Objective: This article reviews the attitudes towards mental illness and psychiatric stigma in Asian cultures.
Method: Relevant literature published in English was reviewed.
Results: Psychiatric stigmas in Asian cultures share some common features. However, response to mental illness has many variations across cultures. Psychiatric stigma is prevalent and severe in some but not all Asian cultures.
Conclusions: The stigma of mental illness needs to be studied within its sociocultural context in order to understand its origins, meanings and consequences. It may be relevant to examine the indigenous concepts, experience and implications of psychological problems to address problems in mental health care relating to stigma.
BhugraD.Attitudes towards mental illness: a review of the literature. Acta Psychiatrica Scandinavica1989; 80:1–12.
2.
RabkinJ.Public attitudes toward mental illness: a review of the literature. Schizophrenia Bulletin1974; 10:9–33.
3.
GoffmanE.Stigma. London: Penguin, 1964.
4.
ClausenJA.Stigma and mental disorder: phenomena and terminology. Psychiatry1981; 44:287–296.
5.
BogardusSE.A social distance scale. Sociology and Social Research1933; 17:265–271.
6.
WhatleyC.Social attitudes towards discharged mental patients. Social Problems1958–1959; 6:313–320.
7.
BrockmanJD'ArcyEEdmondsL.Facts or artifacts? Changing public attitudes towards the mentally ill. Social Science and Medicine1979; 13:673–682.
8.
RabkinJ.Public attitude: new research directions. Hospital and Community Psychiatry1981; 32:157–159.
9.
SegalSP.Attitudes towards the mentally ill: a review. Social Work1978; 23:211–217.
10.
KleinmanA.Depression, somatization and the new cross-cultural psychiatry. Social Science and Medicine1977; 11:3–10.
11.
KirmayerL.Cultural variations in the response to psychiatric disorder and emotional distress. Social Science and Medicine1989; 29:327–329.
12.
FabregaHJr.Psychiatric stigma in non-Western societies. Comprehensive Psychiatry1991; 32:534–551.
13.
KleinmanA.Rethinking psychiatry. New York: Free Press, 1988.
14.
CheungFM.Facts and myths about somatization among the Chinese. In: LinTYTsengWSYehEK, eds. Chinese societies and mental health. Hong Kong: Oxford University Press, 1995:156–166.
15.
LefleyHP.Culture and chronic mental illness. Hospital and Community Psychiatry1990; 41:277–286.
16.
CooperJSartoriusN.Cultural and temporal variations in schizophrenia: a speculation on the importance of industrialisation. British Journal of Psychiatry1977; 130:50–55.
17.
World Health Organization.The international pilot study of schizophrenia. Geneva: World Health Organizaton, 1973.
18.
LinKMInuiTSKleinmanAMWomackWM.Sociocultural determinants of the help-seeking behaviour of patients with mental illness. Journal of Nervous and Mental Disease1982; 170:78–85.
19.
LinTYTsengWSYehEK.Integration of major findings. In: Chinese societies and mental health. Hong Kong: Oxford University Press, 1995:326–336.
20.
WigNSuleimanMARoutledgeRCommunity reaction to mental disorders: a key informant study in three developing countries. Acta Psychiatrica Scandinavica1980; 61:111–126.
21.
WestbrookMTLeggeVPennayM.Attitudes towards disabilities in a multicultural society. Social Science and Medicine1993; 36:615–623.
22.
LinKM.Traditional Chinese medical beliefs and their relevance for mental illness and psychiatry. In: KleinmanALinT, eds. Normal and abnormal behaviour in Chinese culture. Dordrecht: Reidel, 1981:95–111.
23.
TsengWS.The development of psychiatric concepts in traditional Chinese medicine. Archives of General Psychiatry1973; 29:569–575.
24.
LinTLLinMC.Love, denial and rejection: responses of Chinese families to mental illness. In: KleinmanALinT, eds. Normal and abnormal behaviour in Chinese culture. Dordrecht: Reidel, 1981:387–401.
