culture leads to individual differences in MH disorder e.g: non-bio explanation of SZ
culture leads to different diagnoses of MH disorders
culture leading to individual differences in MH disorder/different diagnoses
usefulness of DSM across cultures can be questioned as it was developed in USA but widely used in other countries
different cultures have different attitudes to MH disorders and this affects how they are diagnosed e.g: evard suggests hearing voices can be mental disorder but also due to individual difference and interpreted as a special experiences valued in some cultures
strength - evidence for culture
research evidence
luhrmann - found hearing voices was seen as a negative experience in america but in india and ghana, voices were seen as positive so MH disorders are different in different cultures
if a patient is from a different culture to their clinician, may affect clinicians diagnosis so challenging validity of diagnosis
culture leading to individual differences in MH disorder/different diagnoses (2)
some cultures have mental disorders that are specific to that culture such as amok in malaysia
amok - syndrome usually occurring in males which causes sudden outbursts of indiscriminate murderous frenzy which may be provoked by an insult or jealousy
culture leading to individual differences in MH disorder/different diagnoses (3)
individual differences in cultural background, experience and training of clinicians can affect their interpretation of symptoms due to misinterpretation or not recognising symptoms
may be issues of translation if patient & psychiatrist speak a different language which cause issues when diagnosing a mental disorder
strength - evidence of culture
research evidence
garland (1970) found psychiatrists in NY were more likely to diagnose patients as having SZ than affective disorders e.g: depression compared to psychiatrists in london - found this was due to differences in clinicians
likely to affect the reliability of diagnosis as it implies different clinicians will give different diagnoses
weakness - counter to culture
research evidence
lin (1966) found when looking at symptoms of SZ, there were more similarities across different cultures than differences
suggests cultural difference would not lead to a difference in diagnosis
developmental psychology
issues around genes and mental health such as genetic or biochemical explanation for SZ affect development
genes and mental health
according to hiker (2018) heritability of SZ is 79% so within the population, it is likely that 79% have inherited SZ through genes
deletion of COMT gene - COMT enzyme is not created so dopamine not broken down so NT not regulated causing symptoms of SZ e.g: hallucinations or delusions
abnormality to DISC-1 gene - GABA is not created so glutamate and other NT not regulated causes symptoms of SZ
gene and mental health
epigenetics - epigenetic changes affect cell division and mediates dialogue between genes & environment and chemical tags with turn genes on and off
environmentally induced epigenetic change may be why identical twins grow to have different lives but not permanent
strength - evidence for genes
research evidence
mil (2006) scanned genome of MZ twins where 1 twin had SZ and other did not, finding that diagnosed twins had up to 20% greater methylation of 2 genes linked with SZ - methylation is the basis by which genes are switched on
therefore, might be a combination of genes & environment which influence whether individual develops a MH disorder