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A cultural analysis of human behavioral breakdowns: An approach to the ontology and epistemology of psychiatric phenomena

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Abstract

This paper explores the usefulness of a concept of “human behavioral breakdowns” for studying psychiatric phenomena from a cross-cultural standpoint. The kinds of conceptualizations that are available in the English literature about human behavioral breakdowns across societies are reviewed. The way these breakdowns have been handled in the Western European Tradition of medicine is given special emphasis. Attention is focused on schizophrenia as one of the modern “disease” concepts of psychiatry that is a variant of human behavioral breakdowns. The essay then looks at “schizophrenia” using contemporary ideas about cultural relativism as these apply to the study of psychiatric phenomena in relation to society. Perspectives about the variable as versus the invariant in schizophrenia are reviewed.

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References

  • Agren, H. 1975 A New Approach to Chinese Tradition Medicine. American Journal of Chinese Medicine 3(3): 207–212.

    Google Scholar 

  • Altschule, M.D. 1976a Historical Perspective-Evolution of the Concept of Schizophrenia.In The Biology of the Schizophrenic Process S. Wolf and B.B. Berle eds. Pp. 1–15. New York, New York: Plenum Press.

    Google Scholar 

  • — 1976b The Development of Traditional Psychopathology. Chichester, New York: Wiley & Sons, pp. 1–14.

    Google Scholar 

  • Bark, Nigel M. 1988 On the History of Schizophrenia. New York State Journal of Medicine 88: 374–383.

    Google Scholar 

  • Barnes, B., and D. Bloor 1982 Relativism, Rationalism and the Sociology of Knowledge.In Rationality and Relativism M. Hollis and S. Lukes eds., Pp. 21–47. Cambridge, Massachusetts: Massachusetts Institute of Technology Press.

    Google Scholar 

  • Berrios, G.E. 1984 The Psychopathology of Affectivity: Conceptual and Historical Aspects. Psychological Medicine 14: 303–313.

    Google Scholar 

  • — 1985 Descriptive Psychopathology: Conceptual and Historical Aspects. Psychological Medicine 15: 745–758.

    Google Scholar 

  • — 1987a Dementia During the Seventeenth and Eighteenth Centuries: A Conceptual History. Psychological Medicine 17: 829–837.

    Google Scholar 

  • — 1987b Historical Aspects of Psychoses: 19th Century Issues. British Medical Bulletin 43(3):484–498.

    Google Scholar 

  • — 1987c The Fundamental Symptoms of Dementia Praecox of the Group of Schizophrenias.In The Origins of Modern Psychiatry. C. Thompson ed. Pp. 200–209, Chichester, New York: Wiley & Sons.

    Google Scholar 

  • — 1988b Melancholia and Depression During the 19th Century: A Conceptual History. British Journal of Psychiatry 153: 298–304.

    Google Scholar 

  • 1988c Historical Background to Abnormal Psychology.In Adult Abnormal Psychology. E. Miller and P.J. Cooper eds. Pp. 26–51. New York, New York: Churchill Livingstone.

    Google Scholar 

  • Berrios, G.E., and R. Hauser 1988a The Early Development of Kraepelin's Idea on Classification: A Conceptual History. Psychological Medicine 18: 813–821.

    Google Scholar 

  • Bowman, I.A. 1975 William Cullen (1710-90) and the Primacy of the Nervous System (Ph.D. Dissertation) Indiana: Indiana University.

    Google Scholar 

  • Burkert, W. 1985 Greek Religion. Cambridge, Massachusetts: Harvard University Press.

    Google Scholar 

  • Chiu, M.L. 1985 Insanity in Imperial China. Normal and Abnormal Behavior in Chinese Culture. A. Kleinman and T.Y. Lin, eds. Pp. 75–94. Dordrecht: Reidel.

    Google Scholar 

  • — 1986 Mind, Body and Illness in a Chinese Medical Tradition. (Ph. D. Dissertation), Cambridge, Massachusetts: Harvard University Press.

