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The Culture and Identity Schedule a Measure of Cultural Affiliation: Acculturation, Marginalization and Schizophrenia

Author

Listed:
  • Dinesh Bhugra

    (Health Service and Population Research Department, Institute of Psychiatry, King's College London, UK, dinesh.bhugra@kcl.ac.uk)

  • Julian Leff

    (Institute of Psychiatry, King's College London, UK)

  • Rosemarie Mallett

    (Institute of Psychiatry, King's College London, UK)

  • Craig Morgan

    (Health Service and Population Research Department, Institute of Psychiatry, King's College London, UK)

  • Jing-Hua Zhao

    (Institute of Psychiatry, King's College London, UK)

Abstract

Background: Previous epidemiological studies have shown a high incidence of schizophrenia in African-Caribbeans in the UK, but not in Asians. Aims: We investigated the hypothesis that cultural adherence might protect the Asians against the stress of living in a majority white culture. Methods: The Culture and Identity Schedule (CANDID) was given to patients with a diagnosis of schizophrenia making their first contact with psychiatric services, and to a matched group of controls randomly selected from the general population. Results: While the Asian patients displayed no drift away from the traditional values as espoused by their controls, the African-Caribbean patients were less traditional than their controls. Conclusions: The fact that a movement away from their traditional culture distinguishes African-Caribbean patients with a severe psychiatric illness, schizophrenia, from their mentally healthy controls strongly favours marginalization over biculturalism as an interpretation of this shift.

Suggested Citation

  • Dinesh Bhugra & Julian Leff & Rosemarie Mallett & Craig Morgan & Jing-Hua Zhao, 2010. "The Culture and Identity Schedule a Measure of Cultural Affiliation: Acculturation, Marginalization and Schizophrenia," International Journal of Social Psychiatry, , vol. 56(5), pages 540-556, September.
    • Handle: RePEc:sae:socpsy:v:56:y:2010:i:5:p:540-556
    DOI: 10.1177/0020764009358024
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    References listed on IDEAS

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    1. Beiser, Morton & Hou, Feng, 2001. "Language acquisition, unemployment and depressive disorder among Southeast Asian refugees: a 10-year study," Social Science & Medicine, Elsevier, vol. 53(10), pages 1321-1334, November.
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    Cited by:

    1. Nelli Ferenczi & Tara C Marshall, 2013. "Exploring Attachment to the “Homeland” and Its Association with Heritage Culture Identification," PLOS ONE, Public Library of Science, vol. 8(1), pages 1-17, January.
    2. F. Gonidakis & E. Lembesi & V. P. Kontaxakis & B. J. Havaki-Kontaxaki & D. Ploumpidis & M. Madianos & G. N. Papadimitriou, 2013. "A study of acculturation in psychotic and non-psychotic immigrants living in Athens," International Journal of Social Psychiatry, , vol. 59(2), pages 157-164, March.

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