We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.
To save content items to your account,
please confirm that you agree to abide by our usage policies.
If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account.
Find out more about saving content to .
To save content items to your Kindle, first ensure no-reply@cambridge.org
is added to your Approved Personal Document E-mail List under your Personal Document Settings
on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part
of your Kindle email address below.
Find out more about saving to your Kindle.
Note you can select to save to either the @free.kindle.com or @kindle.com variations.
‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi.
‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.
This chapter focuses on the evidence regarding the social and cultural determinants of mental health. It examines the role of culture in psychiatry, and the historical evolution of research on the cultural influences on psychiatric concepts and classification. The study of culture on mental health has been profoundly influential in guiding the clinician in managing psychiatric disorders in persons of different culture. The chapter considers four major social determinants of mental disorders: poverty, gender, conflict and the marginalisation experienced by indigenous communities across the world. From a public health perspective, an understanding of mechanisms of the relationship between social adversity and mental health can inform primary and secondary preventive strategies. The chapter ends with a critical evaluation of the contemporary understanding of the role of cultural influences on the aetiology, clinical presentation, treatment and outcome of mental disorders.
Polarisation of biological and psychosocial aspects of psychiatry has promoted a form of Cartesian dualism. Current knowledge of the interaction between biology and psychology makes it possible to consider a truly integrative approach to treatment.
Aims
The aim of this overview is to consider conceptual models of how psychotherapy may affect the brain.
Method
The literature discussing the mutual influence of genes and environment is surveyed. Relevant data involving the influence of psychotherapy on the brain are also reviewed.
Results
Research findings suggest that the brain responds to environmental influence through the alteration of gene expression; that psychotherapy has specific measurable effects on the brain; and that implicit memory may be modified by psychotherapeutic interventions.
Conclusions
Advances in neuroscience research have led to a more sophisticated understanding of how psychotherapy may affect brain functioning. These developments point the way towards a new era of psychotherapy research and practice in which specific modes of psychotherapy can be designed to target specific sites of brain functioning.
Recommend this
Email your librarian or administrator to recommend adding this to your organisation's collection.