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- when reported diagnosis of autism rose, ppl thought an epidemic of autism was
happening.
Situated in Readings:
grinker: unstranged minds
In “Unstrange Minds”, Grinker attempts to refute the theory that autism is an “epidemic”
by explaining how autism is being perceived differently than it was in the past.
Main idea: autism is a cultural category that is always changing in relation to our culture
and history. There isn’t more autism than in the past, now we diagnose more people with it.
Significance:
How autism relates to labeling (discussion section):
- If we identify certain genes relate to autism… will those then forever define them?
Would it lead us to try to eliminate the autistic genes?
- Linked to genetics is the concept of Race -- In science, race doesn’t matter at all
- Race is a social classification is based on perceived biological differences such as
heritage
- Science says it doesn’t matter, but is used b/c it provides us with a way to classify
the world
- We employ social distinctions, and then mistake those distinctions for biological
ones (ex. Skin color)
Quoting Grinker: “A disorder even one with a clear cause or biomarker is only one when a
society construes it as such”.
- Autism as a disease is a construct to understand how humans have different levels
of social functioning as an effort to bring them into normalcy
o Significance:
Highlights the problem with psychiatry
Diagnosis based on consensus of cluster systems of symptoms,
instead of lab tests
To the patient: Mental health symptoms treated as language
to express psychological pain, not as a biological fact
Labeling a condition in DSM stigmatizes it as a disease to be
cured, i.e. homosexuality was taken off the DSM in 1972 but
the term still carried the same stigma
Blurry lines: when does shyness turn into social anxiety, need
to have a clear threshold
Anthropology can provide as a check to psychiatry by
questioning the external social factors of medical diagnosis to
prevent misdiagnosis
Prevalence/Incidence
What is it?
Prevalence: number of cases in a given population – proportion of cases
Incidence: number of new cases in a given pop – rate of occurrence
Are more ppl being classified as having the disease or are more people actually getting the
disease?
- Incidence relates to availability of service.
o People quick to label rising labeling of a disease with an epidemic bc they
want to find the “cause” to the spread to understand how they can stop it
Want to hold something/someone accountable
Why is it a problem?
- Overdiagnosis lead to stigmatization and inappropriate treatment (hinshaw, adhd
explosion)
o Culture determines rate of diagnosis
Less strict Economic, regulatory policies of meds = higher number of
diagnosis
Historical, political, and cultural values placed on academic
achievement
Wealth is a good predictor of how much adhd med is used
Norway 1990-2000 = ADHD med up 20x, more identified with
the disease
Brazil = repressive military, education based on
constructivism, doesn’t recognize individual differences, like
adhd.
- Paradoxical insecurity (Dumit: is it me or my brain?) insecurities cause Americans
to increase consumption of prescription drugs and rates of diagnostic tests
o Culture created this new norm that being at risk of adverse health effects is
expected, if you aren’t that means there is something you don’t know
o Objective self-fashioning: only believe they have illness via received facts
Images of the brain (CAT, MRI)
Popular media: ads, TV shows and movies, newspaper
Doctors diagnosis
Medical research journals
Question is: does these forms of mediascapes add to the stigma of mental health issues or help
prevent them?
- Good for preventive interventions, however could add to fear of uncertainty and
self-diagnosis take meds they don’t need
- Normalization of mental illness romanticizing and reductionism of what it means
to have these illnesses
o How diseases are defined not clear
o Arbitrary threshold = patients get meds they don’t need
Significance: understand individual causes of why people seek care and how they view people
who seek care help explain group consciousness on how they view the ill.
- Social and health implications
o Wrong diagnosis + stigmatization = social psychosis, death? And
marginalization
What is it? Social theory that asserts those experiencing poverty under impoverished conditions
will continue to live under poverty given the way social structures and popular practice prevent
social mobility.
