Mental health attitudes among Middle Eastern/North African individuals in the United States

ABSTRACT

Middle Eastern/North African (MENA) individuals may have heightened risk for developing mental health problems due to unique cultural stressors. However, traditional cultural and religious practices and beliefs socialised within the family environment may reduce the likelihood of seeking mental health services. This qualitative study aimed to better understand the intersection of cultural, religious, and mental health attitudes among MENA individuals. Semi-structured telephone interviews were conducted with MENA adults who had received therapy services (N?=?13) and were analysed for emergent themes. Respondents reported lack of understanding of mental illness within their communities, and prominent levels of perceived and self-stigma. Families and religious practices/beliefs played an important role in responding to mental illness. Results suggest that incorporating psychoeducation and community awareness campaigns alongside religious services may help to reduce barriers to receiving mental health treatment.     

Koran reading and negotiation with jinn: strategies to deal with mental ill health among Swedish Somalis

In this paper, we discuss traditional Somali concepts of mental ill health. Qualitative interviews were conducted with some 20 Swedish Somali interviewees about factors causing mental ill health, traditional classification, strategies to deal with mental ill health, and attitudes to the mental health care services in Sweden. Social mobilisation and religious healing are cornerstones of traditional Somali measures to deal with mental suffering. Traditional Somali views of mental ill health stand in stark contrast to classification of mental ill health in the western biomedical model. These views deserve attention since they may have an impact on health-seeking behaviour among Somali immigrants in western countries. Yet a too strong focus on cultural aspects may over-shadow the fact that much mental suffering among Somali migrants must be understood within social, economic, and political contexts.     

Who is David and who is Goliath? The Eddie Long scandal and the black mega-church

The recent scandal involving Bishop Eddie Long of New Birth Missionary Baptist Church has led millions of individuals to evaluate the guilt or innocence of Bishop Long as well the significance of the black mega-church. This study examined the possible effects of a well-publicised scandal involving a black mega-church pastor on the mental health of African Americans within and outside of the church. To address this paucity in the research, over 3000 comments made by anonymous contributors on CNN's public website were analysed using a grounded theory methodology. The following five themes were identified: (1) Keep an Open Mind: “Most People Thrive on Negativity;” (2) Hypocrisy as Part of Religion: “They aren’t real Christians;” (3) Greed as Part of Religion: “Just in it for the money;” (4) Religion and/or Christianity as Problematic: “Christians scare the Jesus out of me;” and (5) Religious Leaders Actions are separate from Individuals’ Personal Faith and Their Relationship with God: “You don’t put your faith in a man.” Narratives will be offered to support and illustrate each of these themes, and the implications for the mental health of African Americans will be discussed.     

Meditators and non-meditators on sustained and executive attentional performance

In order to gain a deeper understanding of the mindfulness construct and the mental health benefits associated with mindfulness-based programmes, the relation between mindfulness and its proposed core component attention was studied. Buddhist and Western mindfulness meditators were compared with non-meditators on tasks of sustained (SART) and executive (the Stroop Task) attention. Relations between self-reported mindfulness (FFMQ) and sustained and executive attention were also analysed. No significant differences were found between meditators and non-meditators either in sustained or executive attention. High scores on the FFMQ total scale and on Describe were related to fewer SART errors. High scores on Describe were also related to low Stroop interference. Mindfulness meditators may have an increased awareness of internal processes and the ability to quickly attend to them but this type of refined attentional ability does not seem to be related to performance on attention tests requiring responses to external targets.     

The relationship between ethnicity,Christian orthodoxy,and mental health

Although researchers have noted differences in the role of religiosity in the lives of people from different ethnic backgrounds, the components of religion's influence (i.e., membership and orthodoxy) on mental health have not been previously examined. In the current study, Christian participants’ Christian Orthodox Scale (COS) scores were used to predict scores on mental health. As hypothesized, African Americans with higher COS scores exhibited fewer mental-health problems than did all ethnicities studied with lower COS scores. Implications and future directions for understanding the cultural influence of religion on African Americans are discussed.     

