There are thousands of different cultures that are in this world and these cultures for many shape how they perceive things. However, to every culture there are good and bad aspects. A big issue that many cultures face is the topic of mental health and mental illnesses. For many people in these cultures, struggling with mental health not only becomes a personal issue but also shameful in their families who brush off or don’t understand the gratitude that is mental health due to many cultures associating mental illnesses as weak. This can greatly affect people in these cultures making them scared to seek out help due to the pressures of their families. In today’s essay we will be discussing how culture can influence how mental illnesses are perceived.
One big example of how culture can influence how mental health can be perceived is in East Asian culture/communities. Japanese and Chinese cultures in particular have a very strong tradition when it comes to maintaining their families honor which leads to expectations being placed on emotional restraint. In their article “The role of culture in the stigma of mental illness” anthropologist Lawrence H. Yang and his colleagues (2007) explain that “mental illness is stigmatizing; it reflects poorly on family lineage and can influence others beliefs about the sustainability of individuals for marriage.” (p.55). The essence of Yang’s argument is that the reason why talking about mental illnesses is so looked down upon in these cultures is because of the way it would make the family image look which could ruin in their eyes potential marriages or opportunities. These cultures’ ideas of maintaining their families honor and in a way “saving face” most times then not discourages people of these communities from talking about their mental health issues because admitting to mental illnesses is seen as a sign of weakness and essentially reflects badly on the rest of the family. A 2020 article published by BMC Psychiatry explains that “the particular manifestations of stigma… are shaped by cultural meanings embedded in Confucianism … and the centrality of ‘face’ (i.e. one’s moral standing within society)” (Wang et al., 2020, p. 3). Due to this many people in these cultures tend to stay silent about their mental illnesses instead of speaking out and gaining the proper treatment and counseling. Their choice to stay silent is due to the cultural pressures of their families/communities to maintain a mask of strength and perfection.
Similarly these same patterns are seen in so many West African cultures where their ideas of mental illnesses stem a lot from a religious and spiritual standpoint. In these cultures serious mental illnesses such as severe depression or schizophrenia are seen as being linked to being possessed or cursed. This leads to families in these cultures relying on spiritual healing rather than proper medical health for people who are going through these mental illnesses. Another example of this is in Latin families who value the idea of personal strength which contributes to how people go about mental illnesses. In these Latin cultures they call pushing through something, aguantar, which pushes the idea that hiding their mental struggles is important so that they don’t appear weak or to avoid stressing others out. In their study of marianismo and self-silencing, Cano et al. (2020) found that “higher scores on externalizing self-perception and divided self were associated with higher odds of depression” (p. 720). These patterns in these cultures show that mental health problems are commonly dismissed or made to seem lesser than they truly are which leaves many to deal with these problems by themselves and suppressing them which only makes the problems worse. Cultures play a big role in whether or not mental illnesses are taken seriously or dismissed and not seen as serious as they should be.
Another very important factor that influences how cultures perceive mental illnesses is due to gender roles in these cultures. In a lot of cultures the gender roles revolving around men and masculinity can make it very hard for men to seek out help when dealing with mental health problems. A publishing by Seidler et al. (2016) found that “conformity to traditional masculine norms … impacts their attitudes to, intention, and actual help-seeking behaviour” (p. 6). This idea of gender roles is especially present in Latin communities and certain African cultures in which the traditional ideas of masculinity and strength in men usually discourages emotional weakness in men. Also a study on East Asian men titled “Traditional Masculinity and Men’s Psychological Help-Seeking: A Meta-Analysis” showed that “higher endorsement of traditional masculinity … is correlated with negative attitudes toward psychological help-seeking … and higher self-stigma”. These gender roles and expectations not only affect the men but also the women who due to these gender roles and cultural ideas prioritize their family over their own emotional well being. A research on Latin women from “Exploring the Role of Marianismo and Loneliness in Latinas’ Physical and Mental Well-Being” written by Gallegos & Segrin states that “Being Latina was associated with family pillar marianismo … that was associated with lower loneliness … lower loneliness was subsequently associated with … lower depression …” These gender roles in multiple different cultures only build on how much mental illnesses are brushed aside in these communities as they look at talking about mental illnesses as a weakness. These cultural ideas make it extremely hard for men and women to seek the help that they need.
