Culture-bound syndromes in migratory contexts: the case of Bolivian immigrants

ABSTRACT Objective: to describe the culture-bound syndromes maintained by Bolivian immigrants in the new migratory context and analyze the care processes of these health problems. Method: qualitative research with an ethnographic methodological approach. Sample: 27 Bolivian immigrants. In-depth interviews and participatory observation were the strategies used for data collection. Data were classified and categorized into logical schemes manually and using the ATLAS-ti program v.5. Results: susto, “wayras”, amartelo, pasmo de sol, pasmo de luna and pasmo de sereno are some of the folk illnesses that affect the Bolivian immigrants and that they have to treat in the new migratory context. Conclusions: in the new environment, the group under study preserves culture-bound syndromes that are common in their country of origin. The care strategies used for these health problems are adapted to the resources of the new context and based on interactions with the domestic environment, biomedicine and traditional medicine. It was observed the need for the health professionals to realize that the efficacy of certain therapies occurs within the scope of cultural beliefs and not in that of the scientific evidence.

[1]  M. Kottow Some thoughts on phenomenology and medicine , 2017, Medicine, health care, and philosophy.

[2]  V. Trudeau,et al.  Anxiolytic activity and active principles of Piper amalago (Piperaceae), a medicinal plant used by the Q'eqchi' Maya to treat susto, a culture-bound illness. , 2016, Journal of ethnopharmacology.

[3]  B. Brooks Using a Susto Symptoms Scale to Analyze Social Wellbeing in the Andes , 2016 .

[4]  D. Bhugra,et al.  Relevance of culture‐bound syndromes in the 21st century , 2016, Psychiatry and clinical neurosciences.

[5]  V. Paredes,et al.  Los sistemas de atención a la salud. Una aproximación desde las ciencias sociales , 2016 .

[6]  Roberto Campos Navarro El empacho: revisión de una enfermedad popular infantil chilena (1674-2014) , 2016 .

[7]  R. Campos Navarro [Empacho: An historical review of popular Chilean childhood disease (1674-2014)]. , 2016, Revista chilena de pediatria.

[8]  Jonathan Alderman Mountains as actors in the Bolivian Andes: The interrelationship between politics and ritual in the Kallawaya ayllus , 2015 .

[9]  Nah-Mee Shin,et al.  Anger, anger expression, cardiovascular risk factors, and gastrointestinal symptoms by hwa-byung symptoms in Korean adult women. , 2015, Applied nursing research : ANR.

[10]  E. L. Menéndez Las enfermedades ¿son solo padecimientos?: biomedicina, formas de atención "paralelas" y proyectos de poder , 2015 .

[11]  Tim M. H. Li,et al.  Youth social withdrawal behavior (hikikomori): A systematic review of qualitative and quantitative studies , 2015, The Australian and New Zealand journal of psychiatry.

[12]  Joseba Achotegui Loizate Mi Nombre es Nadie. El Síndrome de Ulises. Emigrar en el Siglo XXI. Salud Mental y Migración , 2015 .

[13]  S. Hita Aspectos interculturales de la reforma del sistema de salud en Bolivia , 2014 .

[14]  Renato D. Alarcón,et al.  Cultural inroads in DSM‐5 , 2014, World psychiatry : official journal of the World Psychiatric Association.

[15]  L. Cibanal-Juan,et al.  Immigration experience of Latin American working women in Alicante, Spain: an ethnographic study 1 , 2014, Revista latino-americana de enfermagem.

[16]  Sharon K Favazza Titus Seeking and Utilizing a Curandero in the United States , 2014, Journal of holistic nursing : official journal of the American Holistic Nurses' Association.

[17]  Laura Merla La circulación de cuidados en las familias transnacionales , 2014 .

[18]  Susana Ramírez Hita [Intercultural aspects of the health system reform in Bolivia]. , 2014, Revista peruana de medicina experimental y salud publica.

[19]  A. Carballo-Diéguez,et al.  Evaluating the Impact of Immigration Policies on Health Status Among Undocumented Immigrants: A Systematic Review , 2014, Journal of Immigrant and Minority Health.

[20]  M. Preisig,et al.  Symptoms, comorbidity, and clinical course of depression in immigrants: putting psychopathology in context. , 2013, Journal of affective disorders.

[21]  M. Hodes,et al.  Cross-cultural study of idioms of distress among Spanish nationals and Hispanic American migrants: susto, nervios and ataque de nervios , 2012, Social Psychiatry and Psychiatric Epidemiology.

[22]  A. Berger The Evil Eye: A Cautious Look , 2013, Journal of Religion and Health.

[23]  D. Katerndahl,et al.  Culture-Bound Syndromes in Hispanic Primary Care Patients , 2009, International journal of psychiatry in medicine.

[24]  F. García ¿Farmacos contra el susto?: paradojas y posiciones enfrentadas en la concepción de la enfermedad en el alyiplano boliviano , 2006 .

[25]  Manuel Sauceverde Mi nombre es nadie , 2005 .

[26]  Katarina Greifeld Conceptos en la antropología médica: Síndromes culturalmente específicos y el sistema del equilibrio de elementos , 2004 .

[27]  M. A. Santillana-Macedo Entender y atender la enfermedad: los saberes maternos frente a los padecimientos infantiles. , 2003 .