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The use of psychoactive substances (legal, illegal, or prescribed) continues to be a major public health problem. The prevalence of alcohol and drug use/abuse among Muslims is extremely difficult to determine as it relies upon self-reporting and is a stigmatized behavior. While alcohol and drug consumption are ostensibly forbidden in Islam, some Muslims drink alcohol and take psychoactive substances. Islam takes a strong prohibitive stance and forbids all intoxicants (alcohol, drugs, and tobacco), regardless of the quantity or kind, because any substance that harms the body is prohibited. Islam established a zero-tolerance policy towards addictions. The public health approach in the response to addiction began in the seventh century during the first Islamic caliphate and is based on an abstinence model. In contrast to the abstinence model, due to the increased use of drugs and injecting behavior (and the control of HIV), harm reduction approaches have been adopted by few in the Islamic world.
The increased visibility of the Muslim population suggests the need for health care professionals to gain a better understanding of how the Islamic faith influences health-related perceptions and health care-seeking behaviors. From an Islamic perspective, health is viewed as one of the greatest blessings that God (Allah) has bestowed on humankind. In Islam, illness has three possible meanings: a natural occurrence, punishment of sin, or a test of the believer’s patience and gratitude. Muslims believe that cure comes solely from Allah, even if this is practically in the form of a health professional. Ill health is part of the trials and tribulations of Muslims and a test from Allah. Understanding Muslim patients’ beliefs and health practices, customs, and religious beliefs would be prime factors in the delivery of sensitive and culturally appropriate care to enhance positive health outcomes.
On 15 March 2019, a white supremacist terrorist attacked two mosques in Christchurch, New Zealand. Fifty-one people were killed and another 40 sustained non-fatal gunshot injuries.
Aims
To examine the mental health of the Muslim community, and individual and exposure-related factors associated with mental health outcomes.
Method
This is the baseline analysis of a longitudinal study of adults from the Muslim community interviewed 11–32 months after the shootings. It included a diagnostic interview (MINI), measures of sociodemographic factors, prior mental health, prior traumatic events, exposure in the attacks, discrimination, life stressors, social support and religious coping. Logistic regression models examined associations with mental health outcomes.
Results
The sample comprised 189 participants (mean age 41 (s.d. = 13); 60% female), and included: bereaved, 17% (n = 32); injured survivors 12% (n = 22); non-injured survivors, 19% (n = 36); family members of survivors, 35% (n = 67); and community members without the above exposures, 39% (n = 74). Overall, 61% had at least one mental disorder since the attacks. Those bereaved (P < 0.01, odds ratio 4.28, 95% CI 1.75–10.49) and survivors, whether injured (P < 0.001, odds ratio 18.08, 95% CI 4.70–69.60) or not (P < 0.01, odds ratio 5.26, 95% CI 1.99–13.89), had greater odds of post-traumatic stress disorder. Those bereaved (P < 0.001, odds ratio 5.79, 95% CI 2.49–13.46) or injured (P = 0.04, odds ratio 4.43, 95% CI 1.07–18.28) had greater odds of depression.
Conclusions
Despite unique features of this attack on a Muslim population, findings accord with previous studies. They suggest generalisability of psychopathology after terror attacks, and that being bereaved or directly experiencing such events is associated with adverse mental health outcomes.
Trial registration number
The study is registered on the Australian NZ Clinical Trials Registry (ACTRN12620000909921).
The children of Afghan refugees provide important insight into the way that universities can be crucial sites of racial formation. This chapter explores how second-generation Afghan American college students navigate their racial and ethnic identities and build community on a college campus. The results are drawn from a qualitative study conducted at George Mason University, located in Northern Virginia, which is home to one of the largest Afghan diaspora populations in the country. Findings revealed the disparate impact that the withdrawal of the US military and subsequent arrival of tens of thousands of Afghan refugees into the United States had on students, the role of family and collectivist culture in their decision-making, how ethnic student organizations were a method of ethnic preservation and co-ethnic support, and how attending a university with a large Afghan student population exposed internal conflicts within the community. This chapter provides important insight for universities aiming to create inclusive environments and support the diverse experiences of second-generation immigrants, Muslim, and Afghan American students.