Predictors of university students’ willingness in the USA to use clergy as sources of skilled help

This exploratory study investigated U.S. university students’ perceptions (N = 186) and the predictor variables associated with their willingness to use clergy as a source of help. In the final regression analysis using the predicted variable of willingness to use clergy as a source of help (R = 0.816, R ²= 0.665, Adjusted R ²= 0.650), there were seven significant predictor variables: (a) trust of clergy, (b) empathic ability of clergy, (c) having previously sought help from clergy, (d) respondents’ dominant/minority cultural identification, (e) attendance at religious services at least once a year, (f) believing that spiritual counselling is as effective as psychotherapy, and (g) receiving religious/spiritual education as a child. An eighth variable was retained in the final regression model because of its proximity to significance (Friendships between clergy and people, p = 0.051). Accusations against clergy and the belief that clergy are held to a higher standard did not predict willingness to use clergy as a source of help. A general linear model (F = 125.696, df = 10, p < 0.001) revealed that those who self-identified with Protestant Christianity, Catholic/Orthodox Christianity, and Judaism were more likely to consider seeking help from clergy than those who self-identified with another religious tradition (Hinduism, Islam, or Buddhism), or adherence to spiritual not religious belief. Further, those who self-identified as Jewish or Christian were also more like to perceive clergy as trustworthy and empathic. Finally, African American/Caribbean Black respondents were more likely than either Latino/Latino American respondents or European American respondents to seek help from clergy, to perceive clergy as empathic, and to believe that spiritual counselling is as effective as psychotherapy (F = 1495, df = 12, p < 0.001).     

Book review of Joining and leaving religion: research perspectives Leslie J. Francis and Yaacov J. Katz (Eds) Leominster,Herefordshire, Gracewing, 2000, 336 pp. £20.00 ( pb) ISBN 0 85244 517 2

Children and young people have the capacity to conjure feelings of faith and hope when experiencing emotional and psychological distress. World myths, legends and fairy stories as part of early child development offer a rich source of material to draw from and enlist in the therapeutic endeavour. Fairies often act in a healing capacity in mythology, or they appear as agents between the world of human affairs and the invisible forces of nature. Mythological beings also possess helping powers in advance of mortals achieving superhuman tasks, but they can also when used as metaphor, frighten children and potentially cause psychological harm. This paper suggests that mental health practitioners can utilise such powerful narratives therapeutically and in a culturally respectful and spiritually innovative way. Harnessing the child's imagination can be a powerful vehicle for a transforming experience at the psychic level with consequent positive benefits for emotional well-being.     

The mercy of anxiety: A relational-psychoanalytic study of Dialogues des Carmélites

This article discusses the complex relationship between anxiety and religion in identity formation by analysing an intense, contemporary opera, the Dialogues des Carmélites by the French composer Francis Poulenc. The theoretical framework for our discussion was adopted from what is currently called relational psychoanalysis - and more specifically, from the theories of Erik H. Erikson, Ernest G. Schachtel and Donald W. Winnicott. We will try to demonstrate that existential anxiety forms part of the process of developing a (religious) identity, and need not necessarily be a sign of weakness or pathology. Nonetheless, feelings of anxiety may be paralysing in a cultural climate such as ours, which stresses the values of freedom and autonomy. A relational psychoanalytic reading of the opera leads to a re-evaluation of these values, showing that (religious) identity development is an intrinsically relational process. The attitude of receptivity (which is connected to the theological theme of grace) plays an important role in this respect. On completing our analysis, we concluded that relational psychoanalysis complements the existential view on identity and anxiety. We also advocate more attention for the theme of receptivity in the psychology of religion.     

Physio Kundalini syndrome and mental health

The increasing practice of traditional eastern philosophies within the modern society has highlighted the difficulties of assimilation of these traditions within Western culture. This invariably results in difficulties on the part of the practitioners to integrate these practices into their daily lifestyle. The reasons for these are often complex. One of the contributing factors could be insufficient understanding or acquisition of a superficial interpretation of the eastern tradition or philosophies. The Kundalini concept comes from the yogic philosophy of ancient India and refers to mothering intelligence behind yogic awakening and spiritual maturation. We describe a case of a young male who presented with functional deterioration experiencing psychotic symptoms, which he describes as his Kundalini awakening.     

Religious coping,stigma, and psychological functioning among HIV-positive African American women

The present study examined the role of religious coping in psychological distress and adjustment both cross-sectionally and longitudinally among 141 HIV-positive African American women. Cross-sectional analyses showed that negative religious coping was associated with poorer mental health and functioning, and greater perceptions of stigma and discrimination. Longitudinal analyses revealed that greater negative religious coping at baseline significantly predicted greater changes in mental health in a negative direction 12 months later. Positive religious coping was not associated with any measures of psychological well-being, nor did it predict any mental health outcomes at 12 months. However, participants who experienced high levels of HIV-related stigma and reported high levels of positive religious coping were less depressed than those who reported lower levels of positive religious coping. These results suggest that for this population, negative religious coping was a more salient determinant of psychological distress than positive religious coping was of psychological health.