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Most people with mental illness in low and middle-income countries (LMICs) do not receive biomedical treatment, though many seek care from traditional healers and faith healers. We conducted a qualitative study in Buyende District, Uganda, using framework analysis. Data collection included interviews with 24 traditional healers, 20 faith healers, and 23 biomedical providers, plus 4 focus group discussions. Interviews explored treatment approaches, provider relationships, and collaboration potential until theoretical saturation was reached. Three main themes emerged: (1) Biomedical providers’ perspectives on traditional and faith healers; (2) Traditional and faith healers’ views on biomedical providers; and (3) Collaboration opportunities and barriers. Biomedical providers viewed faith healers positively but traditional healers as potentially harmful. Traditional and faith healers valued biomedical approaches while feeling variably accepted. Interest in collaboration existed across groups but was complicated by power dynamics, economic concerns, and differing mental illness conceptualizations. Traditional healers and faith healers routinely referred patients to biomedical providers, though reciprocal referrals were rare. The study reveals distinct dynamics among providers in rural Uganda, with historical colonial influences continuing to shape relationships and highlighting the need for integrated, contextually appropriate mental healthcare systems.
This will be a short introduction to the book, establishing its scope and themes, and drawing out the links between the individual papers within each section of the book and between the sections more generally.
There has been insufficient literature focusing on the world-changing rise of Asian wealth. Private wealth in Asia is very substantial, with 33 per cent of the global population of high-net-worth individuals based in Asia. Yet, there is a dearth of legal analysis of Asian wealth, particularly by texts written in English. This collection aims to fill that gap, with chapters on legal issues in relation to Asian wealth transmission, investments in international real estate, familial disputes, family offices and private trust companies. A substantive section of this book also focuses on the changing legal context with chapters exploring trusts and cryptoassets, constructive trust, trustee's discretion and decision-making, changing regulatory environment and abuse of trust structures. This collection of essays on trusts and wealth management presents a focus on Asian wealth and the changing legal context, and follows the related publication, Trusts and Modern Wealth Management (Cambridge University Press, 2018).
This chapter focuses on the relationship of trustees to non-trustees who hold some power under the terms of the trust. The chapter examines the relationship from the trustees’ point of view, and considers how trustees can best ensure they do not commit a breach of trust in relation to the exercise of such a power by a third party. First, the chapter outlines some typical forms of third-party power. While third-party powers are bespoke, each the product of an individual trust instrument, it is possible to discern broad groups of common third-party powers. Secondly, the chapter considers what may likely go wrong in connection with each type of power, and considers the liabilities of the trustees which may arise in consequence. Understanding these liabilities demands a clear and accurate understanding of some very basic principles of trust law and equity. The chapter also considers how trustees should act in the light of these potential liabilities. Next, the chapter considers what drafting techniques may be used to make life easier for trustees who have to deal with a third-party power. Finally, it takes a brief look at the possibility of legislation in this area.