A Cross-Cultural Comparison of British and Japanese Lay Theories of Schizophrenia

Nearly 300 matched British and Japanese participants completed an equivalent three-part questionnaire in their native language. The questionnaire covered general beliefs or conceptions about schizophrenia, causal explanations for the aetiology of schizophrenia, as well as the role of hospitals in particular, and society in general, in helping schizophrenics recover from their illness. It was predicted that the Japanese, who have more taboos about mental illness than the British, would see schizophrenics as more difficult, dangerous and "morally insane". Factor analysis of each of the three parts of the questionnaire yielded a clearly interpretable structure. The British were more concerned with the rights of schizo phrenics and believed them to be less dangerous and abnormal than did the Japanese. The Japanese favoured sociological (stress) explanations more than the British for the cause of schizophrenia. Whereas the Japanese saw micro- and macro-society change as the best way to help schizophrenics, the British stressed individual care and consideration as more relevant.