RESUMEN
This article outlines the mental health burden of COVID-19 in the United Kingdom population, and presents preliminary evidence of less common psychiatric issues, such as paranoia and hallucinations, to which vulnerable groups in the U.K. population may be more vulnerable. It is argued that cognitive-behavioral therapy, with components of mindfulness, should be part of the therapeutic response. (PsycInfo Database Record (c) 2020 APA, all rights reserved).
Asunto(s)
Síntomas Conductuales , Terapia Cognitivo-Conductual , Infecciones por Coronavirus , Costo de Enfermedad , Alucinaciones , Atención Plena , Pandemias , Trastornos Paranoides , Neumonía Viral , Aislamiento Social , Síntomas Conductuales/etnología , Síntomas Conductuales/etiología , Síntomas Conductuales/terapia , COVID-19 , Alucinaciones/etnología , Alucinaciones/etiología , Alucinaciones/terapia , Humanos , Grupos Minoritarios , Trastornos Paranoides/etnología , Trastornos Paranoides/etiología , Trastornos Paranoides/terapia , Reino Unido/etnología , Poblaciones VulnerablesRESUMEN
The Beta Israel (House of Israel) represent a total number of more than 100,000 individuals. Ethiopian Jewish culture is based on a tribal cultural model. With their arrival in Israel, many difficulties surfaced. Ethiopian Jews had to deal with cultural choices that challenged their traditions. It has been suggested that the trauma of their journey coupled to the difficulties of the adaptation process to Israeli society, ( the culture shock), was directly responsible for psychopathology found among this population. It also appeared that culture plays a central role in the construction of the clinical picture, blurring at times the boundary between expressions of distress and pathology. It became increasingly difficult to draw the line between culturally normative behavior and psychopathology. The following case report underlines the importance of socio cultural considerations in both staff and patients, and illustrates the dangers of misdiagnosis due to patient therapeutic team cultural clash. A 41 year old woman of Ethiopian origin was hospitalized for suspected schizophrenia. Because of the striking contrast between the patients behavior, responses and so called psychotic content, possible misunderstanding based on cultural differences was considered by the clinical management team. This case underlines the dangers of the psychiatric diagnostic process, emphasizes the important role of sociocultural backgrounds of both staff and patients in patient management and encourages the consideration of cultural factors in all patient evaluations.