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Russian
Cultural Profile
Mental Health
"The
crux of the mental health issue rests with what is considered normal.
Because this varies cross-culturally, behaviors which are perceived as
normal in one culture are deemed abnormal in another. This becomes a
problem in the United States because of the vast numbers of people from
diverse cultures living here. While there are some individuals who would
be considered mentally ill in any culture, there are many who are
labeled mentally ill because their beliefs or behavior are not
consistent with cultural norms. For example, a person who has visions of
the dead may be perceived as abnormal, normal or even special, depending
on the beliefs of the culture. Health care providers who understand the
world view of their patients generally have much more success in
treating them." (Source: Galanti, Geri-Ann)
Providing mental health care to a
culturally diverse community is indeed a tremendous challenge. In
addition to confronting different conceptions of what is normal, the job
of mental health care providers in Utica is often complicated by a
language barrier. Many refugees arrive in the United States with
substantial psychological baggage, but it is hard for refugees to
express how they are feeling to a psychologist when they do not yet know
English. Also, as Galanti notes, health care workers also need to be
sensitive to the fact that mental illness is highly stigmatized in many
cultures. Patients may be reluctant to discuss emotional problems and
even more unwilling to visit a mental health care provider.
In Russia, there is a stigma attached
to mental illness. Parents with children who are mentally ill are
ashamed, and rarely bring their children out in public. Russians are
often afraid to seek treatment for mental illness, as people who are
diagnosed with mental illness can lose their jobs or be forced into
mental institutions.
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