Culture, Medicine and Psychiatry

, Volume 31, Issue 2, pp 195–224 | Cite as

Cultural consonance and psychological distress: examining the associations in multiple cultural domains

  • William W. Dressler
  • Mauro C. Balieiro
  • Rosane P. Ribeiro
  • José Ernesto Dos Santos
Article

Abstract

Cultural consonance is the degree to which individuals, in their own beliefs and behaviors, approximate widely shared cultural models. In previous research in Brazil and the United States we found that higher cultural consonance in the cultural domains of lifestyle and social support was associated with lower psychological distress. The aim of this paper is to expand on these results in two ways. First, the measurement of cultural consonance has been improved through a closer link of cultural domain analyses and survey research. Second, the number of domains in which cultural consonance has been examined has been expanded to include—along with lifestyle and social support—family life, national identity, and food. We found that cultural consonance in these five domains can be conceptualized as two latent variables of generalized cultural consonance, and that this generalized cultural consonance is associated with lower psychological distress. These results continue to support the usefulness of cultural consonance as a theoretical construct in the explanation of human social suffering.

Keywords

cultural consonance cultural consensus analysis psychological distress culture theory Brazil 

References

  1. Almeida-Filho, Naomar (1987) Becoming Modern After All These Years. Culture, Medicine and Psychiatry 22(3):285–316.CrossRefGoogle Scholar
  2. Almeida-Filho, Naomar, Ines Lessa, Lucélia Magalhães, Maria Jenny Araújo, Estela Aquino, Sherman A. James, and Ichiro Kawachi (2004) Social Inequality and Depressive Disorders in Bahia, Brazil. Social Science and Medicine 59(7):1339–1353.CrossRefGoogle Scholar
  3. Anderson, Benedict (1993) Imagined Communities: Reflections on the Origin and Spread of Nationalism. London: Verso.Google Scholar
  4. Antonovsky, Aaron (1981) Health, Stress, and Coping. San Francisco, CA: Jossey-Bass.Google Scholar
  5. Atran, Scott, Douglas L. Medin, and Norbert O. Ross (2005) The Cultural Mind. Psychological Review 112(4):744–776.CrossRefGoogle Scholar
  6. Averbug, A. (2002) The Brazilian Economy in 1994–1999: From the Real Plan to Inflation Targets. World Economy 25(7):925–944.CrossRefGoogle Scholar
  7. Berger, Peter L., Thomas Luckman (1966) The Social Construction of Reality. Garden City, NY: Doubleday.Google Scholar
  8. Bourdieu, Pierre (1990) In Other Words: Essays toward a Reflexive Sociology. M. Adamson, trans. Stanford, CA: Stanford University Press.Google Scholar
  9. Burns, E. Bradford (1993) A History of Brazil. 3rd ed. New York: Columbia University Press.Google Scholar
  10. Caulkins, D. Douglas (2001) Consensus, Clines, and Edges in Celtic Cultures. Cross-Cultural Research 35(2):109–126.CrossRefGoogle Scholar
  11. Cohen, Sheldon, Thomas Karmarck, and Robert Mermelstein (1983) A Global Measure of Perceived Stress. Journal of Health and Social Behavior 24(4):385–396.CrossRefGoogle Scholar
  12. Cooper, Catherine R., and Jill Denner (1998) Theories Linking Culture and Psychology. Annual Review of Psychology 49:559–584.CrossRefGoogle Scholar
  13. Coreil, Jeannine, and Patricia Marshall (1982) Locus of Illness Control: A Cross-Cultural Study. Human Organization 41(2):131–138.Google Scholar
  14. Crossley, Nick (2001) The Phenomenological Habitus and Its Construction. Theory and Society 30(1):81–120.CrossRefGoogle Scholar
  15. D’Andrade, Roy G. (1984) Cultural Meaning Systems. InCulture Theory: Essays on Mind, Self and Emotion. Richard A. Schweder and Robert A. Levine, eds., pp. 88–119. Cambridge: Cambridge University Press.Google Scholar
