Twana A Rahim; Hafidh M. Farhan; Roshe R Aziz Rashid; Banaz A Saeed
The objective of this study is to determine the rates and predictors of consulting faith healers by patients with schizophrenia, and therapeutic rituals practiced by therapists in Najaf province/Iraq. 70 patients, aged 18 year and older who attended the psychiatric out-patient unit in Najaf were invited to assess their previous contacts with faith healers. Our data demonstrated that prior faith healers consultation rate was 80%. Being younger, less formally educated, married, and female was significantly associated with faith healers consultation. Fourteen types of religious therapeutic rituals were identified. We concluded that faith healers consultation is popular and accessible among patients with schizophrenia in Iraq. Some rituals are harmful. Collaborative work with faith healers is recommended for a better quality of care.
Keywords: Schizophrenia; Faith healers; Ritual/ Therapy; Pray and invocation
1. World Health Organization. Traditional Medicine. WHO, 2010 (http://www.who.int/medicines/areas/traditional/en/index.html)
2. El-Islam M.F. Arabic Cultural Psychiatry. Transcultural Psychiatry 1982; 19: 5-24.
3. Jacob KS. Community care for people with mental disorders in developing countries: Problems and possiblesolutions. Br J Psychiatry 2001; 178(4): 296-298. [PubMed]
4. Kleinman A. Anthropology and psychiatry. The role of culture in cross-cultural research on illness. Br J Psychiat 1987; 151:447-454. [PubMed]
5. Isaac M, Janca A, Sartorius N. The World Health Organization's recent work on the lexicography of mental disorders. Eur Psychiatry. 1995;10(7):321-5. [PubMed]
6. Janca A, Ustun TB, van Drimmelen J, Dittmann V, Isaac M. ICD-10 Symptom Checklist for Mental Disorders, Version 1.1. Geneva, Division of Mental Health, World Health Organization 1994. [Website]
7. Sheehan DV, Lecrubier Y, Harnett-Sheehan K, Amorim P, Janavs J, Weiller E, et al. The Mini International Neuropsychiatric Interview (M.I.N.I.): The Development and Validation of a Structured Diagnostic Psychiatric Interview. J. Clin Psychiatry 1998; 59:22-33. [PubMed]
8. Sheehan DV, Lecrubier Y, Harnett-Sheehan K, Janavs J, Weiller E, Bonara LI, et al. Reliability and Validity of the MINI International Neuropsychiatric Interview (M.I.N.I.): According to the SCID-P. European Psychiatry 1997;12:232-241.
9. Lecrubier Y, Sheehan D, Weiller E, Amorim P, Bonora I, Sheehan K, et al. The MINI International Neuropsychiatric Interview (M.I.N.I.) A Short Diagnostic Structured Interview: Reliability and Validity According to the CIDI. European Psychiatry 1997; 12: 224-231.
10. Amorim P, Lecrubier Y, Weiller E, Hergueta T, Sheehan D: DSM-III-R Psychotic Disorders: procedural validity of the Mini International Neuropsychiatric Interview (M.I.N.I.). Concordance and causes for discordance with the CIDI. European Psychiatry 1998; 13:26-34. [Abstract/Full-Text]
11. Rakhawy MY, Hamdi E. The attitude and use of faith healing by people with mental disorders in Upper Egypt: a community survey. Arab J of Psychiatry 2010; 21(1): 29-49. [Abstract/Full-Text]
12. Hussein F.M. A study of the role of unorthodox treatments of psychiatric illnesses. Arab J Psychiatry 1991; 2: 170-84.
13. Qureshi NA, Al-Amri AH, Abdelgadir MH, El-Haraka EA. Traditional cautery among psychiatric patients in Saudi Arabia. Transcultural Psychiatry 1998; 35: 76-83. [Abstract/Full-Text]
14. Ngoma M.C, Prince M, Mann A. Common mental disorders among those attending primary health clinics and traditional healers in urban Tanzania. Br J Psychiatry 2003; 183: 349-55. [PubMed]
15. Patel V, Todd C, Winston M, Gwanzura F, Simunyu E, Acuda W, Mann A. Common mental disorders in primary care in Harare, Zimbabwe: associations and risk factors. Br J Pschiatry 1997; 171:60-4. [PubMed]
16. Ovuga E, Boardman J, Oluka EG. Traditional healers and mental illness in Uganda. Psychiatric Bulletin 1999; 23: 276-9. [Abstract/Full-Text]
17. Phang CK, Marhani M, Salina AA. Prevalence and experience of contact with traditional healers among patients with first episode psychosis in Hospital Kuala Lumpur. Malaysian Journal of Psychiatry 2010; 19(2): 59-67. [Abstract/Full-Text]
18. Campion J, Bhugra D. Experiences of religious healing in psychiatric patients in South India. Social Psychiatry and Psychiatric Epidemiology 1997; 32(4):215-21. [PubMed]
19. Koh OH. Characteristics of patients presenting with first episode psychosis. Dissertation in Master of medince. Psychiatry, University Malaya, 2005.
20. Chong SA, Mythily, Lum A, Chan YH, McGorry P. Determinants of untreated psychosis and the pathway to care in Singapore . International Journal of social Psychiatry 2005; 51(1): 55-62. [PubMed]
21. Salleh MR. The consultation of traditional healers by Malay patients. The medical journal of Malaysia 1989; 44: 3-12. [PubMed]
22. Razali SM, Mohd Yasin MA. The pathway followed by psychotic patients to a Tertiary Health centre in a developing country: A comparison with patient with Epilepsy. Behav 2008; 13(2): 343-9. [PubMed]
23. Yeoh OH. Malay Psychiatric patients and trational healers (bomoh). Med. J. Malaysia 1980; 34(4): 349-357. [PubMed]
24. Kurihara T, Kato M, Reverger R, Tirta IG. Pathway to psychiatric care in Bali. Psychiatry and clinical neuroscience 2006; 60: 204-210. [PubMed]
25. Campion J & Bhugra D. Experiences of religious healing in psychiatric patients in south India. Soc. Psychiatry & Psychiatric epidemiology 1997; 32: 215-221. [PubMed]
26. Ryoko Y, Masafumi M , Takahiro N, Yuta M , Masaaki M, Haruo K. Duration of untreated psychosis and pathway to psychiatric services in first episode schizophrenia . Psychiatry and clinical neuroscience 2004; 58: 76-81. [PubMed]
27. Addington J, Van Mastrigt S, Hutchinson J, Addington D. Pathway to care: Help seeking behaviour in first episode psychosis. Acta Psychiatrica Scandinavia 2001; 106(5): 358-364. [PubMed]
28. Turner M, Smith-Hamel C, Mulder R. Pathway to care in New Zealand first episode psychosis cohort. Australia & New Zealand Journal of psychiatry 2006; 40: 421-428. [PubMed]
29. Cole E, Leavey G, King M, Johnson-Sabine E, Hoar A. Pathways to care for patients with first episode psychosis: A comparison of Ethnic Groups . Br J Psychiatry 1995; 167(6): 770 -776. [Pubmed]
30. Okasha A, Kamel M, Hassan A. Preliminary psychiatric observations in Egypt. Br J Psychiatry 1968; 114: 949-55. [PubMed]