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Mental illness in migrants: diagnostic and therapeutic challenges

  • Larkin Feeney, Brendan D Kelly (a1), Peter Whitty (a1) and Eadbhard O'Callaghan (a2) (a3)


We describe the case of a 30 year old Chinese woman who presented to an Irish psychiatric service with a five-month history of somatic delusions, auditory hallucinations and denial of lineage. We utilise this case to illustrate the significant cultural influences on psychopathology. We discuss the increasingly frequent diagnostic and therapeutic challenges presented by migrants with mental illness.



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1.Department of Health and Children. Quality and Fairness: A Health System For You. Dublin: The Stationery Office, 2001.
2.Bhugra, D, Jones, P. Migration and mental illness. Adv Psychiatric Treat 2001; 7: 216–23.
3.Gavin, BE, Kelly, BD, Lane, A, O'Callaghan, E. The mental health of migrants. Ir Med J 2001; 94: 229–30.
4.Central Statistics Office. Population and Migration Estimates, (verified November 27th, 2001).
5.Bhurga, D. Migration and schizophrenia. Acta Psych Scand 2000; 102 (Suppl. 407): 6873.
6.Harrison, Get al.Increased incidence of psychotic disorders in migrants from the Caribbean to the United Kingdom. Psychol Med 1997; 27: 799806.
7.Selten, JP, Slaets, JP, Kahn, RS. Schizophrenia in Surinamese and Dutch Antillean immigrants to the Netherlands: evidence of an increased incidence. Psychol Med 1997; 27: 807–11.
8.Selten, JPet al.Incidence of psychotic disorders in immigrant groups to The Netherlands. Br J Psychiatry 2001; 178: 367–72.
9.Bhugra, D, Leff, J, Mallet, R, Der, G, Corridan, B, Rudge, S. Incidence and outcome of schizophrenia in whites, African-Caribbeans, and Indian Asians in London. Psychol Med 1997; 27: 791–8.
10.Westermeyer, J. Psychiatric diagnosis across cultural boundaries. Am J Psychiatry 1985; 142: 799805.
11.Leo, PW, Chiu, RR. Relationship of migration to paranoid and somatoform symptoms in Chinese patients. Psychopathology 1987; 20: 203212.
12.Neng, T, Zhi-Xu, K, Hermann, L. Denial of lineage: clinical investigation of 50 cases. Psychopathology 1987, 20: 162–8.
13.Kim, Ket al.Schizophrenic delusions in Seoul, Shanghai and Taipei: a transcultural study. J Korean Med Sci 2001, 16: 8894.
14.Rietschel, M, Kennedy, JL, Macciardi, F, Meltzer, HY. Application of pharmacogenetics to psychotic disorders: the first consensus conference. The consensus group for outcome measures in psychoses for pharmacological studies. Schizophrenia Res 1999; 25: 191–6.
15.Department of Health and Children. Mental Health Act, 2001. Dublin: The Stationery Office, 2001.


Mental illness in migrants: diagnostic and therapeutic challenges

  • Larkin Feeney, Brendan D Kelly (a1), Peter Whitty (a1) and Eadbhard O'Callaghan (a2) (a3)


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