Culture, Illness, and Care: Clinical Lessons From Anthropologic and Cross-Cultural Research

Cultural beliefs on disease causation in the Philippines: challenge and implications in genetic counseling

“…Genetic counselors can use the Kleinman's explanatory models of illness to elicit cultural health beliefs and practices in the clinical setting. Kleinman's framework consists of eight questions surrounding the client's perceived etiology, pathophysiology, treatment, and management modality for a given condition (Kleinman et al 1978).…”

“…Though challenging to always be cognizant to cultural awareness, Abad (2012) suggests that the use of explanatory models (EM) of illness could facilitate this task. It provides a framework on the understanding of a patient on the cause of his/her illness, and this may include the meanings and values he/she associates with the condition (Winkelman 2009;Kleinman et al 1978). Eliciting the EM of genetic illnesses is an important first step since it ensures that the patient and the health care provider (e.g., genetic counselor) are communicating in the same contextual framework, thus minimizing the cultural barrier that initially exists between the two (Winkelman 2009;Abad 2012).…”

Experiência, narrativa e conhecimento: a perspectiva do psiquiatra e a do usuário

“…Este é um estudo qualitativo, multicêntrico, informado pelas abordagens teóricas da Análise Interpretativa Fenomenológica (SMITH; FLOWERS; LARKIN, 2009) e da Antropologia médica (KLEINMAN;EISENBERG;GOOD, 1978;KLEINMAN, 1988;GOOD, 1994), realizado nas cidades de Campinas, Rio de Janeiro e Salvador. Nele foram analisadas narrativas de experiência de adoecimentos de usuários de CAPS diagnosticados com esquizofrenia e narrativas acerca do processo de formulação do diagnóstico e tratamento de pessoas com o diagnóstico de esquizofrenia de psiquiatras inseridos na rede pública de atenção à saúde mental.…”

Quality of Life in Malay and Chinese Women Newly Diagnosed with Breast Cancer in Kelantan, Malaysia

“…It is known that understanding a person's social and cultural life context helps in understanding their subjective experience of health, illness, and sense of well-being, which plays an important role for healthcare professionals caring and curing interventions (Kleinman et al, 2006). Thus, the purpose of this study was to examine the quality of life in Malay and Chinese women newly diagnosed with breast cancer in Kelantan, Malaysia.…”