Obsessive-Compulsive Disorder and Cultural Issues

Abstract This chapter discusses the cross-cultural understanding of obsessive-compulsive disorder (OCD). Epidemiological studies suggest a reasonably consistent prevalence of OCD around the world. The role of culturally influenced factors (such as religiosity and beliefs) in the presentation of OCD is also considered, with religion being considered particularly important in the presentation of OCD, although not in its prevalence per se. The influence of cultural factors on help-seeking behaviors and its role in assessment (including misdiagnosis) is considered. The importance of culture for treatment is also discussed, including the role of religious factors, along with other issues relating to working with clients from minority cultures. Limitations of the literature base are discussed, particularly the lack of non-Western studies and the lack of comparative cross-cultural studies.