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This book is about the largest debate that has occurred in the field of cultural psychiatry and its impact on diagnosing, theorizing, and clinical practice. It is also about the role of culture in psychopathology specifically in relation to China. This book is the first comprehensive and critical assessment of the anthropological psychiatry that has provided Western physicians with their ideas about somatization and culture. It is argued that psychiatric nosology and the broader cultural milieu interact in a fascinating way and co-facilitate individual conformity to culturally salient categories, consciously or unconsciously, through a process of belief, expectation, and learning. The result is that codified experiences can be translated from the mind to the body and back again. Through a critical evaluation of the Neurasthenia-Depression controversy, we can gain a view of the contested and shifting nature of psychiatric nosology, and thereby attempt to introduce the beginnings of a model that elucidates how psychiatric distress varies across cultures. This timely book challenges conventional wisdom about neurasthenia and depression in Chinese societies. Its findings will be of value to anyone who works with Chinese people with these mental illnesses across the global diaspora.
This book explores the condition of sexual neurasthenia, a nervous disorder that was thought to be caused by excessive sexual activity or moral decay. It provides information on the hygiene, causes, symptoms, and treatment of this condition, as well as a chapter on diet for the nervous. This classic medical text is still relevant today and provides a unique insight into the history of medicine. This work has been selected by scholars as being culturally important, and is part of the knowledge base of civilization as we know it. This work is in the "public domain in the United States of America, and possibly other nations. Within the United States, you may freely copy and distribute this work, as no entity (individual or corporate) has a copyright on the body of the work. Scholars believe, and we concur, that this work is important enough to be preserved, reproduced, and made generally available to the public. We appreciate your support of the preservation process, and thank you for being an important part of keeping this knowledge alive and relevant.
This collection is dedicated to the diagnostic moment and its unrivaled influence on encompassment and exclusion in health care. Diagnosis is seen as both an expression and a vehicle of biomedical hegemony, yet it is also a necessary and speculative tool for the identification of and response to suffering in any healing system. Social scientific studies of medicalization and the production of medical knowledge have revealed tremendous controversy within, and factitiousness at the outer parameters of, diagnosable conditions. Yet the ethnographically rich and theoretically complex history of such studies has not yet congealed into a coherent structural critique of the process and broader implications of diagnosis. This volume meets that challenge, directing attention to three distinctive realms of diagnostic conflict: in the role of diagnosis to grant access to care, in processes of medicalization and resistance, and in the transforming and transformative position of diagnosis for 21st-century global health. Smith-Morris’s framework repositions diagnosis as central to critical global health inquiry. The collected authors question specific diagnoses (e.g., Lyme disease, Parkinson's, andropause, psychosis) as well as the structural and epistemological factors behind a disease’s naming and experience.
A theoretically sophisticated and cross-disciplinary reader in the anthropology of the body.
Current census reports indicate that over half of the United States will be of ethnic minority background by 2050. Yet few published studies have examined or demonstrated the efficacy of currently established psychological treatments for ethnic minorities. Culturally Adapting Psychotherapy for Asian Heritage Populations: An Evidence-Based Approach identifies the need for culturally adapted psychotherapy and helps support the cultural competency movement by helping providers develop specific skillsets, rather than merely focusing on cultural self-awareness and knowledge of other groups. The book provides a top-down and bottom-up community-participatory framework for developing culturally adapted interventions that can be readily applied to many other groups. Areas targeted for adaptation are broken down into domains, principles, and the justifying rationales. This is one of the first books that provides concrete, practical, and specific advice for researchers and practitioners alike. It is also the first book that provides an actual culturally adapted treatment manual so that the reader can see cultural adaptations in action. - Summarizes psychotherapy research indicating underrepresentation of ethnic minorities - Describes the first evidence-based culturally adapted treatment for Asian heritage populations - Provides concrete examples of adapted psychotherapy in practice - Clarifies how this framework can be further used to adapt interventions for other ethnic groups - Highlights how principles used to develop this depression-specific treatment can be applied to other disorders - Includes the full treatment manual Improving Your Mood: A Culturally Responsive and Holistic Approach to Treating Depression in Chinese Americans
This cross-cultural study investigates help-seeking for depression among Japanese primary school teachers. Help-seeking for depressive symptoms is examined quantitatively by administering the Help-Seeking Scale for Depression among participants. In addition, this study qualitatively examines the help-seeking pathways of participants according to Kleinman's explanatory model of help-seeking. The objective of the study was to determine possible motivators for Japanese and other Asian people to seek professional help for symptoms of mental illness. The participants consisted of 71 Japanese school teachers from four primary schools located in the Kansai region of Japan. Participants' conceptualizations of depression were assessed using the Help-Seeking Scale for Depression (HSSD) after reading a vignette describing depressive symptoms. Participants' perceived severity of depressive symptoms (hypothesis 1) and prior therapy/counseling experience (hypothesis 2) significantly predicted professional help-seeking. The prevalence of depression was significantly higher in female participants (hypothesis 3); results indicating prevalence were non-significant for males. Hypotheses 1 and 2 were supported at p