Skip to main content

Toward a Meaning-Centered Analysis of Popular Illness Categories: “Fright Illness” and “Heart Distress” in Iran

  • Chapter
Cultural Conceptions of Mental Health and Therapy

Part of the book series: Culture, Illness, and Healing ((CIHE,volume 4))

Abstract

In recent publications, Marsella outlined an approach to cross-cultural psychiatric epidemiologies. He suggests that such studies begin with an “emic determination of disorder categories”, utilizing ethnoscience techniques “to evolve categories of disorder and their experiential components which are meaningful to the cultures under study” (Marsella 1978:351; cf. Marsella 1979:246; 1980:49). These illness categories should then be submitted to epidemiological research, establishing baseline data and using multivariate analysis to determine objective patterns of disorder for particular societies. Such culture-specific studies should precede cross-cultural comparison. This approach will be welcomed by many anthropologists as having significant advantages over traditional psychiatric epidemiologies, of the sort Kleinman has called “the old transcultural psychiatry” (Kleinman 1977). Anthropologists experienced in studying illness across cultures will recognize also that the most fundamental aspect of such research — the emic determination of categories of disorder — is fraught with important methodological and theoretical difficulties.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 129.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 169.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Similar content being viewed by others

References

  • Amarasingham, L. B.: 1980 Movement Among Healers in Sri Lanka: A Case Study of a Sinhalese Patient. Culture, Medicine and Psychiatry 4: 71–92.

    Google Scholar 

  • Atkinson, P.: 1977 The Reproduction of Medical Knowledge. In Health Care and Health Knowledge. R. Dingwall, C. Health, M. Reid, M. Stacey (eds.). London: Croom Helm.

    Google Scholar 

  • Bateson, M. C.: 1979 This Figure of Tinsel. A Study of Themes of Hypocrisy and Pessimism in Iranian Culture. Daedulus, pp. 125–134 (Summer).

    Google Scholar 

  • Bateson, M. C.: 1976 Safayi Batin A Study of the Interrelations of a Set of Iranian Ideal Character Types. In Psychological Dimensions of Near Eastern Studies. L. Carl Brown and Norman Itzkowitz (eds.), pp. 257–274. Princeton: The Darwin Press. Beeman, W. O.Bateson, M. C.:

    Google Scholar 

  • Bateson, M. C.: 1976 The Meaning of Stylistic Variation in Iranian Verbal Interaction. Ph.D. dissertation. University of Chicago: Department of Anthropology. Berger, P. L. and T. Luckman

    Google Scholar 

  • Bateson, M. C.: 1966 The Social Construction of Reality. New York: Doubleday Co., Inc.

    Google Scholar 

  • Blumhagen, D.: 1980 Hypertension A Folk Illness With a Medical Name. Culture, Medicine and Psychiatry 4: 197–228.

    Google Scholar 

  • Carr, J. E.: 1978 Ethno-Behaviorism and the Culture-Bound Syndromes: The Case of Amok. Culture, Medicine and Psychiatry 2: 269–293.

    Google Scholar 

  • Dandrade, R. G.: 1974 Memory and the Assessment of Behavior. In Measurement in the Social Sciences. H. B. Blalock (ed.), pp. 159–186. Chicago: Aldine Publishing Company.

    Google Scholar 

  • Emerson, J.: 1970 Behavior in Private Places: Sustaining Definitions of Reality in Gynecological Examinations. In Recent Sociology No. 2. P. Dreitzel (ed.), pp. 73–100. London: The Macmilan Company.

    Google Scholar 

  • Fabrega, H.: 1970 On the Specificity of Folk Illnesses. Southwest Journal of Anthropology 26: 305–314.

    Google Scholar 

  • Fabrega, H.: 1972 The Study of Disease in Relation to Culture. Behavioral Sciences 17: 183.

    Article  Google Scholar 

  • Fabrega, H. and D. B. Silver: 1973 Illness and Shamanistic Curing in Zinacantan. Stanford: Stanford University Press.

    Google Scholar 

  • Feinstein, A. R.: 1973 An Analysis of Diagnostic Reasoning, Parts I and II. Yale Journal of Biology and Medicine 46:212–232, 264–283.

    Google Scholar 

  • Fischer, M. M. J.: 1977 Interpretive Anthropology. Reviews in Anthropology 4: 391–403.

