Ethan Watter’s article, “The
Americanization of Mental Illness” caught my eye. As an advocate for mental
health, I felt excited to read this and learn more about the history of factors
that have contributed to and shaped our current approaches to mental health.
In his article, Watters contends
that the world’s knowledge of mental health and illness are largely Americanized.
He explains that the presentations of mental health and our approaches to them
have aggressively been spread by Western knowledge and that “we’ve been
changing not only the treatments but also the expression of mental illness in
other cultures” (1). In making his argument, Watters provided an example of Dr.
Sing Lee who studied anorexia nervosa in Hong Kong. Dr. Lee found that anorexia
in Hong Kong looked uniquely different than how anorexia looked like in
America. When a girl in Hong Kong collapsed and died due to anorexia, local
media and even mental health experts relied on American approaches to the
disease rather than local, culturally relevant approaches. “Behind
the promotion of Western ideas of mental health and healing lie a variety of
cultural assumptions about human nature” (6). Each culture has its own
assumptions towards the causes of mental illness and Watters fears that in a
world where the universality of American diagnosis, with its “official”
categories and standards, reigns supreme, we are losing that cultural
uniqueness. Every person is different and mental illnesses are experienced on a
wide spectrum. The example of how differently the West approached curing
schizophrenia versus how the religious beliefs of the Swahili culture
approached curing schizophrenia just goes to show that the categorization of
mental health is not so black and white. It is difficult to organize into
cookie cutter approaches.
However,
in order to move forward, I do not think that we should completely disregard
either side. Both matters. It seems as if Watters has a large disdain towards
Western approaches, despite the importance of that research. He even states
that we are “trampling on indigenous prescientific superstitions” (6). I do not
think that it is this drastic and that mental health illnesses may only be
resolved through collaborative efforts in research and approaches. There is
still much exploration and learning needed to effectively approach the
diversity of mental health and illness, but articles like these foster honest,
much-needed reflection towards the importance of culture and scientific
research.
Question:
Does someone’s cultural
environment affect the way a person displays his mental health illness or are
the symptoms something that cannot be controlled?
References:
Watters, E. (2010). The Americanization of Mental Illness. The New York Times.
Retrieved on October 29, 2017. (n.d.) [digital image]. Retrieved from https://lh3.googleusercontent.com/-YSPenTBL1rE/VhmQGDTUTYI/AAAAAAAAARg/MsBwRpBxOKI/w909-h1083/How%2BCan%2Brace%2C%2Bethnicity%2C%2Bculture%2C%2Binfluence%2Bmental%2Bhealth.png
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