1. 303 Human Behavior Science Impact of culture on medical problems Prof. Mohammed Alsughayir Consultant Psychiatrist

2. Bio-Psycho-Social Approach Bio : physical –medical- e.g. Vital signs, lab. Results. Psycho : emotions,thinking & behavior. Social : cultural beliefs,values, attitudes customs & practice.

3. Social : cultural beliefs,values, attitudes customs & practice. How can culture affect medical problems? - Beliefs about causation. - Presentation. - Illness behavior.

4. Causation : e.g. : flu. Supernatural forces : evil eye, black magic, possession. zar So ask your pt 1-What do you think the cause? 2-What does that mean to you? 3- What is your proper way of treatment? Islamic view Cultural view

5. Presentation Sensitivity to uro-genital diseases. Emotional ----- somatic. Stigma of mental illness.

6. Illness & behavior Disease : pathophysiological recognized problem. Illness: individual perceptions & behavior of being ill. Illness behavior: the behavior of the pt in response to his illness e.g. seeking help Sick Role : Expected/required behavior of ill person e.g. exemptions from some responsibilities.