    Google Scholar 

  • Cohen, H. 1961 The Evolution of the Concept of Disease.In Concepts of Medicine. B. Lush ed. Pp. 159–169. New York, New York: Pergamon Press.

    Google Scholar 

  • D'Andrade, R.A. 1984 Cultural meaning systems.In Culture Theory: Essays on Mind Self and Emotion. R.A., Schweder and R.A. Levine, eds. Pp. 88–119. New York: Cambridge University Press.

    Google Scholar 

  • Dawson, W.R. 1967 The Egyptian Medical Papyri.In Diseases in Antiquity: A Survey of the Diseases, Injuries, and Surgery of Early Populations D. Brothwell and A.T. Sandison eds. Springfield, Illinois: CC Thomas Press.

    Google Scholar 

  • Devereux, G. 1956 Normal and Abnormal.In Some Uses of Anthropology, Theoretical and Applied. J. Casagrande and T. Gladwin, eds. Pp. 23–48. Washington, D.C.: Anthropological Society of Washington.

    Google Scholar 

  • — 1961 Mohave Ethnopsychiatry and Suicide.In Smithsonian Institution Bureau of American Ethnology Bulletin #175. Washington, D.C.: United States Government Printing Office.

    Google Scholar 

  • — 1980 Schizophrenia: An Ethnic Psychosis or Schizophrenia Without Years.In Basic Problems of Ethnopsychiatry. Pp. 214–236. Chicago, Illinois: University of Chicago Press.

    Google Scholar 

  • Drabkin, I.E. 1974 Remarks on Ancient Psychopathology.In Greek Popular Morality in the Time of Plato and Aristotle K.J. Dover ed. Berkeley: University of California Press.

    Google Scholar 

  • Dube, K.C. 1985 Psychiatric Training and Therapies in Ayurveda. American Journal of Chinese Medicine 13: 13–22.

    Google Scholar 

  • — 1978 Nosology and Therapy of Mental Illness in Ayurveda. Comparative Medicine East and West, 6(3):209–228.

    Google Scholar 

  • Edgerton, R. 1969 On the “Recognition” of Mental Illness.In Changing Perspectives in Mental Illness. R. Edgerton and S.C. Ploy, eds. Pp. 49–72, New York Holt, Rinehart, and Winston.

    Google Scholar 

  • Estroff, S. 1981 Making it Crazy. Berkeley: University of California Press.

    Google Scholar 

  • Fabrega, H., Jr. 1974 Disease and Social Behavior: An Interdisciplinary Perspective. Cambridge: Massachusetts Institute of Technology Press.

    Google Scholar 

  • — 1975 The Position of Psychiatry in the Understanding of Human Disease. Archives of General Psychiatry 32: 1500–1512.

    Google Scholar 

  • — 1976 The Function of Medical-Care Systems: A Logical Analysis. Perspectives of Biology and Medicine 20(1): 108–119.

    Google Scholar 

  • — 1980 The Position of Psychiatric Illness in Biomedical Theory: A Cultural Analysis. Journal of Medicine and Philosophy 5(2): 145–168.

    Google Scholar 

  • — 1989a On the Significance of an Anthropological Approach to Schizophrenia. Psychiatry 52: 45–64.

    Google Scholar 

  • — 1989b The Self and Schizophrenia: A Cultural Perspective. Schizophrenia Bulletin 15(2):277–290.

    Google Scholar 

  • — 1989c Cultural Relativism and Psychiatric Illness, Journal of Nervous and Mental Disease 177(7):415–425.

    Google Scholar 

  • — 1989d An Ethnomedical Perspective of Anglo-American Psychiatry. American Journal of Psychiatry 146(5):588–596.

    Google Scholar 

  • Fabrega, H., Jr., and D. Metzger 1968 Psychiatric Illness in a Small Latino Community. Psychiatry 31: 339–351.

    Google Scholar 

  • Geuss, R. 1981 The Idea of a Critical Theory. Cambridge: Cambridge University Press.

