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Culture, Medicine, and Psychiatry

, Volume 34, Issue 1, pp 169–185 | Cite as

Moral Agency, Identity Crisis and Mental Health: An Anthropologist’s Plight and His Hmong Ritual Healing

  • Christian Postert
Original Paper

Abstract

During anthropological fieldwork, the author had a serious accident on the outskirts of a Hmong village in the highland of Laos. However, this dramatic incident turned out to be the occasion of his ritual initiation into the local village community. An analysis of narratives of the incident reveals Hmong conceptions of the anthropologist’s physical, mental and moral affliction, its causative concomitants and his ritual healing. Hmong mental health and identity are situated in a moral space of exchange relationships to significant others, challenging basic assumptions of concepts of the person widely held in psychiatry and beyond. The healing ritual transformed the author’s being from indeterminate “other,” in a life-threatening state of identity crisis, to a wholesome Hmong “self,” in a state of health and moral agency. This exemplary rite de passage highlights the affinity of ritual healing and constitution of self in a moral space. The underlying relational concept of the person is in sharp contrast to psychiatry’s concepts of the person, which are deeply shaped by values of individualism. Psychiatric services must accommodate substantial differences in the concepts of the person when treating Hmong migrants from Laos.

Keywords

Hmong Self Mental health Identity Ritual Moral agency 

Notes

Acknowledgments

The author’s data collection and analysis were supported by a grant from the German Research Council (DFG) in the framework of the interdisciplinary Research Group “Cultural Diversity and the Construction of Polity in Southeast Asia: Continuity, Discontinuity, and Transformation” (FOR 362) at Münster University.

