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    Concepts of madness in diverse settings: a qualitative study from the INTREPID project.

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    Author
    Cohen, A; Padmavati, R; Hibben, M; Oyewusi, S; John, S; Esan, O; Patel, V; Weiss, H; Murray, R; Hutchinson, G; ...
    Date
    2016-11-09
    Source Title
    BMC Psychiatry
    Publisher
    Springer Science and Business Media LLC
    University of Melbourne Author/s
    Murray, Robin
    Affiliation
    Medical Education
    Metadata
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    Document Type
    Journal Article
    Citations
    Cohen, A., Padmavati, R., Hibben, M., Oyewusi, S., John, S., Esan, O., Patel, V., Weiss, H., Murray, R., Hutchinson, G., Gureje, O., Thara, R. & Morgan, C. (2016). Concepts of madness in diverse settings: a qualitative study from the INTREPID project.. BMC Psychiatry, 16 (1), pp.388-. https://doi.org/10.1186/s12888-016-1090-4.
    Access Status
    Open Access
    URI
    http://hdl.handle.net/11343/255214
    DOI
    10.1186/s12888-016-1090-4
    Open Access at PMC
    http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5103598
    Abstract
    BACKGROUND: In order to facilitate case identification of incident (untreated and recent onset) cases of psychosis and controls in three sites in India, Nigeria and Trinidad, we sought to understand how psychoses (or madness) were conceptualized locally. The evidence we gathered also contributes to a long history of research on concepts of madness in diverse settings. METHODS: We conducted focus group discussions and individual interviews to collect information about how informants in each site make sense of and respond to madness. A coding framework was developed and analyses of transcripts from the FGDs and interviews were conducted. RESULTS: Analyses suggest the following: a) disturbed behaviors are the primary sign of madness; b) madness is attributed to a wide range of causes; and, c) responses to madness are dictated by cultural and pragmatic factors. These findings are congruent with similar research that has been conducted over the past 50 years. CONCLUSIONS: The INTREPID research suggests that concepts about madness share similar features across diverse settings: a) terms for madness are often derived from a common understanding that involves disruptions in mental processes and capacities; b) madness is recognized mostly by disruptive behaviours or marked declines in functioning; c) causal attributions are varied; and, d) help-seeking is a complex process.

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