    Google Scholar 

  • Gwei-Djewn, L. and Needham, J. 1980 Celestial Lancets: A History and Rationale of Acupuncture and Moxa. Cambridge: Cambridge University Press.

    Google Scholar 

  • Haldipur, C.V. 1984 Madness in Ancient India: Concept of Insanity in Charaka Samhita (1st Century A.D.). Comprehensive Psychiatry 25(3):335–344.

    Google Scholar 

  • Hoenig, J. 1982 Kurt Schneider and Anglophone Psychiatry. Comprehensive Psychiatry 23(5):391–400.

    Google Scholar 

  • — 1983 The Concept of Schizophrenia Kraepelin-Bleuler-Schneider. British Journal of Psychiatry 142:547–556.

    Google Scholar 

  • Hollis, M., and Lukes, S. eds. 1982 Rationality and Relativism. Cambridge: Massachusetts Institute of Technology Press.

    Google Scholar 

  • Hudson R.P. 1983 Disease and Its Control: The Shaping of Modern Thought. Connecticut: Greenwood Press.

    Google Scholar 

  • Jackson S.W. 1970 Force and Kindred Notions in Eighteenth-Century Neurophysiology and Medical Psychology. Bulletin of the History of Medicine 44: 397–554.

    Google Scholar 

  • — 1969 Galen—On Mental Disorders. Journal of the History of Behavioral Science 5: 365–384.

    Google Scholar 

  • — 1972 Unusual Mental States in Medieval Europe, I, Medical Syndromes of Mental Disorders: 400-1100 A.D. Journal of the History of Medicine and Allied Sciences 27: 262–297.

    Google Scholar 

  • Jenkins, J. 1988a Conceptions of Schizophrenia as a Problem of Nerves. Social Science and Medicine 26: 1233–1243.

    Google Scholar 

  • — 1988b Ethnopsychiatric Interpretations of Schizophrenia. Culture, Medicine and Psychiatry 12: 301–329.

    Google Scholar 

  • Jeste, D.V., et al. 1985, Did Schizophrenia Exist Before the Eighteenth Century? Comprehensive Psychiatry 26(6):493–503.

    Google Scholar 

  • Kaplan, B. 1961 Studying Personality Cross Culturally. New York: Harper and Row Publishers.

    Google Scholar 

  • Ketty, S. 1980 The Syndrome of Schizophrenia: Unresolved Questions of Opportunities for Research. British Journal of Psychiatry 136:421–436.

    Google Scholar 

  • Kinnier Wilson, J.V. 1965 An Introduction to Babylonian Psychiatry E. Festschrift and B. Landsberger, eds., Chicago: Chicago University Press.

    Google Scholar 

  • — 1967 Mental Diseases of Ancient Mesopotamia In Diseases in Antiquity D. Brothwell and A.T. Sandison, eds. Illinois: CC Thomas.

    Google Scholar 

  • Kleinman, A.M. 1975 The Symbolic Context of Chinese Medicine: A Comparative Approach to the Study of Traditional Medical and Psychiatric. Forms of Care in Chinese Culture. American Journal of Chinese Medicine 3(2):103–124.

    Google Scholar 

  • — 1988 Rethinking Psychiatry: From Cultural Category to Personal Experience. New York: Free Press.

    Google Scholar 

  • Kutumbiah, P. 1969 Asian Medical Systems. Berkeley: University of California Press.

    Google Scholar 

  • Lin, K.M. 1981, Traditional Chinese Medicine Beliefs and their Relevance for Mental Illness and Psychiatry.In Normal and Abnormal Behavior in Chinese Culture. A. Kleinman and T.Y. Lin, eds. Pp. 95–114. Dordrecht: Reidel.

    Google Scholar 

  • Lin, T.Y. and M.C. Lin 1981 Love Denial and Rejection.In Normal and Abnormal Behavior in Chinese Culture. A. Kleinman and T.Y. Lin, eds. Pp. 387–433. Dordrecht: Reidel.

