Seeing Depression Through a Cultural Lens, the collaborative work
of a clinical neuroscientist and a scholar of comparative culture,
examines the effects of cultural identity on the epidemiology,
phenomenology, and narratives of depression, the bipolar spectrum,
and suicide. Culture is associated with emotional communication
style, 'idioms of distress, ' the conception of depression and of
bipolar disorders, and how people with mood disorders might be
stigmatized. It is linked to structural factors--environmental,
social, and economic circumstances--that create or mitigate the
risk of depression, sometimes precipitate episodes of illness, and
facilitate or impede treatment. Culture shapes depressed people's
willingness to disclose or acknowledge their condition and to seek
care, their relationships with clinicians, and their acceptance or
rejection of specific treatments. Cultural context is essential to
understanding suicide. It underlies people's motives for suicide,
factors that promote or prevent suicide, the social acceptability
of death by suicide, and availability of lethal means of self-harm.
Cultural identity is always intersectional, comprising elements
related to race and ethnicity; gender; age, generation, and life
stage; education; social class; occupation; migrant or minority
status; region of residence; and religious belief and practice.
This book explores the implications of each of these dimensions
using salient concepts from the social sciences, memorable
narratives from literature, film, and the clinic, and quantitative
findings from epidemiology and psychometrics. It offers readers a
framework for culturally aware assessment and management of
depression, bipolarity, and suicidal risk in diverse individuals
and populations.
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