The effects of culture on illness behavior and medical care: Asian and American differences Journal Article


Authors: Nilchaikovit, T.; Hill, J. M.; Holland, J. C.
Article Title: The effects of culture on illness behavior and medical care: Asian and American differences
Abstract: This paper examines the effects of culture on illness behavior and medical care by contrasting the differences between American and Asian cultures. We examine the differences in definitions of self and patterns of self-other interaction between these two cultures and how these differences influence the interpretation of illness experience, illness behavior, and interactions among physicians, patients, and families. We propose that understanding the patients' self-concepts and patterns of self-other relationships, which are largely culturally determined, is essential for an objective understanding of the patients' experience of illness, and can profoundly affect the quality of the physician-patient relationship and medical care. © 1993.
Keywords: adult; case report; united states; clinical practice; attitude to health; patient care; doctor patient relation; death; physician-patient relations; psychiatry; sick role; attitude of health personnel; self concept; interpersonal communication; asia; ethnic difference; patient attitude; religion; depressive disorder; quality of health care; cultural factor; attitude to death; family; environmental protection; communication barriers; western hemisphere; cultural characteristics; human; female; priority journal; article; ego psychology
Journal Title: General Hospital Psychiatry
Volume: 15
Issue: 1
ISSN: 0163-8343
Publisher: Elsevier Science, Inc.  
Date Published: 1993-01-01
Start Page: 41
End Page: 50
Language: English
DOI: 10.1016/0163-8343(93)90090-b
PUBMED: 8436284
PROVIDER: scopus
DOI/URL:
Notes: Source: Scopus
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  1. Jimmie C B Holland
    379 Holland