    Google Scholar 

  • Lopez-Pinero, J.M. 1983, Historical Origins of the Concept of Neurosis. Cambridge: Cambridge University Press.

    Google Scholar 

  • Moss, G.C. 1967 Mental Disorder in Antiquity.In Diseases in Antiquity. D. Brothwell and A.T. Sandison, eds. Pp. 709–722. Illinois: CC Thomas.

    Google Scholar 

  • Murphy, J.M. 1976, Psychiatric Labeling in Cross-Cultural Perspective. Science 191: 1019–28.

    Google Scholar 

  • Neuburger, M. 1945 British and German Psychiatry in the Second Half of the Eighteenth and Early Nineteenth Century. Bulletin of the History of Medicine 18: 121–145.

    Google Scholar 

  • Neugebauer, R. 1976 Mental Illness and Government Policy in Sixteenth and Seventeenth Century England. (Ph.D. Thesis), New York: Columbia University.

    Google Scholar 

  • — 1979 Medieval and Early Modern Theories of Mental Illness. Archives of General Psychiatry 36:477.

    Google Scholar 

  • Nutton, V. 1983, The Seeds of Disease: An Explanation of Contagion and Infection from the Greeks to the Renaissance. Medicine in History 27: 1–34.

    Google Scholar 

  • Nutton, V. 1984 From Galen to Alexander: Aspects of Medicine and Medical Practice in Late Antiquity.In Symposium on Byzantine Medicine. J. Scarborough ed. Pp. 1–14. Washington, D.C.: Dumbarton Oaks Paper, No. 38.

  • — 1985 Murders and Miracles: Lay Attitudes Towards Medicine in Antiquity. In Patients and Practitioners: Lay Perceptions of Medicine in Pre-Industrial Society. R. Porter, ed. Pp. 23–53. Cambridge: Cambridge University Press.

    Google Scholar 

  • Obeyesekere, G. 1977 The Theory and Practice of Ayurvedic Medicine in the Ayurvedic Tradition. Culture, Medicine and Psychiatry 1: 155–181.

    Google Scholar 

  • Pagel, W. 1972 Van Helmont's Concept of Disease — To Be or Not To Be? The Influence of Paracelsus. Bulletin of the History of Medicine 46:419–454.

    Google Scholar 

  • Pagel, W. and M. Winder 1968 Harvey and the “Modern” Concept of Disease. Bulletin of the History of Medicine 42: 496–509.

    Google Scholar 

  • Rao, A.V. 1975 India.In World History of Psychiatry. J.G. Howells, ed. New York: Brunner/Mazell.

    Google Scholar 

  • Rather, L.J. 1959 Towards a Philosophical Study of the Idea of Disease.In The Historical Development of Physiological Thought. C. Mc Brooks and P.F. Cranefield, eds. Pp. 351–373. New York: Hafner.

    Google Scholar 

  • Riese, W. 1945 History and Principles of Classification of Nervous Diseases. Bulletin of the History of Medicine 18: 465–512.

    Google Scholar 

  • 1960 The Impact of 19th Century Thought on Psychiatry. International Record of Medicine 173: 7–19.

    Google Scholar 

  • Rosen, G. 1968 Madness in Society. Chicago: University of Chicago Press.

    Google Scholar 

  • Sartorius, N., A. Jablensky, A. Korten, et al. 1986 Early Manifestations and First Contact Incidence of Schizophrenia in Different Cultures. Psychological Medicine 16:909–928.

    Google Scholar 

  • Saunders, J.B. de C.M. 1963 The Transitions from Ancient Egyptian to Greek Medicine. Lawrence: University of Kansas Press, pp. 1–40.

    Google Scholar 

  • Scharfetter, C. 1975 The Historical Development of the Concept of Schizophrenia. Studies of Schizophrenia. M.H. Laded, ed. London: Headly Brothers.

    Google Scholar 

  • Scheper-Hughes, N. 1979 Saints, Scholars and Schizophrenics. Berkeley: University of California Press.

