Stress and Adaptation in the Context of Culture: Depression in a Southern Black Community

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SUNY Press, 1991 - Medical - 354 pages
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This book provides a unique study in social and cultural psychiatry, carried out in an African-American community in the rural South. Using a combination of concepts and methods from anthropology and social epidemiology, the specific social and psychological risk factors for depression are examined. The author places special emphasis on how that risk is modified by the social and historical context of the Black community in the United States, and suggests a new basis for the sociocultural comparative study of health and disease.
 

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Contents

Studies of Stress and Disease
8
THE STRESS PROCESS
9
SOCIAL CLASS AND MENTAL DISORDER
11
LIFE EVENTS
14
CHRONIC SOCIAL STRESSORS
16
RESISTANCE RESOURCES
18
SOCIAL SUPPORT
19
PERSONAL COPING RESOURCES
21
The Civil Rights Movement
155
DISCUSSION
158
Household Family and Patterns of Helpseeking
160
Models of Racism
161
Intracultural Diversity and the Black Community
162
Stressors and the Risk of Depression
165
LIFESTYLE INCONGRUITY AND DEPRESSION
168
STRESSFUL LIFE EVENTS AND DEPRESSIVE SYMPTOMS
172

INTEGRATIVE STUDIES
22
A CRITIQUE
24
MODERNIZATION AND THE STRESS PROCESS
28
GOALS OF THE PRESENT STUDY
35
SUMMARY
36
Theoretical Orientations in the Study of AfricanAmerican Culture
38
EARLY STUDIES OF BLACK COMMUNITY
39
THE PATHOLOGY PERSPECTIVE
42
RESPONSES TO THE PATHOLOGY PERSPECTIVE
46
CRITIQUE
52
RESEARCH ON HEALTH IN THE BLACK COMMUNITY
59
SUMMARY
64
Methods and the Measurement of Depressive Symptoms
66
COMMUNITY RAPPORT
67
QUALITATIVE RESEARCH METHODS
71
QUANTITATIVE RESEARCH OPERATIONS
73
SAMPLING
75
DEPRESSIVE SYMPTOMS
77
DESCRIPTIVE EPIDEMIOLOGY
85
SUMMARY
94
The Community
96
ECONOMIC DIMENSIONS OF THE COMMUNITY
99
Employment
101
Education
105
Style of Life
107
Income
111
Predictors of Economic Position
113
HOUSEHOLD AND FAMILY ORGANIZATION
117
Family Organization
126
A Multivariate Analysis of Household Structure
131
THE CHURCH AND COMMUNITY ORGANIZATION
135
Voluntary Associations and Community Resources
145
THE CIVIL RIGHTS MOVEMENT
149
UNEMPLOYMENT AND DEPRESSIVE SYMPTOMS
179
ECONOMIC STRESSORS AND DEPRESSION
183
SOCIAL ROLE STRESSORS AND DEPRESSION
188
THE PATTERNING OF STRESSORS BY CLASS AND GENERATION
196
DISCUSSION
202
Resistance Resources
209
RESISTANCE RESOURCES IN THE BLACK COMMUNITY
210
Cultural Resources
214
Specifying the Effects of Resistance Resources
220
The Younger Lower Economic Class Group
225
The Younger Higher Economic Class Group
230
The Older Lower Economic Class Group
234
The Older Higher Economic Class Group
235
DISCUSSION
238
Case Studies
245
CASE STUDY ONE
246
CASE STUDY TWO
251
CASE STUDY THREE
254
CASE STUDY FOUR
259
CASE STUDY FIVE
263
CASE STUDY SIX
267
CASE STUDY SEVEN
272
CASE STUDY EIGHT
275
DISCUSSION
279
Conclusions and Implications
284
Interview Guide for Ethnographic Research
300
Survey Interview Schedule
304
Regression Diagnostics and Alternative Techniques of Model Estimation
317
Correlation Matrices
329
REFERENCES
332
Index
350
Copyright

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About the author (1991)

William W. Dressler, Ph.D., is Associate Professor of Behavioral and Community Medicine at the University of Alabama School of Medicine--Tuscaloosa Program.

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