Culture-bound syndromes, idioms of distress, and cultural concepts of distress: New directions for an old concept in psychological anthropology
Open accessAbstract
This issue of Transcultural Psychiatry showcases some recent work on idioms of distress – the latest in a long line of anthropological research concerned with cross-cultural concepts and experiences of distress. Mark Nichter’s (1981) seminal paper introducing idioms of distress has become a cynosure for psychological anthropology and transcultural psychiatry. A growing body of work has since accumulated; however, the last time a collection of such research was brought together was the 2010 publication of a special issue in the journal Culture, Medicine and Psychiatry organized by Devon Hinton and Roberto Lewis-Fernández. In the decade since, new questions have arisen about the boundaries and applications of idioms of distress research. In this introduction, we provide a brief history of work on idioms of distress and related concepts. Then, we introduce several major themes explored by the papers in this special issue.
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The imposition of Western conceptualizations of mental illness on non-Western cultures has been critiqued for perpetuating paternalistic practices and excluding local cosmologies.
“Furthermore, the imposition of Western conceptualizations of mental illness on non-Western cultures has been critiqued for perpetuating paternalistic practices and excluding local cosmologies, highlighting the need for emic research approaches that recognize non-Western idioms of distress (Fabian et al., 2018; Kaiser & Weaver, 2019).”
From Developing and validating the Sierra Leone perinatal psychological distress scale through an emic-etic approach (2025) · cites this paper as Kaiser & Weaver, 2019
In “This issue” (page unavailable), the paper critiques psychiatric categories that co-opt and displace local idioms of distress. “Idioms of distress: History of a concept” (page unavailable) also calls for taking local understandings seriously. These passages support the concern about excluding local perspectives, but they do not describe the imposition of Western concepts as perpetuating paternalistic practices. (LLM, conf=0.83)
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- Authors
- Kaiser, B. N., & Jo Weaver, L.
- Affiliations
- University of California San Diego (US)
- University of Oregon
- Corresponding author
- Kaiser, Bonnie N.
- ORCID
- Kaiser, Bonnie N.
- Venue
- Transcultural Psychiatry
- Publisher
- SAGE Publications
- Published
- 2019-07-26
- Volume
- 56
- Issue
- 4
- Pages
- 589-598
- ISSN
- 1363-4615 (ISSN-L)
- 1461-7471
- PMC
- PMC6724704
- OpenAlex
- W2966423182
- Cited by
- 120
- References
- 45
- Citations by year
- 2026: 31 · 2025: 21 · 2024: 15 · 2023: 14 · 2022: 12 · 2021: 22 · 2020: 2 · 2019: 3
- FWCI
- 59.90
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Transcultural Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- eScholarship (California Digital Library) (submittedVersion)
- Funders
- National Institute of Mental Health (F32MH113288)
- Topics
- Social Sciences › Arts and Humanities › Philosophy › Mental Health and Psychiatry
- Social Sciences › Cultural Studies › Cultural, Psychoanalytic, and Sociopolitical Reflections
- Social Sciences › Psychology › Clinical Psychology › Psychology and Mental Health
- Keywords
- idioms of distress, culture-bound syndromes, cultural concepts of distress, psychological anthropology
- MeSH terms
- Ethnopsychology, Humans, Health Knowledge, Attitudes, Practice, Language, Stress, Psychological
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