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1 - Schizophrenia as a Paradigm Case for Understanding Fundamental Human Processes

Published online by Cambridge University Press:  25 January 2010

By
Janis Hunter Jenkins
Edited by
Janis Hunter Jenkins  and
Robert John Barrett
Janis Hunter Jenkins
Affiliation:
Professor of Anthropology and Psychiatry, Case Western Reserve University
Janis Hunter Jenkins
Affiliation:
Case Western Reserve University, Ohio
Robert John Barrett
Affiliation:
University of Adelaide
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Summary

We have found in the most disorganized group of people – I believe the psychiatrist would agree that the schizophrenic is the most disorganized of the functional mental illnesses – a continuation of very much that is simply human. Harry Stack Sullivan, Schizophrenia as a Human Process

(1962: 224).

In psychotics we see more spectacularly the process of personal affective evaluation as a common symbol … even the private world of meaning of a psychotic patient has its roots in culture. Edward Sapir, “The Symbol” (1933), in The Psychology of Culture

(edited by Irvine 1994: 224).

From the standpoint of an anthropology concerned with the nature and meaning of subjective experience, it would appear to be common place to argue that a the oretically grounded understanding of cultural orientation, self, emotion, and social relations is vital to the analysis of a complex pathological phenomenon such as schizophrenia. At the same time, the study of schizophrenia illuminates the nexus between culture and fundamental human processes and capacities for experience. Although the latter idea may appear novel or undue both in an anthropology that typically by passes schizophrenia and in a psychiatry dominated by neuroscience and psychopharmacology, in this chapter I seek to demonstrate that it is neither.

My argument cuts both ways – not only does the anthropological commonplace hold for the study of schizophrenia, but schizophrenia itself offers a paradigm case for scientific understandings of culturally fundamental and ordinary processes and capacities of the self, the emotions, and social engagement.

Type
Chapter
Information
Schizophrenia, Culture, and Subjectivity
The Edge of Experience
 , pp. 29 - 61
Publisher: Cambridge University Press
Print publication year: 2003

