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Culture and Women’s Mental Health

  • Anju Kuruvilla
  • K. S. JacobEmail author
Living reference work entry
Part of the Mental Health and Illness Worldwide book series (MHIW)

Abstract

Epidemiological studies across countries and cultures have consistently demonstrated higher prevalence of common mental disorders like depression and anxiety among women. However, psychiatry with its biomedical perspectives employs diagnostic criteria, which use symptom counts sans context, identifies mental disorders, and suggests individual treatments. The failure to acknowledge the role of the psychosocial, cultural, and economic contexts in producing mental distress and ill health among girls and women in patriarchal societies suggests poor understanding of the complex stressors on one hand and supports and opportunities available to half the world’s population on the other. Psychiatric diagnostic systems should elicit and understand the person’s context and take into account the psychosocial and economic stress, supports, and coping while attempting to empower people. Medicine and psychiatry, nested within capitalistic political and economic systems, needs to advocate public health approaches to reducing mental distress and ill health among girls and women. All policies and programs should be viewed through the “gender lens” in order to provide gender justice to girls and women in the near future.

Keywords

Mental disorders Depression Anxiety Gender Women Mental health 

References

  1. Aaron R, Joseph A, Abraham S, Muliyil J, George K, Prasad J, Minz S, Abraham VJ, Bose A (2004) Suicides in young people in rural southern India. Lancet 363:1117–1118CrossRefGoogle Scholar
  2. Andermann L (2010) Culture and the social construction of gender: mapping the intersection with mental health. Int Rev Psychiatry 22:501–512CrossRefGoogle Scholar
  3. Chandran M, Tharyan P, Muliyil J, Abraham S (2002) Post-partum depression in a cohort of women from a rural area of Tamil Nadu, India. Incidence and risk factors. Br J Psychiatry 181:499–504CrossRefGoogle Scholar
  4. Commission on Social Determinants of Health, World Health Organization (2008) Closing the gap in a generation: health equity through action on the social determinants of health. WHO, GenevaGoogle Scholar
  5. Dasgupta A, Battala M, Saggurti N, Nair S, Naik DD, Silverman JG et al (2013) Local social support mitigates depression among women contending with spousal violence and husband’s risky drinking in Mumbai slum communities. J Affect Dis 145:126–129CrossRefGoogle Scholar
  6. Government of India Ministry of Health and Family Welfare (n.d.) National Family Health Survey 4 (2015–2016). Government of India, New Delhi. Available at http://rchiips.org/NFHS/pdf/NFHS4/India.pdf. Accessed on 14 June 2018
  7. Jacob KS (2010) Reclaiming primary care: managing depression and anxiety in a different framework. In: Zachariah A, Srivats R, Tharu S (eds) Towards a critical medical practice: reflections on the dilemmas of medical culture today. Orient Blackswan, New DelhiGoogle Scholar
  8. Jacob KS (2015a) Ahimsa at odds: individual ethics, structural violence and India. Econ Polit Wkly 50(40):3. https://www.epw.in/journal/2015/40/web-exclusives/ahimsa-odds.html. Accessed on 14 June 2018Google Scholar
  9. Jacob KS (2015b) Post-traumatic stress disorder: psychiatric management, atonement and justice. Natl Med J India 28:198–200PubMedGoogle Scholar
  10. Jacob KS (2017) Theorizing medical practice for India. Nat Med J India 30:183–186CrossRefGoogle Scholar
  11. Jacob KS (n.d.) Women’s health & need for gender justice. The Hindu, 29 July 2009Google Scholar
  12. Jacob KS, Kuruvilla A (2017) Psychiatric presentations in general practice: a guide to holistic management, 2nd edn. CRC Press, Taylor & Francis Group, Boca RatonGoogle Scholar
  13. Jacob ME, Abraham S, Surya S, Minz S, Singh D, Abraham VJ, Prasad J, George K, Kuruvilla A, Jacob KS (2006) A community health programme in rural Tamil Nadu, India: the need for gender justice for women. Reprod Health Matters 14:101–108CrossRefGoogle Scholar
  14. Jenkins JH (2004) Schizophrenia is a paradigm case for understanding fundamental human process. In: Jenkins JH, Barrett RJ (eds) Schizophrenia, culture, and subjectivity: the edge of experience. Cambridge University Press, Cambridge, UK, pp 29–61Google Scholar
