1. Insight, psychosis and ethnicity: a case-note study.
- Author
-
Johnson S and Orrell M
- Subjects
- Adolescent, Adult, Black or African American psychology, Aged, Asia ethnology, Black People, Chi-Square Distribution, Ethnicity psychology, Female, Humans, Logistic Models, Male, Medical Records standards, Middle Aged, Psychiatry methods, Psychiatry standards, Psychotic Disorders diagnosis, Psychotic Disorders psychology, Retrospective Studies, United Kingdom, White People psychology, Attitude to Health ethnology, Medical Records statistics & numerical data, Psychotic Disorders ethnology, Self-Assessment, Social Perception
- Abstract
Recent literature on insight has paid little attention to patients' social backgrounds and cultures. Discharge summaries from 357 patients with a psychotic illness were examined to investigate factors associated with insight. A highly significant association was found between British white ethnic origin and being thought by the admitting psychiatrist to have some insight. Possible explanations include: different ways of understanding mental illness in different cultures, greater stigma leading to greater denial of illness in some cultures, greater illness severity at admission in some ethnic groups and racial bias in psychiatrists' ratings.
- Published
- 1996
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