Culture, Medicine and Psychiatry

, Volume 31, Issue 4, pp 473–497

Cultural Differences in the Experience of Everyday Symptoms: A Comparative Study of South Asian and European American Women

Original Paper

DOI: 10.1007/s11013-007-9066-y

Cite this article as:
Karasz, A., Dempsey, K. & Fallek, R. Cult Med Psychiatry (2007) 31: 473. doi:10.1007/s11013-007-9066-y


This paper describes a study of medically ambiguous symptoms in two contrasting cultural groups. The study combined a qualitative, meaning-centered approach with a structured coding system and comparative design. Thirty-six South Asian immigrants and thirty-seven European Americans participated in a semistructured health history interview designed to elicit conceptual models of medically unexplained illness. The groups reported similar symptoms, but the organization of illness episodes and explanatory models associated with these episodes differed sharply. A variety of cultural variables and processes is proposed to account for observed differences, including somatization, the role of local illness categories, and the divergent core conflicts and values associated with gender roles. It is argued that the comparative design of the study provided insights that could not have been achieved through the study of a single group.


Medically unexplained symptoms Somatization Cultural differences Explanatory models Illness representation Conceptual models 

Copyright information

© Springer Science+Business Media, LLC 2007

Authors and Affiliations

  1. 1.Albert Einstein College of Medicine/Montefiore Medical CenterThe BronxUSA

Personalised recommendations