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17 - Affective disorders

from Part III - Culture and mental disorders

Published online by Cambridge University Press:  11 August 2009

By
Paul Bebbington  and
Claudia Cooper
Edited by
Dinesh Bhugra  and
Kamaldeep Bhui
Paul Bebbington
Affiliation:
UCL, Department of Mental Health Sciences 2nd Floor, Charles Bell House 67–73 Riding House Street London WIW 7EJ UK
Claudia Cooper
Affiliation:
Royal Free and University College Medical School UCL – Department of Psychiatry and Behavioural Sciences Holborn Union Building, Archway Campus Highgate Hill London N19 5LW UK
Dinesh Bhugra
Affiliation:
Institute of Psychiatry, London
Kamaldeep Bhui
Affiliation:
Barts & The London, Queen Mary School of Medicine and Dentistry
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Summary

EDITORS' INTRODUCTION

Depression in particular, and affective disorders in general, are prime examplars of cultural influences on feelings and emotions. Many languages do not have words which can be applied to depression, even though feelings of sadness, unhappiness and associated biological factors have been reported from a large number of cultures and societies. The development of cultural psychiatry in the context of political and social settings indicates that constructs of illnesses or the development of research questions are linked with a number of factors which are changing regularly, from the concept of the happy native who did not suffer from depression in the 1950s to the recent multicentre studies which found that depression exists across cultures even though its prevalence and its recognition varies.

Bebbington and Cooper in their chapter provide a brief historical context in the development of cultural psychiatry. Cultures are internalized by individuals and the social response to distress is thus influenced accordingly. They propose that feeling bad (like other feelings and emotions) is related to a feedback loop with processes of social evaluation and self-comparison. These cognitions of lowered self regard and fear of future circumstances are culturally influenced and socially mediated. The use of language and somatic metaphors indicates not only cultural differences but also social class and education. Biomedical explanations may exist in different settings and interpretations of feelings of dysphoria are influenced by a number of factors. Using illustrations from different cultural settings, Bebbington and Cooper argue that cultural influences on the frequency of affective disorders are going to be influenced by processes of globalization as cultures are not impervious to external change.

Type
Chapter
Information
Textbook of Cultural Psychiatry , pp. 224 - 241
Publisher: Cambridge University Press
Print publication year: 2007

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  • Affective disorders
    • By Paul Bebbington, UCL, Department of Mental Health Sciences 2nd Floor, Charles Bell House 67–73 Riding House Street London WIW 7EJ UK, Claudia Cooper, Royal Free and University College Medical School UCL – Department of Psychiatry and Behavioural Sciences Holborn Union Building, Archway Campus Highgate Hill London N19 5LW UK
  • Edited by Dinesh Bhugra, Institute of Psychiatry, London, Kamaldeep Bhui
  • Book: Textbook of Cultural Psychiatry
  • Online publication: 11 August 2009
  • Chapter DOI: https://doi.org/10.1017/CBO9780511543609.019
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  • Affective disorders
    • By Paul Bebbington, UCL, Department of Mental Health Sciences 2nd Floor, Charles Bell House 67–73 Riding House Street London WIW 7EJ UK, Claudia Cooper, Royal Free and University College Medical School UCL – Department of Psychiatry and Behavioural Sciences Holborn Union Building, Archway Campus Highgate Hill London N19 5LW UK
  • Edited by Dinesh Bhugra, Institute of Psychiatry, London, Kamaldeep Bhui
  • Book: Textbook of Cultural Psychiatry
  • Online publication: 11 August 2009
  • Chapter DOI: https://doi.org/10.1017/CBO9780511543609.019
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  • Affective disorders
    • By Paul Bebbington, UCL, Department of Mental Health Sciences 2nd Floor, Charles Bell House 67–73 Riding House Street London WIW 7EJ UK, Claudia Cooper, Royal Free and University College Medical School UCL – Department of Psychiatry and Behavioural Sciences Holborn Union Building, Archway Campus Highgate Hill London N19 5LW UK
  • Edited by Dinesh Bhugra, Institute of Psychiatry, London, Kamaldeep Bhui
  • Book: Textbook of Cultural Psychiatry
  • Online publication: 11 August 2009
  • Chapter DOI: https://doi.org/10.1017/CBO9780511543609.019
Available formats
×