'What is normal today may not be normal in a year's time': Dr. Dinesh Bhugra on the idea of 'normal' in psychiatry

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'What is normal today may not be normal in a year's time': Dr. Dinesh Bhugra on the idea of 'normal' in psychiatry
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Nicoletta Lanese is the health channel editor at Live Science and was previously a news editor and staff writer at the site. She holds a graduate certificate in science communication from UC Santa Cruz and degrees in neuroscience and dance from the University of Florida.

Dr. Dinesh Bhugra became interested in psychiatry while dissecting cadavers in medical school in Pune, India. From the inside, the bodies looked so similar, yet people think and behave so differently, he mused. He became fascinated with the forces that shape differences in behavior, eventually focusing on culture.

Dr. Dinesh Bhugra: I think there are still gaps. Quite often as clinicians, we do not have enough time to explore everything. I've seen it in places like India, where the consultation is so short. So, you know, a patient starts speaking, you kind of give them a prescription — but it is much more than that.

And I think that needs to shift. … It's incredibly important to see the individual as an individual rather than as a set of symptoms. DB: It's about"What's normal?" And again, from a cultural perspective, what's normal in one culture is not normal in another. Particularly from a psychiatric point of view, we need to be sensitive to those variations and variables. And it's also worth considering that what is normal today may not be normal in a year's time; what was normal 50 years ago may not be acceptable, may be seen as deviant now.

DB: I always start off by saying that,"Everybody has at least one prejudice." So the challenge really is, how do you know what it is and what are you going to do about it? That's the starting point in that dialogue about being aware of one's own biases, whether they're conscious or unconscious, whether they are visible or not.

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