chapter  8
13 Pages

Mental health in India II: Training and explanatory models

WithSydney Moirangthem, Geetha Desai, Santosh K. Chaturvedi

Very often the role of a clinician or a physician is not limited to just finding a manual-guided diagnosis of an illness, it also entails the need to see how the patient looks at his suffering and understands it.1,2 A patient’s perspective can provide a bird’s eye view through which any management plan can be viewed to analyze whether the options being planned will be of any meaningful effectiveness in improving the patient’s symptoms and restoring his or her func - tionality.3 For chronic non-communicable illness in general and psychiatric disorders in particular, the influence of differences in culture and context of illness interpretation often affect the outcome of a treatment plan or model.4-6

A number of terms, including ‘explanatory models’, ‘common sense representations’, and ‘implicit theories’ have been used to describe the influence of culture and context on patient and physician perspectives.7,8 More often than not, physicians and patients have different perspectives.