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Trichotillomania. Two case reports from a similar cultural background.

Case reports of 2 female patients from the Makrani culture are presented. They were both around 30 years of age, clinically depressed and responded favorably to antidepressants. One of these patients was infertile, and the other one had started pulling her hair when deprived of her jewelry. Fertility and possession of jewelry represent femininity in the Makrani culture. A brief review of the literature on trichotillomania and its psychopathology is also included.

Adult↗

Cultural background and infant survival in Ghana.

This study is premised on the hypothesis that ethnic specific socio-cultural practices such as dietary taboos and food avoidances on mothers and infants, as well as perceptions of disease aetiology and treatment patterns may be salient to understanding infant mortality differentials in Ghana. To inform policy, the paper explores if there are significant ethnic differences in infant survival, and whether such differences reflect socio-economic disparities or intrinsic factors. Using data from the 1998 Ghana Demographic and Health Survey, there was evidence of significant ethnic differences in infant survival at the bivariate level. Using Asante mothers as reference, the risk of death was significantly higher among children whose mothers were Mole-Dagbani, Grussi, Gruma, Dagarti, Fanti and Other Akan. In the multivariate models, however, the higher mortality risks associated with these children significantly attenuated after controlling for the socio-economic and bio-demographic factors except for the Fanti. The findings are discussed with reference to the characteristics and cultural theoretical paradigms.

Adolescent↗

Conflict management of mothers and daughters belonging to individualistic and collectivistic cultural backgrounds: a comparative study.

Research on the mother-daughter relationship during adolescence is mostly conducted in Western and European cultures where individualism is stressed. To examine ethnic/cultural differences and similarities in this relationship, 80 dyads of British (white) and Pakistani mothers and their adolescent daughters were studied. On the basis of the theories of cultural variability dimension and conflict face negotiation, it was hypothesized that mothers and daughters from the two cultures would use different styles of handling disagreements/conflicts. That is, Pakistani mothers and daughters would use an avoiding style, whereas British mothers and daughters would use either a dominating or compromising style, to a greater degree. It was also argued that Pakistani daughters and mothers will express more intimacy and relational harmony, will exhibit greater connectedness and mutuality and demonstrate lesser individuality and self-assertion compared to their British counterparts. However, it appeared that both the groups used an avoiding style equally, although the British group used a dominating style more than Pakistani group. As hypothesized, Pakistani mothers and daughters expressed more intimacy, relational harmony, connectedness and mutuality and lesser individuality than British mothers and daughters.

Adolescent↗