Cultural Conceptions of Mental Health and Therapy

1. Front Matter

   Pages i-xii

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2. Cultural Conceptions of the Person and Health

   1. Front Matter

      Pages 1-1

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   2. Introduction: Cultural Conceptions in Mental Health Research and Practice

      • Geoffrey M. White, Anthony J. Marsella

      Pages 3-38

   3. Culture and Psychiatric Illness: Biomedical and Ethnomedical Aspects

      • Horacio Fabrega Jr.

      Pages 39-68

   4. The Ethnographic Study of Cultural Knowledge of “Mental Disorder”

      • Geoffrey M. White

      Pages 69-95

   5. Does the Concept of the Person Vary Cross-Culturally?

      • Richard A. Shweder, Edmund J. Bourne

      Pages 97-137

3. Cultural Conceptions of Mental Disorder

   1. Front Matter

      Pages 139-139

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   2. Toward a Meaning-Centered Analysis of Popular Illness Categories: “Fright Illness” and “Heart Distress” in Iran

      • Byron J. Good, Mary-Jo Delvecchio Good

      Pages 141-166

   3. Cultural Definitions, Behavior and the Person in American Psychiatry

      • Atwood D. Gaines

      Pages 167-192

   4. Samoan Folk Knowledge of Mental Disorders

      • Dorothy C. Clement

      Pages 193-213

   5. Popular Conceptions of Mental Health in Japan

      • Margaret Lock

      Pages 215-233

   6. Science and Psychological Medicine in the Ayurvedic Tradition

      • Gananath Obeyesekere

      Pages 235-248

4. Cultural Conceptions of Therapy

   1. Front Matter

      Pages 249-249

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   2. The Unbounded Self: Balinese Therapy in Theory and Practice

      • Linda Connor

      Pages 251-267

   3. Self-Reconstruction in Japanese Religious Psychotherapy

      • Takie Sugiyama Lebra

      Pages 269-283

   4. Psychotherapy and Emotion in Traditional Chinese Medicine

      • David Y. H. Wu

      Pages 285-301

   5. Shaman-Client Interchange in Okinawa: Performative Stages in Shamanic Therapy

      • William P. Lebra

      Pages 303-315

   6. Sunao: A Central Value in Japanese Psychotherapy

      • Takao Murase

      Pages 317-329

5. Issues and Directions

   1. Front Matter

      Pages 331-331

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   2. The Intercultural Context of Counseling and Therapy

      • Paul Pedersen

      Pages 333-358

Within the past two decades, there has been an increased interest in the study of culture and mental health relationships. This interest has extended across many academic and professional disciplines, including anthropology, psychology, sociology, psychiatry, public health and social work, and has resulted in many books and scientific papers emphasizing the role of sociocultural factors in the etiology, epidemiology, manifestation and treatment of mental disorders. It is now evident that sociocultural variables are inextricably linked to all aspects of both normal and abnormal human behavior. But, in spite of the massive accumulation of data regarding culture and mental health relationships, sociocultural factors have still not been incorporated into existing biological and psychological perspectives on mental disorder and therapy. Psychiatry, the Western medical specialty concerned with mental disorders, has for the most part continued to ignore socio-cultural factors in its theoretical and applied approaches to the problem. The major reason for this is psychiatry's continued commitment to a disease conception of mental disorder which assumes that mental disorders are largely biologically-caused illnesses which are universally represented in etiology and manifestation. Within this perspective, mental disorders are regarded as caused by universal processes which lead to discrete and recognizable symptoms regardless of the culture in which they occur. However, this perspective is now the subject of growing criticism and debate.

• Ethnographic Study
• counseling
• health
• psychiatry
• stress
• therapy

`This volume represents a major contribution to the field of culture and mental health. While the field lacks a unified paradigm for its diverse areas of inquiry, it is united in its endeavor to question the relevance of the reductionistic biomedical `disease model'. The evidence presented here supporting the role of cultural factors in the etiology, expression, course, and outcome of mental disorders is overwhelming. At the same time, the work eludicates many conceptual and methodological issues that remain unresolved.'
Medical Anthropology Quarterly, 1:1 (1987)
`Each section is in itself a worthy volume on its own. The four sections together combine to give the breadth and depth of conceptions to satisfy one's most rigorous intellectual, theoretical and clinical demands. ... This is a book that is a must on the reading list of every worker in the field of culture and mental health - psychiatrists, psychologists, anthropologists, social workers and serious scholars who have an interest in the study of the human mind and the human spirit in cultural context. The editors and authors are to be congratulated on such a marvellously rich volume.'
Journal of Intercultural Studies, 6:2

• University of Hawaii, Honolulu, USA

  Anthony J. Marsella

• East-West Center, Honolulu, USA

  Geoffrey M. White

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