Cultural influences upon psychopathology: Clinical and practical implications

Information on the role of cultural factors in abnormal behavior and experience is selectively reviewed, and several conclusions are drawn about the nature, extent, and impact of such influence. Although a number of demonstrated universals exist in the manifestations of schizophrenia and depression, the scope of cultural variation in all aspects of psychopathology is vast. Both universalist and relativist positions in their pure or exclusive form are rejected and the view is espoused that psychological manifestations are the joint result of panhuman and culture-specific factors. Several conclusions concerning the operation and the results of such influences are presented and the issues that are as yet unresolved are identified. The self is introduced as the key concept in explaining both the constancy and the variation of experience across cultures and four dimensions derived from Hofstede's worldwide multicultural research are described. Their potential relevance is spelled out for systematically investigating the culturally preferred and/or characteristic modalities of psychotherapy.