Treatment Compliance and Cultural Aspects: Hispanics

  • Pedro Ruiz


Psychiatry pays great attention to the process of establishing an accurate diagnosis and implementing an appropriate treatment in every clinical case dealt with in the field. However, without minimizing the importance of a competent evaluation and the need to arrive at the right diagnosis in every case, mental health practitioners must be sure that appropriate emphasis is also placed on the assessment of all of the factors that have a bearing on the treatment compliance for these cases. Needless to say, achieving treatment compliance is not an easy matter since in this process, a series of factors intervene, many of which have boundaries that go beyond the clinical setting itself, such as: the patient’s religious beliefs, the patient’s understanding of the etiology and/or nature of the illness in question, and the like. A thorough knowledge of these cultural factors will undoubtedly offer the clinician a unique understanding of the patient’s conceptualization of his illness, and therefore, will put him in a better position to improve the patient’s compliance with his treatment, and thus, increase his chances for cure.


Mental Health Service Treatment Compliance Competent Evaluation Sick Role Mental Health Care Delivery 
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  1. 1.
    I. K. Zola, Studying the decision to see a doctor, in: “Advances in Psychosomatic Medicine”, Z. Lipowski, ed., Basel, Karger (1972) .Google Scholar
  2. 2.
    A. Kleinman, L. Eisenberg, and B. Good, Culture, Illness, and Care: Clinical Lessons from Anthropologic and Cross-Cultural Research, Annals of Internal Medicine88:251 (1978).PubMedCrossRefGoogle Scholar
  3. 3.
    B. M. Korsch and V. F. Negrete, Doctor-Patient Communication, Scientific American8:66 (1972).CrossRefGoogle Scholar
  4. 4.
    H. Fabrega, The Study of Disease in Relation to Culture, Behavioral Sciences17:183 (1972).CrossRefGoogle Scholar
  5. 5.
    A. M. Kleinman, Explanatory Models in Health Care Relationships, in: “Health of the Family” (National Council for International Health Symposium), NCIH, Washington, D.C. (1975).Google Scholar
  6. 6.
    Z. J. Lipowski, Psychological Aspects of Disease, Annals of Internal Medicine71:1197 (1969).PubMedCrossRefGoogle Scholar
  7. 7.
    R. Horton, African Traditional Thought and Western Science, Africa37:50 (1967).CrossRefGoogle Scholar
  8. 8.
    M. Davis, Variations in Patients’ Compliance with Doctors’ Advice, American Journal of Public Health58:274 (1968).PubMedCrossRefGoogle Scholar
  9. 9.
    E. Freidson, “Patients’ Views of Medical Practice”, Russell Sage Foundation, New York (1961).Google Scholar
  10. 10.
    A. Kaplan De-Nour and J. W. Czaczkes, Personality Factors in Chronic Hemodialysis Patients Causing Noncompliance with Medical Regimen, Psychosomatic Medicine34:333 (1972).Google Scholar
  11. 11.
    J. Fitzpatrick, “Puerto Rican Americans: The Meaning of Migration to the Mainland”, Prentice-Hall, New Jersey (1971).Google Scholar
  12. 12.
    P. Ruiz and J. Langrod, Psychiatry and Folk Healing: A Dichotomy?, American Journal of Psychiatry133:95 (1976).PubMedGoogle Scholar
  13. 13.
    V. Abad and E. Boyce, Issues in Psychiatric Evaluations of Puerto Ricans: A Socio-Cultural Perspective, Journal of Operational Psychiatry, 10:28 (1979).Google Scholar
  14. 14.
    L. R. Marcos, M. Alpert, L. Urcuyo and M. Kesselman, The Effect of Interview Language on the Evaluation of Psychopathology in Spanish-American Schizophrenic Patients, American Journal of Psychiatry130:549 (1973).PubMedGoogle Scholar

Copyright information

© Springer Science+Business Media New York 1985

Authors and Affiliations

  • Pedro Ruiz
    • 1
  1. 1.Department of PsychiatryBaylor College of MedicineHoustonUSA

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