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Disease has a social aspect

Many problems in low-status areas
According to Cullberg there is a social aspect of mental diseases. It is difficult for vulnerable individuals to leave social neighborhoods with low status. Instead they "get stuck" in an environment with insufficient integration and little support from authorities and private networks like family and neighbors. This, so-called, social disintegration is associated to mental ill health. Studies from Norway describe a concentration of individuals with mental problems in the low status areas. In some neighborhoods as much as 30%, i.e. every third person, had mental problems. The same pattern can be observed in Sweden.

More tolerance
It is important to broaden our opinion of normality, says Cullberg. The general public has to become more tolerant and accept eccentric individuals to a greater extent.

Information campaigns
Norway has a tradition of campaigns and public information. This has allowed the psychiatric care to provide earlier treatment to those in need of help, since many Norwegian citizens have knowledge on symptoms. A large campaign was conducted in Sweden a couple of years ago to contribute to a greater tolerance and generosity in attitudes to our fellow humans.

We experience the world in different ways
- We have to remember that there is a spectrum of how we experience the world. We are all individual human beings, and the impressions from our environment affect us in different ways. A specific example is how we experience our own thoughts. Some perfectly healthy individuals consider their thoughts to be "speaking voices", without being the least psychotic. Their normal thoughts are like that, and these individuals are fully aware that it is thoughts and not some external person speaking. Experiencing one«s own thoughts as voices is, however, a risk factor for psychosis. During periods of stress, the distance to the thoughts might be lost and the perspective might be distorted.

 

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© HUBIN updated September 26, 2002 .

Håkan Hall and Ulrika Kahl at Human Brain Informatics
Department of Clinical Neuroscience, Psychiatry Section
Karolinska Institutet, SE-171 76 Stockholm, SWEDEN.
Phone: +46-8-517 75651 Fax: +46-8-34 65 63 E-mail: info@hubin.org