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Psychosis among the Mayan people of Mexico

Published online by Cambridge University Press:  13 June 2014

Pat Gibbons*
Affiliation:
St Raphael's, Celbridge, Co Kildare, Ireland

Abstract

The Mayan people of Mexico have a radically different concept of illness than that of western countries. In the absence of any formal psychiatric service in their area, the people continue to rely on the interventions of the traditional healers, which include the use of herbal medicines, prayers and magico-religious rituals. A case history of a Mayan patient with a chronic psychotic illness is described, which illustrates the gulf in concepts of mental illness that exists between Western and folk cultures. These cultural differences may have a profound impact on the application of modern psychiatric interventions in developing countries.

Type
Case Reports
Copyright
Copyright © Cambridge University Press 1996

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References

1.Outline for Cultural Formulation and Glossary of Culture-Bound Syndromes. Diagnostic and Statistical Manual of Mental Disorders. 4th ed. Washington DC: American Psychiatric Association, 1994: Appendix 1; 843–50.Google Scholar
2.Cox, JL. Medical management, culture, and mental illness. Br J Hosp Med 1982; 27: 211–21.Google ScholarPubMed
3.Medicina Maya en los altos de Chiapas: Un estudio del cambio sociocultural (Highland Mayan Native Medicine: A Study of Cultural Change). Holland, WR. Institute Nacional Indigenista, Av. Revolucion, Col. Alpes, Mexico DF: 1963.Google Scholar
4.Fabrega, H, Metzger, D. Psychiatric illness in a small ladino community. Psychiatry 1968; 31:339–51.CrossRefGoogle Scholar
5.Sartorius, N, Jablensky, A, Shapiro, R. Two year follow-up of the patients included in the WHO International Pilot Study of Schizophrenia. Psychol Med 1977; 7: 529–41.CrossRefGoogle Scholar
6.Jablensky, A, Sartorius, N, Ernberg, G. Schizophrenia: Manifestations, incidence and course in different cultures. Psychol Med 1992; (monograph suppl 20).Google Scholar
7.Cariss, M. The influence of ethnicity and family structure on relapse in first-episode schizophrenia - a comparison of Asian, Afro-Caribbean, and white patients. Br J Psychiatry 1992; 161:783–90.Google Scholar
8.Lin, K, Kleinman, A. Psychopathology and clinical course of schizophrenia: a crosscultural perspective. Schizophrenia Bull 1988; 14: 555–68.CrossRefGoogle Scholar