Sociocultural Influences on Health and Health Care

  • Christopher Krogh


A febrile 3-month-old Southeast Asian infant is brought to a U.S. emergency room by its parents. No chart is available, and communication is complicated by limited English skills and the unavailability of an interpreter. The resident can find no source for the fever and concludes that a lumbar puncture is an appropriate next step. Failure to suspect or diagnose meningitis could be disastrous in an infant this young. The standard of practice, from the resident’s perspective, offers little choice.


Lumbar Puncture Western Medicine Traditional Healer Culture Shock Sociocultural Influence 
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  1. 1.
    Low SM. The cultural basis of health, illness and disease. Social Work Health Care 1984;9(3): 13–23.CrossRefGoogle Scholar
  2. 2.
    Bennett MJ. A developmental approach to training for intercultural sensitivity. Int J Intercultural Relations 1986;10:179–96.CrossRefGoogle Scholar
  3. 3.
    Mull JD, Mull DS. Residents’ awareness of folk medicine beliefs of their Mexican patients. J Med Educ 1981;56:520–2.PubMedGoogle Scholar
  4. 4.
    Nash ES. Medical student training in doctor-patient communication. S AfrMed J 1979;56:1118–24.Google Scholar
  5. 5.
    Frank JD. The two faces of psychotherapy. J Nerv Ment Dis 1977;164;3–7.PubMedCrossRefGoogle Scholar
  6. 6.
    Kleinman A, Eisenberg L, Good B. Culture, illness and care: clinical lessons from anthropologic and cross-cultural research. Ann Intern Med 1978;88:251–8.PubMedCrossRefGoogle Scholar
  7. 7.
    Murdock GP, Wilson S, Frederick V. World distribution of theories of illness. Ethnology 1978;17:449–70.CrossRefGoogle Scholar
  8. 8.
    Martin M. Native American medicine—thoughts for posttradition-al healers. JAMA 1981;245:141–3.PubMedCrossRefGoogle Scholar
  9. 9.
    Lewis TH. A Sioux medicine man describes his own illness and approaching death. Ann Intern Med 1980;92:417–18.PubMedCrossRefGoogle Scholar
  10. 10.
    Santopietro MS. How to get through to a refugee patient. RN 1981; January: 43–48.Google Scholar
  11. 11.
    Tripp-Reimer T. Retention of a folk-healing practice (matiasma) among four generations of urban Greek immigrants. Nurs Res 1983;32(2):97–102.PubMedCrossRefGoogle Scholar
  12. 12.
    Ness RC, Wintrob RM. Folk healing: a description and synthesis. Am J Psychiatry 1981;138:1477–81.PubMedGoogle Scholar
  13. 13.
    Davis AJ. Preventive intervention: healing in West Africa. JPN and Mental Health Services, 1974. J Psychiatr Nurs 1974;12:7.PubMedGoogle Scholar
  14. 14.
    Ramsden EL. Values in conflict: hospital culture shock. Phys Ther 1980;60:289–92.PubMedGoogle Scholar
  15. 15.
    Cawte JE. Australian Aboriginal medicine before European contact. Ann Intern Med 1975;82:422–3.PubMedCrossRefGoogle Scholar
  16. 16.
    Cassell EJ. The healer’s art. Philadelphia: Lippincott, 1976:25–16.Google Scholar
  17. 17.
    Coulehan JL. Navajo Indian medicine: implications for healing. J FamPract 1980;10:55–61.Google Scholar
  18. 18.
    Kleinman A. Clinical relevance of anthropological and cross-cultural research: concepts and strategies. Am J Psychiatry 1978;135:427–31.PubMedGoogle Scholar
  19. 19.
    Korbin JE, Johnston M. Steps toward resolving cultural conflict in a pediatric hospital. Clin Pediatr 1982;21:259–63.CrossRefGoogle Scholar
  20. 20.
    Weimer SR, Mintz NL. Health practice at the technologic/folk interface: witchcraft as a culture-specific diagnosis. Int J Psychiatry Med 1976–77; 7:351–62.PubMedCrossRefGoogle Scholar

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© Springer Science+Business Media New York 1994

Authors and Affiliations

  • Christopher Krogh

There are no affiliations available

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