Representations of Mental Illness in a Ga Community in Southern Ghana

This study explored lay concepts about and attributions of mental illness in a Ga community in southern Ghana. The study’s sample consisted of 11 Ga men and 12 Ga women, ranging in age from 30-81. Participants completed one-on-one interviews. Participants ascribed to polyphasic attributions of mental illness including biomedical and spiritual explanations. Attributions informed understandings of help-seeking behavior. Stigma was recognized as an important factor in the lived experience of people with mental illness. The recognition of individual distress as a marker of mental illness seemed less prominent than social indicators. Our interviewees’ narratives highlighted the importance of the social context in identifying and making meaning of mental illness in the community of study.

[1]  O. Gureje,et al.  Explanatory models, illness, and treatment experiences of patients with psychosis using the services of traditional and faith healers in three African countries: Similarities and discontinuities , 2021, Transcultural psychiatry.

[2]  C. O’Connor,et al.  How does diagnostic labelling affect social responses to people with mental illness? A systematic review of experimental studies using vignette-based designs , 2021, Journal of mental health.

[3]  A. Miller,et al.  Representation of Mental Illness in Leading Ugandan Daily Newspapers: A Content Analysis , 2020, Health communication.

[4]  T. Nelson,et al.  Do I Really Need to Go and See Somebody? Black Women’s Perceptions of Help-Seeking for Depression , 2020 .

[5]  M. Prince,et al.  Explanatory models of depression in sub-Saharan Africa: Synthesis of qualitative evidence , 2019, Social science & medicine.

[6]  S. Grover,et al.  Labels used for persons with severe mental illness and their stigma experience in North India. , 2019, Asian journal of psychiatry.

[7]  H. Venner,et al.  Black Caribbean Immigrants: A Qualitative Study of Experiences in Mental Health Therapy , 2019, Journal of Black Psychology.

[8]  M. Alston,et al.  Research for Social Workers , 2019 .

[9]  K. K. Lee,et al.  Beliefs About Etiology and Treatment of Mental Illness Among Korean Presbyterian Pastors , 2018, Journal of Religion and Health.

[10]  M. L. Losa Iglesias,et al.  Exploring the knowledge, explanatory models of illness, and patterns of healthcare-seeking behaviour of Fang culture-bound syndromes in Equatorial Guinea , 2018, PloS one.

[11]  Joana Salifu Yendork,et al.  Mental illness has multiple causes: beliefs on causes of mental illness by congregants of selected neo-prophetic churches in Ghana , 2018, Mental Health, Religion & Culture.

[12]  V. Dzokoto,et al.  Mental health reportage in Ghanaian newspapers between 2000 and 2015: A qualitative analysis , 2018, International Journal of Mental Health.

[13]  Saibu Mutaru Conducting anthropological fieldwork in northern Ghana: emerging ethical dilemmas , 2018, Anthropology Southern Africa.

[14]  N. Gopalkrishnan Cultural Diversity and Mental Health: Considerations for Policy and Practice , 2018, Front. Public Health.

[15]  Michael C. Cadaret,et al.  An Exploratory Study of Attitudes Toward Psychological Help Seeking Among African American Men , 2018 .

[16]  L. Swartz,et al.  ‘That is how the real mad people behave’: Beliefs about and treatment of mental disorders by traditional medicine-men in Accra, Ghana , 2018, The International journal of social psychiatry.

[17]  V. Patel,et al.  Unchaining people with mental disorders: medication is not the solution† , 2018, The British Journal of Psychiatry.

[18]  R. Rosenheck,et al.  Joining psychiatric care and faith healing in a prayer camp in Ghana: randomised trial† , 2018, The British Journal of Psychiatry.

[19]  M. Bauer,et al.  ‘I have faith in science and in God’: Common sense, cognitive polyphasia and attitudes to science in Nigeria , 2018, Public understanding of science.

