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identity and concept of self

The expression of such bereavement is influenced by many factors, among which are social, cultural and economic. In a study of the palliative care experience of Bangladeshi patients and their carers in east London, recent migration, linguistic barriers, religious beliefs and financial issues impacted the ability to optimise pain control in patients and the grieving process of family members; burial of the deceased in Bangladesh and social support from family and friends were potentially helpful in the grieving process ( The importance of culture in the expression of grief was highlighted by a case report of bereavement in an Ethiopian female refugee. Her symptoms of grief were complicated by her inability to perform her culturally sanctioned purification rituals because of her relocation. Compounding her problem, she was erroneously diagnosed at various times due to the use of Western derived diagnostic criteria and a lack of appreciation of the cultural differences in the presentation of grief by clinicians The symptoms of cultural bereavement may be misdiagnosed due to problems with language, culture and the use of Western diagnostic criteria in non- Western peoples. Schreiber noted that traditional healing and purification rituals as well as supportive psychotherapy, after the correct diagnosis was made, were essential in the treatment of this patient’s syndrome.