RESUMO
This paper presents findings from a tri-cultural study in which we argue that class differences pertain not only to rates of mental illness but also to recognition of symptoms of mental illness and to recommendations concerning what should be done by those exhibiting 'disordered behaviour'. It is hypothesized that regardless of respondent's cultural background, the extent to which a deviant behaviour will be defined as a mental health problem, and professional therapy will be suggested as a source of help for that problem, will be positively related to class. Findings from a sample selected from two small West Texas communities, and samples selected from Durango, Mexico, and Juiz de Fora, Brazil, indicate strong support for the first prediction only among the West Texas sample, whereas the second hypothesis concerning therapy suggestions is strongly supported among respondents in all three cultural settings. We conclude that these class differences in perceptions and suggestions concerning five examples of 'disordered' behaviours read to respondents relate to conditions of lower-class life in general. Particularly, structural support found for our hypothesis leads us to suggest a need for informal, nonbureaucratic mental health care systems created to serve lower-class populations residing in class-oriented societies, regardless of cultural differences which may exist among these societies.
Assuntos
Transtornos Mentais , Classe Social , Sociologia Médica , Brasil , Comparação Transcultural , Feminino , Humanos , México , TexasRESUMO
This paper is a replication of a study in which we argue that class differences pertain not only to rates of mental illness but also to the recognition of symptoms of mental illness and to recommendations concerning what should be done by those exhibiting 'disordered behaviour'. Our previous findings from a sample of two small West Texas communities indicated that class differences did hold for both recognition of an recommendations fo9r help regarding behaviours which are commonly considered as 'disordered' by professional mental health personnel. We concluded that these differences were related to conditions of lower-class life, particularly a sense of powerlessness. In this paper we hypothesize that in societies where the two classes share high powerlessness, the differences in response to disordered behaviour will be less pronounced. To test this thesis, we obtained data from lower- and middle-class samples in Durango, Mexico, where both classes have been found to possess a high degree of powerlessness compared with the American sample. Findings lend support to our hypothesis.
Assuntos
Atitude , Serviços Comunitários de Saúde Mental , Transtornos Mentais/classificação , Classe Social , Adulto , Comparação Transcultural , Feminino , Humanos , Masculino , Transtornos Mentais/psicologia , México , TexasRESUMO
This paper summarizes research findings from members of the Southwest Medical Sociology Ad Hoc Committee concerning sociocultural barriers to medical care among Mexican Americans in Texas. Committee members individually, or in two-person groups, studied a number of factors concerning Mexican-American medical care in Texas such as: 1) mortality, morbidity, and other health status indicators; 2) health manpower and educational needs; 3) political factors impeding economical health care; 4) alienation, familism, and their relationship to utilization of the health services; 5) language and communication barriers; and 6) folk medicine. Findings include documentation that structural alienation of Mexican-Americans from mainstream Anglo-American middle-class society is carried over into their relation with utilization of the health care delivery system; that their emphasis on familism works alternatively to encourage and discourage their seeking access to health care; the language differences serve to perpetuate certain cultural differences that are inimical to health care delivery; and that curanderismo can be seen as complementing other types of health care. The report concludes with a number of recommendations for accomplishing cultural integration that will lead to better care for this segment of the health population.