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References

American Psychiatric Association. 1994. Diagnostic and Statistical Manual-IV. Washington, DC: American Psychiatric Association
Andreasen, Nancy C. 1994. Schizophrenia: From Mind to Molecule. Washington DC: American Psychiatric Press
Arieti, Silvano. 1955. Interpretation of Schizophrenia. New York: R. Brunner
Barrett, Robert J. 1996. The Psychiatric Team and the Social Definition of Schizophrenia: An Anthropological Study of Person and Illness. Cambridge: Cambridge University Press
Bateson, Gregory and Margaret Mead. 1942. Balinese Character, a Photographic Analysis. New York: The New York Academy of Sciences
Battaglia, Debbora. 1995. Rhetorics of Self-Making. Berkeley: University of California Press
Bebbington, Paul and Kuipers, Liz. 1994. “The Predictive Utility of Expressed Emotion in Schizophrenia: An Aggregate Analysis.” Psychological Medicine 24: 1–11CrossRefGoogle ScholarPubMed
Behrendt, Ralf-Peter. 1998. “Underconstrained Perception: A Theoretical Approach to the Nature and Function of Verbal Hallucinations.” Journal of Comprehensive Psychiatry 39 (4): 236–48CrossRefGoogle ScholarPubMed
Benedict, Ruth. 2001 [1934]. “Anthropology and the Abnormal.” In P. K. Moser and T. L. Carson, eds., pp. 80–9, Moral Relativism: A Reader. New York: Oxford University Press
Benjamin, Jessica. 1995. Like Subjects, Love Objects: Essays on Recognition and Sexual Difference. New Haven, CT: Yale University Press
Bleuler, Eugen. 1950 [1911]. Dementia Praecox or The Group of Schizophrenias. New York: International Universities Press
Brown, G. W., Birley, J. L., and Wing, J. K.. 1972. “Influence of Family Life on the Course of Schizophrenic Disorders: A Replication.” British Journal of Psychiatry 121 (562): 241–58CrossRefGoogle ScholarPubMed
Brown, George W. and Tirril Harris. 1978. Social Origins of Depression: A Study of Psychiatric Disorder in Women. London: Tavistock
Brown, George W., Tirril, Harris, and John, R. Copeland. 1978. “Depression and Loss.” British Journal of Psychiatry 130 (1): 8Google Scholar
Canguilhem, Georges. 1989. The Normal and the Pathological. New York: Zone Books
Carter, Dorothy, MacKinnon, Andrew, and Copolov, David L.. 1996. “Patients' Strategies for Coping with Auditory Hallucinations.” Journal of Nervous and Mental Disease 184 (3): 159–64CrossRefGoogle ScholarPubMed
Close, Hele and Garety, Philippa. 1998. “Cognitive Assessment of Voices: Further Developments in Understanding the Emotional Impact of Voices.” British Journal of Clinical Psychology 37 (2): 173–88CrossRefGoogle ScholarPubMed
Corin, Ellen. 1990. “Facts and Meaning in Psychiatry: An Anthropological Approach to the Lifeworld of Schizophrenics.” Culture, Medicine and Psychiatry 14 (2): 153–88Google ScholarPubMed
Corin, Ellen and Lauzon, Gilles. 1994. “From Symptoms to Phenomena: The Articulation of Experience in Schizophrenia.” Journal of Phenomenological Psychology 25 (1): 3–50CrossRefGoogle Scholar
Csordas, Thomas. 1994a. Embodiment and Experience: The Existential Ground of Culture and Self. Cambridge and New York: Cambridge University Press
Csordas, Thomas 1994b. The Sacred Self: A Cultural Phenomenology of Charismatic Healing. Berkeley: University of California Press
Davies, Peggy, Thomas, Philip, and Leudar, Ivan. 1999. “Dialogical Engagement with Voices: A Single Case Study.” British Journal of Medical Psychology 72 (pt. 2): 179–87CrossRefGoogle ScholarPubMed
Devereux, George. 1980 [1939]. “A Sociological Theory of Schizophrenia.” In Basic Problems of Ethnopsychiatry. Basia M. Gulati and George Devereaux, trans. Chicago: University of Chicago Press
Duckworth, K., Nair, V., Patel, J., and Goldfinger, S. M.. 1997. “Lost Time, Found Hope and Sorrow: The Search for Self, Connection, and Purpose During ‘Awakenings’ on the New Antipsychotics.” Harvard Review of Psychiatry 5: 227–33CrossRefGoogle ScholarPubMed
