Expression of emotion in the British South Asian Diaspora: A Qualitative Study

Background Expressed Emotion (EE) captures ways in which emotions are expressed within a family environment. Research has found that EE in families has an impact on psychiatric illness, in particular psychosis, such that it increases risk of relapse. EE was conceptualised by research conducted in the UK. Thus, behaviours defined as pathological were largely based on Caucasian samples adhering to UK norms. Cross-cultural variations have been found in the expression of EE and its relationship with clinical outcomes. A more culturally appropriate understanding of norms surrounding the expression of emotion across cultures is required. AimsThis study aims to use a bottom-up approach to provide a culturally specific understanding of family relationships and the expression of emotion across non-clinical UK-based South Asian families. MethodsSemi-structured interviews were conducted with 18 South Asian participants to explore their relationships with a significant other. Interviews were analysed using thematic analysis. ResultsFour main themes were generated: expression of love, setting boundaries, inter-generational differences and acceptance. ConclusionThe findings indicate considerable cultural variability within emotional expression and highlight the need to interpret EE in the context of socio-cultural norms. Whilst certain expressions of emotion that are considered pathological in Western contexts are present in the UK-based South Asian diaspora, these are perceived as less problematic, indicative of varying cultural norms.