  15. Jenkins JH, Barrett RJ (2004) Introduction. In: Jenkins JH, Barrett RJ (eds) Schizophrenia, culture, and subjectivity: the edge of experience. Cambridge University Press, Cambridge, UK, pp 1–25Google Scholar
  16. Jenkins J, Good M (2014) Women and global mental health: vulnerability and empowerment. In: Okpaku S (ed) Essentials of global mental health. Cambridge University Press, Cambridge, UK, pp 264–281CrossRefGoogle Scholar
  17. Kermode M, Herrman H, Arole R, White J, Premkumar R, Patel V (2007) Empowerment of women and mental health promotion: a qualitative study in rural Maharashtra, India. BMC Public Health 7:225CrossRefGoogle Scholar
  18. Kuehner C (2003) Gender differences in unipolar depression: an update of epidemiological findings and possible explanations. Acta Psychiatr Scand 108:163–174CrossRefGoogle Scholar
  19. Kuruvilla A, Jacob KS (2019) Reimagining psychiatric education for physicians. Nat Med J India (in press)Google Scholar
  20. Malhotra S, Shah R (2015) Women and mental health in India. Indian J Psychiatry 57:S205–S211CrossRefGoogle Scholar
  21. Pape H, Hammer T, Vaglum P (1994) Are “traditional” sex differences less conspicuous in young cannabis users than in other young people? J Psychoactive Drugs 26:257–263CrossRefGoogle Scholar
  22. Patel V, Kleinman A (2003) Poverty and common mental disorders in developing countries. Bull World Health Organization 81:609–615Google Scholar
  23. Patel V, Kirkwood BR, Pednekar S, Pereira B, Barros P, Fernandes et al (2006) Gender disadvantage and reproductive health risk factors for common mental disorders in women: a community survey in India. Arch Gen Psychiatry 63:404–413CrossRefGoogle Scholar
  24. Pigott TA (1999) Gender differences in the epidemiology and treatment of anxiety disorders. J Clin Psychiatry 60:4–15CrossRefGoogle Scholar
  25. Scheper-Hughes N (2008) A talent for life: reflections on human vulnerability and resilience. Ethnos 73:25–56CrossRefGoogle Scholar
  26. Seedat S, Scott KM, Angermeyer MC, Berglund P, Bromet EJ, Brugha TS et al (2009) Cross-national associations between gender and mental disorders in the World Health Organization world mental health surveys. Arch Gen Psychiatry 66:785–795CrossRefGoogle Scholar
  27. Stewart DE (2006) The international consensus statement on women’s mental health and the WPA consensus statement on interpersonal violence against women. World Psychiatry 5:61–64PubMedPubMedCentralGoogle Scholar
  28. Thara R, Kamath S, Kumar S (2003a) Women with schizophrenia and broken marriages – Doubly disadvantaged. Part I: patient perspective. Int J Soc Psychiatry 49:225–232CrossRefGoogle Scholar
  29. Thara R, Kamath S, Kumar S (2003b) Women with schizophrenia and broken marriages – Doubly disadvantaged. Part II: family perspective. Int J Soc Psychiatry 49:233–240CrossRefGoogle Scholar
  30. The Million Death Study Collaborators (2010) Causes of neonatal and child mortality in India: a nationally representative mortality survey. Lancet 376:1853–1810CrossRefGoogle Scholar
  31. Thoits P (1986) Multiple identities: examining gender and marital status differences in distress. Am Sociol Rev 51:259–272CrossRefGoogle Scholar
  32. United Nations Population Information Network (2001) Guidelines on women’s empowerment. Available at http://www.un.org/popin/unfpa/taskforce/guide/iatfwemp.gdl.html. Accessed on 14 June 2018
  33. United Nations Women (n.d.) Turning promises into action: gender equality in the 2030 Agenda for Sustainable Development. UN Women, New York. Available at http://www.unwomen.org/en/digital-library/publications/2018/2/gender-equality-in-the-2030-agenda-for-sustainable-development-2018#view. Accessed on 14 June 2018
  34. Van der Kwaak A, van den Engel M, Richters A (1991) Women and health. Vena Journal 3:2–33Google Scholar
  35. World Health Organization (n.d.-a) Gender and women’s mental health. http://www.who.int/mental_health/prevention/genderwomen/en/. Accessed on 14 June 2018
  36. World Health Organization (n.d.-b) Department of Mental Health and Substance Dependence. Gender disparities and mental health. http://www.who.int/mental_health/media/en/242.pdf?ua=1. Accessed on 14 June 2018

Copyright information

© Springer Nature Singapore Pte Ltd. 2019

Authors and Affiliations

  1. 1.Christian Medical CollegeVelloreIndia

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