Edgerton, Robert B. 1966. Conceptions of Psychosis in Four East African Societies. American Anthropologist 68: 408–25CrossRefGoogle Scholar
Ewing, Katherine P. 1990. “The Illusion of Wholeness: Culture, Self, and the Experience of Inconsistency.” Ethos 18: 251–78CrossRefGoogle Scholar
Flack, William F. and James D. Laird. 1998. Emotions in Psychopathology. Theory and Research. New York and Oxford: Oxford University Press
Forrest, David. 1965. “Poiesis and the Language of Schizophrenia.” Psychiatry: Journal for the Study of Interpersonal Processes 28 (1): 1–18CrossRefGoogle ScholarPubMed
Gaines, Atwood. 1982. “Cultural Definitions, Behavior and the Person in American Psychiatry.” In A. Marsella and G. White, eds., pp. 167–92, Cultural Conceptions of Mental Health and Therapy. Dordrecht, Holland: D. Reidel Publishing Company
Geertz, Clifford. 1973. The Interpretation of Cultures. New York: Basic Books
Geertz, Hildred. 1959. “The Vocabulary of Emotion: A Study of Javanese Socialization Processes.” Psychiatry 22 (3): 225–37CrossRefGoogle ScholarPubMed
Glass, Ira. 2000. [1997]. “The Edge of Sanity,” for Program on “This American Life,” Public Radio International
Goldstein, Jill M. and Tsuang, M. T.. 1990. “Gender and Schizophrenia: An Introduction and Synthesis of Findings.” Schizophrenia Bulletin 16: 263–75CrossRefGoogle Scholar
Good, Byron J. 1977. “The Heart of What's the Matter: The Semantics of Ill ness in Iran.” Culture, Medicine and Psychiatry 1: 25–58CrossRefGoogle Scholar
Good, Byron J.. 1994. Medicine, Rationality and Experience: An Anthropological Perspective. New York: Cambridge University Press
Good, Byron J. and Mary-Jo Del Vecchio Good. 1981. “The Meaning of Symptoms: A Cultural Hermeneutic Model for Clinical Practice.” In L. Eisenberg and A. Kleinman, eds., pp. 165–96, The Relevance of Social Science for Medicine. Dordrecht, Holland: D. Reidel Publishing Company
Good, Byron J. and Del Vecchio Good, Mary-Jo. 1988. “Ritual, the State, and the Transformation of Emotional Discourse in Iranian Society.” Culture, Medicine and Psychiatry 12 (1): 43–63CrossRefGoogle Scholar
Haas, Gretchen L., Glick, I. D., Clarkin, J. F., Spencer, J. H., and Lewis, A. B.. 1990. “Gender and Schizophrenia Outcome: A Clinical Trial of an Inpatient Family Intervention.” Schizophrenia Bulletin 16: 277–92CrossRefGoogle ScholarPubMed
Hallowell, Irving. 1955. “The Self in its Behavioral Environment.” In I. Hallowell, ed., pp. 75–110, Culture and Experience. Philadelphia: University of Pennsylvania Press
Haraway, Donna J. 1991. Simians, Cyborgs, and Women: The Reinvention of Nature. New York: Routledge
Harding, Courtenay M. 1987. “Chronicity in Schizophrenia: Fact, Partial Fact, or Artifact?”Hospital and Community Psychiatry 38: 477–91Google ScholarPubMed
Harding, Sandra. 1991. Whose Science? Whose Knowledge? Thinking from Women's Lives. Ithaca, NY: Cornell University Press
Hoffman, Ralf E. 1999. “New Methods for Studying Hallucinated ‘Voices’ in Schizophrenia.” Acta Psychiatrica Scandinavica Supplementum 99(xsuppl. 395): 89–94CrossRefGoogle Scholar
Hogarty, Gerard E., Sander, J. Kornblith, Greenwald, Deborah, and DiBarry, Ann Louise. 1995. “Personal Therapy: A Disorder-Relevant Psychotherapy for Schizophrenia.” Schizophrenia Bulletin 21 (3): 379–93CrossRefGoogle Scholar
Janzen, John. 1978. The Quest for Therapy in Lower Zaire. Berkeley: University of California Press
Jaspers, Karl. 1963 [1923]. General Psychopathology. John Hoenig and Marian W. Hamilton, trans. Chicago: University of Chicago Press
Jenkins, Janis Hunter. 1988a. “Ethnopsychiatric Interpretations of Schizophrenic Illness: The Problem of Nervios within Mexican-American Families.” Culture, Medicine and Psychiatry 12 (3): 303–31CrossRefGoogle Scholar
Jenkins, Janis Hunter 1988b. “Conceptions of Schizophrenic Illness as a Problem of Nerves: A Comparative Analysis of Mexican-Americans and Anglo-Americans.” Social Science and Medicine 26 (12): 1233–43CrossRefGoogle Scholar
Jenkins, Janis Hunter 1991. “The 1990 Stirling Award Essay. Anthropology, Expressed Emotion, Schizophrenia.” Ethos: The Journal of the Society for Psychological Anthropology 19: 387–431CrossRefGoogle Scholar
Jenkins, Janis Hunter 1994a. “Culture, Emotion, and Psychopathology.” In S. Kitayama and H. Markus, eds., pp. 307–38, Emotion and Culture: Empirical Studies of Mutual Influence. Washington, DC: American Psychological Association
Jenkins, Janis Hunter 1994b. “The Psychocultural Study of Emotion and Mental Disorder.” In P. Bock, ed., pp. 97–120. Handbook of Psychological Anthropology. Westport, CT: Greenwood Publishers
Jenkins, Janis Hunter 1997. “Subjective Experience of Persistent Psychiatric Disorder: Schizophrenia and Depression among U.S. Latinos and Euro-Americans.” British Journal of Psychiatry 170: 20–5CrossRefGoogle Scholar
Jenkins, Janis Hunter 1998. “Diagnostic Criteria for Schizophrenia and Related Psychotic Disorders: Integration and Suppression of Cultural Evidence in DSM-IV.” Transcultural Psychiatry 35: 357–76CrossRefGoogle Scholar
Jenkins, Janis Hunter and Karno, Marvin. 1992. “The Meaning of ‘Expressed Emotion’: Theoretical Issues Raised by Cross-Cultural Research.” Special article in American Journal of Psychiatry 149: 9–21Google Scholar
Jenkins, Janis Hunter and Dawn M. Miller. 2002. “A New Kind of Evidence for Mental Health Interventions: Subjective Experience of Atypical Antipsychotic Medications.” Washington, DC: National Institute of Mental Health, Fifteenth International Conference on Services Research
Jenkins, Janis Hunter and Schumacher, John. 1999. “Sociocultural Dimensions of the ‘Family Burden’ of Chronic Mental Disorder: Specifying Ethnic, Gender and Diagnostic Effects.” British Journal of Psychiatry 174: 31–8CrossRefGoogle Scholar
Kaplan, Louise J. 1991. Female Perversions: The Temptations of Emma Bovary. New York: Doubleday
Karno, MarvinJenkins, Janis Hunter, Selva, Aurovax, Felipe, Santana, Telles, Cynthia, Lopez, Steven, and Mintz, Jim. 1987. “Expressed Emotion and Schizophrenic Outcome among Mexican-American Families.” Journal of Nervous and Mental Disease 175 (3): 143–51CrossRefGoogle ScholarPubMed
Karno, Marvin and Janis Hunter Jenkins. 1997. “Culture and the Diagnosis of Schizophrenia and Related Disorders and Psychotic Disorders Not Otherwise Classified.” In T. Widiger, A. Frances, H. Pincus, R. Ross, M. First, and W. Davis, eds., pp. 901–8, DSM-IV: Sourcebook. Volume. Washington, DC: American Psychiatric Association
Kennedy, John. 1974. “Cultural Psychiatry.” In J. Honigmann, ed., pp. 1119–98, Handbook of Social and Cultural Anthropology. New York: Rand-McNally
Kleinman, Arthur. 1988. Rethinking Psychiatry: From Cultural Category to Personal Experience. New York and London: Free Press; Collier Macmillan
Kleinman, Arthur. 1995. Writing at the Margin: Discourse between Anthropology and Medicine. Berkeley: University of California Press
Kleinman, Arthur and Joan Kleinman. 1995. “Suffering and its Transformations.” InA. Kleinman, ed., pp. 95–119. Writing at the Margin: Discourse between Anthropology and Medicine. Berkeley: University of California Press
Kraepelin, Emil. 1903. Psychiatrie, 7th edition. Barth: Leipzig
Kraepelin, Emil. 1919 [1971]. Dementia Praecox and Paraphrenia. R. Mary Barclay, trans. Edinburgh: E and S Livingstone
Kring, Ann M. and Neale, John M.. 1996. “Do Schizophrenic Patients Show a Disjunctive Relationship among Expressive, Experiential, and Psychophysiological Components of Emotion?”Journal of Abnormal Psychology 105: 249–57CrossRefGoogle Scholar
