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British Medical Bulletin 69:129-141 (2004)
British Medical Bulletin, Vol. 69 © The British Council 2004; all rights reserved

Migration, distress and cultural identity

Dinesh Bhugra

Section of Cultural Psychiatry, Institute of Psychiatry, London, UK

Correspondence to: Professor Dinesh Bhugra, PhD, FRCPsych, MPhil, Professor of Mental Health and Cultural Diversity, Section of Cultural Psychiatry, PO25, Institute of Psychiatry, De Crespigny Park, London SE5 8AF, UK

When people migrate from one nation or culture to another they carry their knowledge and expressions of distress with them. On settling down in the new culture, their cultural identity is likely to change and that encourages a degree of belonging; they also attempt to settle down by either assimilation or biculturalism. In this paper, various hypotheses explaining the act of migration and its relationship with mental distress are described. A new hypothesis is proposed suggesting that when sociocentric individuals from sociocentric cultures migrate to egocentric societies they may feel more alienated. In order to assess and manage migrants, the clinicians need to be aware of the pathways into migration.


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