25.
ChenHS.Development of mental health systems and care in China. In: LinTYTsengWSYehEK, eds. Chinese societies and mental health. Hong Kong: Oxford University Press, 1995:315–325.
26.
PearsonVPhillipsMRThe social context of psychiatric rehabilitation in China. British Journal of Psychiatry1994; 165:11–18.
27.
KleinmanAMechanicD.Mental illness and psychosocial aspects of medical problems in China. In: KleinmanALinT, eds. Normal and abnormal behaviour in Chinese culture. Dordrecht: D. Reidel Publishing, 1981:331–355.
28.
YangH.Attitudes towards psychoses and psychotic patients in Beijing. International Journal of Social Psychiatry1989; 35:181–187.
29.
ChanFJHedlJParkerHLamCChanTYuB.Differential attitudes of Chinese students toward people with disabilities: a cross-cultural perspective. International Journal of Psychiatry1988; 34:267–273.
30.
MunakataT.Japanese attitudes toward mental illness and mental health care. In: LebraTLebraW, eds. Japanese culture and health. Honolulu: University of Hawaii Press, 1986:369–378.
31.
SamumaK.The Japanese family in relation to people's health. Social Science and Medicine1978; 12A:419–427.
32.
TerashimaS.The structure of rejecting attitudes toward the mentally ill in Japan. In: Mental health research in Asia and the Pacific. Honolulu: East-West Center Press, 1969:195–215.
33.
LienORiceP.Concepts of mental illness of Vietnamese and the attitude toward psychiatric service. Medical Journal of the Vietnamese Medical Association in Canada1992; 115:69–77.
34.
LienO.Attitudes of the Vietnamese community towards mental illness. Australasian Psychiatry1993; 1:110–112.
35.
WayRT.Burmese culture, personality and mental health. Australian and New Zealand Journal of Psychiatry1985; 19:275–282.
36.
WestermeyerJ.Folk concepts of mental disorder among the Lao: continuities with similar concepts in other cultures and in psychiatry. Culture, Medicine and Psychiatry1979; 3:301–317.
37.
TanESWagnerNN, eds. Psychological problems and treatment in Malaysia. Kuala Lumpur: University of Malaya Press, 1971.
38.
CarrJE.Ethno-behaviourism and the culture bound syndromes. Culture, Medicine and Psychiatry1989; 13:269–293.
39.
TeoSH.The stigma of mental illness. Nursing Journal of Singapore1978; 18:59–60.
40.
TsoiWFKokLP.Mental disorders in Singapore. In: LinTYTsengWSYehEK, eds. Chinese societies and mental health. Hong Kong: Oxford University Press, 1995:266–280.
41.
WeissMGSharmaSDGaurKRSharmaJSDesaiADoogajiDRTraditional concepts of mental disorder among Indian psychiatric patients. Preliminary report of work in progress. Social Science and Medicine1986; 23:379–386.
42.
WaxierNE.Culture and mental illness. Journal of Nervous and Mental Disease1974; 159:379–395.
43.
VergheseABeigA.Public attitudes towards mental illness—the Vellore study. Indian Journal of Psychiatry1974; 16:8–18.
44.
MalhotraHKInamASChopraHD.Do the psychiatric patients reject themselves?Indian Journal of Psychiatry1981; 23:44–48.
45.
AlexanderJKumaraswamyN.Senior medical students’ attitudes towards psychiatry: relationship with career interest. Indian Journal of Psychiatry1993; 35:221–224.
46.
RajagopalanMKuruvillaK.Medical students’ attitudes towards psychiatry: effect of a two week posting. Indian Journal of Psychiatry1994; 36:177–182.
47.
DolsMW.Insanity and its treatment in Islamic society. Medical History1987; 31:1–14.
48.
HorikoshiH.Asrama: an Islamic psychiatric institution in West Java. Social Science and Medicine1980; 148:157–165.
