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Crazy Like Us: The Globalization of the American Psyche, by Ethan Watters
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From Publishers Weekly
If you thought McDonald's and strip malls were the ugliest of America's cultural exports, think again. Western ideas about mental illness-from anorexia to post-traumatic stress disorder, schizophrenia, general anxiety and clinical depression-as well as Western treatments have been sweeping the globe with alarming speed, argues journalist Watters (Urban Tribes), and are doing far more damage than Big Macs and the Gap. In this well-traveled, deeply reported book, Watters takes readers from Hong Kong to Zanzibar, to Tsunami ravaged Sri Lanka, to illustrate how distinctly American psychological disorders have played in far-off locales, and how Western treatments, from experimental, unproven drugs to talk therapy, have clashed with local customs, understandings and religions. While the book emphasizes anthropological findings at the occasional expense of medical context, and at times skitters into a broad indictment of drug companies and Western science, Watters builds a powerful case. He argues convincingly that cultural differences belie any sort of western template for diagnosing and treating mental illness, and that the rapid spread of American culture threatens our very understanding of the human mind: "We should worry about the loss of diversity in the world's differing conceptions of treatments for mental illness in the same way we worry about the loss of biodiversity in nature." Copyright © Reed Business Information, a division of Reed Elsevier Inc. All rights reserved.
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From Booklist
During the last quarter-century, America’s cultural influence on foreign countries has become all too visible, with a McDonald’s opening on Tiananmen Square and remote African tribes sporting jeans and T-shirts. Perhaps less obvious, but no less worrisome, is the American exportation of mental illness documented in this unsettling expose by the coauthor of the recovered-memory critique, Making Monsters (1996). Watters emphasizes that different cultures have long had their idiosyncratic ways of handling stress that don’t necessarily conform to descriptions provided by the American Psychological Association (APA). Yet, because the APA’s treatment guidelines are increasingly being subscribed to and Western medicine’s recommended drugs prescribed by other countries’ health-care workers, such illnesses as anorexia and post-traumatic stress disorder (PTSD) are appearing in cultures previously unfamiliar with them. In making his case, Watters provides four carefully dissected case studies, those of anorexia in Hong Kong, PTSD in Sri Lanka, schizophrenia in Zanzibar, and depression in Japan. Ultimately, Watters argues, the loss of cultural diversity consequent upon this peculiar form of Americanization will be keenly felt. --Carl Hays
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Product details
Hardcover: 320 pages
Publisher: Free Press (January 12, 2010)
Language: English
ISBN-10: 141658708X
ISBN-13: 978-1416587088
Product Dimensions:
6.2 x 1.2 x 9.2 inches
Shipping Weight: 1.1 pounds (View shipping rates and policies)
Average Customer Review:
4.5 out of 5 stars
92 customer reviews
Amazon Best Sellers Rank:
#111,918 in Books (See Top 100 in Books)
Ethan Watters is a journalist who writes particularly about mental health. The premise of this book is that American understandings about the mind and the self, particularly ideas about mental illness and treatment, are being aggressively promoted and replacing traditional beliefs and practices in nonwestern societies. You might think this is a good thing, a sign of progress or modernization, if you believe Americans know more than the rest of the world about mental health. Watters clearly does not. He is of the opinion that psychiatry is culture-bound: that each society has developed its own idioms of distress and culturally meaningful forms of treatment, and Western psychiatry is rapidly destroying them. The American narrative of the moment is a particularly banal one that thoughts and feelings are just a batch of chemicals that psychiatrists can alter with drug therapy. Watters is well-read on the subject, and he has gone around the world to talk to researchers who are questioning the Western narrative. He has written an exceptionally clear, engaging, and persuasive book. As a psychological anthropologist trained in psychiatry, there is little here that I did not learn as a student thirty years ago, but this is the first book I would recommend to anyone who wants to explore the relationship between psychology and culture. It clearly challenges the prevailing premise of universalism, that the psychology and psychiatry of people everywhere is essentially the same and that culture is largely irrelevant.
Ethan Watters, an American journalist explores in his book Crazy Like Us, the globalization of American based mental illnesses such as anorexia, schizophrenia, PTSD, etc. In his book he explores four different types of illnesses and allows the reader to see just how much impact the American definitions and symptoms of these mental illnesses have had on other societies. He is able to keep his readers captivated by incorporating the stories of people who are inflicted with this disorder. He also allows the reader to see how the disorder progressed from having a cultural specific identity to being manipulated into an entirely new being. One of his first examples is that of anorexia in China, at first the reason behind the disorder was completely different from our own, that was until it became exposed to the population.Which is where Watters introduces the concept of western technology and science. In his book he stakes the claim that because of the advanced science and technology possessed by the United States, leads to less economically stable countries to embrace ideas that are foreign to them without thinking how it will affect their cultural background. He proves this point several times in the book, whether it be the United States influencing the introduction of a mental illness to another country, or the use of data collected in the United States in order to push a new SSRI.Watter’s takes a topic that is what some would call near and dear to individuals of the United States, as mental illness is becoming a more prominent issues, and showing how it is negatively affecting societies that have not been introduced to these ideas. Meaning that no these societies quite possible did have these disorders in their society but before the globalization of their symptoms and definitions they had an entirely different meaning. They became something new instead of what they had always been. The reader sees then when reading chapter three of schizophrenics in Africa, the disorder was always there just never given a name or symptoms addressed to it. Instead it was just a burden to bare from God. Which is where the reader gets to see how the society accepts and treats the disorder.Watters book is very well constructed and easy to lose oneself in because of the stories he tells of others, and does not bog down the reading with countless studies done, or scholarly information that takes away from the meaning. If one is interested in anthropology, and medical studies this is definitely a book to read. It not only touches base with American culture, but several other cultures, and also gives the reader a taste of the medical aspects of the world. It also allows the reader to see a more in depth view of medical companies and how sometimes these companies are not out for the betterment of individuals; they are out for the betterment of their wallets. Watters took a unique topic and allowed the individuals stories speak for themselves on how globalization has left a devastating footprint on numerous societies; a footprint that some individuals may not be able to recover from.
Splendid read. Hugely insightful, providing insight to the cautions we should exercise in applying Western DSM diagnoses and treatments as a cookie cutter cure to global mental health issues. Kudos to the author for some serious investigative reporting and analysis. This should be in the libraries of every mental health practitioner worthy of his/her salt.
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