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  • Cited by 44
  • Cited by
    Crossref Citations
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    This article has been cited by the following publications. This list is generated based on data provided by CrossRef.
    Weisner, Thomas S. 2018. Obituary for UCLA and University of California University Professor Robert B. Edgerton. Ethos, Vol. 46, Issue. 1, p. 3.
    Okasha, Tarek A. 2017. Mental Health and Illness in the City. p. 299.
    Snodgrass, Jeffrey G. Lacy, Michael G. and Upadhyay, Chakrapani 2017. “Developing culturally sensitive affect scales for global mental health research and practice: Emotional balance, not named syndromes, in Indian Adivasi subjective well-being”. Social Science & Medicine, Vol. 187, Issue. , p. 174.
    Okasha, Tarek A. 2016. Mental Health and Illness in the City. p. 1.
    Pescosolido, Bernice A. Martin, Jack K. Olafsdottir, Sigrun Long, J. Scott Kafadar, Karen and Medina, Tait R. 2015. The Theory of Industrial Society and Cultural Schemata: Does the “Cultural Myth of Stigma” Underlie the WHO Schizophrenia Paradox?. American Journal of Sociology, Vol. 121, Issue. 3, p. 783.
    Kohrt, B. A. Rasmussen, A. Kaiser, B. N. Haroz, E. E. Maharjan, S. M. Mutamba, B. B. de Jong, J. T. and Hinton, D. E. 2014. Cultural concepts of distress and psychiatric disorders: literature review and research recommendations for global mental health epidemiology. International Journal of Epidemiology, Vol. 43, Issue. 2, p. 365.
    Bemme, Doerte and D’souza, Nicole A. 2014. Global mental health and its discontents: An inquiry into the making of global and local scale. Transcultural Psychiatry, Vol. 51, Issue. 6, p. 850.
    Rajkumar, Ravi Philip 2014. Childhood attachment and schizophrenia: The “attachment-developmental-cognitive” (ADC) hypothesis. Medical Hypotheses, Vol. 83, Issue. 3, p. 276.
    Burns, Jonathan K. 2012. The Social Determinants of Schizophrenia: An African Journey in Social Epidemiology. Public Health Reviews, Vol. 34, Issue. 2,
    Kalra, Gurvinder Bhugra, Dinesh and Shah, Nilesh 2012. Cultural aspects of schizophrenia. International Review of Psychiatry, Vol. 24, Issue. 5, p. 441.
    Okasha, Tarek and Okasha, Ahmed 2009. Schizophrenia. p. 362.
    Karagianis, J. Novick, D. Pecenak, J. Haro, J. M. Dossenbach, M. Treuer, T. Montgomery, W. Walton, R. and Lowry, A. J. 2009. Worldwide-Schizophrenia Outpatient Health Outcomes (W-SOHO): baseline characteristics of pan-regional observational data from more than 17,000 patients*. International Journal of Clinical Practice, Vol. 63, Issue. 11, p. 1578.
    Kulhara, Parmanand Shah, Ruchita and Grover, Sandeep 2009. Is the course and outcome of schizophrenia better in the ‘developing’ world?. Asian Journal of Psychiatry, Vol. 2, Issue. 2, p. 55.
    Stompe, Thomas 2009. Schizophrenia. p. 282.
    Whitley, Rob 2008. Postmodernity and Mental Health. Harvard Review of Psychiatry, Vol. 16, Issue. 6, p. 352.
    Cohen, Alex and Gureje, Oye 2007. Making sense of evidence. International Review of Psychiatry, Vol. 19, Issue. 5, p. 583.
    Luhrmann, T. M. 2007. Social defeat and the culture of chronicity: or, why schizophrenia does so well over there and so badly here. Culture, Medicine and Psychiatry, Vol. 31, Issue. 2, p. 135.
    Patel, Vikram Cohen, Alex Thara, Rangaswamy and Gureje, Oye 2006. Is the outcome of schizophrenia really better in developing countries?. Revista Brasileira de Psiquiatria, Vol. 28, Issue. 2, p. 149.
    de Jong, Joop T. V. M. and Komproe, I. H. 2006. A 15-year open study on a cohort of West-African out-patients with a chronic psychosis. Social Psychiatry and Psychiatric Epidemiology, Vol. 41, Issue. 11, p. 897.
    Ice, Gillian H. and Yogo, Jaja 2005. Measuring Stress Among Luo Elders: Development of the Luo Perceived Stress Scale. Field Methods, Vol. 17, Issue. 4, p. 394.
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Culture and Schizophrenia: the DOSMD Challenge

  • Robert B. Edgerton (a1) and Alex Cohen (a2)
Abstract

The World Health Organization's International Pilot Study on Schizophrenia (IPSS) and subsequent Determinants of Outcomes of Severe Mental Disorder (DOSMD) studies have reported that the course of schizophrenia is more favourable in ‘developing’ than ‘developed’ societies. The 1992 DOSMD study attributes this difference to culture. We review studies concerning the course of schizophrenia and conclude that the evidence for a more favourable course in developing societies is not conclusive. Indeed, a favourable course has also been reported in various industrialised societies. We also raise questions about the findings reported in the recent DOSMD study, including the conclusion that the putatively more favourable course is a product of culture. Finally, we argue that longitudinal, direct observation of patients in their natural environments must be carried out before variations in the course of schizophrenia can be adequately understood.