- Internalizing why they deserve to be poor affect views of agency thus mentally
constraining them in this bubble
- Burden of care
o Manda Bala Movie
Security is not provided by the state, so individuals have to take their
own measures: bulletproof glass, arm themselves
o Biehl: assigned to the family by law (during anti-asylum movement 1970s)
- Dehumanization neolib worth = ability to contribute to society
o Brazil’s emphasis on market values = social immobility for those constrained
by lower classes of society
o Process of production change the way social relationships are formed,
people valued for their contribution to society and their productivity,
simply being a human isn’t enough
- Emergence of neoliberal ethics that let the unproductive to care for themselves
o Perpetuates cyclical psychiatric labeling you have doctors, family, and
meds that convinced you are ill conform to labels intractable
i.e. Catarina labeled as crazy and bad dismiss any discussion of history
and biology
even the label patient denies credibility of Catarina to assess
her own well-being
no one believed her when she said her husband Nilson was
abusing her and her children
o being in a psychiatric institution makes everything you
do and say admissible
Readings:
- Vita: Part 1
o Referenced mauss: social death = actual death
o Culture of poverty: given that those in poverty cannot provide for their own
livelihood = hence not able to contribute to society = not worthy of
affection/care
Once removed from society, they are made to think they are headed
for death and die for this reason
Significance of biehl:
- Contributed to importance of public anthropology
o Concerned with topics outside of the discipline itself, his work “vita”
o Impact of policy on human relations (link to wedel)
Global local
print capitalism: exclude people on basis of education
Scheper-Hughes, Death without weeping: mothers in brazil dealt with grief over loss of her
children with indifference bc death is natural and anticipated
- Given having to live under poverty, perceived that they are rescuing the child by
letting them die; better off that way
o Good death > extend bad life
- Detachment of mothers towards babies high morality
o Selective neglect = active survival strategies
o Death becomes less personal
o Relate to labeling infants expected to die, so they die.
- Structural violence contributed to this symbolic violence deaths don’t need to be
reported, no requirement for medical record. Poor social security programs. Lifeboat
ethics = justification.
o Related to farmer’s article: cultural difference acts as an alibi to violence
Pharmaceuticalization
o Society defines norms. Only dysfunctions that are socially disvalued are
disorders. Basically, translated human suffering and distress as disease.
(Farmer: suffering and structural violence)
Symbolic Violence: calling it psychiatric, not genetic increases moral distance of obligation to
help, justifies abandonment
- Link to murphy, west vs. non-west view of blaming mental illness on the patient
Structural Violence:
- $$$ for the industry widening diagnosis parameters to keep ‘em buying more
meds
- overdosing patients to keep em passive – form of social control
- social stratification deny poor access to healthcare
- Bc of poverty = cannot access doctors for proper diagnosis
- No diagnosis = lead to fam turning to practices of non-knowledge and dissimulation
Abu-Lughod: “cultural framing limits exploration of the roots and nature of human suffering”
o Post 9-11, she was asked to give cultural explanations of why this happened,
instead of political or historical ones
o In an effort to make something abstract more concrete, people tend to
reduce explanations to “othering” to remove blame of one’s people
Significance: The way societies label conditions can affect whether or not individuals progress
despite their condition or regress because of it, because of this the most accurate label must be
applied to the condition to warrant the best treatment, especially in cultures where labels allow
individuals to understand their world and their relation to other members of the society.
Both cultures do not blame the insane for their actions, but do blame those who
deviate from the norm without a medical/mental reason. In both cultures, indigenous healing
methods are used and the community comes together to protect or aid the insane.
This is important because Murphy seeks to show how traditional labeling (in the
developed world) is often stigmatizing, which is only made more severe by cultural institutions.
These two cultures have a word for the insane that does not blame them for their differences,
which is unique when contrast with the developed world. Murphy also seeks to show that
mental illness in a cultural stereotype that measures one’s social deviance (which is determined
arbitrarily in different societies).
- Labeling lead to social psychosis
o Mental state in which a person shows a diminished or loss of a sense of
reality
Delusions and diminished capacity to function effectively in daily life.
Esp. when their perceived “disease” reinforced by doctors, lab
imaging. received facts, objective self-fashioning. (DUMIT)
Individuals who received diagnosis conform to certain behavioral
norms, destroy creativity and enforce helplessness (MURPHY)
Catarina: addressing her as “bad” and “crazy” as her state of being =
legitimately dismisses any discussion of history and biology (Biehl)
Readings:
- Big themes of Vita: effects of urbanization and capitalism
o What made vita different: Biehl experimented with new ethnographic
method: focus on one subject to explain whole system
- Hospitals used to be the place where they used to confine those with “public
disorders”, level of health used as tool to socially exclude people
- Use to deal with overpopulation, concepts of citizenships and mental health used by
politicians to limit number of ppl in the city
Labeling theory: if you have a name for something, you create conditions and parameters in
which to ascribe people into social categories
- Comes back and justifies existence of the term
- Determines in and out group
- Travesti – Soccer, Sex, and Scandal by Kulick
o Define: male who often in childhood find that they prefer female activities,
behavior, and objects of desire
No desire to modify their genitals
o Ronaldo having sex with a travesti
Confused many of his fans and the media bc he was regarded as an
icon of masculinity
When he got caught, he had to explicitly say he was not a homosexual
to defend his masculinity
challenging what was assumed to be common practice among
heterosexual men
o Significance: labeling theory abnormalizes concepts, beliefs, and people
through putting them in categories
o They are now different because of their category
o Now sexual practice = sexual identity
Raise question: why do society feel the need to categorize people
based on their sexual preferences?
