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1.
Article in English | MEDLINE | ID: mdl-36361207

ABSTRACT

Euro-centric psychiatric conceptualizations often ignore the interplay of local with universal factors in psychological suffering. Emic, locally focused perspectives can enrich etic knowledge to provide culturally sensitive care and to better elucidate the role of culture in mental illness. This study explored the idiom Tsûsa ǃNaeǃkhais xa hâǃnâ/mâǃnâ/ǂgâǃnâhe hâ (a terrible event has entered a person and remains standing inside), which was understood to relate to experiences of trauma and post-traumatic stress, among speakers of Khoekhoegowab, a southern-African click language. Semi-structured interviews were conducted with 16 participants from six urban and rural communities in Namibia. Questions probed perceptions of the idiom in terms of etiology, course, and risk and resilience factors from a socio-ecological framework. Five key themes were identified using thematic analysis: origin in a shocking event; intrusive recurrence of memories, "it keeps on coming back"; the close interplay between mental and physical suffering; the importance of active engagement in healing through prayer and acceptance; and the role of the community in both alleviating and amplifying distress. Our findings highlight local norms and strategies for adaptive coping, and the benefits of exploring local idioms to elucidate the braiding together of universal and cultural elements in psychological distress.


Subject(s)
Mental Disorders , Humans , Anxiety , Black People , Culturally Competent Care , Language
2.
Front Psychol ; 12: 694205, 2021.
Article in English | MEDLINE | ID: mdl-34354638

ABSTRACT

Objective: This study explores a personality inventory derived from the results of an indigenous lexical study of personality. From the 272 most commonly used personality descriptors in Khoekhoegowab, the most-spoken of extant Khoesan click languages of southern Africa, an 11-factor model of personality-trait structure was identified. Here, the Khoekhoegowab Personality Inventory (KPI) was created based on those results. Its psychometric properties, the convergent and divergent validity of its scales, and its incremental validity over Big Five and Six traits for predicting physical and mental health, religious practice and attitudes, and income are reported. Methods: Two to five key terms were selected for each of 10 KPI scales: Temperance, Prosocial Diligence, Gossip, Honesty/Morality, Temper, Implacability, Humility, Vanity, Resiliency vs. Agitation, and Courage vs. Fear. These 38 total items were administered to a large sample of adult speakers of Khoekhoegowab in Namibia (N = 632), together with five imported inventories translated into Khoekhoegowab: the 30-item Questionnaire Big Six (QB6), General Self-Reported Health, the Cascades Mental Health Assessment, the Satisfaction with Life Scale, the Duke Religion Index. The properties and intercorrelations of KPI subscales are explored, and their predictive ability for the other variables is compared to that of the QB6. Results: Due to the small number of items on each scale, poor internal consistency was anticipated, but the KPI scales' properties were somewhat better than those of the QB6. R-square change by the inventories as a whole, after accounting for age and gender, indicted that the KPI scales explained more variance than the QB6 scales in almost all criterion variables. Replication of established associations for Big Six traits was mixed: associations were largely as expected for Resiliency, Conscientiousness, and Honesty, but less so for Agreeableness and Extraversion. Conclusions: The KPI had some advantages over the QB6 in predicting physical and mental health. In particular, the four items of Resiliency vs. Agitation predicted lower scores on all physical and mental problem scales. Given psychological-care needs in Namibia, this might be used as a non-intrusive screener. Measurement challenges common to both surveys are discussed, possible solutions, and the utility of higher-order structures are discussed.

3.
J Pers Soc Psychol ; 121(6): 1258-1283, 2021 Dec.
Article in English | MEDLINE | ID: mdl-33252975

ABSTRACT

Personality psychology relies heavily on evidence from North America and Europe. Lexical studies, based on the rationale that the most important psychological distinctions between people will be encoded in the natural languages, can provide input from underrepresented contexts by defining locally relevant personality concepts and their structure. We report the results of a psycholexical study in Khoekhoegowab, the most widely spoken of southern Africa's (non-Bantu) click languages. It includes the largest sample of any lexical study conducted in Sub-Saharan Africa, is the first anywhere to include qualitative interviews to systematically assess the interpretability of terms, and is one of few to rely on a more representative community sample of adults rather than students. Refinement of the survey included frequency-of-use ratings by native speakers from throughout Namibia and input on relevance to personality by those with a psychology degree. The survey was administered by interview to 622 participants by a team of 15 schoolteachers of Khoekhoegowab. The 11 dimensions of the optimal local model were labeled: Intemperance, Prosocial Diligence, Intrusive Gossip, Good Nature, Bad Temper, Predatory Aggression, Haughty Self-Respect, Vanity/Egotism, and Fear versus Courage. A Big One model of evaluation was strongly replicated. Moderate replication was found for the Big Two, Pan-Cultural Three, and a hypothesized pan-African model based on prior lexical results in 2 languages. Replication criteria were not achieved for the Big Five, Big Six, or South African Personality Inventory models. What results suggest about the local cultural context and about culturally specific aspects of the imported models are discussed. (PsycInfo Database Record (c) 2022 APA, all rights reserved).


Subject(s)
Personality Disorders , Personality , Adult , Humans , Language , Personality Inventory , Self Concept
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