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COPYRIGHT: © 1994 The Royal College of Psychiatrists 
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  • Cited by 44
  • Cited by
    Crossref Citations
    Crossref logo
    This article has been cited by the following publications. This list is generated based on data provided by CrossRef.
    Weisner, Thomas S. 2018. Obituary for UCLA and University of California University Professor Robert B. Edgerton. Ethos, Vol. 46, Issue. 1, p. 3.
    Okasha, Tarek A. 2017. Mental Health and Illness in the City. p. 299.
    Snodgrass, Jeffrey G. Lacy, Michael G. and Upadhyay, Chakrapani 2017. “Developing culturally sensitive affect scales for global mental health research and practice: Emotional balance, not named syndromes, in Indian Adivasi subjective well-being”. Social Science & Medicine, Vol. 187, Issue. , p. 174.
    Okasha, Tarek A. 2016. Mental Health and Illness in the City. p. 1.
    Pescosolido, Bernice A. Martin, Jack K. Olafsdottir, Sigrun Long, J. Scott Kafadar, Karen and Medina, Tait R. 2015. The Theory of Industrial Society and Cultural Schemata: Does the “Cultural Myth of Stigma” Underlie the WHO Schizophrenia Paradox?. American Journal of Sociology, Vol. 121, Issue. 3, p. 783.
    Kohrt, B. A. Rasmussen, A. Kaiser, B. N. Haroz, E. E. Maharjan, S. M. Mutamba, B. B. de Jong, J. T. and Hinton, D. E. 2014. Cultural concepts of distress and psychiatric disorders: literature review and research recommendations for global mental health epidemiology. International Journal of Epidemiology, Vol. 43, Issue. 2, p. 365.
    Bemme, Doerte and D’souza, Nicole A. 2014. Global mental health and its discontents: An inquiry into the making of global and local scale. Transcultural Psychiatry, Vol. 51, Issue. 6, p. 850.
    Rajkumar, Ravi Philip 2014. Childhood attachment and schizophrenia: The “attachment-developmental-cognitive” (ADC) hypothesis. Medical Hypotheses, Vol. 83, Issue. 3, p. 276.
    Burns, Jonathan K. 2012. The Social Determinants of Schizophrenia: An African Journey in Social Epidemiology. Public Health Reviews, Vol. 34, Issue. 2,
    Kalra, Gurvinder Bhugra, Dinesh and Shah, Nilesh 2012. Cultural aspects of schizophrenia. International Review of Psychiatry, Vol. 24, Issue. 5, p. 441.
    Okasha, Tarek and Okasha, Ahmed 2009. Schizophrenia. p. 362.
    Karagianis, J. Novick, D. Pecenak, J. Haro, J. M. Dossenbach, M. Treuer, T. Montgomery, W. Walton, R. and Lowry, A. J. 2009. Worldwide-Schizophrenia Outpatient Health Outcomes (W-SOHO): baseline characteristics of pan-regional observational data from more than 17,000 patients*. International Journal of Clinical Practice, Vol. 63, Issue. 11, p. 1578.
    Kulhara, Parmanand Shah, Ruchita and Grover, Sandeep 2009. Is the course and outcome of schizophrenia better in the ‘developing’ world?. Asian Journal of Psychiatry, Vol. 2, Issue. 2, p. 55.
    Stompe, Thomas 2009. Schizophrenia. p. 282.
    Whitley, Rob 2008. Postmodernity and Mental Health. Harvard Review of Psychiatry, Vol. 16, Issue. 6, p. 352.
    Cohen, Alex and Gureje, Oye 2007. Making sense of evidence. International Review of Psychiatry, Vol. 19, Issue. 5, p. 583.
    Luhrmann, T. M. 2007. Social defeat and the culture of chronicity: or, why schizophrenia does so well over there and so badly here. Culture, Medicine and Psychiatry, Vol. 31, Issue. 2, p. 135.
    Patel, Vikram Cohen, Alex Thara, Rangaswamy and Gureje, Oye 2006. Is the outcome of schizophrenia really better in developing countries?. Revista Brasileira de Psiquiatria, Vol. 28, Issue. 2, p. 149.
    de Jong, Joop T. V. M. and Komproe, I. H. 2006. A 15-year open study on a cohort of West-African out-patients with a chronic psychosis. Social Psychiatry and Psychiatric Epidemiology, Vol. 41, Issue. 11, p. 897.
    Ice, Gillian H. and Yogo, Jaja 2005. Measuring Stress Among Luo Elders: Development of the Luo Perceived Stress Scale. Field Methods, Vol. 17, Issue. 4, p. 394.
    Download full list
    ×
  • Get access
    Add to cart USD35.00
    Check if you have access via personal or institutional login
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Culture and Schizophrenia: the DOSMD Challenge

  • Robert B. Edgerton (a1) and Alex Cohen (a2)
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