Based on international research, this collection incorporates a critical analysis of World Health Organization cross-cultural findings. Contributors share an interest in subjective and interpretive aspects of illness, while maintaining the concept of schizophrenia that addresses its biological aspects. The volume is of interest to scholars in the social and human sciences, and of practical relevance not only to psychiatrists, but all mental health professionals encountering the clinical problems bridging culture and psychosis.
Author(s): Janis Hunter Jenkins, Robert John Barrett
Series: Cambridge Studies in Medical Anthropology
Publisher: Cambridge University Press
Year: 2003
Language: English
Pages: 382
Cover......Page 1
Half-title......Page 3
Series title......Page 5
Title......Page 7
Copyright......Page 8
Contents......Page 9
Contributors......Page 11
Preface......Page 17
Acknowledgments......Page 21
Background to the Collection......Page 25
Disorders of Schizophrenia......Page 26
Cultural Orientations......Page 28
Subjective Experience......Page 31
Introduction to the Three Parts: Themes and Cross-Currents......Page 34
Culture, Self, and Experience......Page 35
Four Approaches for Investigating the Experience of Schizophrenia......Page 38
Subjectivity and Emotion......Page 41
Clinical Implications......Page 44
REFERENCES......Page 47
Part 1 Culture, Self, and Experience......Page 51
1 Schizophrenia as a Paradigm Case for Understanding Fundamental Human Processes......Page 53
Culture Theory, Schizophrenia, and Human Processes......Page 56
The Self and Self-Processes......Page 59
The Feel of Schizophrenia......Page 65
Social Engagement, Cultural Orientation......Page 71
Conclusion......Page 75
NOTES......Page 76
REFERENCES......Page 79
An Epidemiological Provocation......Page 86
Uses of Culture in the WHO-Collaborative Studies of Schizophrenia......Page 88
When Attention Was Paid: Explicit Attempts To Take Culture into Account......Page 92
ISoS – Promise and Limits......Page 93
The Developed Versus Developing Differential in Course and Outcome Is Consistent......Page 95
Potential Sources of Bias and Confounding Can’t Explain the ISoS Findings......Page 96
Reclaiming Culture......Page 99
NOTES......Page 104
REFERENCES......Page 106
First-Rank Symptoms in Cross-Cultural Context......Page 111
The Iban......Page 114
Translating the PSE: Sociolinguistic Considerations......Page 115
Translating the PSE: Hearing versus Thinking......Page 119
Auditory Hallucinations: Qualitative and Quantitative Findings......Page 123
Subjective Thought Disorder: Qualitative and Quantitative Findings......Page 125
Accounting for Difference......Page 128
Conclusion......Page 129
REFERENCES......Page 132
4 Living Through a Staggering World: The Play of Signifiers in Early Psychosis in South India......Page 134
Rethinking the Course and Evolution of Schizophrenia......Page 135
Walking a Thin Line......Page 136
Questions of Method......Page 138
The Alteration of Experience in Early Schizophrenia......Page 141
An Altered Atmospheric Quality......Page 142
Loose Frontiers......Page 143
Confusion......Page 144
Afflictions of the Embodied Self......Page 147
Causality and Significance......Page 148
Inscribing the Experience within a Religious Frame......Page 152
Taking a Distance: Withdrawal to Protect an Inner Space......Page 155
The Hazards of Context Sensitivity......Page 158
Significance and Meanings......Page 161
Elaborating an Inner Space......Page 162
The Pragmatics of Culture......Page 164
NOTES......Page 165
REFERENCES......Page 167
Introduction......Page 170
Background......Page 171
On the Edge of (Clinical) Experience......Page 172
Apprehended in and by the Body......Page 173
Analogy 1 – Primitivism......Page 175
Analogy 2 – Society as Mental Illness......Page 176
Analogy 3 – Art and Madness as Equally Strange Artifacts......Page 178
Participants’ Culture......Page 180
