Author Topic: The Americanization of Mental Illness  (Read 9963 times)

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Offline Ford Prefect

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The Americanization of Mental Illness
http://www.nytimes.com/2010/01/10/magazine/10psyche-t.html

I know better than to provide article summaries here. Suffice to say, it's absolutely worth your time.
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Offline Sushi

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Re: The Americanization of Mental Illness
Ford is right, definitely worth the time to read. Very thought-provoking.

EDIT: I might post some of said thoughts, but I want time to chew on them a bit more first. :)

 

Offline Bobboau

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Re: The Americanization of Mental Illness
oh good job.
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Offline General Battuta

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Re: The Americanization of Mental Illness
Very interesting stuff. Good post, would read again!

 

Offline Colonol Dekker

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Re: The Americanization of Mental Illness
 I approve the tactful responses here. Thought provoking article definitely.
 
 
Lets apply some common sense before we decide to document those thoughts here though.
 
 
;)
 
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Offline Aardwolf

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Re: The Americanization of Mental Illness
It's news to me, but I am not in the least bit surprised.

 

Offline iamzack

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Re: The Americanization of Mental Illness
I've read things like this before, but not in such great detail. Inspired to do more research later. Article bookmarked.
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Offline Ford Prefect

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Re: The Americanization of Mental Illness
It brings to mind Nietzsche's (in)famous declaration of the death of God. Science has become the religion of a people driven to collective neurosis by a couple of centuries of profound existential crisis. The way we view science, the expectations we place on it and its relationship to our lives, has very little to do with actual scientific inquiry, and a lot to do with filling the void left by the shift to our presently naturalistic view of the universe. We proudly tell ourselves and others that we derive our understanding of the world from what science tells us, but I think the paradigm that's really at work is the measuring of what confronts us against some ideal of quasi-scientific truthiness.

The aspect of this ideal relevant to the article is our fetish for notions of human universality. We've decided that anything important that can be said about people can be said about all people, so essentialism smacks of "real science," while culturally determined variation is judged to be peripheral window dressing. We forget, of course, that everything is subject to science because we don't really care about scientific inquiry; we care about having a mantra to repeat, preferably to those who vehemently disagree.
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Offline General Battuta

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Re: The Americanization of Mental Illness
Quite so.

A great deal of research in medicine and psychology has been carried out mostly on white First World citizens. That has to be a handicap to generalizability.

 

Offline Colonol Dekker

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Re: The Americanization of Mental Illness
Speculative statement:
 
The majority of modern psychology was founded on research done on the aforementioned demographic. Over a hundred years worth, it wouldn't be advised to apply techniques not geared towards mindsets which develop in a different (not necessarily lesser) quality of life.
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Offline Kosh

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Re: The Americanization of Mental Illness
Quite so.

A great deal of research in medicine and psychology has been carried out mostly on white First World citizens. That has to be a handicap to generalizability.

Human psychology is human psychology, we still have the same brains, and those brains are prone to the same set of malfunctions. The example of anorexia in HK, even though the original cases were somatic, they still existed (although they were expressed differently). There's several things that could cause it in addition to simple societal pressures. The likely rise of anorexia in Hong Kong during the 90's could very well have been a result of increasing amounts of "thinner is better" social pressures.

A couple quick examples from the article:

Quote
In some Southeast Asian cultures, men have been known to experience what is called amok, an episode of murderous rage followed by amnesia;

This sounds quite a bit like having two different personalities.

Quote
men in the region also suffer from koro, which is characterized by the debilitating certainty that their genitals are retracting into their bodies

This is not culture specific, I've heard of exactly this same thing in Africa (where they believe a witch/warlock put a spell on them so they have their families take turns holding onto it while they sleep). What do these areas have in common? Often bad education and rampant superstion.

Quote
Across the fertile crescent of the Middle East there is zar, a condition related to spirit-possession beliefs that brings forth dissociative episodes of laughing, shouting and singing.

