Cultures are an integral part of a person’s life, and they influence an individual’s social and cognitive development. They can contribute to the onset, perpetuation and outcomes of many psychiatric illnesses. These have a major role in defining abnormal behaviours and deviance, but cultures can also heavily influence pathways to care by influencing explanatory models and resources. In addition, culture moulds an individual’s worldview. Cultures are incipient, with institutions of education, employment and training having their own microcultures. Individuals learn to navigate these multiple cultural and micro-identities in order to achieve their aims. The relationship between the culture and prevalence of various psychiatric disorders is complex. In recent times, for political and economic reasons, attitudes towards economic migrants as well as refugees and asylum seekers appear to have become more negative in high-income countries. Hence, it is important to recognise that cultures have relativist characteristics rather than universalist, though some features may be common in designing, developing and delivering services. The role of culture in mental illness is described in this chapter.
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