Another very important factor of culture affecting the stigma of mental health is among Latin Women who are expected to follow the idea of being emotionally restrained or self sacrificing. This means that Latin women are to put their families needs above their own personal health and well being which can make it very hard for these women to go out and seek help for their mental health. Another key factor that plays a role is self silencing which is similar to self sacrificing. Self silencing is withholding your emotions or thoughts in order to maintain peace or gain approval. In their study about Latina women, Cano et al(2020) states that “higher scores on externalizing self-perception and divided self were associated with higher odds of depression.” Which shows how self sacrificing can lead to bigger health problems within Latin women. Also, Kosmicki (2017) found “positive correlations between Marianismo identity and self-silencing, and between self-silencing and both anxiety and depression,” which shows that these cultural expectations can not only shape behavior but also affect your mental health. Research also shows that in marianismo beliefs it strengthens the idea that Latin women should keep the peace in their home even if it is at the cost of their own mental well being. A study of Latin women that was exposed to discrimination states that the “distressed marianismo” is associated with the highest levels of depressive symptoms (Jones & Briones, 2022). These studies showcase and dive into the gender roles and cultural expectations in these Latin communities which causes significant mental health struggles in these women and prevents them from seeking help.
The last important factor of how culture shapes and influences the perception of mental health and illnesses is the role of expectations in communities. In many cultural groups the surrounding community acts as a second family which can increase the negative stigma of mental health and the struggles of speaking out. In these communities your public image and reputation is a big thing and it makes it harder for people to feel comfortable in speaking out about their mental health in fear of their community judging and shaming them. A study in the “International Journal of Social Psychiatry” explains that “community judgement plays a significant role in whether individuals disclose or seek treatment for psychological distress.” (Shin et al., 2019, p.88). This shows that people in these communities try to avoid help for their mental health not because they want to but because they are scared of being talked about and judged in their community. Another example of this comes from a study in Latin and African communities that states “concerns about being labeled ‘crazy’ or unstable contribute to delays in accessing professional support.” (Alarcorn & Parekh, 2020, p.14). The pressures from their communities make these mental health challenges not only personal struggles but also social struggles as well. Admitting to suffering from mental health problems whether it be depression or anxiety could really damage someone’s social reputation in these communities. This really shows just how much cultural expectations can influence someone’s behavior when it comes to their mental health. These communities prioritize social reputation over someone’s well being which can cause people to keep quiet about their struggles mentally in order to protect that social reputation and to avoid being talked negatively about. This causes the stigma about mental health in these communities to be passed down from generation to generation which will never break the unhealthy cycle that has been normalized by these cultural/community beliefs.
To sum it up, culture plays a very important role in shaping how mental health and mental illnesses are perceived in different communities. Whether its due to protecting your family honor in Asian cultures, how mental illnesses are perceived spiritually in African communities or if it’s upholding self sacrifice in Latin families, these cultural expectations and ideas greatly influence how someone in these communities go about their mental health. Gender roles in these cultures also makes it more difficult for men to show a weaker side of themselves or for women to prioritize their health instead of their families for even just a moment. All of these factors contribute to the stigma that these cultures have about mental health and just how misunderstood mental health is. Understanding just how these cultures shape the perceptions of mental health in their communities is only the very first step in potentially breaking these cultural cycles.
Cano, M. Á., Castillo, L. G., Perez, A., et al. (2020). Marianismo, self-silencing, and depression among Latinas. Journal of Latina/o Psychology, 8(3), 717–725.
Gallegos, M. L., & Segrin, C. (2024). Exploring the role of Marianismo and loneliness in Latinas’ physical and mental well-being. Health Communication, 39(12), 2884–2895.
Jones, M. K., & Briones, M. (2022). The impact of Marianismo on the association between intersectional discrimination and depressive symptoms among Latina women: A profile analysis. Journal of Latinx Psychology, 10(4), 304–321.
Kosmicki, M. (2017). Marianismo Identity, Self-Silencing, Depression and Anxiety in Women from Santa María de Dota, Costa Rica. Cuadernos de Investigación UNED, 9(2), 202–208.
Levant, R. F., Hall, R. J., Weigold, I. K., & McCurdy, E. R. (2023). Traditional masculinity and men’s psychological help-seeking: A meta-analysis. American Journal of Men’s Health, 17(1), 1–22.
Seidler, Z. E., Dawes, A. J., Rice, S. M., Oliffe, J. L., & Dhillon, H. M. (2016). The role of masculinity in men’s help-seeking for depression: A systematic review. Clinical Psychology Review, 49, 106–118.
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Yang, L. H., Kleinman, A., Link, B., et al. (2007). The role of culture in the stigma of mental illness. Social Science & Medicine, 64(7), 1524–1535.