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CULTURE AND PSYCHOPATHOLOGY

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CULTURE AND PSYCHOPATHOLOGY PSYC 338 Culture and Psychopathology What s normal and abnormal ? Expression of Abnormal Behavior Assessment and Diagnosis of Abnormal ... – PowerPoint PPT presentation

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Title: CULTURE AND PSYCHOPATHOLOGY


1
CULTURE AND PSYCHOPATHOLOGY
  • PSYC 338

2
Culture and Psychopathology
  • Whats normal and abnormal ?
  • Expression of Abnormal Behavior
  • Assessment and Diagnosis of Abnormal Behavior
  • Explanations of Psychopathology
  • Treatment

3
Culture and Psychopathology
  • Whats normal and abnormal ?

4
Roots of inquiry into Culture and Psychopathology
  • Kraepelin (1904) found, on his world tour
    promoting his system of diagnosis that some
    cultures may need further examination in
    diagnosis of their disorders (e.g. latah).

5
  • Culture permeates all aspects of
  • Psychopathology
  • Experience
  • Expression
  • Explanation
  • Assessment
  • Treatment

6
Explanations of Psychopathology
  • Biological
  • Psychological
  • Social
  • Ecological
  • Spiritual

7
Case Studies
A Pakistani patient complains of pain and
weakness I have pains in my head, I have a
body ache I have lost all of my
strength Whats your diagnosis?
8
Expression of Abnormal Behavior
  • Symptoms of depression as an affective
    disorder
  • Affect- depressed mood
  • Behavior- withdrawn
  • Cognitive- guilt, worthlessness
  • Somatic complaints
  • Is depression manifest the same way across
    cultures?

9
Feelings of Guilt
Guilt-based societies I have done something
wrong, and even if it is never discovered and
nobody else but me knows about it, I am
distressed and disgusted with myself. Shame-base
d societies I have done something wrong in the
eyes of other people. People who matter to me are
disgusted with my behaviour, and therefore I am
distressed because I cannot face them.
10
Whats normal? Mental illness in a Laotian
village
  • Dangerous behavior
  • Disruptive and dysfunctional activities
  • Communication problems
  • Delusions
  • Inappropriate affect
  • Somatic symptoms

11
Culture Specific Idioms of Disease
  • Nervios
  • Ataque de nervios
  • Rootwork
  • Susto

12
Culture Bound Syndromes
  • Latah
  • Amok
  • Koro
  • Anorexia nervosa

13
(No Transcript)
14
Dissociative disorders
15
Dissociative disorders
Kleinman writes trance and possession states
are ubiquitous in non-western societies and were
so in the West prior to the modern age ... Only
the modern secular west seems to have blocked
individuals access to these otherwise pan-human
dimensions of self (1988, p.50).
16
Trance and possession
  • Zar (East Africa)
  • Spell (Southern US)
  • Izizwe (Zulu, South Africa)
  • Speaking in toungues (Fundamentalist
    Christain US)
  • Kitsune possession (Japan)

17
Trance and possession
  • Kitsune possession (Japan)
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