Research article summary (published 30 Aug 2009):

Heartache of the state, enemy of the self: bipolar disorder and cultural change in urban China.

Full Abstract

Past works in anthropology and psychology have described the Chinese orientation toward life as situation-centered with an external locus of control. This model has also been applied to the understanding of affect disorders in China--depressive patients have been found to focus on outside circumstances surrounding dysphoric moods. However, dramatic economic, sociopolitical and cultural changes in post-Mao China may be affecting these cognitive orientations toward emotional distress. This paper focuses on the subjective experiences of individuals diagnosed with bipolar disorder in China. The study is based on semistructured interviews with patients at a Western-style mental health institution in Shenzhen, the first successful Special Economic Zone in China. My data suggest that the location of agency has shifted across generations. Whereas those who grew up in the Maoist era are inclined to use external circumstances to explain the control over and responsibility for their illness, younger patients tend to emphasize self-blame and individual responsibility. I argue that these intergenerational differences in ethnopsychology relate to the multifaceted rise of individualism in post-Mao China. The paper ends with an examination of this observed shift vis-à-vis recent theories of neoliberal discipline in China and a discussion of potential psychological implications.

Author information

Author/s: Ng, Emily (E);

Affiliation: Department of Anthropology, University of California, Berkeley, 232 Kroeber Hall, Berkeley, CA 94720, USA. emily.ng(-atsign-)berkeley.edu

Journal and publication information

Publication Type: Journal Article; Research Support, Non-U.S. Gov't

Journal: Culture, medicine and psychiatry (Cult Med Psychiatry), published in Netherlands. (Language: eng)

Reference: 2009-Sep; vol 33 (issue 3) : pp 421-50

Dates: Created 2009/07/28; Completed 2009/11/03;

PMID: 19526331, status: MEDLINE (last retrieval date: 11/3/2009, IMS Date: )

Sourced from the National Library of Medicine. Abstract text and other information may be subject to copyright.

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MeSH headings (categories)

This article was linked to the MESH Headings shown below.

Adolescent Adult Bipolar Disorder - ethnology China Cognition Culture Emotions Female Humans

Humans Intergenerational Relations Interviews as Topic Male Middle Aged Orientation Social Change Urban Population Young Adult

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