Wednesday, March 30, 2005

Cultural bias

A NYTimes essay discovers people who have been through terrible things usually don't need counseling and psychiatry to "help" them...

It would not be the first time that psychological aid was regarded by non-Western recipients as a kind gesture but a bad fit. For the last 15 years or so, humanitarian workers have been exporting the concept of post-traumatic stress disorder and trauma counseling around the globe.

They have rushed in to impose Western "debriefing" - a group therapy technique intended to get victims to express their feelings about a horrific event and to relive it as vividly as they can - without regard to the needs of the victims, their natural healing systems or their very conception of what mental illness might be.



One reason I didn't fit in well when I took a psychiatry rotation among rich yuppies is that I was not sensitive enough to feel they needed psychiatry. I did okay with the REAL mentally ill-- the schizophrenics or severely depressed, for example...

And EVERY culture has ways to cope...often using religion and ceremonies.

The Navajo, for example, held a "sing" ceremony for the codetalkers.

And Catholics always had confession, with imposed penance-- which in the middle ages might include working with the poor in a monastery or going on a pilgrimage...

After 9-11, we saw this type of healing in the many shrines that sprung up in Manhattan, and at the many Catholic funeral masses...

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