Relying on a spectrum of sources tackling sexual practices ranging from the normative and historical to the didactic and entertaining, this chapter approaches sexuality in ninth- and tenth-century Baghdad as an organizing principle in Abbasid society. It focuses on prescriptive sexuality and sexual ethics as they were regulated and delineated in early Islamic religious texts. Sexual practices, depicted mainly in literary texts, are discussed within the context of the institution of the harem. Finally, nonconformist sexuality is addressed through the lens of an eclectic collection of genres ranging from literature and poetry to medical manuals. A comparative appraisal of the sources shows that while in the caliphal harem concubinage eventually replaced marriage, in elite and common urban households marriage appears to remain the dominant institution. Nonconformist heterosexual and homosexual behaviour was generally depicted as part and parcel of the lifestyles of the urban and ruling elite. A main conclusion is that the influx of enslaved women granted the institution of female slavery a prominent historical and discursive role in shaping the contours of normative and nonconformist sexual relations.
This article begins with a folk idea, or stereotype, attached to the Hui Muslim minority in China: that of being violent. The analysis focuses on how ideas of ethnicity are contextualized in folk or popular narratives about violence. Specifically, cases presented in this article are narratives where different aspects of violence feature either positively or negatively: as a collective ethnic mark of being unreasonable, as martial spirit, as fighting prowess and so forth. This article argues that differently contextualized ideas of being violent or narratives about violent events enable Hui and non-Hui to not only establish ethnic turfs, but also to co-exist and merge ethnic boundaries, rendering ethnic borders open to redrawing and straddling.
Recruiting participants for research from highly traumatised ethnic and faith communities requires a participatory and trauma-informed approach that considers logistic barriers, as well as trauma-related and culture-specific issues. Active community engagement through every stage of the project and employing community members in research roles can help build trust, identify and mitigate concerns early, prevent re-traumatization, and ensure that findings will be of value to the community. Some of these research challenges are discussed in the context of the Christchurch mosque terror attacks. These insights may be helpful for researchers and clinicians working in similarly challenging environments.
In England, Bangladeshi men are amongst the lowest number of people referred to primary care NHS Talking Therapies services and amongst the most likely to have deteriorated (NHS Digital, 2020). Factors related to culture, religion and gender influence stigma and help-seeking (Robinson et al., 2011). Furthermore, a lack of knowledge from services and professionals on cultural understandings of mental distress facilitate a failure to fully understand the needs of individual populations (Faheem, 2023). The aim of this research study was to qualitatively explore stigma and help-seeking for mental health difficulties, within British-Bangladeshi Muslim men in London. Recruitment consisted of men aged 22–59 years, experiencing symptoms of anxiety and/or depression but not accessing formal support. Ethical approval was obtained from Royal Holloway, University of London. After an online screening questionnaire, individual semi-structured video interviews were completed between May and October 2020. Reflexive thematic analysis presented six over-arching themes: ‘different understanding of mental health’, ‘traditional cultural expectations’, ‘fear and loss’, ‘coping resources’, ‘barriers to access’ and ‘community outreach and collaboration’. Many factors were highlighted as barriers accessing support, such as stigma and trust in services. Key practice implications are highlighted for services and practitioners. Professionals must understand the factors which impact the wellbeing of Bangladeshi men, how to better meet the needs of the community, and remove barriers to help. Participants also suggested initiatives to raise mental health awareness and reduce stigma, as an inclusive approach is needed with greater listening to communities and partnerships with local authorities.
Key learning aims
(1) To better understand the needs of the population and factors which impact wellbeing.
(2) To consider the muti-faceted barriers to access mental health support, such as CBT, and how to address these.
(3) To unpack what stigma means (internally and externally) for men in the population.
(4) How to support low- and high-intensity CBT practitioners to better work therapeutically to support Bangladeshi men.
Pediatric health-care workers often care for families of minority religious backgrounds, but little is known about their perspective in providing culturally and spiritually appropriate care for Muslim patients. We aimed to (1) characterize the attitudes, knowledge, and skills of health-care workers in the care of critically ill Muslim children and (2) evaluate preferences for different educational interventions to improve care of critically ill Muslim children.