[20]  S. Utsey,et al.  Culturally prescribed beliefs about mental illness among the Akan of Ghana , 2017, Transcultural psychiatry.

[21]  Melissa R. Arbuckle,et al.  Challenges and Opportunities in Global Mental Health: a Research-to-Practice Perspective , 2017, Current Psychiatry Reports.

[22]  L. Heatherington,et al.  Local terms and understandings of mental health problems in Burundi , 2017, Transcultural psychiatry.

[23]  Joana Salifu Yendork,et al.  “It’s only ‘madness’ that I know”: analysis of how mental illness is conceptualised by congregants of selected Charismatic churches in Ghana , 2016 .

[24]  E. Susser,et al.  Psychosis and help-seeking behavior in rural KwaZulu Natal: unearthing local insights , 2016, International Journal of Mental Health Systems.

[25]  E. Bradley,et al.  Prayer Camps and Biomedical Care in Ghana: Is Collaboration in Mental Health Care Possible? , 2016, PLoS ONE.

[26]  E. Bradley,et al.  Psychoactive Prescription Practices for Serious Mental and Neurological Illness in Ghana: Data from the Mental Health and Poverty Project (MHaPP) , 2016 .

[27]  Samuel Adjorlolo Diversion of Individuals with Mental Illness in the Criminal Justice System in Ghana , 2016 .

[28]  J. Osafo Seeking Paths for Collaboration between Religious Leaders and Mental Health Professionals in Ghana , 2016 .

[29]  Sirry M. Alang "Black folk don't get no severe depression": Meanings and expressions of depression in a predominantly black urban neighborhood in Midwestern United States. , 2016, Social science & medicine.

[30]  R. Laugharne,et al.  Stigma Towards Mental Illness Among Medical Students in Australia and Ghana , 2015, Academic Psychiatry.

[31]  R. Whitley,et al.  “Head take you”: Causal attributions of mental illness in Jamaica , 2015, Transcultural psychiatry.

[32]  J. Osafo,et al.  Exploring the nature of treatment regimen for mentally ill persons by neo-prophetic ministers in Ghana , 2015 .

[33]  S. K. Balogun,et al.  Perceptions of mental illness in Ethiopia: a profile of attitudes, beliefs and practices among community members, healthcare workers and traditional healers , 2014 .

[34]  D. Wong,et al.  Cultural Influence on Shanghai Chinese People's Help-Seeking for Mental Health Problems: Implications for Social Work Practice , 2014 .

[35]  L. Nyatanga,et al.  Causal attribution of mental illness in south-eastern Nigeria , 2014, The International journal of social psychiatry.

[36]  Alvin C. Dueck,et al.  Supernatural belief systems, mental health and perceptions of mental disorders in Ghana , 2014 .

[37]  P. P. Shein,et al.  Relationship between scientific knowledge and fortune-telling , 2014, Public understanding of science.

[38]  Leopoldo J. Cabassa,et al.  Public Stigma of Mental Illness in the United States: A Systematic Literature Review , 2013, Administration and Policy in Mental Health and Mental Health Services Research.

[39]  T. Schwenk,et al.  Depression and risk factors for depression among mothers of sick infants in Kumasi, Ghana , 2013, International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics.

[40]  M. Jordans,et al.  Madness or sadness? Local concepts of mental illness in four conflict-affected African communities , 2013, Conflict and Health.

[41]  S. Chaudhuri Women as Easy Scapegoats , 2012, Violence against women.

[42]  C. Aghukwa,et al.  Care seeking and beliefs about the cause of mental illness among Nigerian psychiatric patients and their families. , 2012, Psychiatric services.

[43]  Danielle J Maack,et al.  Indigenous perspectives on depression in rural regions of India and the United States , 2011, Transcultural psychiatry.

[44]  M. Adinkrah Child witch hunts in contemporary Ghana. , 2011, Child abuse & neglect.

