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Culture, Medicine, and Psychiatry

, Volume 41, Issue 4, pp 609–629 | Cite as

Global Mental Health and Adolescent Anxiety: Kin, Care and Struggle in New Mexico

  • Janis H. Jenkins
  • Annika Stone
Original Paper

Abstract

While recent developments within the field of global mental health have illuminated the reality of serious mental health difficulties worldwide, particularly in low-income settings, research that focuses on children and adolescents remains underdeveloped. This is especially the case with respect to ethnographic studies of lived experience of adolescents diagnosed with serious mental health conditions. Drawing from an interdisciplinary study of adolescents in New Mexico who were afflicted with a broad range of disorders according to contemporary research diagnostic criteria, this article focuses on anxiety-related conditions with respect to subjective experience and social–ecological contexts of living with such conditions. We offer preliminary observations regarding the value of linking ethnographic and research diagnostic data to address questions of resilience, endurance, capacity and struggle. These observations are intended as the basis for the formulation of more precise hypotheses about adolescent anxiety, kin, and care under conditions of structural violence marked by psychological, residential, and intergenerational adversity.

Keywords

Global mental health Adolescents Anxiety Resilience Struggle 

References

  1. Ager, Alastair (2013) Annual Research Review: Resilience and child well-being—public policy implications. Journal of Child Psychology and Psychiatry 54(4):488–500.CrossRefGoogle Scholar
  2. American Psychiatric Association (2013) Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: American Psychiatric Press.CrossRefGoogle Scholar
  3. Aneshensel, C. S. and C. A. Sucoff (1996) The Neighborhood Context of Adolescent Mental Health. Journal of Health and Social behavior 37(4): 293-310.CrossRefGoogle Scholar
  4. Beardslee, William R., Peter L. Chien, Carl C. Bell (2011) Prevention of Mental Disorders, Substance Abuse, and Problem Behaviors: A Developmental Perspective. Psychiatric Services 62(3):247-254.CrossRefGoogle Scholar
  5. Becker, Anne and Arthur Kleinman (2013) Mental health and the global agenda. New England Journal of Medicine 369(1): 66-73.CrossRefGoogle Scholar
  6. Beesdo, Katja, Susanne Knappe, and Daniel S. Pine. (2009) Anxiety and Anxiety Disorders in Children and Adolescents: Developmental Issues and Implications for DSM-V. Psychiatric Clinics of North America 32(3): 483-524.CrossRefGoogle Scholar
  7. Bird, Hector R. (1996) Epidemiology of childhood disorders in a cross-cultural context. Journal of Child Psychology and Psychiatry and Allied Disciplines 37:35-49.CrossRefGoogle Scholar
  8. Boin, Arjen, Louise K. Comfort, and Chris C. Demchak (2010) The Rise of Resilience. In Designing Resilience. Louis K. Comfort, Arjen Boin, and Chris C. Demchak, eds. Pittsburgh: University of Pittsburgh Press.CrossRefGoogle Scholar
  9. Bowlby, John (1960) Separation Anxiety: A Critical Review of the Literature. Journal of Child Psychology and Psychiatry. 1:251-269.CrossRefGoogle Scholar
  10. Boyden, Jo, and Gillian Mann (2005) Children’s risk, resilience, and coping in extreme situations. In: Mario Ungar (ed.) Handbook for working with children and youth: Pathways to resilience across cultures and contexts, pp. 3-26. Thousand Oaks, CA: Sage.CrossRefGoogle Scholar
  11. Brumariu, Laura E., Ingrid Obsuth, and Karlen Lyons-Ruth
 (2013) Quality of attachment relationships and peer relationship dysfunction among late adolescents with and without anxiety disorders. Journal of Anxiety Disorders 27(1): 116-124.CrossRefGoogle Scholar
  12. Chisholm, D., K. Sweeny, P. Sheehan, B. Rasmussen, F. Smit, P. Cuijpers and S. Saxena (2016) Scaling-up treatment of depression and anxiety: A global return on investment analysis. The Lancet Psychiatry 3(5): 415-424.CrossRefGoogle Scholar
  13. Costello, E. Jane, Helen Egger, and Adrian Angold (2005) 10-year research update review: The epidemiology of child and adolescent psychiatric disorders: I. Methods and public health burden.” Journal of the American Academy of Child & Adolescent Psychiatry 44, no. 10 (2005): 972-986.CrossRefGoogle Scholar
  14. Csordas, Thomas J. (2013) Inferring Immediacy in Adolescent Accounts of Depression. Journal of Consciousness Studies 20(7-8): 239-253.Google Scholar
  15. Csordas, Thomas J., and Janis H. Jenkins forthcoming Troubled in the Land of Enchantment (monograph).Google Scholar