    Article  Google Scholar 

  • Foucault, M.: 1970 The Order of Things: An Archaelogy of the Human Sciences. New York: Vintage Books.

    Google Scholar 

  • Fox, J. J.: 1975 On Binary Categories and Primary Symbols: Some Rotinese Perspectives. In Interpretation of Symbolism. Roy Willis (ed.), pp. 99–132. New York: Halsted.

    Google Scholar 

  • Frake, C. O.: 1961 The Diagnosis of Disease Among the Subanun of Mindanao. American Anthropologist 63: 112–132.

    Google Scholar 

  • Frank, A. W.: 1979 Reality Construction in Interaction. Annual Review of Sociology 5: 167–191.

    Article  Google Scholar 

  • Gaines, A.: 1979 Definitions and Diagnoses: Cultural Implications of Psychiatric Help-Seeking and Psychiatrists Definitions of the Situation in Psychiatric Emergencies. Culture, Medicine and Psychiatry 3: 381–418.

    Google Scholar 

  • Geertz, H.: 1968 Latah in Java: A Theoretical Paradox. Indonesia 3: 93–104.

    Google Scholar 

  • Gillin, J. P.: 1948 Magical Fright. Psychiatry 11: 387–400.

    Google Scholar 

  • Givner, D. A.: 1962 Scientific Preconceptions in Lockes Philosophy of Language. Journal of History of Ideas 23: 340–354.

    Article  Google Scholar 

  • Good, B.: 1977 The Heart of Wha’s the Matter: The Semantics of Illness in Iran. Culture, Medicine and Psychiatry 1: 25–58.

    Google Scholar 

  • Good, B. J. and M. J. D. Good: 1980 The Meaning of Symptoms: A Cultural Hermeneutic Model for Clinical Practice. The Relevance of Social Science for Medicine. L. Eisenberg and Arthur Kleinman (eds.), pp. 165–196. Dordrecht, Holland: D. Reidel Publishing Co.

    Google Scholar 

  • Good, B. J. and M. J. D. Good: 1981 The Semantics of Medical Discourse. In Sciences and Cultures: Sociology of the Sciences Vol. 5. E. Mendelsohn and Y. Elkana (eds.), pp. 177–212. Dordrecht, Holland: D. Reidel Publishing Co.

    Google Scholar 

  • Good, M. J. D.: 1980 Of Blood and Babies: The Relationship of Popular Islamic Physiology to Fertility. Social Science and Medicine 14B: 147–156.

    Google Scholar 

  • Guimera, L. M.: 1978 Witchcraft Illness in the Evuzok Nosological System. Culture, Medicine and Psychiatry 2: 373–396.

    Google Scholar 

  • Harrison, B.: 1972 Meaning and Structure: An Essay in the Philosophy of Language. New York: Harper and Row.

    Google Scholar 

  • Kay, M.: 1979 Lexemic Change and Semantic Shift in Disease Names, Culture, Medicine and Psychiatry 3: 73–94.

    Google Scholar 

  • Kenny, M. G.: 1978 Latah: The Symbolism of a Putative Mental Disorder. Culture, Medicine and Psychiatry 2: 209–231.

    Google Scholar 

  • Kety, S.: 1974 From Rationalization to Reason. American Journal of Psychiatry 131: 957–963.

    Google Scholar 

  • Kiev, A.: 1972 Transcultural Psychiatry. New York: Free Press.

    Google Scholar 

  • Kleinman, A.: 1977 Depression, Somatization and the New Cross-Cultural Psychiatry. Social Science and Medicine 11: 3–10.

    Google Scholar 

  • Good, B. J. and M. J. D. Good: 1978 Clinical Relevance of Anthropological and Cross-Cultural Research: Concepts and Strategies. American Journal of Psychiatry 135: 427–431.

    Google Scholar 

  • Kleinman, A.: 1980 Patients and Healers in the Context of Culture. Berkeley: University of California Press.

    Google Scholar 

  • Kleinman, A., L. Eisenberg, and B. Good: 1978 Culture, Illness and Care: Clinical Lessons from Anthropologic and Cross-Cultural Research. Annals of Internal Medicine 88: 251–258.

    Google Scholar 

  • Kleinman, A. and E. Mendelsohn: 1978 Systems of Medical Knowledge: A Comparative Approach. Journal of Medicine and Philosophy 3: 314–330.

