
Peter Guarnaccia, Ph.D., Professor
Cook Office Building, Room 206
848-932-9231
gortch@sebs.rutgers.edu
Biography: Peter Guarnaccia, Professor I, has contributed to research, conceptual development and applied applications to many of the important areas in culture and mental health research: cultural analyses of psychiatric epidemiology; the integration of cultural syndromes into psychiatric epidemiology and clinical research; family caregiving for a relative with serious mental illness; cultural competence in mental health services research; and processes of culture change among immigrants. To carry out this research program, he employs a creative tension between in-depth, ethnographic studies of individuals in a family context and broader community and national studies employing epidemiological approaches. He was Associate Editor of "Culture, Medicine and Psychiatry" from 2000-2004 and Co-Editor-in-Chief from 2004-2007. He co-edited "A Death Retold: Jesica Santillan, the Bungled Transplant, and Paradoxes of Medical Citizenship," published by the University of North Carolina Press (2006), with Keith Wailoo and Julie Livingston. One current area of publication involves studies of mental health among Latino individuals in the U.S. as part of the National Latino and Asian American (NLAAS) mental health study funded by National Institute of Mental Health. He has just been funded by the National Institute for Child Health and Human Development (NICHD) to carry out a study of "What Makes Acculturation Successful? A Study of Immigrant Students at Rutgers." From 1996-2008, he was the Faculty Director of Project L/EARN, a research training program in mental health research for underrepresented undergraduates. Project L/EARN was funded by the National Institute of Mental Health from 1998-2008. He currently is Faculty Director of an International Service Learning Program on "Community Health in Oaxaca, Mexico."
Current Research
My research contributes to many of the important areas in culture and mental health research: cultural analyses of psychiatric epidemiology; the integration of cultural syndromes into psychiatric epidemiology and clinical research; family caregiving for a relative with serious mental illness; and cultural competence in mental health services. To carry out this research program, I employ a creative tension between in-depth, ethnographic studies of individuals in a family context and broader community and national studies employing epidemiological approaches. My newest research projects are the reconceptualization of acculturation in health and mental health research and work on health and health care issues among Mexican immigrants.Research in Psychiatric Epidemiology
My research in psychiatric epidemiology has been widely influential and frequently cited in bolstering the need for cultural insights in the design and interpretation of studies of Latino mental health in the U.S. While it has been widely accepted by anthropologists that culture significantly shapes both the experience and expression of emotional distress and influences responses to standard psychiatric symptom scales and psychiatric interviews, it took a sophisticated, sustained research program to empirically demonstrate the centrality of culture to epidemiologists and other public health researchers.The best known and most developed aspect of my work has been research on ataques de nervios among Latinos in the U.S. and Puerto Ricans in Puerto Rico. I developed an on-going collaboration with the Behavioral Sciences Research Institute, a multi-disciplinary research program at the University of Puerto Rico Medical School which is an internationally recognized center for psychiatric epidemiology research, to carry out a full-fledged program of research integrating anthropology and epidemiology. This program has identified ataques de nervios as a prominent idiom of distress among Puerto Ricans reflecting both social distress and psychiatric disorder; has re-associated this experience with its appropriate cultural label rather than the stigmatizing term "Puerto Rican Syndrome" by which the experience had been known in psychiatry since the 1960's; and has established the importance of understanding ataques de nervios on their own terms as well as providing insights for relating this experience to psychiatric disorder. Ataques de nervios were included in the "Glossary of Culture-Bound Syndromes" in DSM-IV and updated information will be included in DSM-V.
My current research examines mental health among Latino individuals in the U.S. and in Puerto Rico as part of the National Latino and Asian American (NLAAS) mental health study funded by National Institute of Mental Health.
Health and Health Care of Mexican Immigrants
I am also actively involved in a project entitled Transnational New Brunswick that brings together faculty and students from Rutgers University with members of the Mexican (Oaxacan) community in New Brunswick for a series of research seminars and community action activities. This program is co-organized with Lazos America Unida, a Mexican community advocacy organization.Through my research and applied activities, I examine the social and cultural sources of health and distress among Latinos and work to develop interventions to improve the health of Latino and other under-served communities. I have carried out preliminary research on dietary change among Mexican immigrants from the state of Oaxaca. This work involved focus groups with Mexican immigrants in New Brunswick, NJ and focus groups with people from their home communities in Mexico. These results were presented at the "Health Across Borders II" conference that I organized. Participants included university researchers from Rutgers, community health activists from New Brunswick, and researchers and policy makers from the State University System of Oaxaca (SUNEO) and the Mexican Secretariat of Health.
