Cambridge Studies in Medical Anthropology PDF
Preview Cambridge Studies in Medical Anthropology
P1:FpQ FM Jenkins&Barrett 0521829550 September5,2003 7:8 Schizophrenia, Culture, and Subjectivity Cambridge Studies in Medical Anthropology 11 This volume brings together a number of the foremost scholars – anthropologists, psychiatrists, psychologists, and historians – currently studying schizophrenia, its subjective dimensions, and the cultural pro- cesses through which these are experienced. Based on research un- dertaken in Australia, Bangladesh, Borneo, Canada, Colombia, India, Indonesia,Nigeria,theUnitedStates,andZanzibar,italsoincorporates a critical analysis of World Health Organization cross-cultural findings. Contributors share an interest in subjective and interpretive aspects of illness, but all work with a concept of schizophrenia that addresses its biologicaldimensions.Thevolumeisofinteresttoscholarsinthesocial andhumansciencesforthetheoreticalattentiongiventotherelationship between culture and subjectivity. Multidisciplinary in design, it is writ- teninastyleaccessibletoadiversereadership,includingundergraduate students.Itisofpracticalrelevancenotonlytopsychiatrists,butalsoto all mental health professionals who encounter, day to day, the clinical problemsarisingattheinterfaceofcultureandpsychosis. JanisHunterJenkins,ProfessorofAnthropologyandPsychiatryatCase Western Reserve University, is Principal Investigator for an NIMH- sponsored study of the subjective experiences of recovery among per- sons taking atypical antipsychotic medications. Professor Jenkins has publishedwidelyintheBritishJournalofPsychiatry,AmericanJournalof Psychiatry,Culture,MedicineandPsychiatry,andTransculturalPsychiatry, as well as in anthropological journals such as Ethos and Medical Anthro- pologyQuarterly. Robert John Barrett is Professor of Psychiatry at the University of Adelaide and Clinical Advisor to the Psychiatric Services of the Royal Adelaide Hospital. Professor Barrett has published in cross-disciplinary journals such as Culture, Medicine and Psychiatry, and Social Science and Medicine,aswellasinanthropologicaljournalssuchasMan.Hismono- graph, The Psychiatric Team and the Social Definition of Schizophrenia (1996), was published in the Cambridge University Press series Stud- iesinSocialandCommunityPsychiatry. i P1:FpQ FM Jenkins&Barrett 0521829550 September5,2003 7:8 ii P1:FpQ FM Jenkins&Barrett 0521829550 September5,2003 7:8 CambridgeStudiesinMedicalAnthropology Editor ALANHARWOOD UniversityofMassachusetts,Boston EditorialBoard WILLIAMDRESSLER UniversityofAlabama RONALDFRANKENBERG BrunelUniversity,UK MARYJOGOOD HarvardUniversity SHARONKAUFMAN UniversityofCalifornia,SanFrancisco SHIRLEYLINDENBAUM CityUniversityofNewYork MARGARETLOCK McGillUniversity CATHERINEPANTER-BRICK UniversityofDurham,UK Medical anthropology is the fastest growing specialist area within an- thropology,inbothNorthAmericaandEurope.Beginningasanapplied fieldservingpublichealthspecialists,medicalanthropologynowprovides asignificantforumformanyofthemosturgentdebatesinanthropology and the humanities. It includes the study of medical institutions and healthcareinavarietyofrichandpoorsocieties,theinvestigationofthe culturalconstructionofillness,andtheanalysisofideasaboutthebody, birth,maturity,aging,anddeath. Thisseriesincludestheoreticallyinnovativemonographsandstate-of- the-artcollectionsofessaysoncurrentissues. 1 Lynn M. Morgan, Community Participation in Health: The Politics of PrimaryCareinCostaRica 2 ThomasJ.Csordas(ed.), EmbodimentandExperience:TheExistential GroundofCultureandHealth 3 PaulBrodwin, MedicineandMoralityinHaiti:TheContestforHealing Power 4 SusanReynoldsWhyte, QuestioningMisfortune:ThePragmaticsofUn- certaintyinEasternUganda 5 Margaret Lock and Patricia Kaufert, Pragmatic Women and Body Politics 6 VincanneAdams, DoctorsforDemocracy 7 ElizabethHsu, TheTransmissionofChineseMedicine Seriesinformationcontinuesaftertheindex. iii P1:FpQ FM Jenkins&Barrett 0521829550 September5,2003 7:8 iv P1:FpQ FM Jenkins&Barrett 0521829550 September5,2003 7:8 Schizophrenia, Culture, and Subjectivity The Edge of Experience Edited by Janis Hunter Jenkins CaseWesternReserveUniversity Robert John Barrett UniversityofAdelaide v cambridge university press Cambridge, New York, Melbourne, Madrid, Cape Town, Singapore, São Paulo Cambridge University