The Culture and Identity Schedule a Measure of Cultural Affiliation: Acculturation, Marginalization and Schizophrenia

Dinesh Bhugra, Julian Leff, Rosemarie Mallett, Craig Morgan and Jing-Hua Zhao
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Dinesh Bhugra: Health Service and Population Research Department, Institute of Psychiatry, King's College London, UK, dinesh.bhugra@kcl.ac.uk
Julian Leff: Institute of Psychiatry, King's College London, UK
Rosemarie Mallett: Institute of Psychiatry, King's College London, UK
Craig Morgan: Health Service and Population Research Department, Institute of Psychiatry, King's College London, UK
Jing-Hua Zhao: Institute of Psychiatry, King's College London, UK

International Journal of Social Psychiatry, 2010, vol. 56, issue 5, 540-556

Abstract: Background: Previous epidemiological studies have shown a high incidence of schizophrenia in African-Caribbeans in the UK, but not in Asians. Aims: We investigated the hypothesis that cultural adherence might protect the Asians against the stress of living in a majority white culture. Methods: The Culture and Identity Schedule (CANDID) was given to patients with a diagnosis of schizophrenia making their first contact with psychiatric services, and to a matched group of controls randomly selected from the general population. Results: While the Asian patients displayed no drift away from the traditional values as espoused by their controls, the African-Caribbean patients were less traditional than their controls. Conclusions: The fact that a movement away from their traditional culture distinguishes African-Caribbean patients with a severe psychiatric illness, schizophrenia, from their mentally healthy controls strongly favours marginalization over biculturalism as an interpretation of this shift.

Keywords: acculturation; marginalization; ethnicity; biculturalism; schizophrenia (search for similar items in EconPapers)
Date: 2010
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Citations: View citations in EconPapers (2)

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Persistent link: https://EconPapers.repec.org/RePEc:sae:socpsy:v:56:y:2010:i:5:p:540-556

DOI: 10.1177/0020764009358024

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