Culture and Method......Page 183
Conclusion......Page 184
NOTES......Page 185
REFERENCES......Page 186
Part 2 Four Approaches for Investigating the Experience of Schizophrenia......Page 189
6 Experiences of Psychosis in Javanese Culture: Reflections on a Case of Acute, Recurrent Psychosis in Contemporary Yogyakarta, Indonesia......Page 191
The Case of Yani......Page 195
Remitting Psychoses: Diagnosis, Course, Experience......Page 205
Background......Page 207
Yani and her Javanese Lifeworld......Page 209
Conclusions......Page 213
NOTES......Page 214
REFERENCES......Page 216
Schizophrenia and PMacrongalMacronmi: Dual Perspectives on Bangladeshi Cases......Page 220
Gendered Identity and Language in Bangladesh......Page 221
PMacrongalMacronmi: Bangladeshi Models of Madness......Page 223
“Madness” and the Rhetorics of Bangladeshi Self hood......Page 225
Subjectivity, Intersubjectivity, and Empirical Research: Interpreting Naturalistic Interaction......Page 226
Rani: A Case Study......Page 229
Transcription Conventions......Page 231
Conclusion......Page 237
NOTES......Page 239
REFERENCES......Page 240
8 Innovative Care for the Homeless Mentally Ill in Bogota, Colombia......Page 243
Fundacion Granja Taller (FUNGRATA)......Page 245
Patients’ Experiences: The Homeless Come Home......Page 247
From Marauding Viking to Security Guard (BQ)......Page 248
The Potion (KR)......Page 250
The Walking Woman (NQ)......Page 251
I Love Begging (NN)......Page 253
The Spell (IF)......Page 254
Superman of the Volcano (EQ)......Page 256
Conclusion: The Subjective Experience of Change......Page 257
REFERENCES......Page 260
9 Symptoms of Colonialism: Content and Context of Delusion in Southwest Nigeria, 1945–1960......Page 262
Background to Colonial Nigeria’s Asylum Policies......Page 263
Reading Patients’ Writing......Page 266
Conclusion: Content and Context of Delusion......Page 272
REFERENCES......Page 274
Part 3 Subjectivity and Emotion......Page 277
10 Madness in Zanzibar: An Exploration of Lived Experience......Page 279
Methods and Participants......Page 280
Families, Self, and Emotion in the Swahili Culture of Zanzibar......Page 281
The Household of Amina, Hemed, and Kimwana......Page 286
The Household of Khadija and Yusuf......Page 291
Shazrin’s Extended Family......Page 296
Conclusion......Page 302
REFERENCES......Page 303
11 Subject/Subjectivities in Dispute: The Poetics, Politics, and Performance of First-Person Narratives of People with Schizophrenia......Page 306
Schizophrenia in and as Dispute......Page 308
Domains of Dispute......Page 309
You Don’t Get It – You Can’t Get It......Page 310
Authority Begets Authenticity/Authenticity Begets Authority......Page 311
Schizophrenia: What, Who, and How to Respond......Page 314
Symptoms and Sequelae of Treatment......Page 315
The Personal Politics of Treatment: Who Makes the Rules and Roles......Page 317
Performing the Struggle......Page 320
Writing the Rage......Page 321
Concluding Thoughts......Page 322
NOTES......Page 324
REFERENCES......Page 325
Introduction......Page 327
Loss of Natural Self-Evidence......Page 329
“Basic Disturbance” and “Basic Symptoms”......Page 331
The “Intentional Arc” and the “Tacit Dimension”......Page 334
Cultural Frameworks......Page 338
Modernity......Page 342
Conclusion......Page 345
NOTES......Page 347
REFERENCES......Page 349
13 Subjective Experience of Emotion in Schizophrenia......Page 353
Historical Perspectives and Emotional Symptoms of Schizophrenia......Page 354
Psychological Research on Emotion in Schizophrenia......Page 356
Anhedonia in Schizophrenia......Page 359
Do Schizophrenia Patients Experience Less Positive Emotion?......Page 361
Schizophrenia Patients’ Emotions about their Illness......Page 362
Unresolved Issues......Page 364
Conclusions, Clinical Implications, and Future Directions......Page 366
REFERENCES......Page 367
Index......Page 373
