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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
The Phenomenology and Explanatory Models of Common Mental Disorder: A Study in Primary Care in Harare, Zimbabwe
Psychological Medicine, Volume 25, No. 6, Year 1995
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Description
In order to describe the explanatory models and the etic and emic phenomena of common mental disorder in Harare, Zimbabwe, 110 subjects were selected by general nurses in three clinics and by four traditional healers from their current clients. The subjects were interviewed using the Explanatory Model Interview and the Revised Clinical Interview Schedule. Mental disorder most commonly presented with somatic symptoms, but few patients denied that their mind or soul was the source of illness. Spiritual factors were frequently cited as causes of mental illness. Subjects who were selected by traditional healer, reported a greater duration of illness and were more likely to provide a spiritual explanation for their illness. The majority of subjects were classified as ‘cases’ by the etic criteria of the CISR. Most patients, however, showed a mixture of psychiatric symptoms that did not fall clearly into a single diagnostic group. Patients from a subgroup with a spiritual model of illness were less likely to conform to etic criteria of ‘caseness’ and they may represent a unique category of psychological distress in Zimbabwe. A wide variety of emic phenomena were elicited that have been incorporated in an indigenous measure of non-psychotic mental disorder. Kufungisisa, or thinking too much, seemed to be the Shona term closest to the Euro-American concept of neurotic illness. © 1995, Cambridge University Press. All rights reserved.
Authors & Co-Authors
Patel, Vikram Harshad
Zimbabwe, Harare
Godfrey Huggins School of Medicine
United Kingdom, London
King's College London
Gwanzura, F.
Zimbabwe, Harare
Godfrey Huggins School of Medicine
United Kingdom, London
King's College London
Simunyu, E.
Zimbabwe, Harare
Godfrey Huggins School of Medicine
United Kingdom, London
King's College London
Lloyd, Keith R.
Zimbabwe, Harare
Godfrey Huggins School of Medicine
United Kingdom, London
King's College London
Mann, Anthony H.
Zimbabwe, Harare
Godfrey Huggins School of Medicine
United Kingdom, London
King's College London
Statistics
Citations: 106
Authors: 5
Affiliations: 2
Identifiers
Doi:
10.1017/S003329170003316X
ISSN:
00332917
e-ISSN:
14698978
Research Areas
Mental Health
Study Design
Phenomenological Study
Study Approach
Qualitative
Study Locations
Zimbabwe