References

  1. Alvi, Anjum 2001 The Category of the Person in Rural Punjab. Social Anthropology 9: 45–63.CrossRefGoogle Scholar
  2. Antonovsky, Aaron 1987 Unraveling The Mystery of Health—How People Manage Stress and Stay Well. San Francisco: Jossey-Bass..Google Scholar
  3. Barnard, Alan, and Anthony Good 1984 Research Practices in the Study of Kinship. London: Academic Press.Google Scholar
  4. Barraud, Cécile 1979 Tanebar-Evav, une société de maisons tournée vers le large. Cambridge: Cambridge University Press.Google Scholar
  5. Barraud, Cécile, Daniel de Coppet, André Iteanu, and Raymond Jamous 1994 Of Relations and the Dead. Four Societies Viewed from the Angle of Their Exchanges. Oxford: Berg.Google Scholar
  6. Carrithers, Michael, Steven Collins, and Steven Lukes, eds. 1985 The Category of the Person. Anthropology, Philosophy, History. Cambridge: Cambridge University Press.Google Scholar
  7. Christopher, John Chambers 1999 Situating Psychological Well-Being: Exploring the Cultural Roots of Its Theory and Research. Journal of Counseling and Development 77: 141–152.Google Scholar
  8. Chung, Rita Chi-Ying, and Fred Bemak 1996 The Effects of Welfare Status and Psychological Distress among Southeast Asian Refugees. Journal of Nervous and Mental Disease 184: 346–353.CrossRefGoogle Scholar
  9. Comaroff, John L., and Jean Comaroff 2001 On Personhood: An Anthropological Perspective from Africa. Social Identities 7(2): 267–283.CrossRefGoogle Scholar
  10. de Coppet, Daniel, and Hugo Zemp 1978 ‘Aré ‘aré. Un peuple mélanésien et sa musique. Paris: Éditions Du Seuil.Google Scholar
  11. Erikson, Erik H. 1975 Life History and the Historical Moment. New York: Norton.Google Scholar
  12. Gaines, Atwood D. 1982 Cultural Definitions, Behavior and the Person in American Psychiatry. In Cultural Conceptions of Mental Health and Therapy. Anthony J. Marsella and Geoffrey M. White, eds., pp. 167–192. Dordrecht: Reidel.Google Scholar
  13. Gaines, Atwood D. 1985 The Once- and the Twice-Born: Self and Practice among Psychiatrists and Christian Psychiatrists. In Physicians of Western Medicine: Anthropological Approaches to Theory and Practice. Hahn, Robert A., and Atwood D. Gaines, eds., pp. 223–243. Dordrecht: Reidel.Google Scholar
  14. Gaines, Atwood D. 1992 From DSM-I to III-R; Voices of Self, Mastery and the Other: A Cultural Constructivist Reading of U.S. Psychiatric Classification. Social Science and Medicine 35(1): 3–24.CrossRefGoogle Scholar
  15. Gandhi, Leela 1998 Postcolonial Theory: A Critical Introduction. New York: Columbia University Press.Google Scholar
  16. Gensheimer, Linda 2006 Learning from the Experiences of Hmong Mental Health Providers. Hmong Studies Journal 7: 1–31.Google Scholar
  17. Grigoleit, Grit 2006 Coming Home? The Integration of Hmong Refugees from Wat Tham Krabok, Thailand into American Society. Hmong Studies Journal 7: 1–22.Google Scholar
  18. Hallowell, A. Irving 1955 Culture and Experience. Philadelphia: University of Pennsylvania Press.Google Scholar
  19. Hollan, Douglas 1992 Cross-Cultural Differences in the Self. Journal of Anthropological Research 48(4): 283–300.Google Scholar
  20. Ikels, Charlotte 2002 Constructing and Deconstructing the Self: Dementia in China. Journal of Cross-Cultural Gerontology 17: 233–251.CrossRefGoogle Scholar
  21. Iteanu, André 1983 La ronde des échanges: De la circulation aux valeurs chez les Orokaiva. Cambridge: Cambridge University Press.Google Scholar
  22. Jamous, Raymond 1981 Honneur et Baraka, les structures sociales traditionnelles dans le Rif. Cambridge: Cambridge University Press.Google Scholar
  23. Kirmayer, Laurence J. 2007 Psychotherapy and the Cultural Concept of the Person. Transcultural Psychiatry 44(2): 232–257.CrossRefGoogle Scholar
  24. Lemoine, Jacques 2005 What Is the Actual Number of the (H)mong in the World? Hmong Studies Journal 6: 1–8.Google Scholar
  25. Mauss, Marcel 1954 The Gift. Forms and Functions of Exchange in Archaic Societies. London: Cohen and West (Original, 1923–1924; in French).Google Scholar
  26. Mauss, Marcel 1985 A Category of the Human Mind: The Notion of Person, the Notion of Self. In The Category of the Person: Anthropology, Philosophy, History. Michael Carrithers, Steven Collins, and Steven Lukes, eds., pp. 1–25. Cambridge: Cambridge University Press. (Original, 1938; in French).Google Scholar
  27. Miyares, Ines M. 1998 The Hmong Refugee Experience in the United States: Crossing the River. New York: Garland.Google Scholar
