The Perfect Storm for Obesity

Obesity rates have risen steadily in the United States and around the world over the past century, with a marked escalation within the past two decades. Conventional wisdom within the medical community is that the burgeoning obesity epidemic is the product of poor nutrition and lack of exercise, but increasingly researchers are questioning whether those factors are wholly responsible. Emerging research about alternative factors is setting the stage for today's “Perfect Storm” for obesity.     

Narrative and the Cultural Construction of Illness and Healing

Narrative and the Cultural Construction of Illness and Healing. Cheryl Mattingly and Linda C. Garro. eds. Berkeley: University of California Press, 2001. ix. 270pp.     

Cultural Identity and Illness: Fulani Views

Cultural identity – who the Fulani think they are – informs thinking onillnesses they suffer. Conversely, illness, so very prevalent insub-Saharan Africa, provides Fulani with a constant reminder of theirdistinctive condition in Guinea. How they approach being ill also tellsFulani about themselves. The manner in which Fulani think they are sickexpresses their sense of difference from other ethnic groups. Schemas ofillness and of collective identity draw deeply from the same well andweb of thoughts. Three different approaches of schema theory are used totrace what ties illness to identity. These are 1) the schema asprototype; 2) a connectionist approach associates schemas for illnesswith other cultural schemas; and 3) a hierarchy of schemas. Thehierarchy includes master schemas for ethnic identity, schemas forillness generally and sub-schemas for separate ailments. Schemas orientand provide a framework for the practice of being Fulani – in the sensethat Bourdieu would describe practice as the application of practicalknowledge. Illnesses above the waist are said to be part of the Fulanicondition of belonging in arid climates while they need suffer thehumidity of Guinea. Illnesses below the waist are thought to arise whenone does not act like a Fulani, especially in matters of food and sex.As individuals disclose or conceal illness, as they discuss illness andthe problem of others they reflect standards of Fulani life – beingstrong of character not necessarily of body, being disciplined,rigorously Moslem, and leaders among lessors. To disregard standards orto suggest one does not care about such standards is shameful and placesone out of phase with others and with cultural norms. But to be in stepwith others and with cultural norms is to have pride in the self and thefoundations of Fulani life.     

Medical Student Attitudes Towards People with Mental Illness in China: A Qualitative Study

Stigma towards people with mental illness is a worldwide concern. A five-nation survey of medical student attitudes towards people with mental illness recently reported far lower levels of social acceptance among Chinese medical students compared to those from the US, Brazil, Ghana, and Nigeria. This qualitative study presented recent Chinese medical school graduates with probes based on questions used in the aforementioned cross-national study to elicit their views of factors underlying the negative attitudes towards social acceptance of people with mental illness. One-hour interviews were conducted with twenty psychiatry residents in June, 2016. Of 241 coded responses concerning negative attitudes, 51.5% were coded as reflecting fear of violent behavior, 22.8% as loss of face (i.e. shame from interpersonal associations), 17.0% lowered social status, 4.98% nonconforming social behavior, and 3.73% the heritability of mental illness. Low levels of social acceptance of individuals with mental illness among medical students in China are largely related to fears of violence of and loss of face. Understanding the attitudes of medical students may inform efforts to reduce stigma through educational initiatives targeted at both medical students and the general public.