Storytelling is an essential tool for reporting and illuminating the cultural contexts of health: the practices and behavior that groups of people share and that are defined by customs, language, and geography. This report reviews the literature on narrative research, offers some quality criteria for appraising it, and gives three detailed case examples: diet and nutrition, well-being, and mental health in refugees and asylum seekers. Storytelling and story interpretation belong to the humanistic disciplines and are not a pure science, although established techniques of social science can be applied to ensure rigor in sampling and data analysis. The case studies illustrate how narrative research can convey the individual experience of illness and well-being, thereby complementing and sometimes challenging epidemiological and public health evidence.

"This is a comprehensive book focused on relevant factors that influence health, illness, and well-being from multi-discipline perspectives. It is a unique book to provide health leaders and consumers refreshing new ways to know and understand cultures. It is an essential book to serve cultures in creative and effective ways. The authors provide new and diverse cultural insights about health, illness, and wellness that have been woefully missing until the advent of transcultural nursing." Dr. Madeleine Leininger Professor of Nursing Emeritus, College of Nursing, Wayne State University --

A "one size fits all" approach to health care doesn't work well, especially for America's extremely diverse population. This book provides a lively and accessible discussion of how and why a more flexible and culturally sensitive system of health care can—and must be—achieved. Notable anthropologist George Foster defined the first edition as "a very readable introductory text dealing with the sociocultural aspects of health," adding: "[T]he authors do a commendable job... . I have profited from reading The Cultural Context of Health, Illness, and Medicine". With engaging examples, minimal jargon, and updated scholarship, the second edition of The Cultural Context of Health, Illness, and Medicine offers a comprehensive guide to the practice of culturally sensitive health care. Readers will see America's biomedically dominated health care system in a new light as the book reveals the changes wrought by increasing cultural diversity, technological innovation, and developments in care delivery. Written by a sociologist and an anthropologist with direct, hands-on experience in the health services, the volume tracks culture's influence on and relationship to health, illness, and health-care delivery via an examination of social structure, medical systems, and the need for—and challenges to—culturally sensitive care. Cultural differences are situated against social-class differences and related health inequities, as well as different needs and challenges throughout the life course. In prescribing caring that is more holistic, culturally sensitive, and cost-effective, the work promotes awareness of pressing issues for health care professionals—and the people they serve.

This volume combines empirical research-based and theoretical perspectives on shame in cultural contexts and from socio-culturally different perspectives, providing new insights and a more comprehensive cultural base for contemporary research and practice in the context of shame. It examines shame from a positive psychology perspective, from the angle of defining the concept as a psychological and cultural construct, and with regard to practical perspectives on shame across cultures. The volume provides sound foundations for researchers and practitioners to develop new models, therapies and counseling practices to redefine and re-frame shame in a way that leads to strength, resilience and empowerment of the individual.

From the Preface, by Arthur Kleinman: Patients and Healers in the Context of Culture presents a theoretical framework for studying the relationship between medicine, psychiatry, and culture. That framework is principally illustrated by materials gathered in field research in Taiwan and, to a lesser extent, from materials gathered in similar research in Boston. The reader will find this book contains a dialectical tension between two reciprocally related orientations: it is both a cross-cultural (largely anthropological) perspective on the essential components of clinical care and a clinical perspective on anthropological studies of medicine and psychiatry. That dialectic is embodied in my own academic training and professional life, so that this book is a personal statement. I am a psychiatrist trained in anthropology. I have worked in library, field, and clinic on problems concerning medicine and psychiatry in Chinese culture. I teach cross-cultural psychiatry and medical anthropology, but I also practice and teach consultation psychiatry and take a clinical approach to my major cross-cultural teaching and research involvements. The theoretical framework elaborated in this book has been applied to all of those areas; in turn, they are used to illustrate the theory. Both the theory and its application embody the same dialectic. The purpose of this book is to advance both poles of that dialectic: to demonstrate the critical role of social science (especially anthropology and cross-cultural studies) in clinical medicine and psychiatry and to encourage study of clinical problems by anthropologists and other investigators involved in cross-cultural research. This title is part of UC Press's Voices Revived program, which commemorates University of California Press's mission to seek out and cultivate the brightest minds and give them voice, reach, and impact. Drawing on a backlist dating to 1893, Voices Revived makes high-quality, peer-reviewed scholarship accessible once again using print-on-demand technology. This title was originally published in 1980. From the Preface, by Arthur Kleinman: Patients and Healers in the Context of Culture presents a theoretical framework for studying the relationship between medicine, psychiatry, and culture. That framework is principally illustrated by materials gathered

This is the definitive textbook on global mental health, an emerging priority discipline within global health, which places priority on improving mental health and achieving equity in mental health for all people worldwide.