  16. (1992) Schemas and Motivation. InHuman Motives and Cultural Models. Roy D’Andrade and Claudia Strauss, eds., pp. 23–44. Cambridge: Cambridge University PressGoogle Scholar
  17. (1995) The Development of Cognitive Anthropology. Cambridge: Cambridge University Press.Google Scholar
  18. da Matta, Roberto (1985) A Casa e a Rua. São Paulo, Brasil: Editora Brasiliense.Google Scholar
  19. de Munck, Victor (2000) Culture, Self, and Meaning. Prospect Heights, IL: Waveland Press.Google Scholar
  20. Dohrenwend, Bruce P., and Barbara S. Dohrenwend (1969) Social Status and Psychological Disorder: A Causal Inquiry. New York: Wiley.Google Scholar
  21. Dressler, William W. (1985) Psychosomatic Symptoms, Stress, and Modernization: A Model. Culture, Medicine and Psychiatry 9(3):257–286.Google Scholar
  22. (1991) Stress and Adaptation in the Context of Culture: Depression in a Southern Black Community. Albany: State University of New York Press.Google Scholar
  23. (2004) Culture and the Risk of Disease. British Medical Bulletin 69:21–31.CrossRefGoogle Scholar
  24. (2005) What’s Cultural about Biocultural Research? Ethos 33(1):20–45.CrossRefGoogle Scholar
  25. Dressler, William W., and James R. Bindon (2000) The Health Consequences of Cultural Consonance: Cultural Dimensions of Lifestyle, Social Support, and Arterial Blood Pressure in an African American Community. American Anthropologist 102(2):244–260.CrossRefGoogle Scholar
  26. Dressler, William W., and José Ernesto Dos Santos (2001) Correlaçoes sociais e culturais com a pressão arterial: os estudos de Dressler e Dos-Santos. Revista Brasileira de Hipertensão 8(2):225–229.Google Scholar
  27. Dressler, William W., Mauro C. Balieiro, and Jose Ernesto Dos Santos (1997) The Cultural Construction of Social Support in Brazil: Associations with Health Outcomes. Culture, Medicine and Psychiatry 21(3):303–335.CrossRefGoogle Scholar
  28. (1998) Culture, Socioeconomic Status and Physical and Mental Health in Brazil. Medical Anthropology Quarterly 12 (4):424–446.CrossRefGoogle Scholar
  29. (2002) Cultural Consonance and Psychological Distress. Paidéia: Cadernos de Psicologia e Educação 12(22):5–18.Google Scholar
  30. Dressler, William W., Mauro C. Balieiro, Rosane P. Ribeiro, and José Ernesto Dos Santos (2005) Cultural Consonance and Arterial Blood Pressure in Urban Brazil. Social Science and Medicine 61(3):527–540.CrossRefGoogle Scholar
  31. Dressler, William W., Camila D. Borges, Mauro C. Balieiro, and José Ernesto Dos Santos (2005) Measuring Cultural Consonance: Examples with Special Reference to Measurement Theory in Anthropology. Field Methods 17(4):331–355.CrossRefGoogle Scholar
  32. Dressler, William W., Jose Ernesto Dos Santos, and Mauro Campos Balieiro (1996) Studying Diversity and Sharing in Culture: An Example of Lifestyle in Brazil. Journal of Anthropological Research 52(4):331–353.Google Scholar
  33. Dressler, William W., Jose Ernesto Dos Santos, Philip N. Gallagher, Jr., and Fernando E. Viteri (1987) Arterial Blood Pressure and Modernization in Brazil. American Anthropologist 89(2):389–409.CrossRefGoogle Scholar
  34. Dressler, William W., Rosane P. Ribeiro, Mauro C. Balieiro, Kathryn S. Oths, and José Ernesto Dos Santos (2004) Eating, Drinking and Being Depressed: The Social, Cultural and Psychological Context of Alcohol Consumption and Nutrition in a Brazilian Community. Social Science and Medicine 59(4):709–720.CrossRefGoogle Scholar
  35. Finch, B. K., R. Frank, and William A. Vega (2004) Acculturation and Acculturation Stress: A Social-Epidemiological Approach to Mexican Migrants Farmworkers’ Health. International Migration Review 38(1):236–262.CrossRefGoogle Scholar
