Illness beliefs of leprosy patients: use of medical anthropology in clinical practice.
Illness beliefs of 61 patients identified as having leprosy were assessed by Kleinman's Explanatory Model Format. Our patients used a wide variety of etiologic theories which were grouped in categories such as venereal disease, heredity, dangerous food, sin, karma, and humoral disorders. Despite efforts at patient education, very few patients adopted the concept of bacterial infection to explain their illness. The patients identified their illness with a variety of different labels, some of which had associations with particular symptoms. Leprosy was perceived and experienced more as a series of acute disorders not necessarily related to one another. The various theories of illness were instrumental in directing treatment choices which included a number of indigenous healing practices. Such information may be useful in improving patient care and compliance by providing practitioners with interpretive strategies for communicating with their patients.
Neylan
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University of Pittsburgh, Western Psychiatric Institute and Clinic, Pennsylvania 15212-2593.
Nelson
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Schauf
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Scollard
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D000293:Adolescent; D000328:Adult; D000368:Aged; D000883:Anthropology; D001294:Attitude to Health; D002016:Buddhism; D002835:Christianity; D005260:Female; D006801:Humans; D007108:Immune Tolerance; D007918:Leprosy / Q000209:etiology / Q000523:psychology*; D008297:Male; D008875:Middle Aged; D013785:Thailand