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Biomedical subjects

A G Nikelly

Publications and source records attributed to A G Nikelly.

10 recordsLinked to original sources

Cultural babel: the challenge of immigrants to the helping professions.

Immigrants to the United States often experience sociocultural stress not easily mitigated by the culturally individualistic and Western endopsychic probing methods of therapy. The vast majority of immigrants hold communal attitudes and holistic beliefs, whereas American therapists use treatment methods that endorse self-sufficiency and individualistic values. Parsimonious, psychoeducational, and less ego-threatening strategies are proposed--supportive, directive, didactic, and reality-oriented approaches that are consistent with the treatment perspective of immigrant populations that commonly hold collective rather than individualistic views. The proposed goal of intervention is to help immigrants become bicultural citizens, by enabling them to adopt American coping skills without surrendering those of their own culture.

Acculturation↗

Does DSM-III-R diagnose depression in non-Western patients?

The author reports the cases of three non-Western patients with impaired functioning due to symptoms of major depression. Their characteristic style of symptom expression was different from the usual manifestations, emphasizing vegetative rather than cognitive and affective aspects of depression. Non-Western patients may be either misdiagnosed or overdiagnosed, which may complicate their assessment and treatment, because the diagnostic criteria used reflect Western values of behaviour. To improve the treatment of non-Western patients who seek therapy for depressive symptomatology in Western countries, therapists should seek broader understanding and deeper appreciation of non-Western belief systems and cultural differences.

Adult↗

Drug advertisements and the medicalization of unipolar depression in women.

Unipolar depression occurs twice as frequently among women as among men, and the pharmacological industry maintains a massive advertising campaign that encourages psychiatric professionals to rely on antidepressant medication as the solution to this problem. The pictorial content of drug advertisements shows women as victims of depression. The social problems and situational stresses associated with unipolar depression are never shown, and depression is assumed to be a personal and biological illness, its etiology decontextualized. In these advertisements, women are not offered a choice between medical and nonmedical treatment and are not empowered to become more active participants in their health decisions. Therapists are urged to become alert to this oversimplification.

Adult↗