[45]  B. Wampold,et al.  Culturally adapted psychotherapy and the legitimacy of myth: a direct-comparison meta-analysis. , 2011, Journal of counseling psychology.

[46]  S. Cooper,et al.  Stakeholders' perceptions of the main challenges facing Ghana's mental health care system: a qualitative analysis , 2011 .

[47]  T. Sodi,et al.  Cultural Embeddedness of Health, Illness and Healing: Prospects for Integrating Indigenous and Western Healing Practices , 2011 .

[48]  C. Lund,et al.  ‘Whether you like it or not people with mental problems are going to go to them’: A qualitative exploration into the widespread use of traditional and faith healers in the provision of mental health care in Ghana , 2010, International review of psychiatry.

[49]  A. Barke,et al.  The stigma of mental illness in Southern Ghana: attitudes of the urban population and patients’ views , 2010, Social Psychiatry and Psychiatric Epidemiology.

[50]  P. Adongo,et al.  Chasing spirits: Clarifying the spirit child phenomenon and infanticide in Northern Ghana. , 2010, Social science & medicine.

[51]  C. Lund,et al.  A situation analysis of mental health services and legislation in Ghana: challenges for transformation. , 2010, African journal of psychiatry.

[52]  T. Evans,et al.  Understanding the carers’ experience: Examples from a Ghanaian context , 2010 .

[53]  Solomon Nyame,et al.  Local suffering and the global discourse of mental health and human rights: An ethnographic study of responses to mental illness in rural Ghana , 2009, Globalization and health.

[54]  S. Jovchelovitch The Rehabilitation of Common Sense: Social Representations, Science and Cognitive Polyphasia , 2008 .

[55]  W. Mak,et al.  Seeking professional help: Etiology beliefs about mental illness across cultures. , 2008, Journal of counseling psychology.

[56]  A. Eshleman,et al.  Measuring stigma toward mental illness: Development and application of the Mental Illness Stigma scale. , 2007 .

[57]  L. Kirmayer,et al.  Psychotherapy and the Cultural Concept of the Person , 2007, Transcultural psychiatry.

[58]  N. Quinn Beliefs and Community Responses to Mental Illness in Ghana: The Experiences of Family Carers , 2007, The International journal of social psychiatry.

[59]  K. Peltzer,et al.  Indigenous Healing Practices in Malawi , 2007 .

[60]  V. Braun,et al.  Using thematic analysis in psychology , 2006 .

[61]  L. Kirmayer The cultural diversity of healing: meaning, metaphor and mechanism. , 2004, British medical bulletin.

[62]  A. Aikins Living with Diabetes in Rural and Urban Ghana: A Critical Social Psychological Examination of Illness Action and Scope for Intervention , 2003, Journal of health psychology.

[63]  A. Whaley Cultural Mistrust and Mental Health Services for African Americans , 2001 .

[64]  N. Morant,et al.  Making Sense of “Absence”: Towards a Typology of Absence in Social Representations Theory and Research , 1999 .

[65]  N. Morant The social representation of mental ill-health in communities of mental health practitioners in the UK and France , 1998 .

[66]  L. Kirmayer,et al.  Inuit attitudes toward deviant behavior: a vignette study. , 1997, The Journal of nervous and mental disease.

[67]  R. Kale South Africa's Health: Traditional healers in South Africa: a parallel health care system , 1995, BMJ.

[68]  A. Furnham,et al.  Lay theories of schizophrenia , 1988, Social Psychiatry and Psychiatric Epidemiology.

[69]  W. Brautigam,et al.  Psychosomatic Illness Concept and Psychotherapy among the Akan of Ghana , 1979, Canadian journal of psychiatry. Revue canadienne de psychiatrie.

[70]  Janet Dzator BSc MPhil Hard Times and Common Mental Health Disorders in Developing Countries: Insights from Urban Ghana , 2012, The Journal of Behavioral Health Services & Research.