  36. Gaines, Atwood D., and Paul E. Farmer (1986) Visible Saints: Social Cynosures and Dysphoria in the Mediterranean Transition. Culture, Medicine and Psychiatry 10(3):295–330.CrossRefGoogle Scholar
  37. Good, Byron (1994) Medicine, Rationality, and Experience. Cambridge: Cambridge University Press.Google Scholar
  38. Goodenough, Ward H. (1996) Culture. InEncyclopedia of Cultural Anthropology. David Levinson and Melvin Ember, eds., pp. 291–299. New York: Henry Holt.Google Scholar
  39. Gorer, Geoffrey (1948) The American People: A Study in National Character. New York: NortonGoogle Scholar
  40. Guarnaccia, Peter J., and Orlando Rodriguez (1996) Concepts of Culture and Their Role in the Development of Culturally Competent Mental Health Services. Hispanic Journal of Behavioral Sciences 18(4):419–443.CrossRefGoogle Scholar
  41. Handwerker, W. Penn (2001) Quick Ethnography. Walnut Creek, CA: AltaMira Press.Google Scholar
  42. Jaskyte, Kristina, and William W. Dressler (2004) Studying Culture as an Integral Aggregate Variable: Organizational Culture and Innovation in a Group of Nonprofit Organizations. Field Methods 16(3):265– 284CrossRefGoogle Scholar
  43. Jenkins, Janis Hunter (2004) Specifying Culture, Self, and Experience. InSchizophrenia, Culture, and Subjectivity. Janis Hunter Jenkins and Robert Johns Barrett, eds., pp. 29–61 Cambridge: Cambridge University Press.Google Scholar
  44. Jenkins, Janis Hunter, and Robert Johns Barrett (2004) Introduction. In Schizophrenia, Culture, and Subjectivity. Janis Hunter Jenkins and Robert Johns Barrett, eds., pp. 1–28. Cambridge: Cambridge University Press.Google Scholar
  45. Kaplan, George A. (1995) Where Do Shared Pathways Lead? Psychosomatic Medicine 57(3):208–212Google Scholar
  46. Keesing, Roger M. (1974) Theories of Culture. In Annual Review of Anthropology. Vol. 3. Bernard J. Siegel, Alan R. Beals, and Stephen A. Tyler, eds., pp. 73–97. Palo Alto, CA: Annual Reviews.Google Scholar
  47. Kleinman, Arthur (1988) Rethinking Psychiatry. New York: Free PressGoogle Scholar
  48. Kuper, Adam (1999) Culture: The Anthropologists’ Account. Cambridge, MA: Harvard University Press.Google Scholar
  49. Leite, Dante Moreira (2002) O Caráter Nacional Brasileiro. 6th ed. São Paulo, Brazil: Editora UNESP.Google Scholar
  50. Lopez, Steven R., and Peter J. Guarnaccia (2000) Cultural Psychopathology. Annual Review of Psychology 51:571–598.CrossRefGoogle Scholar
  51. Maercker, Andreas (2001) Association of Cross-Cultural Differences in Psychiatric Morbidity with Cultural Values. German Journal of Psychiatry 4(1):17–23.Google Scholar
  52. Manuck, Stephen B., and Jay R. Kaplan (1999) Status, Stress, and Atherosclerosis: The Role of Environment and Individual Behavior. Annals of the New York Academy of Sciences 896:145–161.CrossRefGoogle Scholar
  53. Newkirk, Christine N., Kathryn S. Oths, William W. Dressler, and José Ernesto dos Santos In press Intracultural Diversity in Food Knowledge in Southern Brazil. Ecology of Food and Nutrition 42(4):303–324Google Scholar
  54. Nichter, Mark (1981) Idioms of Distress. Culture, Medicine and Psychiatry 5(4):379–408.CrossRefGoogle Scholar
  55. Oths, Kathryn S., Adriana Carolo, and José Eduardo Dos Santos (2003) Social Status and Food Preference in Southern Brazil. Ecology of Food and Nutrition 42(4):303–324.CrossRefGoogle Scholar
  56. Palinkas, L. A., J. Russell, M. A. Downs, and J. S. Petterson (1992) Ethnic Differences in Stress, Coping, and Depressive Symptoms After the Exxon Valdez Oil-Spill. Journal of Nervous and Mental Disease 180(5):287–295.CrossRefGoogle Scholar
  57. Pastore José (1982) Inequality and Social Mobility in Brazil. Madison: University of Wisconsin Press.Google Scholar
