ETHNICITY AND MENTAL ILLNESS
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Transcript of ETHNICITY AND MENTAL ILLNESS
ETHNICITY AND M.I.
• 1. RATES
• 2. EXPRESSIONS
• 3. RESPONSES
FAMILY SUPPORT
• MANY ETHNIC GROUPS, ESPECIALLY NEW IMMIGRANTS
• GREATER SENSE OF FAMILY OBLIGATION
• LESS ADEQUATE PROFESSIONAL TREATMENT
SUMMARY
• MUCH CROSS-CULTURAL VARIATION FOR MOST M.I.
• FEW CONCLUSIONS FOR RATES IN US
• ETHNIC CULTURES AFFECT WAY PEOPLE EXPRESS DISORDERS
• ETHNIC CULTURES AFFECT DEFINITIONS, FAMILY RESPONSE, AND PROFESSIONAL HELP-SEEKING
IMPLICATIONS
• PROFESSIONALS SHOULD BE CULTURALLY SENSITIVE
• ETHNIC-SENSITIVE PROGRAMS TEND TO WORK BETTER
• PARTICULARLY IMPORTANT NOW WITH HIGH RATES OF IMMIGRATION
RECENT CHANGES
• MAJOR TOPIC OVER LAST 15 YEARS
• VAST CHANGE IN SOCIAL ROLES
• 2/3 OF MARRIED WOMEN WORK
• 60% OF WOMEN WITH SMALL CHILDREN WORK (19% IN 1960)
• 7% OF TOTAL HOUSEHOLDS HAVE WORKING FATHER AND HOUSEWIVE
QUESTIONS
• HOW ARE THESE SOCIAL CHANGES RELATED TO MENTAL HEALTH?
• DO WOMEN OR MEN HAVE MORE MENTAL ILLNESS?
• DO MEN AND WOMEN HAVE DIFFERENT TYPES OF M.I.?
• HOW IS GENDER RELATED TO THE TREATMENT OF MENTAL ILLNESS?
GENDER
• BOTH BIOLOGY AND PSYCHOLOGY FOCUS ON GENDER AS CONSTANT PROPERTY OF INDIVIDUALS
• BIOLOGY - PHYSIOLOGY, HORMONES, REPRODUCTION, ETC.
• PSYCHOLOGY - DIFFERENCES IN PSYCHOLOGICAL ORIENTATIONS
SOCIOLOGICAL
• DISTRESS ARISES OUT OF ROLES NOT PSYCHOLOGY OR BIOLOGY
• POWER, RESOURCES, AUTONOMY ASSOCIATED WITH MALE ROLES
• OPPOSITE WITH FEMALE ROLES
SOCIAL ROLES
• WOMEN IN TRADITIONALLY MALE ROLES HAVE LESS DISTRESS
• MEN IN TRADITIONALLY FEMALE ROLES HAVE MORE DISTRESS
• MEN AND WOMEN IN SAME ROLES WILL HAVE SAME DISTRESS
CULTURAL EXPECTATIONS
• NOT JUST ROLES BUT EXPECTATIONS OF MEN AND WOMEN IN ROLES
• E.G. JOBS, CHORES, CAREGIVING• UNEMPLOYED MAN VS. HOUSEWIFE• POWERFUL MAN VS. WOMAN• DISTRESS FROM COMBINATION OF
ROLES + EXPECTATIONS
SOCIAL ROLES (GOVE)
• RATES OF M.I. HISTORICALLY SPECIFIC NOT UNIVERSAL - CHANGE OVER TIME AS ROLES CHANGE
• BEFORE WWII - WOMEN’S ROLES VALUED
• RELATIVELY EQUAL RATES OF M.I.
• AFTER WWII - HOUSEWIVE ROLE
AFTER WWII
• WOMEN’S ROLES MORE STRESSFUL THAN MEN’S
• HOUSEWIVE ROLE IS FRUSTRATING, UNDEMANDING, UNREWARDED
• WORKING WOMEN FACE ROLE OVERLOAD AND DISCRIMINATION
• UNCLEAR EXPECTATIONS
PREDICTIONS
• MARRIED WOMEN HAVE MORE DISTRESS THAN MARRIED MEN
• SINGLE MEN AND WOMEN EQUAL
MARRIAGE AND DISTRESS
0
5
10
15
20
25
30
35
SM
SW
MM
MW
• SINGLE MEN AND WOMEN EQUAL
• MARRIED MEN < MARRIED WOMEN
• IMPORTANCE OF ROLES
DISTRESS, WORK AND MARRIAGE
0
5
1015
20
25
3035
40
45
50
WW NWW WM NWM
• HOUSEWIVES > DISTRESS THAN WORKING WOMEN
• WORKING WOMEN > WORKING MEN
• ROLE OVERLOAD• UNEMPLOYED
MEN WORST
ROLES ARE IMPORTANT
• SAME ROLES, SAME DISTRESS - E.G. SINGLE PEOPLE
• MALE ROLES HAVE LESS DISTRESS - EMPLOYMENT, RESOURCES, LESS OVERLOAD
• FEMALE ROLES HAVE MORE DISTRESS - NO JOBS, LOWER EARNINGS, MORE OVERLOAD
CHANGES OVER TIME
• 1960’S - HUSBANDS WITH WORKING WIVES HAVE MORE DISTRESS
• NO LONGER TRUE
• 1990’S - HUSBANDS WITH WIVES EARNING MORE THAN THEY DO HAVE MORE DISTRESS (NOW TRUE IN 1/3 OF FAMILIES)
CHANGES OVER TIME
0
5
10
15
20
25
1950
-70
1980
-90
MENWOMEN
• RATES GOING UP• WOMEN > MEN• DIFFERENCES
SMALLER NOW• BECAUSE MEN
RISING MORE RAPIDLY
LIMITS OF SOCIAL ROLE THEORY
• VERY OVERSIMPLIFIED
• HARD TO EXPLAIN MEN’S DISTRESS
• STUDIES BIASED BECAUSE ONLY USE FEMALE TYPES OF MENTAL ILLNESS – USUALLY DISTRESS/DEPRESSION