Comparative Psychiatry: The International and Intercultural by Professor Dr. Henry B. M. Murphy (auth.)

By Professor Dr. Henry B. M. Murphy (auth.)

Contents: advent. - comparison of authentic resources of knowledge. - comparison of distinctive Survey approach Findings. - Schizophrenia. - the extreme Reactive Psychoses. - The Affective problems. - Suicide and Parasuicide. - problems linked to Alcohol and different medicinal drugs. - Psychosomatic problems. - Neuroses and different Minor issues. - psychological future health in international standpoint. - topic Index.

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Sir John Megaw, head of the health services in India around 1930, used this approach to survey village health [403] and was able to derive some interesting statistics revealing, among other things, a regional difference in the prevalence of gross insanity, a difference which received some confirmation in later studies. I myself have used this method by addressing questionnaires to correspondants in different countries, not asking them to count cases (which they would be too busy to do) but to give their general impressions regarding possible cultural differences in the symptomatology of schizophrenia [446], symptomatology of psychotic depression [447], and responsiveness to psychotropic drugs [425].

1, Australia; 2, Belgium; 3, Burma; 4, Canada; 5, Chile; 6, Denmark; 7, Ghana; 8, Guatamala; 9, France; 10, Finland; 11, Germany, West; 12, Honduras; 13, Iceland; 14, Ireland; 15, Israel; 16, Italy; 17, Jamaica; 18, Japan; 19, Mexico; 20, Netherlands; 21, New Zealand; 22, Pakistan; 23, Phillipines; 24, Portugal; 25, Rhodesia; 26, South Africa; 27, Spain; 28, Sweden; 29, Switzerland; 30, Thailand; 31, Turkey; 32, United Kingdom; 33, United States; 34, Venezuela. Bed ratios are for 1970 [676]; GNP data [71] are from 5 years earlier to allow for development lag seen as necessary, but the fact that other people were abusing that incompetence in ways which were becoming unacceptable.

To fmd explanations for the very marked differences which one finds in Fig. 2, it is necessary to go beyond the official data sources and thus beyond the scope of this chapter. However, while remaining dependent on these sources and on what is common knowledge regarding to societies featured there, it is possible to say a little more. The main question which most psychiatrists would ask when faced with such differences in rates is whether they seem likely to derive mainly from differences in frequency of mental illness of a certain degree of severity, or mainly from other factors such as criteria of admission to hospital.

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