I am extending these efforts this summer with an International Service Learning Program on "Community Health in Oaxaca, Mexico." This Study Abroad Program will bring students from Rutgers and other universities to Oaxaca to learn about the health issues that people in this economically disadvantaged state in Mexico face and how this serves as one of the push factors in leading to people migrating to the United States.
What Makes Acculturation Successful?
In the late 20th and early 21st Centuries, the United States has been experiencing large scale and continuing immigration of people from around the world, but particularly Latin America and Asia. Estimates are that by 2020, 15% of the U.S. population will be foreign born, surpassing the impacts of immigration on the U.S. at the turn of the 20th Century. This makes understanding processes of acculturation and their relation to successful social adjustment, especially educational attainment, critical issues.This newest project is in the process of development and I have submitted a proposal to the National Institute of Child Health and Human Development (NICHD) to fund his work. This study focuses on resilience factors among immigrant children and their families that promote the ability of immigrant youth to succeed in this important developmental transition. The project involves a study of immigrant students who have entered Rutgers, the State University of New Jersey, to delineate the key processes of adaptation and adjustment that immigrant youth and their families go through to successfully negotiate life in the United States. The study will employ focus groups with 200 immigrant students to understand in-depth their experiences of adaptation and adjustment to U.S. society and the factors that helped them successfully attain college admission. A final product of the study will be the identification of key items for a new acculturation measure.
Selected Publications
- Guarnaccia, P.J., R. Lewis-Fernandez, I. Martinez, P. Shrout, J. Guo, M. Torres, G. Canino, and M. Alegria. 2010. Ataques de nervios as a marker of social and psychiatric vulnerability: Results from the NLAAS. International Journal of Social Psychiatry.
- Lewis-Fernandez, R., P.J. Guarnaccia, and P. Ruiz. 2009. Culture-Bound Syndromes. In: B.J. Sadock, V.A. Sadock, and P. Ruiz, editors. Comprehensive Textbook of Psychiatry. Baltimore, MD: Lippincot, Williams, & Wilkins. P.p. 2519-2538.
- Lewis-Fernandez, R., P.J. Guarnaccia, I.E. Martinez, E. Salman, A. Schmidt and M. Liebowitz. 2009. Comparative Phenomenology of 'Ataques de Nervios,' Panic Attacks, and Panic Disorder. In: D. E. Hinton and B.J. Good, editors. Culture and Panic Disorder. Stanford, CA: Stanford University Press. Pp. 135-156.
- Guarnaccia, P. 2008. Methodological Challenges in Research on the Determinants of Minority Mental Health and Wellness. In: S. Loue and M. Sajatovic, editors. Determinants of Minority Mental Health and Wellness. New York: Springer. Pp. 365-386.
- Guarnaccia, P. and I. Martinez Pincay. 2007. Culture-Specific Diagnoses and their Relationship to Mood Disorders. In: S. Loue and M. Sajatovic, editors. Diversity Issues in the Diagnosis, Treatment and Research of Mood Disorders. New York: Oxford University Press. Pp. 32-53.
- Lopez, S.R. and P.J. Guarnaccia. 2007. Cultural Dimensions of Psychopathology:
The Social World's Impact on Mental Illness. In: J.E. Maddux and B.A. Winstead, Editors. Psychopathology: Foundations for a Contemporary Understanding. New York: Routledge. Pp. 19-38. - Guarnaccia, P.J., I. Martinez Pincay, M. Alegria, P. E. Shrout, R. Lewis-Fernandez and G. J. Canino. 2007. Assessing diversity among Latinos: Results from the NLAAS. Hispanic Journal of Behavioral Sciences 29:510-534.
- Alegria, M., W. Sribney, M. Woo, M. Torres and P. Guarnaccia. Looking beyond nativity: The relation of age of immigration, length of residence, and birth cohorts to the risk of onset of psychiatric disorders for Latinos. Research in Human Development 4:19-47.
- Martinez Pincay, I.E. and P.J. Guarnaccia. 2007 "It's like going through an earthquake": Anthropological perspectives on depression among Latino immigrants. Journal of Immigrant and Minority Health 9:17-28.
- Wailoo, Keith, Julie Livingston and Peter Guarnaccia, eds. 2006. A Death Retold: Jesica Santillan, the Bungled Transplant and Paradoxes of Medical Citizenship. Chapel Hill: University of North Carolina.
- Guarnaccia, P.J., I. Martinez, R. Ramirez & G. Canino. 2005. Are ataques de nervios in Puerto Rican children associated with psychiatric disorder? Journal of the American Academy of Child and Adolescent Psychiatry 44:1184-1192.
