Shame and fear of both judgment and exposure are further inhibitors to service engagement within the community. Cultural and social norms have a great influence on how people attempt to solve problems. It also impinges upon how we seek and use professional assistance and help. Differences exist between societies and cultures and this must be taken into account in any attempt to approach any relationship in a trans-cultural context. The majority of current approaches to helping are heavily influenced by a white, mainly male, middle-class, formally educated Western approach. These do not necessarily find an immediate resonance with other groups, whether defined by race, ethnicity or …show more content…
There is a close connection between social and physical stress on the one hand and psychological distress on the other. Case reports by Exchange House Service for Travellers in Dublin suggest high rates of mental illness that are not being addressed except through prescriptions for tranquilizers. In a project looking at domestic violence, it became apparent that Traveller men had high levels of suppressed anger about their situation, but had no one to talk to in order to seek help. Figures have also been quoted suggesting that up to 10% of residents of the Central Mental Hospital are Travellers, more than ten times their share of the population would