Press The Edinburgh Building, Cambridge cb2 2ru, UK Published in the United States of America by Cambridge University Press, New York www.cambridge.org Information on this title: www.cambridge.org/9780521829557 © Cambridge University Press 2004 This publication is in copyright. Subject to statutory exception and to the provision of relevant collective licensing agreements, no reproduction of any part may take place without the written permission of Cambridge University Press. First published in print format 2004 isbn-13 978-0-511-16574-0 eBook (NetLibrary) isbn-10 0-511-16574-9 eBook (NetLibrary) isbn-13 978-0-521-82955-7 hardback isbn-10 0-521-82955-0 hardback isbn-13 978-0-521-53641-7 paperback isbn-10 0-521-53641-3 paperback Cambridge University Press has no responsibility for the persistence or accuracy of urls for external or third-party internet websites referred to in this publication, and does not guarantee that any content on such websites is, or will remain, accurate or appropriate. P1:FpQ FM Jenkins&Barrett 0521829550 September5,2003 7:8 Contents Contributors page ix Preface xv Acknowledgments xix Introduction 1 Part1: Culture,Self,andExperience 1 SchizophreniaasaParadigmCaseforUnderstanding FundamentalHumanProcesses 29 2 InterrogatingtheMeaningof“Culture”intheWHO InternationalStudiesofSchizophrenia 62 3 KurtSchneiderinBorneo:DoFirstRankSymptomsApply totheIban? 87 4 LivingThroughaStaggeringWorld:ThePlayofSignifiers inEarlyPsychosisinSouthIndia , , 110 5 InandOutofCulture:EthnographicMeanstoInterpreting Schizophrenia 146 vii P1:FpQ FM Jenkins&Barrett 0521829550 September5,2003 7:8 viii Contents Part2: FourApproachesforInvestigatingtheExperience ofSchizophrenia 6 ExperiencesofPsychosisinJavaneseCulture:Reflectionsona CaseofAcute,RecurrentPsychosisinContemporary Yogyakarta,Indonesia . . . 167 7 To“SpeakBeautifully”inBangladesh:Subjectivityas Pa¯gala¯mi . , . 196 8 InnovativeCarefortheHomelessMentallyIll inBogota,Colombia , , . 219 9 SymptomsofColonialism:ContentandContextofDelusion inSouthwestNigeria,1945–1960 238 Part3: SubjectivityandEmotion 10 MadnessinZanzibar:AnExplorationofLivedExperience . 255 11 Subject/SubjectivitiesinDispute:ThePoetics,Politics, andPerformanceofFirst-PersonNarratives ofPeoplewithSchizophrenia . 282 12 “NegativeSymptoms,”Commonsense,andCultural DisembeddingintheModernAge . 303 13 SubjectiveExperienceofEmotioninSchizophrenia . . 329 Index 349 P1:FpQ FM Jenkins&Barrett 0521829550 September5,2003 7:8 Contributors Robert John Barrett is a psychiatrist and anthropologist and Professor of Psychiatry at the University of Adelaide. His clinical training was in medicine and psychiatry. He received a Ph.D. from the University of AdelaideinanthropologyandundertookpostdoctoralstudiesatHarvard University. His earlier research was in the field of psychiatric hospital ethnography, and he is currently working on ethnographic and clinical studiesconductedamongtheIbaninBorneo. EllenCorinisapsychologistandProfessorofAnthropologyandPsychi- atry at McGill University and researcher at the Psychosocial Research Division, Douglas Hospital Research Centre. She received a Ph.D. in psychology from the Universite´ de Louvain, Belgium. Her research in Central Africa, Quebec, and currently in India focuses on the interface betweencultureandsubjectivity.Hercurrentworkdealswithpsychosis andculture.SheisalsoamemberoftheCanadianPsychoanalyticSociety andaclinicalpractitioner. EsperanzaDiazisapsychiatristandAssociateProfessorofPsychiatryand MedicalDirectoroftheHispanicClinicattheYaleUniversitySchoolof Medicine.ShewaseducatedatJaverianaUniversityinBogota,Colombia, and Yale University. She is working on a project following medica- tion adherence for Latinos collecting quantitative and qualitative data. The purpose is to identify ethnic differences in medication adherence between Latinos and non-Latinos. She is interested in health services research. Sue E. Estroff is an anthropologist and Professor of Social Medicine at theUniversityofNorthCarolinaatChapelHill.Shedidherundergrad- uate work at Duke University and her graduate studies in anthropology attheUniversityofWisconsin–Madison,whereshewasalsoapostdoc- toralFellowinpsychiatry.Shehasstudiedpeoplewithschizophreniaand otherseverepsychiatricdisordersinseveralsettingsintheUnitedStates ix
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