    Google Scholar 

  • Scheper-Hughes, N., and M. Lock 1986 Speaking Truth to Illness: Metaphors, Reifications and a Pedagogy for Patients. Medical Anthropology Quarterly 17: 137–140.

    Google Scholar 

  • Schiffeler, J.Wm. 1979 An Essay on Some of the Fundamental Philosophical Tenets Found in Traditional Chinese Medicine. American Journal of Chinese Medicine 7(3):285–294.

    Google Scholar 

  • Scull, A. 1979 Museums of Madness. New York: St. Martin's Press.

    Google Scholar 

  • Shweder, R.A. 1990 Cultural Psychology: What is It?In Cultural Psychology: The Chicago Symposia on Culture and Human Development. J.W. Stigler, R.A. Shweder and G. Herdt, eds. Pp. 1–43, New York: Cambridge University Press.

    Google Scholar 

  • Silverman, J. 1967 Shamans and Acute Schizophrenia. American Anthropologist 69: 21–31.

    Google Scholar 

  • Simon, B. 1978 Mind and Madness in Ancient Greece. New York: Cornell University Press.

    Google Scholar 

  • Simons, R.C., and C.C. Hughes 1985 The Culture-Bound Syndromes, Boston: Reidel.

    Google Scholar 

  • Spiro, M.E. 1950 A Psychotic Personality in the South Seas. Psychiatry 13: 189–204.

    Google Scholar 

  • 1986 Cultural Relativism and the Future of Anthropology. Cultural Anthropology 1(3): 259–286.

    Google Scholar 

  • Temkin, O. 1963 The Scientific Approach to Disease: Specific Entity and Individual Sickness.In Scientific Change. A.C. Clembie, ed. Pp. 629–647. New York: Basic Books.

    Google Scholar 

  • 1971 The Falling Sickness — A History of Epilepsy from the Greeks to the Beginnings of Modern Neurology. Baltimore: The Johns Hopkins Press.

    Google Scholar 

  • Tseng, W.S. 1973 The Development of Psychiatric Concepts in Traditional Chinese Medicine. Archives of General Psychiatry 29: 569–575.

    Google Scholar 

  • Unschuld, P.U. 1983 Medicine in China: A History of Pharmaceutics. Berkeley: University of California Press.

    Google Scholar 

  • Warner, R. 1985 Recovery from Schizophrenia. London: Routledge, Kegan and Paul.

    Google Scholar 

  • Waxler, N.E. 1974 Culture and Mental Disease: A Social Labelling Perspective. Journal of Nervous and Mental Disease 159: 379–395.

    Google Scholar 

  • Weiss, M. 1977 Critical Study of Unmada in the Early Sanskrit Medical Literature. (Ph.D. Dissertation), University of Pennsylvania.

  • Westermeyer, J. and R. Wintrob 1979a Folk Criteria for the Diagnosis of Mental Illness in Rural Laos. American Journal of Psychiatry 136: 755–761.

    Google Scholar 

  • 1979b Folk Explanation of Mental Illness in Rural Laos. American Journal of Psychiatry 136: 901–905.

    Google Scholar 

  • Wilson, B.R., ed. 1970 Rationality. London: Blackwell.

    Google Scholar 

  • Yanchi, L. 1988a The Essential Book of Traditional Chinese Medicine, Volume I: Theory. New York: Columbia University Press.

    Google Scholar 

  • 1988b The Essential Book of Traditional Chinese Medicine, Volume II: Clinical Practice. New York: Columbia University Press.

    Google Scholar 

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  1. Western Psychiatric Institute, University of Pittsburgh School of Medicine, 3811 O'Hara Street, 15213, Pittsburgh, PA, USA

    Horacio Fabrega Jr.

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Fabrega, H. A cultural analysis of human behavioral breakdowns: An approach to the ontology and epistemology of psychiatric phenomena. Cult Med Psych 17, 99–132 (1993). https://doi.org/10.1007/BF01380602

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