  58. Rezende, Fernando (1998) Brazilian Economy: Recent Developments and Future Prospects. International Affairs 74(3):563–575CrossRefGoogle Scholar
  59. Ribeiro, Darcy (1995) O Povo Brasileiro. São Paulo, Brazil: Companhia das Letras.Google Scholar
  60. Rodspeth, Lars (1998) Distributive Models of Culture. American Anthropologist 100(1):55–69.CrossRefGoogle Scholar
  61. Rohner, Ronald P. (1984) Toward a Conception of Culture for Cross-Cultural Research. Journal of Cross- Cultural Psychology 15(2):111–138.CrossRefGoogle Scholar
  62. Romney, A. Kimball, and Carmella C. Moore (1998) Toward a Theory of Culture as Shared Cognitive Structures. Ethos 26(3):314– 337.CrossRefGoogle Scholar
  63. Romney, A. Kimball, Susan C. Weller, and William H. Batchelder (1986) Culture as Consensus: A Theory of Culture and Informant Accuracy. American Anthropologist 88(2):313–338.CrossRefGoogle Scholar
  64. Rosenblum, L. A., and G. S. Paully (1987) Primate Models of Separation-Induced Depression. Psychiatric Clinics of North America 10(3):437–447.Google Scholar
  65. Ross, Norbert (2004) Culture and Cognition: Implications for Theory and Method. Thousand Oaks, CA: Sage.Google Scholar
  66. Sapir, Edward (1949) The Unconscious Patterning of Behavior in Society. InSelected Writings of Edward Sapir. David Mandelbaum, ed., pp. 544–559. Berkeley and Los Angeles: University of California Press.Google Scholar
  67. Sapolsky, Robert (1999) Hormonal Correlates of Personality and Social Contexts. InHormones, Health, and Behavior. Catherine Panter-Brick and Carol M. Worthman, eds., pp. 18–46. Cambridge: Cambridge University Press.Google Scholar
  68. Searle, John (1995) The Construction of Social Reality. New York: Free Press.Google Scholar
  69. Segall, Marshall (1984) More Than We Need to Know about Culture, but Are Afraid Not to Ask. Journal of Cross-Cultural Psychology 15(2):153–162CrossRefGoogle Scholar
  70. Shore, Bradd (1991) Twice-Born, Once Conceived: Meaning Construction and Cultural Cognition. American Anthropologist 93(1):9–27CrossRefGoogle Scholar
  71. Shore, Bradd (1996) Culture in Mind. New York: Oxford University Press.Google Scholar
  72. Silveira, Dartin Xavier da, and Miguel Roberto Jorge (2000) Escalade rastreamento populacional para depressão (CES-D) em populações clínica e não-clínica de adolescentes e adultos jovens. InEscalas de Avaliação Clínica em Psiquiatria and Psicofarmacologia. Clarice Gorenstein, Laura H. S. G. Andrade, and Antonio Waldo Zuardi, eds., pp. 125–138. São Paulo, Brasil: Lemos-Editorial.Google Scholar
  73. Sperber, Dan (1985) Anthropology and Psychology—Towards an Epidemiology of Representations. Man 20(1):73–89.CrossRefGoogle Scholar
  74. Strauss, Claudia, and Naomi Quinn (1997) A Cognitive Theory of Cultural Meaning. Cambridge: Cambridge University Press.Google Scholar
  75. Tylor, Edward B. (1871) Primitive Society. Boston, MA: Estes & Lauriat.Google Scholar
  76. Veblen, Thorstein (1899) The Theory of the Leisure Class. New York: Macmillan.Google Scholar
  77. Weller, Susan C., and A. Kimball Romney (1988) Systematic Data Collection. Vol. 10. Qualitative Research Methods Series. Newbury Park, CA: Sage.Google Scholar

Copyright information

© Springer Science + Business Media, LLC 2007

Authors and Affiliations

  • William W. Dressler
    • 1
  • Mauro C. Balieiro
    • 2
  • Rosane P. Ribeiro
    • 3
  • José Ernesto Dos Santos
    • 4
  1. 1.Department of AnthropologyThe University of AlabamaTuscaloosaUSA
  2. 2.Department of PsychologyPaulista UniversityRibeirão PretoBrazil
  3. 3.School of NursingUniversity of São Paulo -Ribeirão PretoRibeirão PretoBrazil
  4. 4.Faculty of MedicineUniversity of São Paulo-Ribeirão PretoRibeirão PretoBrazil

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