- Guarnaccia, P.J. 2003. Editorial: Methodological Advances in the Cross-Cultural Study of Mental Health: Setting New Standards. Culture, Medicine and Psychiatry 27:249-257.
- Guarnaccia, P.J., R. Lewis-Fernandez and M. Rivera Marano. 2003. Toward a Puerto Rican Popular Nosology: Nervios and Ataques de Nervios. . Culture, Medicine and Psychiatry 27:339-366.
- Guarnaccia, P.J. and L. H. Rogler. 1999. Research on Culture Bound Syndromes. American Journal of Psychiatry 156:1322-1327.
- Guarnaccia, P.J. and S. R. Lopez. 1998. The Mental Health and Adjustment of Immigrant and Refugee Children. Child and Adolescent Psychiatric Clinics of North America 7:537-553.
- Guarnaccia, P.J., M. Rivera, F. Franco, C. Neighbors, and C. Allende-Ramos. 1996. The Experiences of Ataques de Nervios: Towards an Anthropology of Emotion in Puerto Rico. Culture, Medicine and Psychiatry 20:343-367.
- Guarnaccia, P. J. And O. Rodriguez. 1996. Concepts of Culture and their Role in the Development of Culturally-Competent Mental Health Services. Hispanic Journal of Behavioral Sciences 18:419-443.
- Guarnaccia, P.J. and P. Parra. 1996. Ethnicity, Social Status and Families' Experiences of Caring for a Mentally Ill Family Member. Community Mental Health Journal 32:243-260.
Teaching/Taught
Spring 2019
11:374:438 Health in the Latino Community (3 credits)
11:374:302 Data Analysis for Human Ecology (3 credits)
Fall 2018
11:374:141 Health & Society (3 credits)
Spring 2017
11:374:437 Culture & Health (3 credits)
11:374:438 Health in the Latino Community (3 credits)
11:374:499 Capstone in Human Ecology (3 credits)
Fall 2016
11:374:141 Health & Society (3 credits)
Spring 2016
11:374:437 Culture & Health (3 credits)
11:374:438 Health in the Latino Community (3 credits)
Fall 2015
11:374:141 Health & Society (3 credits)
Spring 2015
11:374:438 Health in the Latino Community (3 credits)
Fall 2014
11:374:141 Health & Society (3 credits)
Spring 2014
11:374:437 Culture & Health (3 credits)
11:374:438 Health in the Latino Community (3 credits)
Fall 2013
11:374:341 Social and Ecological Aspects of Health and Disease (3 credits)
Spring 2013
11:374:437 Culture & Health (3 credits)
11:374:438 Health in the Latino Community (3 credits)
Fall 2012
11:374:341 Social and Ecological Aspects of Health and Disease (3 credits)
Spring 2012
11:374:437 Culture & Health (3 credits)
11:374:438 Health in the Latino Community (3 credits)
Fall 2011
11:374:341 Social and Ecological Aspects of Health and Disease (3 credits)
Spring 2010
11:374:341 Social and Ecological Aspects of Health and Disease (3 credits)
Faculty Emeriti

Peter Guarnaccia, Ph.D., Professor
Cook Office Building, Room 206
848-932-9231
gortch@sebs.rutgers.edu
Biography: Peter Guarnaccia, Professor I, has contributed to research, conceptual development and applied applications to many of the important areas in culture and mental health research: cultural analyses of psychiatric epidemiology; the integration of cultural syndromes into psychiatric epidemiology and clinical research; family caregiving for a relative with serious mental illness; cultural competence in mental health services research; and processes of culture change among immigrants. To carry out this research program, he employs a creative tension between in-depth, ethnographic studies of individuals in a family context and broader community and national studies employing epidemiological approaches. He was Associate Editor of "Culture, Medicine and Psychiatry" from 2000-2004 and Co-Editor-in-Chief from 2004-2007. He co-edited "A Death Retold: Jesica Santillan, the Bungled Transplant, and Paradoxes of Medical Citizenship," published by the University of North Carolina Press (2006), with Keith Wailoo and Julie Livingston. One current area of publication involves studies of mental health among Latino individuals in the U.S. as part of the National Latino and Asian American (NLAAS) mental health study funded by National Institute of Mental Health. He has just been funded by the National Institute for Child Health and Human Development (NICHD) to carry out a study of "What Makes Acculturation Successful? A Study of Immigrant Students at Rutgers." From 1996-2008, he was the Faculty Director of Project L/EARN, a research training program in mental health research for underrepresented undergraduates. Project L/EARN was funded by the National Institute of Mental Health from 1998-2008. He currently is Faculty Director of an International Service Learning Program on "Community Health in Oaxaca, Mexico."