Kulkarni, J. 1997. “Women and Schizophrenia: A Review.” Australian and New Zealand Journal of Psychiatry 31: 46–56CrossRefGoogle ScholarPubMed
Lasswell, Harold D. 1930 [1951]. “Psychopathology and Politics.” In The Political Writings of Harold D. Lasswell. Glencoe, IL: Free Press
Levy, Robert I. 1983. Introduction: Self and Emotion. Ethos: Journal of Society for Psychological Anthropology 11: 128–34CrossRefGoogle Scholar
Leudar, Ivan, Thomas, Philip, McNally, D., and Glinski, A.. 1997. “What Voices Can Do with Words: Pragmatics of Verbal Hallucinations.” Psychological Medicine 27 (4): 885–989CrossRefGoogle Scholar
Lewine, R. J. 1994. “Sex: An Imperfect Marker of Gender.” Schizophrenia Bulletin 20: 777–9CrossRefGoogle ScholarPubMed
Lieberman, Jeffrey A. 1994. “Predictors of Outcome in Schizophrenia: The Concept of Time.” In W. Gaebel and A. G. Awad, eds., pp. 43–9, Prediction of Neuroleptic Treatment Outcome in Schizophrenia: Concepts and Methods. New York: Springer-Verlag
Luhrmann, Tanya M. 2001. Of Two Minds: An Anthropologist Looks at American Psychiatry. New York: Vintage Books
Lutz, Catherine. 1988. Unnatural Emotions: Everyday Sentiments on a Micronesian Atoll and their Challenge to Western Theory.Chicago: University of Chicago Press
Lutz, atherine and Lila Abu-Lughod, eds. 1990. Language and the Politics of Emotion. New York: Cambridge University Press
Mead, Margaret. 1928. Coming of Age in Samoa. New York: William Morrow
Moerman, Daniel. 2002. “Deconstructing the Placebo Effect and Finding the Meaning Response.” Annals of Internal Medicine 136: 471–6CrossRefGoogle ScholarPubMed
Morrison, Anthony P. 1999. “A Cognitive Analysisof the Maintenance of Auditory Hallucinations: Are Voices to Schizophrenia What Bodily Sensations Are to Panic?”Behavioural& Cognitive Psychotherapy 26 (4): 289–302Google Scholar
Nasar, Sylvia. 1998. A Beautiful Mind: A Biography of John Forbes Nash, Jr., Winner of the Nobel Prize in Economics, 1994. New York: Simon& Schuster
Ortner, Sherry B. 1996. Making Gender: The Politics and Erotics of Culture. Boston, MA: Beacon Press
Powdermaker, Hortense. 1939. After Freedom: A Cultural Study in the Deep South. New York: Viking Press
Rojcewicz, Stephen J. and Rojcewicz, Richard. 1997. “The ‘Human’ Voices in Hallucinations.” Journal of Phenomenological Psychology 28 (1): 1–41CrossRefGoogle Scholar
Rosaldo, Michelle. 1984. “Toward an Anthropology of Self and Feeling.” In R. A. Shweder and R. A. LeVine, eds., pp. 137–57, Culture Theory: Essays on Mind, Self, and Emotion. Cambridge: Cambridge University Press
Sacks, Oliver. 1990. Awakenings. New York: Harper Perennial
Sapir, Edward. 1924. “Culture, Genuine and Spurious.” American Journal of Sociology 29: 401–29CrossRefGoogle Scholar
Sapir, Edward 1932. “Cultural Anthropology and Psychiatry.” Journal of Abnormal and Social Psychology 27: 229–42CrossRefGoogle Scholar
Sapir, Edward 1994. The Psychology of Culture. Edited and reconstructed by Judith T. Irvine. Berlin and New York: Mouton de Gruyter
Saris, A. Jamie. 1995. “Telling Stories: Life Histories, Illness Narratives, and Institutional Land scapes.” Culture, Medicine and Psychiatry 19: 39–72CrossRefGoogle Scholar
Scheper-Hughes, Nancy. 2001. Saint, Scholars, and Schizophrenics: Mental Illness in Rural Ireland, 2nd edition. Berkeley: University of California Press
Sechehaye, Marguerite. 1994 [1951]. Autobiography of a Schizophrenic Girl: The True Story of ‘Renee’. New York: Meridian
Shaw, K., McFarlane, A., and Bookless, C.. 1997. “The Phenomenology of Traumatic Reactions to Psychotic Illness.” Journal of Nervous and Mental Disease 185: 434–41CrossRefGoogle ScholarPubMed
Shweder, Richard. 1990. “Cultural Psychology: What Is It?” In J. W. Stigler, R. A. Shweder, and G. Herdt, eds., pp. 1–43, Cultural Psychology: Essays on Comparative Human Development. Cambridge and New York: Cambridge University Press