Neoliberalism
o The way in which economic logic pervades parts of our lives that are not
economic
Produces rational actors and imposes market rationale
Individual worth measured by own ability to care for themselves
Related key words: alienation of commodities, images and idea that underlying relations
of productions are amassed (authenticity bc market determine what is authentic)
o Alienation: process by which worker is made to feel foreign to the products
of their labor
3 types of alienation (Karl Marx – Das Kapital)
Producer to product: producer has no rights to the product,
instead product belongs to the market
Person to person: market determines social identity
Person to nature: see nature as a resource to exploit, world
becomes a commodity
- Structural violence and symbolic violence also fits here.
Readings:
- Preparedness - Lakoff
o Catastrophic events are inevitable so society must prepare for them
o Whether through state or non-state actors
Insurance: apply economic value to life
o Argues reflexive modernity is undermining importance of preparedness
Reliance on modern institutions make us vulnerable to threats
because we become unable to adapt and overcome catastrophe
i.e. internet or transportation
o Ideas came from Civil Defense Act 1950
Plans to defend oneself from nuclear war during the cold War
Conceals income inequality and systemic racism = explain lack of
infrastructure
Significance of Taussig
- Critical anth: analysis of society through view point where market is beginning to
dominate but society hasn’t been fully transformed by capitalism
o Gives an insight to how we define the natural order and the extent to which
our world is shaped by the capitalist society we live in
Authenticity: “particular image of what a certain person should look and act like” and if they
don’t fit these standards, then they are denied their identity
These three aspects change the value of a person to another. i.e. Abu-Lughod was allowed in
the Bedouin community because she was an “authentic muslim”
o Significance:
Different experts offered varying opinions based on their experience
= show how subjective authenticity and anthropological analysis can
be.
implications of labeling and authenticity in denial of identity and
rights. structural violence.
Significance: give insight to see what people find important in their identity and how ethnicity
affects interaction and interpersonal relationships
- Provide explanation to why people act the way they do
Nationalism
o Devotion and loyalty to a nation vs. a state (patriotism)
o Origins in how identity is conceived (ascribed and avowed identity)
Ascribed: process of having an identity assigned to you by others
Avowed: we fit ourselves into our idea of what is allowed and
expected of the identities we envision for ourselves
Hans Kohn: it’s a state of mind where one is loyal to their homeland
Readings:
Hinton – Cambodian Genocide: cultural models theory of knowledge structures, culture of
obedience to authority and the state. Nationalism shined when Khmer rouge created peasant-
based communist society: suppressed language that connote class and status differences, men
and women equal work.
Bonhomme – gossip is used as a way to reaffirm collective values in community by stigmatizing
deviant behavior
- Fear of genital theft lead to traffic relationships and gossip as a way to protect
against outsiders
o unifies membership within community and relations of its members
o collective response system to threats through gossip and lynching
form of unity from shared experience of risk (preparedness)
- relation to nationalism: perpetrators are always strangers, it is a culturally specific
reaction to globalization
o witchcraft is fit into an urban cultural, pre-existing framework
- significance: a way of reacting psychologically to changing environments by defining
self within “in-group”
Politico-cultural groups are created in status movements (Woolard, language prison)
- i.e. English-only campaign
o movement against bilingualism culminated in a series of alienating non-
native English speakers from the education system and voting in elections
o status movements express ambivalence of social life with “outsiders”
Woolard thinks that proposition O that aimed to get rid of election
materials in other languages show Americans projecting the dark side
of political processes (bossism, interest groups, professional
politicians) onto outsiders
o How does this create nationalism?
Othering non-native speakers draws line between who is American
and who is not
The former being well-informed to make rational decisions to choose
the best candidate, and the latter being uniformed, apathetic, and
not having the best interest of the nation