Current Research
My research contributes to many of the important areas in culture and mental health research: cultural analyses of psychiatric epidemiology; the integration of cultural syndromes into psychiatric epidemiology and clinical research; family caregiving for a relative with serious mental illness; and cultural competence in mental health services. To carry out this research program, I employ a creative tension between in-depth, ethnographic studies of individuals in a family context and broader community and national studies employing epidemiological approaches. My newest research projects are the reconceptualization of acculturation in health and mental health research and work on health and health care issues among Mexican immigrants.Research in Psychiatric Epidemiology
My research in psychiatric epidemiology has been widely influential and frequently cited in bolstering the need for cultural insights in the design and interpretation of studies of Latino mental health in the U.S. While it has been widely accepted by anthropologists that culture significantly shapes both the experience and expression of emotional distress and influences responses to standard psychiatric symptom scales and psychiatric interviews, it took a sophisticated, sustained research program to empirically demonstrate the centrality of culture to epidemiologists and other public health researchers.The best known and most developed aspect of my work has been research on ataques de nervios among Latinos in the U.S. and Puerto Ricans in Puerto Rico. I developed an on-going collaboration with the Behavioral Sciences Research Institute, a multi-disciplinary research program at the University of Puerto Rico Medical School which is an internationally recognized center for psychiatric epidemiology research, to carry out a full-fledged program of research integrating anthropology and epidemiology. This program has identified ataques de nervios as a prominent idiom of distress among Puerto Ricans reflecting both social distress and psychiatric disorder; has re-associated this experience with its appropriate cultural label rather than the stigmatizing term "Puerto Rican Syndrome" by which the experience had been known in psychiatry since the 1960's; and has established the importance of understanding ataques de nervios on their own terms as well as providing insights for relating this experience to psychiatric disorder. Ataques de nervios were included in the "Glossary of Culture-Bound Syndromes" in DSM-IV and updated information will be included in DSM-V.
My current research examines mental health among Latino individuals in the U.S. and in Puerto Rico as part of the National Latino and Asian American (NLAAS) mental health study funded by National Institute of Mental Health.
Health and Health Care of Mexican Immigrants
I am also actively involved in a project entitled Transnational New Brunswick that brings together faculty and students from Rutgers University with members of the Mexican (Oaxacan) community in New Brunswick for a series of research seminars and community action activities. This program is co-organized with Lazos America Unida, a Mexican community advocacy organization.Through my research and applied activities, I examine the social and cultural sources of health and distress among Latinos and work to develop interventions to improve the health of Latino and other under-served communities. I have carried out preliminary research on dietary change among Mexican immigrants from the state of Oaxaca. This work involved focus groups with Mexican immigrants in New Brunswick, NJ and focus groups with people from their home communities in Mexico. These results were presented at the "Health Across Borders II" conference that I organized. Participants included university researchers from Rutgers, community health activists from New Brunswick, and researchers and policy makers from the State University System of Oaxaca (SUNEO) and the Mexican Secretariat of Health.
I am extending these efforts this summer with an International Service Learning Program on "Community Health in Oaxaca, Mexico." This Study Abroad Program will bring students from Rutgers and other universities to Oaxaca to learn about the health issues that people in this economically disadvantaged state in Mexico face and how this serves as one of the push factors in leading to people migrating to the United States.
What Makes Acculturation Successful?
In the late 20th and early 21st Centuries, the United States has been experiencing large scale and continuing immigration of people from around the world, but particularly Latin America and Asia. Estimates are that by 2020, 15% of the U.S. population will be foreign born, surpassing the impacts of immigration on the U.S. at the turn of the 20th Century. This makes understanding processes of acculturation and their relation to successful social adjustment, especially educational attainment, critical issues.This newest project is in the process of development and I have submitted a proposal to the National Institute of Child Health and Human Development (NICHD) to fund his work. This study focuses on resilience factors among immigrant children and their families that promote the ability of immigrant youth to succeed in this important developmental transition. The project involves a study of immigrant students who have entered Rutgers, the State University of New Jersey, to delineate the key processes of adaptation and adjustment that immigrant youth and their families go through to successfully negotiate life in the United States. The study will employ focus groups with 200 immigrant students to understand in-depth their experiences of adaptation and adjustment to U.S. society and the factors that helped them successfully attain college admission. A final product of the study will be the identification of key items for a new acculturation measure.