Shweder, Richard and Edmund J. Bourne. 1984. “Does the Concept of the Person Vary Cross-Culturally?”In. R. A. Shweder and Richard A. LeVine, eds., pp. 158–99, Culture Theory: Essays on Mind, Self, and Emotion. New York and London: Cambridge University Press
Shweder, Richard A. and Robert A. LeVine. 1984. Culture Theory: Essays on Mind, Self, and Emotion. New York and London: Cambridge University Press
Stein, John and Richardson, Alexandra. 1999. “Cognitive Disorders: A Question of Misattribution.” Current Biology 9 (10): R374–R6CrossRefGoogle ScholarPubMed
Strauss, John. 1994. “The Person with Schizophrenia as a PersonII: Approaches to the Subjective and Complex.” British Journal of Psychiatry 164 (suppl. 23): 103–7Google Scholar
Sullivan, Harry Stack. 1927. “Affective Experience in Early Schizophrenia.” American Journal of Psychiatry 6: 467–83CrossRefGoogle Scholar
Sullivan, Harry Stack 1937. “A Note on the Implicationsof Psychiatry, the Study of Interpersonal Relations, for Investigations in the Social Sciences.” American Journal of Sociology 42: 848–61CrossRefGoogle Scholar
Sullivan, Harry Stack 1953. Basic Conceptions of Modern Psychiatry. New York: W. W. Norton& Co
Sullivan, Harry Stack 1962. Schizophrenia as a Human Process. New York: W. W. Norton & Co
Tarrier, Nicholas, Christine, Vaughn, Malcolm, H. Lader, and Julian, P. Leff. 1979. “Bodily Reactions to People and Events in Schizophrenics.” Archives of General Psychiatry 36 (3): 311–15CrossRefGoogle ScholarPubMed
Turner, Edith. 1992. Experiencing Ritual: A New Interpretation of African Healing. Philadelphia: University of Pennsylvania Press
Vaughn, Christine E. and Julian, P. Leff. 1976. “The Influence of Family and Social Factors on the Course of Psychiatric Illness: A Comparison of Schizophrenic and Depressed Neurotic Patients.” British Journal of Psychiatry 129: 125–37CrossRefGoogle ScholarPubMed
Vaughn, Christine, Karen, Snyder, Jones, S., Freeman, W., and , I. Falloon. 1984. “Family Factors in Schizophrenic Relapse: A California Replication of the British Research on Expressed Emotion.” Archives of General Psychiatry 41: 1169–77CrossRefGoogle ScholarPubMed
Wahass, Saeed and Gerry, Kent. 1997. “Coping with Auditory Hallucinations: A Cross-Cultural Comparison between Western (British) and Non-Western (Saudi Arabian)Patients.” Journal of Nervousand Mental Disease 185 (11): 664–8CrossRefGoogle ScholarPubMed
Warner, Richard. 1985. Recovery from Schizophrenia: Psychiatry and Political Economy. London and Boston: Routledge & Kegan Paul
Waxler, Nancy. 1974. “Culture and Mental Illness: A Social Labeling Perspective.” Journal of Nervous and Mental Disorders 159: 379–95CrossRefGoogle ScholarPubMed
Weiden, Peter and Leston, Havens. 1994. “Psychotherapeutic Management Techniques in the Treatment of Outpatients with Schizophrenia.” Hospital & Community Psychiatry 45 (6): 549–55Google ScholarPubMed
Weiden, Peter, Ralph, Aquila, and Janet, Standard. 1996. “Atypical Antipsychotic Drugs and Long-term Outcome of Schizophrenia.” Journal of Clinical Psychiatry 57(suppl. 11): 53–60Google ScholarPubMed
Weiden, Peter J., Patricia L. Scheifler, Ronald J. Diamond, and Ruth Ross. 1999. Breakthroughs in Antipsychotic Medications: A Guide for Consumers, Families, and Clinicians. New York: W. W. Norton & Co
White, Geoffrey. 1982. “The Ethnographic Study of Cultural Knowledge of ‘Mental Disorder.’” In A. Marsella and G. White, eds., pp. 167–92, Cultural Conceptions of Mental Health and Therapy. Dordrecht, Holland: D. Reidel Publishing Company
World Health Organization. 1979. Schizophrenia: An International Follow-up Study. New York: John Wiley & Sons

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