  28. Mouanoutoua, Vang Leng 2003 Depression and Posttraumatic Stress Disorder: Prevailing Causes and Therapeutic Strategies with Hmong Clients. In Healing by Heart: Clinical and Ethical Case Stories of Hmong Families and Western Providers. Culhane-Pera, Kathleen, Dorothy E. Vawter, and Phua Xiong, eds., pp. 216–221. Nashville, TN: Vanderbilt University Press.Google Scholar
  29. Ohnuki-Tierney, Emiko 1993 Rice as Self: Japanese Identities through Time. Princeton, NJ: Princeton University Press.Google Scholar
  30. Platenkamp, Josephus D.M. 1988 Tobelo. Ideas and Values of a North Moluccan Society. Leiden: Repro Psychologie.Google Scholar
  31. Platenkamp, Josephus D.M. 2009 Becoming a Lao Person. Rituals of Birth and Socialisation in Luang Prabang, Laos. In An Anthropology of Values. Berger, Peter, Roland Hardenberg, Ellen Kattner, and Michael Prager, eds., pp. 180–200. Delhi: Pearson Education.Google Scholar
  32. Postert, Christian 2003 Understanding Ritual Action: Social Morphology and the Ritual Cycle of the Person among the Hmong of Laos and Thailand. Unpublished dissertation. Münster University [in German].Google Scholar
  33. Postert, Christian 2004a Identity/Alterity—Completing or Competing? Contexts of Hmong Selfing/Othering in Laos. In Grammars of Identity/Alterity: A Structural Approach. Gert Baumann and André Gingrich, eds., pp. 101–111. London: Berghahn.Google Scholar
  34. Postert, Christian 2004b From Culture Circle to Cultural Ecology: The Hmong/Miao as Reflected in German and Austrian Anthropology. In Hmong/Miao in Asia. Nicholas Tapp, Jean Michaud, Christian Culas, and Gary Yia Lee, eds., pp. 39–60. Chiang Mai: Silkworm Press.Google Scholar
  35. Postert, Christian 2004c The Medical System of the Hmong between Biomedicine and Shamanism: An Intercultural Study on the Rationality of Healing. Unpublished dissertation. Münster University [German].Google Scholar
  36. Quincy, Keith 2000 Harvesting Pa Chay’s Wheat: The Hmong and America’s Secret War in Laos. Seattle: University of Washington Press.Google Scholar
  37. Sadler, John Z. 2004 Values and Psychiatric Diagnosis. Oxford: Oxford University Press.Google Scholar
  38. Sadler, John Z. 1993 Goodbye to Tristes Tropes: Ethnography in the Context of Modern World History. Journal of Modern History 65(1): 1–25.CrossRefGoogle Scholar
  39. Sökefeld, Martin 1999 Debating Self, Identity and Culture in Anthropology. Current Anthropology 40: 417–447.CrossRefGoogle Scholar
  40. Sprenger, Guido 2006 Bone Transfers: Incomplete Replacement in Rmeet Ritual Exchange. Taiwan Journal of Anthropology 4(1): 79–112.Google Scholar
  41. Symonds, Patricia V. 2004 Calling in the Soul: Gender and the Cycle of Life in a Hmong Village. Seattle: University of Washington Press.Google Scholar
  42. Tapp, Nicholas 1989 Hmong Religion. Asian Folklore Studies 48: 59–94.CrossRefGoogle Scholar
  43. Tatman, Anthony W. 2004 Hmong History, Culture, and Acculturation: Implications for Counseling the Hmong. Journal of Multicultural Counseling and Development 32: 222–233.Google Scholar
  44. Taylor, Charles 1989 Sources of the Self: The Making of the Modern Identity. Cambridge, MA: Harvard University Press.Google Scholar
  45. Taylor, Charles 1991 The Malaise of Modernity. Concord, MA: Anansi Press.Google Scholar
  46. Taylor, Charles 1995 Philosophical Arguments. Cambridge, MA: Harvard University Press.Google Scholar
  47. Westermeyer, Joseph 1986 Two Self Rating Scales for Depression in Hmong Refugees: Assessment in Clinical and Nonclinical Samples. Journal of Psychiatric Research 20: 103–113.CrossRefGoogle Scholar
  48. Westermeyer, Joseph 2000 Qualitative and Quantitative Research among Hmong Refugees: An Analysis. In Psychosocial Wellness of Refugees. Ahearn, Frederick L., ed., pp. 208–233. Oxford: Berghahn.Google Scholar
  49. Westermeyer, Joseph, John Neider, and Allan Callies 1989 Psychosocial Adjustment of Hmong Refugees during Their First Decade in the United States: A Longitudinal Study. Journal of Nervous and Mental Disease 177(3): 132–139.CrossRefGoogle Scholar
  50. Westermeyer, Joseph, John Neider, and Tou Fu Vang 1984 Acculturation and Mental Health: A Study of Hmong Refugees at 1.5 and 3.5 Years Postmigration. Social Science and Medicine 18(1): 87–93.CrossRefGoogle Scholar
  51. Yang, Kou 2003 Hmong Americans: A Review of Felt Needs, Problems, and Community Development. Hmong Studies Journal 4: 1–23.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2009

Authors and Affiliations

  1. 1.Department of Child and Adolescent Psychiatry, Psychosomatics and PsychotherapyUniversity Hospital MünsterMünsterGermany

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