Methods
We administered a single-center, cross-sectional, 33-question, electronic survey of interdisciplinary health-care workers in a large pediatric intensive care unit in New York City to characterize their attitudes, knowledge, and skills in caring for critically ill Muslim children.
Results
Of 413 health-care workers surveyed, there were 109 (26%) respondents. Participants responded correctly to 51.7 ± 22.2% (mean ± SD) and 69.2 ± 20.6% of background knowledge and clinical skills questions, respectively. Only 29.8% of participants perceived adequate institutional resources to provide culturally competent care to Muslim patients and their families. Participants identified end-of-life care (47.5%) and bioethical concerns (45%) as needed areas for additional institutional resources. When asked about support to aid in caring for Muslim patients, 43.4% of participants requested a team of Muslim health-care workers to provide guidance. Participants most often requested video-based training modules (32.5%) and written materials (30%) as potential educational interventions.
Significance of results
We identify gaps in health-care worker knowledge and skills in the care of the critically ill Muslim child. We also describe possible areas for intervention to facilitate culturally and spiritually appropriate care delivery to Muslim children and families.
Pediatric palliative care services improve the quality of life for children with life-limiting and life-threatening diseases, although little has been published about variation based on cultural and religious factors. This article sets out to describe clinical and cultural characteristics of pediatric end-of-life patients in a majority Jewish and Muslim country with religious and legal constraints around end-of-life care.
Methods
We conducted a retrospective chart review of 78 pediatric patients who died during a 5-year period and could potentially have utilized pediatric palliative care services.
Results
Patients reflected a range of primary diagnoses, most commonly oncologic diseases and multisystem genetic disorders. Patients followed by the pediatric palliative care team had less invasive therapies, more pain management and advance directives, and more psychosocial support. Patients from different cultural and religious backgrounds had similar levels of pediatric palliative care team follow-up but certain differences in end-of-life care.
Significance of results
In a culturally and religiously conservative context that poses constraints on decision-making around end-of-life care, pediatric palliative care services are a feasible and important means of maximizing symptom relief, as well as emotional and spiritual support, for children at the end of life and their families.
This article provides a textured history of the multivalent term “hindu” over 2,500 years, with the goal of productively unsettling what we think we know. “Hindu” is a ubiquitous word in modern times, used by scholars and practitioners in dozens of languages to denote members of a religious tradition. But the religious meaning of “hindu” and its common use are quite new. Here I trace the layered history of “hindu,” part of an array of shifting identities in early and medieval India. In so doing, I draw upon an archive of primary sources—in Old Persian, New Persian, Sanskrit, Prakrit, Hindi, Marathi, Bengali, and more—that offers the kind of multilingual story needed to understand a term that has long cut across languages in South Asia. Also, I do not treat premodernity as a prelude but rather recognize it as the heart of this tale. So much of South Asian history—including over two thousand years of using the term “hindu”—has been misconstrued by those who focus only on British colonialism and later. We need a deeper consideration of South Asian pasts if we are to think more fruitfully about the terms and concepts that order our knowledge. Here, I offer one such contribution that marshals historical material on the multiform and fluid word “hindu” that can help us think more critically and precisely about this discursive category.
Sectarian divisions within the Islamic world have long been misunderstood and misconstrued by the media and the general public. In this book, Adam R. Gaiser offers an accessible introduction to the main Muslim sects and schools, returning to the roots of the sectarian divide in the Medieval period. Beginning with the death of Muhammed and the ensuing debate over who would succeed him, Gaiser outlines how the umma (Muslim community) came to be divided. He traces the history of the main Muslim sects and schools – the Sunnis, Shi'ites, Kharijites, Mu'tazila and Murji'a – and shows how they emerged, developed, and diverged from one another. Exploring how medieval Muslims understood the idea of 'sect', Gaiser challenges readers to consider the usefulness and scope of the concept of 'sectarianism' in this historical context. Providing an overview of the main Muslim sects while problematising the assumptions of previous scholarship, this is a valuable resource for both new and experienced readers of Islamic history.
