How to Fail a Scale: Reflections on a Failed Attempt to Assess Resilience.

Journal: Culture, medicine and psychiatry

Volume: 43

Issue: 2

Year of Publication: 2019

Affiliated Institutions:  Walsh School of Foreign Service, Georgetown University, Washington, DC, USA. em@georgetown.edu. Medical Research Council/Wits Developmental Pathways for Health Research Unit, Department of Pediatrics, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.

Abstract summary 

How we interpret concepts from suffering to survival has been historically debated in the field of anthropology, transcultural psychiatry, and global mental health. These debates have centered on the notion that such concepts are cross-culturally reproducible, although scholars who work the boundaries of culture, medicine, and psychiatry often triangulate methods from internationally standardized scales to various interpretive methods from participant observation to narrative. This article considers resilience, as opposed to suffering, as the subject of a reproducible entity by discussing the failure of an attempt to capture resilience via an internationally reputed scale called the "Resilience Scale for Adults" among cancer patients in urban South Africa. Our effort to utilize the internationally validated scale, and our attempt to draw on ethnographic and interview work to translate this scale to a locally relevant entity failed due to linguistic, cultural, and practical issues. In brief, the attempt failed because our resilience scale was too long, syntactically ambiguous, and culturally inappropriate. We write this article to spur a larger conversation about evaluating resilience from scale to ethnography, and how the concept and measurement of resilience might figure into fields of anthropology and medicine.

Authors & Co-authors:  Mendenhall Emily E Kim Andrew Wooyoung AW

Study Outcome 

Source Link: Visit source

Statistics
Citations :  Int J Methods Psychiatr Res. 2005;14(1):29-42
Authors :  2
Identifiers
Doi : 10.1007/s11013-018-9617-4
SSN : 1573-076X
Study Population
Male,Female
Mesh Terms
Adult
Other Terms
Anthropology;Psychometric measurement;Resilience
Study Design
Ethnographic Study,Cross Sectional Study
Study Approach
Country of Study
South Africa
Publication Country
Netherlands