Within the past two decades, there has been an increased interest in the
study of culture and mental health relationships. This interest has
extended across many academic and professional disciplines, including
anthropology, psychology, sociology, psychiatry, public health and
social work, and has resulted in many books and scientific papers
emphasizing the role of sociocultural factors in the etiology,
epidemiology, manifestation and treatment of mental disorders. It is now
evident that sociocultural variables are inextricably linked to all
aspects of both normal and abnormal human behavior. But, in spite of the
massive accumulation of data regarding culture and mental health
relationships, sociocultural factors have still not been incorporated
into existing biological and psychological perspectives on mental
disorder and therapy. Psychiatry, the Western medical specialty
concerned with mental disorders, has for the most part continued to
ignore socio-cultural factors in its theoretical and applied approaches
to the problem. The major reason for this is psychiatry's continued
commitment to a disease conception of mental disorder which assumes that
mental disorders are largely biologically-caused illnesses which are
universally represented in etiology and manifestation. Within this
perspective, mental disorders are regarded as caused by universal
processes which lead to discrete and recognizable symptoms regardless of
the culture in which they occur. However, this perspective is now the
subject of growing criticism and debate.