Classic bi-polar. One minute you're normal, the next minute you can't control yourself.

EDIT: Correction, probably more like just "manic". I could be mistaken though, but it is better to ask a professional.

I'm not a psychologist by anymeans, but alot of this sounds really fishy.
« Last Edit: January 13, 2010, 05:33:02 am by Kosh »
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Offline Colonol Dekker

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Re: The Americanization of Mental Illness
I'm not a psychologist but I am the owner of an A-level B+ pass.
 
That was a while back though. But I learned never ever judge based on what you've heard from an indirect source or even initial impression. Like treasure hunting, you yield the best results after getting close and digging for a while.
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-Sol: A History
-TBP EACW teaser
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-TBP Fortune Hunters (I think?)
-TBP Relic
-Trancsend (Possibly?)
-Uncharted Territory
-Vassagos Dirge
-War Machine
(Others lost to the mists of time and no discernible audit trail)

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Offline Kosh

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Re: The Americanization of Mental Illness
What is a "B+ pass"?
"The reason for this is that the original Fortran got so convoluted and extensive (10's of millions of lines of code) that no-one can actually figure out how it works, there's a massive project going on to decode the original Fortran and write a more modern system, but until then, the UK communication network is actually relying heavily on 35 year old Fortran that nobody understands." - Flipside

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Re: The Americanization of Mental Illness
I think it means he passed the psychology A-level examinations with an overall grade of B+ (think of it as a "high B").

Or he might be being modest, since "B+" could be interpreted as a grade that is higher than a B, i.e. an A grade. (From what I've heard, the grades awarded for those qualifications usually don't include plus or minus suffixes, but I could be wrong about the psychology one).

I'll definitely give that article a read.

 

Offline Narvi

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Re: The Americanization of Mental Illness
Kosh, I think you're missing the point of the article. It's not saying that existing psychological theories are inapplicable; it's simply that a lot of psychology is based upon western culture and paradigms, which do not necessarily have to be universal, and that because of the education method, there is a massive dearth of data on how psychological issues are caused by other cultures and paradigms.

Also, the article brings up a very good point that treating mental disease as a biological disease causes people to shun them, much like how people will avoid plague-bearers. It also brings up how different cultural methods of treating mental disease are often effective; is our current method of therapy always the best way, after all?

 

Offline General Battuta

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Re: The Americanization of Mental Illness
Yeah, Kosh, you're missing something important.

Quite so.

A great deal of research in medicine and psychology has been carried out mostly on white First World citizens. That has to be a handicap to generalizability.

Human psychology is human psychology, we still have the same brains, and those brains are prone to the same set of malfunctions.

Any psychological condition is a product of genetic and environmental factors. The genetic factors may be fairly generalizable, but the environmental factors are not. If our research is based on samples all drawn from the same environment (white First World citizens), then that limits their generalizability to white First World citizens.

Our research so far has not been based on a representative sample of all humans. This is a problem for generalizing the results to all humans.

 

Offline Narvi

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Re: The Americanization of Mental Illness
It's rather annoying that we have these things called "eeeethics", where we can't just stick a couple hundred thousand people in several closed environments and then set up different cultures in each with their own collective baggage. Maybe tell each of them that the world has been consumed by nuclear fire and they have to live in a certain way to survive.

And since this is the Internet... I know this is ridiculous. I am being facetious. Just FYI.

 

Offline General Battuta

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Re: The Americanization of Mental Illness
We could totally give it a shot.

We already have a lot of evidence that many psychological mechanisms behave differently in collectivist (largely Eastern) than individualistic (Western) cultures. This is a problematic finding in a lot of ways.

 

Offline Nuke

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Re: The Americanization of Mental Illness
my opinion of shrinks is that none of them know what the **** their doing. so this doesn't surprise me at all.
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Offline General Battuta

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Re: The Americanization of Mental Illness
Therapeutic psychology, clinical psychology, and research psychology are very different fields in terms of their 'hardness'.