This collection of papers – some of which written by the world’s leading specialists in the area of ancient medicine – aims at promoting an integrated approach to medical theory and practice in classical antiquity. Questions of health and disease are considered in their relation to the social, intellectual, moral and religious dimensions of the ancient world. The papers focus on the socio-cultural setting of the experience of pain and illness, the different reactions they provoked and the importance that was attached to this experience in literature, religion and philosophy. The first volume offers articles (from an archaeological, historical and philological point of view) dealing with social, institutional and geographical aspects of medical practice. It also has a special section on medical views on women, children and sexuality, and on female medical activity. The second volume focuses on the ways in which religious and magical beliefs influenced the experience of, and the attitude towards, illness and medical practice. It also deals with the relations of medicine with philosophy, and the other sciences and with the variety of linguistic and textual forms in which medical knowledge was expressed and communicated. Contributors to the first volume are Lawrence J. Bliquez, Simon Byl, Armelle Debru, Nancy Demand, Danielle Gourevitch, Ann Ellis Hanson, H.F.J. Horstmanshoff, Ralph Jackson, Eva C. Keuls, Jukka Korpela, Ernst Künzl, Gabriele Marasco, Attilio Mastrocinque, Karin Nijhuis, Vivian Nutton, H.W. Pleket, Heikki Solin, Peter Van Minnen, and Juliane C. Wilmanns.

Written for all health care providers, this text promotes awareness of the dimensions and complexities involved in caring for people from culturally diverse backgrounds. The author through discussions of her own experiences, shows how cultural heritage can affect delivery and acceptance of health care and how professionals, when interacting with their clients, need to be aware of these issues in order to deliver safe and professional care. Traditional and alternative health care beliefs and practices from Asian American, African American, Hispanic, and American Indian perspectives are represented.

"Culture counts" has long been a rallying cry among health advocates and policymakers concerned with racial disparities in health care. A generation ago, the women's health movement led to a host of changes that also benefited racial minorities, including more culturally aware medical staff, enhanced health education, and the mandated inclusion of women and minorities in federally funded research. Many health professionals would now agree that cultural competence is important in clinical settings, but in what ways? Shattering Culture provides an insightful view of medicine and psychiatry as they are practiced in today's culturally diverse clinical settings. The book offers a compelling account of the many ways culture shapes how doctors conduct their practices and how patients feel about the care they receive. Based on interviews with clinicians, health care staff, and patients, Shattering Culture shows the human face of health care in America. Building on over a decade of research led by Mary-Jo Good, the book delves into the cultural backgrounds of patients and their health care providers, as well as the institutional cultures of clinical settings, to illuminate how these many cultures interact and shape the quality of patient care. Sarah Willen explores the controversial practice of matching doctors and patients based on a shared race, ethnicity, or language and finds a spectrum of arguments challenging its usefulness, including patients who may fear being judged negatively by providers from the same culture. Seth Hannah introduces the concept of cultural environments of hyperdiversity describing complex cultural identities. Antonio Bullon and Mary-Jo Good demonstrate how regulations meant to standardize the caregiving process—such as the use of templates and check boxes instead of narrative notes—have steadily limited clinician flexibility, autonomy, and the time they can dedicate to caring for patients. Elizabeth Carpenter-Song looks at positive doctor-patient relationships in mental health care settings and finds that the most successful of these are based on mutual "recognition"—patients who can express their concerns and clinicians who validate them. In the book's final essay, Hannah, Good, and Park show how navigating the maze of insurance regulations, financial arrangements, and paperwork compromises the effectiveness of mental health professionals seeking to provide quality care to minority and poor patients. Rapidly increasing diversity on one hand and bureaucratic regulations on the other are two realities that have made providing culturally sensitive care even more challenging for doctors. Few opportunities exist to go inside the world of medical and mental health clinics and see how these realities are influencing patient care. Shattering Culture provides a rare look at the day-to-day experiences of psychiatrists and other clinicians and offers multiple perspectives on what culture means to doctors, staff, and patients and how it shapes the practice of medicine and psychiatry.