By Emmanuel Akyeampong, Allan G. Hill, Arthur Kleinman
In many African international locations, psychological health and wellbeing concerns, together with the weight of significant psychological affliction and trauma, haven't been accurately addressed. those essays make clear the therapy of universal and protracted psychological problems, together with psychological affliction and therapy within the present weather of monetary and political instability, entry to wellbeing and fitness care, entry to drugs, and the impression of HIV-AIDS and different continual sickness on psychological wellbeing and fitness. whereas difficulties are rampant and hold actual and devastating outcomes, this quantity promotes an knowing of the African psychological health and wellbeing panorama in carrier of reform.
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Extra info for The Culture of Mental Illness and Psychiatric Practice in Africa
Example text
Kleinman ob 28 | Akyeampong serves that “culture and profession contribute significantly, if more or less tacitly, to the construction of mental illness” (Kleinman 1988, 73). COLONIAL ASYLUMS The imposition of colonial rule was accompanied by the establishment of asy lums, not necessarily as an instrument of social control, as I have mentioned above, but as part of the infrastructure of colonial rule. In this regard, asylums— together with hospitals, public works, and censuses—were part of the making of the colonial order.
Major categories of mental diseases manifest themselves globally, as indicated in world mental health surveys, but symptomatology and the social course of the illness experience reflect cultural and social influences. The implementation of mental health care interventions is as powerfully affected by political, economic, and institutional processes as are the implementations of interventions for AIDS, tuberculosis, and malaria. And the stigma affecting both patients and family caregivers suggests that social and cultural determinants are as powerful for mental health care as for mental illnesses.
The impact of mental illness on AIDS orphans, the growing ranks of destitute youth, and teenagerheaded households has yet to be studied in any detail. In line with the earlier statement about psy chiatry’s preoccupation with social and moral order in the colonial period, a short case study on cannabis and madness in postcolonial West Africa ends this chapter, to underscore the overlap of lay and psychiatric opinions and the fact that—as Kleinman recently put it—psychiatric diagnosis is “an interpretation of an interpretation” (personal communication, February 2, 2011).