    Google Scholar 

  • Lewis, G.: 1976 A View of Sickness in New Guinea. In Social Anthropology and Medicine. J. B. Loudon (ed.). pp. 49–103. New York: Academic Press.

    Google Scholar 

  • Marsella, A. J.: 1978 Thoughts on Cross-Cultural Studies on the Epidemiology of Depression. Culture, Medicine and Psychiatry 2: 343–357.

    Google Scholar 

  • Marsella, A. J.: 1979 Cross-Cultural Studies of Mental Disorders. In Perspectives in Cross-Cultural Psychology. A. J. Marsella, R. Tharp, and T. Ciborowski (eds.), pp. 233–262. New York: Academic Press.

    Google Scholar 

  • Marsella, A. J.: 1980 Depressive Experience and Disorder Across Cultures. In Handbook of Cross- Cultural Psychology, Volume 5: Culture and Psychopathology. H. Triandis and J. Draguns (eds.). Boston: Allyn and Bacon.

    Google Scholar 

  • Murphy, J.: 1976 Psychiatric Labeling in Cross-Cultural Perspective. Science 191(4231): 1019– 1028.

    Google Scholar 

  • Ness, R. C.: 1978 The Old Hag Phenomenon as Sleep Paralysis: A Biocultural Interpretation. Culture, Medicine and Psychiatry 2: 15–40.

    Google Scholar 

  • Onell, C. W.: 1975 An Investigation of Reported Fright as a Factor in the Etiology of Susto, Magical Fright. Ethos 3: 268–283.

    Google Scholar 

  • Onell, C. W. and A. J. Rubel: 1976 The Meaning of Susto (Magical Fright). Actas del XLI Congreso Internacional de Americanistas (1974) 3: 342–349.

    Google Scholar 

  • Rabinow, P. and W. M. Sullivan, eds.: 1979 Interpretive Social Science. Berkeley: University of California Press.

    Google Scholar 

  • Ricoeur, P.: 1976 Interpretation Theory: Discourse and the Surplus of Meaning. Fort Worth: Texas Christian University Press.

    Google Scholar 

  • Ricoeur, P.: 1975 Universals and Culture Specifics in Human Categorization. In Cross-Cultural Perspectives on Learning. R. W. Brislin, S. Bochner, and W. Lonner (eds.), pp. 177–206. New York: John Wiley and Sons, Sage Publications.

    Google Scholar 

  • Scheff, T.: 1968 Negotiating Reality: Notes on Power in the Assessment of Responsibility. Social Problems 16: 3–17.

    Google Scholar 

  • Schutz, A.: 1970 Reflections on the Problem of Relevance. R. M. Zaner, (ed.). New Haven: Yale University Press. Simons, R. C.

    Google Scholar 

  • Scheff, T.: 1980 The Resolution of the Latah Paradox. Journal of Nervous and Mental Disease 168: 195–206.

    Article  Google Scholar 

  • Sontag, S.: 1977 Illness as Metaphor. New York: Farrar, Straus and Giroux. Taylor, C.

    Google Scholar 

  • Sontag, S.: 1979 Interpretation and the Sciences of Man. In Interpretive Social Science: A Reader. P. Rabinow and W. M. Sullivan, (eds.), pp. 25–71. Berkeley: University of California Press.

    Google Scholar 

  • Turner, V.: 1967 The Forest of Symbols: Aspects of Ndembu Ritual. Ithaca: Cornell University Press.

    Google Scholar 

  • Waziri, Rafiq: 1973 Symptomatology of Depressive Illness in Afghanistan. American Journal of Psychiatry 130: 213–217.

    Google Scholar 

  • White, H.: 1973 Foucault Decoded: Notes from Underground. History and Theory 12 (l): 23–54.

    Article  Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1982 D. Reidel Publishing Company

About this chapter

Cite this chapter

Good, B.J., Good, MJ.D. (1982). Toward a Meaning-Centered Analysis of Popular Illness Categories: “Fright Illness” and “Heart Distress” in Iran. In: Marsella, A.J., White, G.M. (eds) Cultural Conceptions of Mental Health and Therapy. Culture, Illness, and Healing, vol 4. Springer, Dordrecht. https://doi.org/10.1007/978-94-010-9220-3_5

Download citation

  • DOI: https://doi.org/10.1007/978-94-010-9220-3_5

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-90-277-1757-3

  • Online ISBN: 978-94-010-9220-3

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics