*Contributed equally to this work.
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Living without psychiatrists in the Andes: Plight and resilience of the Quichua (Inca) People
Article first published online: 30 SEP 2010
DOI: 10.1111/j.1758-5872.2010.00072.x
Copyright © 2010 Blackwell Publishing Asia Pty Ltd
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How to Cite
Incayawar, M., Bouchard, L. and Maldonado-Bouchard, S. (2010), Living without psychiatrists in the Andes: Plight and resilience of the Quichua (Inca) People. Asia-Pacific Psychiatry, 2: 119–125. doi: 10.1111/j.1758-5872.2010.00072.x
Publication History
- Issue published online: 30 SEP 2010
- Article first published online: 30 SEP 2010
- Received: 16 December 2009 Accepted 4 April 2010
- Abstract
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- Cited By
Keywords:
- health inequities;
- indigenous peoples;
- mental health;
- Quichua;
- South America
Abstract
There is an estimated 30 million indigenous peoples in South America. Most of them live in the Andes. Regional states and governments neglect their health care needs and exclude them from the conventional Western health services in general and mental health care in particular. This review first describes this population's current situation of social exclusion, poverty and poor health. The problem of mental health care inequities in the region is illustrated through the case of the Quichua people. Indeed, for the population of over 5 million Quichua people in Ecuador, there are no psychiatric services. There are no culturally sensitive services offered in the Quichua language. The doctor–Quichua patient communication is poor and interactions are loaded with prejudice. The review provides a rationale for the Quichuas' reluctance to seek medical doctors in Ecuador. Finally, traditional healers' contribution to the mental health care of indigenous peoples is stressed, as well as their preference for a form of medical pluralism, mainly combining both traditional Quichua medicine and Western medicine. Woeful inequalities and inaccessibility to psychological and biomedical psychiatric care still widely affect the children of the sun in the Pacific Rim.