Selected Publications
- Guarnaccia, P.J., R. Lewis-Fernandez, I. Martinez, P. Shrout, J. Guo, M. Torres, G. Canino, and M. Alegria. 2010. Ataques de nervios as a marker of social and psychiatric vulnerability: Results from the NLAAS. International Journal of Social Psychiatry.
- Lewis-Fernandez, R., P.J. Guarnaccia, and P. Ruiz. 2009. Culture-Bound Syndromes. In: B.J. Sadock, V.A. Sadock, and P. Ruiz, editors. Comprehensive Textbook of Psychiatry. Baltimore, MD: Lippincot, Williams, & Wilkins. P.p. 2519-2538.
- Lewis-Fernandez, R., P.J. Guarnaccia, I.E. Martinez, E. Salman, A. Schmidt and M. Liebowitz. 2009. Comparative Phenomenology of 'Ataques de Nervios,' Panic Attacks, and Panic Disorder. In: D. E. Hinton and B.J. Good, editors. Culture and Panic Disorder. Stanford, CA: Stanford University Press. Pp. 135-156.
- Guarnaccia, P. 2008. Methodological Challenges in Research on the Determinants of Minority Mental Health and Wellness. In: S. Loue and M. Sajatovic, editors. Determinants of Minority Mental Health and Wellness. New York: Springer. Pp. 365-386.
- Guarnaccia, P. and I. Martinez Pincay. 2007. Culture-Specific Diagnoses and their Relationship to Mood Disorders. In: S. Loue and M. Sajatovic, editors. Diversity Issues in the Diagnosis, Treatment and Research of Mood Disorders. New York: Oxford University Press. Pp. 32-53.
- Lopez, S.R. and P.J. Guarnaccia. 2007. Cultural Dimensions of Psychopathology:
The Social World's Impact on Mental Illness. In: J.E. Maddux and B.A. Winstead, Editors. Psychopathology: Foundations for a Contemporary Understanding. New York: Routledge. Pp. 19-38. - Guarnaccia, P.J., I. Martinez Pincay, M. Alegria, P. E. Shrout, R. Lewis-Fernandez and G. J. Canino. 2007. Assessing diversity among Latinos: Results from the NLAAS. Hispanic Journal of Behavioral Sciences 29:510-534.
- Alegria, M., W. Sribney, M. Woo, M. Torres and P. Guarnaccia. Looking beyond nativity: The relation of age of immigration, length of residence, and birth cohorts to the risk of onset of psychiatric disorders for Latinos. Research in Human Development 4:19-47.
- Martinez Pincay, I.E. and P.J. Guarnaccia. 2007 "It's like going through an earthquake": Anthropological perspectives on depression among Latino immigrants. Journal of Immigrant and Minority Health 9:17-28.
- Wailoo, Keith, Julie Livingston and Peter Guarnaccia, eds. 2006. A Death Retold: Jesica Santillan, the Bungled Transplant and Paradoxes of Medical Citizenship. Chapel Hill: University of North Carolina.
- Guarnaccia, P.J., I. Martinez, R. Ramirez & G. Canino. 2005. Are ataques de nervios in Puerto Rican children associated with psychiatric disorder? Journal of the American Academy of Child and Adolescent Psychiatry 44:1184-1192.
- Guarnaccia, P.J. 2003. Editorial: Methodological Advances in the Cross-Cultural Study of Mental Health: Setting New Standards. Culture, Medicine and Psychiatry 27:249-257.
- Guarnaccia, P.J., R. Lewis-Fernandez and M. Rivera Marano. 2003. Toward a Puerto Rican Popular Nosology: Nervios and Ataques de Nervios. . Culture, Medicine and Psychiatry 27:339-366.
- Guarnaccia, P.J. and L. H. Rogler. 1999. Research on Culture Bound Syndromes. American Journal of Psychiatry 156:1322-1327.
- Guarnaccia, P.J. and S. R. Lopez. 1998. The Mental Health and Adjustment of Immigrant and Refugee Children. Child and Adolescent Psychiatric Clinics of North America 7:537-553.
- Guarnaccia, P.J., M. Rivera, F. Franco, C. Neighbors, and C. Allende-Ramos. 1996. The Experiences of Ataques de Nervios: Towards an Anthropology of Emotion in Puerto Rico. Culture, Medicine and Psychiatry 20:343-367.
- Guarnaccia, P. J. And O. Rodriguez. 1996. Concepts of Culture and their Role in the Development of Culturally-Competent Mental Health Services. Hispanic Journal of Behavioral Sciences 18:419-443.
- Guarnaccia, P.J. and P. Parra. 1996. Ethnicity, Social Status and Families' Experiences of Caring for a Mentally Ill Family Member. Community Mental Health Journal 32:243-260.