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. Globalisation 1) Cultures no longer viewed as closed, self contained systems with strict and resistant boundaries2) Cultures ever changing3) Societies rapidly changing - urbanisation, acculturation, modernisation, social and cultural change. . How has globalisation influenced psychiatry?1) Socioeconomic effects on the prevalence and course of mental disorders2) Changing notions of ethnocultural identity3) The production of psychiatric knowledgeHow can a cultural perspec30507
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1. Psychiatric Epidemiology In India Professor Dinesh Bhugra
Professor of Mental Health
& Cultural Diversity
Institute of Psychiatry, King’s College London
Thanks to Dr. Suresh Bada Math & Prof. Chandra Shekar
5. Early Studies I(Not Covering pre-British Period)
6. Early Studies II
7. Early Studies III
8. Average Annual Cost
9. Prevalence Of Psychiatric Morbidity I
10. Prevalence Of Psychiatric Morbidity II
11. Prevalence Of Psychiatric Morbidity III
12. Prevalence Of Psychiatric Morbidity High Risk IV
13. Incidence Studies
14. Not reported on
IPSS
DOSMED
ICMR Studies
Not reported
Gujarat Earthquake
Fire in Delhi
Tsunami in Tanilnadu
15. Issues In Epidemiological Research Category Fallacy
Translation/Back Translation
Denominator issues
Numerator Issues
16. King & Bhugra 1989EAT-26 (Garner & Garfunkel) n = 588 Hindu 439 Sikh 107
Aged 14-23yrs
17 – 205
>18 – 130
17. Cut my food into small pieces 85%
Food controls my life 73%
18. Conceptual bias
Discovering cross-cultural similarities Universals
How do you determine denominator
Are Western diagnostic categories valid?