The chapter focuses on religious and ethnic affiliation as social factors that influence the structure of variation in several Arabic-speaking communities. We go beyond the simplistic correlations between religious/ethnic groupings and language, and seek to uncover the histories and social meanings of variation based on such groupings. We include examples, both old and new, to illustrate variation according to these factors.
A History of Anti-Semitism examines the history, culture and literature of antisemitism from antiquity to the present. With contributions from an international team of scholars, whose essays were specially commissioned for this volume, it covers the long history of antisemitism starting with ancient Greece and Egypt, through the anti-Judaism of early Christianity, and the medieval era in both the Christian and Muslim worlds when Jews were defined as 'outsiders,' especially in Christian Europe. This portrayal often led to violence, notably pogroms that often accompanied Crusades, as well as to libels against Jews. The volume also explores the roles of Luther and the Reformation, the Enlightenment, the debate over Jewish emancipation, Marxism, and the social disruptions after World War 1 that led to the rise of Nazism and genocide. Finally, it considers current issues, including the dissemination of hate on social media and the internet and questions of definition and method.
Chapter 2 provides an in-depth exploration of the more open state opposition structure of the Hosni Mubarak regime – which groups were co-opted, which were included and allowed to participate, and which were excluded from formal political participation – and traces the impact of these different types of opportunity structures on the political and outreach activities that different groups undertook. We see that opposition groups that were excluded from the formal political system, such as Islamist groups and pro-reform umbrella groups, adjusted their strategies in response to exclusion and were alternately tolerated and repressed by the regime. During periods of toleration, these groups – especially Islamist groups – were able to establish an extensive grassroots presence through charities, community self-help organizations, private mosques, and individual religious outreach activities. These activities at the grassroots level, while not always directly confronting the state, constituted the construction of a “parallel society” that quietly contested the regime’s legitimacy. During periods of repression, members of these groups retreated underground and into informal networks until they found new venues through which to engage with their communities.
Faiz’s literary pursuits are difficult to disentangle from the wider political trajectory out of which he emerged and impacted. I argue that Faiz Ahmed Faiz’s ethical self-fashioning as a political subject was deeply rooted within Perso-Arabic, Indo-Persian, and Urdu literary traditions even as he became increasingly invested in internationalist solidarity. I show that Faiz’s poetry, deeply rooted in Urdu literary and ethical traditions and composed during incarceration and exile, demonstrated his revulsion for the narrow confines of territorial nationalism and the authoritarianism of the postcolonial state.
This chapter contends that Manto’s trials signify a paradoxical sociopolitical context when it came to questions of women and sexuality: middle-class women became more visible in public and more highly educated in the formal sense, but there was also a shift in expressions of sexuality. This chapter argues that a complex and critical reassessment of Manto’s ethical self-fashioning through an examination of official documents, literary materials, and debates within progressive literary circles over representations of sexuality, enhances an understanding of the larger cultural and political developments of a turbulent period when it comes to the politics of sexuality. Finally, moral discourses, particularly around sexuality, were also prevalent within progressive, communist, and socialist intellectual circles as well, giving rise to hegemonic definitions and distinctions about who constituted the ideal literary progressive.
“Feminist Literary Ethics and Censorship,” is devoted to historically contextualizing the work of feminist Urdu poets of the 1970s and 1980s in Pakistan. It argues that the burgeoning of feminist Urdu literature in this period represents a revitalization of the progressive literary movement, which is often schematized as having come to an end by 1950s or 1960s. The chapter begins by tracing the genealogies and the long history of South Asian Muslim women’s writing in Urdu, the gender politics and patriarchal modes of Urduphone progressive intellectual spaces, and Pakistani nationalism. Then it turns to the life, work, and context of the Urduphone intellectual and feminist poet and writer Fahmida Riaz (1946–2018) who was at the vanguard of feminist politico-literary transformations in Pakistan.
A historiography of South Asian Muslim nationalism and the place of Urdu progressive literature within a broader political context of independence struggles against colonial rule in India and Pakistan.