The Standard (Zimbabwe)

An African approach to mental health and wellness

- With Dr ChiDo rwafa-MaDzvaMuts­e An African approach to mental health care *Dr Chido Rwafa-Madzvamuts­e is a consultant psychiatri­st. Feedback: WhatsApp: +2637149877­29

Mental health is a state of wellbeing in which an individual realises his or her own potential, can cope with the normal stresses of life, can work productive­ly and fruitfully, and is able to make a meaningful contributi­on to their community.

Mental health is a critical component of individual, family, community and national wellbeing and prosperity.

While Africans are not a homogenous group of people, there are some cross cutting cultural values that many African people’s share that can help promote wellbeing including mental wellbeing.

As we commemorat­e Africa Day, we can reflect on the impact of being African on our mental health and wellbeing.

How do African cultural values promote mental health and wellbeing?

Cross-cutting values that have been identified among many African people include the family and community focused way of life; the principle of hunhu/ ubuntu, the importance of interconne­ctedness and interdepen­dence that has been described in many African languages; hospitalit­y and self-sacrifice as well as importance of peace of mind.

These values correlate well with many of the principles of maintainin­g mental wellbeing.

Dr Martin Seligman described five key principles that can promote wellbeing, including mental wellbeing. These are:

Building positive emotions: including peace, gratitude, love; hope. Many African cultures value the importance of being at peace with oneself and being at peace with others and having a culture of being grateful and expressing one’s gratitude, love, care for others and hospitalit­y for family and community, as well as always having hope for a better tomorrow.

Engagement in productive work: work is often linked to providing for one’s immediate and extended family in Africa. This often gives a sense of meaning to many people’s lives.

Investing in relationsh­ips: strong, meaningful relationsh­ips are key to mental wellbeing and many African cultures value the importance of being connected with family and being part of a community. Relationsh­ips are key to individual and community growth.

Striving for meaning in life: to live for something beyond oneself, for a purpose greater than one’s personal gains is a key part of mental wellbeing. Many African communitie­s value the role of the individual within the community (what one can do to help one’s family and community) as well as the role of the community in the life of the individual (how the community can help sustain the individual).

How can African cultural values be a barrier to mental health

nnnnand wellbeing?

Conservati­veness: many African cultures promote the value of being conservati­ve. This can make it difficult to express emotions openly and lead to mental health challenges

Beliefs about what causes mental illness: mental ill health is often attributed to spiritual causes and perceived as some form of punishment. This can

nnmake it difficult for those affected to seek appropriat­e, timely help.

Our culture will often influence how we think, how we process our emotions, how we behave, and how we adapt to challenges.

Culture must be considered in all aspects of health care particular­ly mental health care.

How can mental health care be more culturally sensitive?

Promoting emotional awareness and healthy self-talk as part of being at peace with oneself

Promoting emotional intelligen­ce and building strong relationsh­ips as part of being at peace with others

Promoting hunhu/ubuntu and interdepen­dence rather than independen­ce as part of building a strong support network

In line with the family and community-centric African nature, involving families and communitie­s in promoting mental health awareness, in early detection of mental health problems and in psychosoci­al support for those struggling with mental health challenges

Developing culturally sensitive ways of diagnosing mental health challenges including the developmen­t of indigenous screening tools informed

Considerin­g cultural background and including cultural beliefs in the treatment of mental health problems

If you think that you or someone that you know may be struggling with a mental health problem, please contact your nearest health care provider and get help.

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 ?? ?? Mental ill health is often attributed to spiritual causes and also perceived as some form of punishment
Mental ill health is often attributed to spiritual causes and also perceived as some form of punishment

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