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inbuilt by one’s cultural upbringing. Mental health professionals' world view in turn, also affects the way that they interpret, treat, and care for a patient (Moodley and Palmer, 2006). A paranoid expression, for instance, has been reported to represent “an exaggeration and distortion of the normal state” which may also seem to be “reflective of prominent themes or unresolved problems in that culture” (Katz et al., 1988, p. 352). In that sense, suppression of the self in certain cultures may manifest through the display of psychopathology in schizophrenia. The traditional setting is found in countries where there is a low influx of migration and a fairly homogenous society. In the traditional setting, mental health professionals and their patients fundamentally share the same world view whilst in a multi-cultural setting, patients, and mental health professionals are culturally diverse and thus, share dissimilar world views. The MHPV questionnaire confirmed that mental health professionals viewed the symptoms of patients ultimately to be rooted in the patient’s cultural world view. The preponderance of the evidence from the metanarrative also suggests that there are apparent cultural markers in schizophrenia’s symptoms. The qualitative systematic review also found that when clinicians were not the same ethnicity of the patient, they were less likely to have insight into their patient’s symptoms. Tranulis et al. (2008) have referred to this phenomenon as what they called as cultural distance. In a study by Maslowski and Mthoko (1998), Black patients were reported by clinicians to have ‘bizarre’ symptoms. If there was no cultural distance or high cultural congruence, then one would juxtapose the question as to whether the term bizarre would be used as an identifier of an indication of a symptom of schizophrenia. 253

Profile for Huda Shalhoub

DECODING SCHIZOPHRENIA ACROSS CULTURES  

Thesis from Brunnel University, United Kingdom, London

DECODING SCHIZOPHRENIA ACROSS CULTURES  

Thesis from Brunnel University, United Kingdom, London

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