  16. Csordas, Thomas J., Christopher Dole, Allen Tran, Matthew Strickland, and Michael G. Storck (2010) Ways of Asking, Ways of Telling: A Methodological Comparison of Ethnographic and Research Diagnostic Interviews. Culture, Medicine, and Psychiatry 24:29-55.CrossRefGoogle Scholar
  17. Cutajar, Margaret C., P. E. Mullen, J. R. Ogloff, S. D. Thomas, D. L. Wells, and J. Spataro (2010) Schizophrenia and Other Psychotic Disorders in a Cohort of Sexually Abused Children. Archives of General Psychiatry 67(11):1114–19.CrossRefGoogle Scholar
  18. Daruy-Filho, L., E. Brietzke, B. Lafer, and R. Grassi-Oliveira (2011) Childhood Maltreatment and Clinical Outcomes of Bipolar Disorder. Acta Psychiatrica Scandinavica 124(6):427–34.CrossRefGoogle Scholar
  19. Espinola-Nadurille, Mariana, Ingrid Huicochera, Guiseppe Raviola, Jesus Ramirez-Bermudez, and San Kutcher (2010) Child and Adolescent Mental Health Services in New Mexico. Psychiatric Services 61(5):443–445.CrossRefGoogle Scholar
  20. Fitzsimons, E., A. Goodman, E. Kelly and J. P. Smith (2016) Poverty dynamics and parental mental health: Determinants of childhood mental health in the UK.” Soc Sci Med 175:43-51.CrossRefGoogle Scholar
  21. Fleming, John and Robert J. Ledogar (2008) Resilience, an Evolving Concept: A Review of Literature Relevant to Aboriginal Research. Pimatisiwin 6(2):7-23.Google Scholar
  22. Floersch, Jerry, Lisa Townsend, Jeffrey Longhofer, Michelle Munson, Victoria Winbush, Derrick Kranke, Rachel Faber, Jeremy Thomas, Janis H. Jenkins, and Robert L. Findling 2009 Adolescent Experience of Psychotropic Treatment. Transcultural Psychiatry 46(1):157–179.Google Scholar
  23. Ford, Tamsin, Robert Goodman, and Howard Meltzer. (2003) The British Child and Adolescent Mental Health Survey 1999: The Prevalence of DSM-IV Disorders. Journal of the American Academy of Psychiatry 42(10):1203-1211.CrossRefGoogle Scholar
  24. Garcia, Angela (2010) The Pastoral Clinic: Addiction and Dispossession along the Rio Grande. Berkeley: University of California Press.Google Scholar
  25. Good, Byron J. (2010) The Complexities of Psychopharmaceutical Hegemonies in Indonesia. In: J. H. Jenkins (Ed.), Pharmaceutical Self: The Global Shaping of Experience in an Age of Psychopharmacology. School for Advanced Research Press, Santa Fe, NM, pp. 117-144.Google Scholar
  26. Good, Mary-Jo DelVecchio, Sarah S. Willen, Seth Donal Hannah, Ken Vickery, and Lawrence Park (2011) Shattering Culture: American Medicine Responds to Cultural Diversity. New York: Russell Sage Foundation.Google Scholar
  27. Hinton, Devon E., and Byron J. Good (2009) Culture and Panic Disorder. Stanford, CA: Stanford University Press.Google Scholar
  28. Hinton, Devon E., and Byron J. Good (2016) Culture and PTSD: Trauma in Global and Historical Perspective. Philadelphia, PA: University of Pennsylvania Press.CrossRefGoogle Scholar
  29. Hjelm, Lisa, Sudhanshu Handa, Jacobus de Hoop, Tia Palermo, on behalf of the Zambia CGP, and MCP Evaluation Teams 2017 Poverty and Perceived Stress: Evidence from Two Unconditional Cash Transfer Programs in Zambia. Social Science & Medicine 177:110–117.Google Scholar
  30. Hoeve, M., O. F. Colins, E. A. Mulder, R. Loeber, G. J. Stams and R. R. Vermeiren (2015) The association between childhood maltreatment, mental health problems, and aggression in justice-involved boys. Aggress Behav 41(5): 488-501.CrossRefGoogle Scholar
  31. Jarrett, R. L. (1997) Resilience Among Low-Income African American Youth: An Ethnographic Perspective. Ethos 25(2): 218-229.CrossRefGoogle Scholar
  32. Jenkins, Janis (1991) The State Construction of Affect: Political Ethos and Mental Health among Salvadoran Refugees. Culture, Medicine, and Psychiatry 15:139-165.CrossRefGoogle Scholar
  33. Jenkins, Janis (2004) Schizophrenia as a Fundamental Human Process. In Schizophrenia, Culture, and Subjectivity: The Edge of Experience, J.H. Jenkins and R.J. Barrett, eds. Pp. 1-25. New York: Cambridge University Press.Google Scholar
  34. Jenkins, Janis 2015a Extraordinary Conditions: Culture and Experience in Mental Illness. Berkeley: University of California Press.Google Scholar
  35. Jenkins, Janis 2015b Straining Social and Psychic Sinew: Trauma among Adolescent Psychiatric Patients in New Mexico. MAQ 29(1):42–60.Google Scholar
  36. Jenkins, Janis H., and Mary-Jo DelVecchio Good (2014) Global Mental Health, Women, and Empowerment. In: Sam Opakpu (Ed.), Global Mental Health. New York: Cambridge University Press, pp. 264-281.Google Scholar
  37. Jenkins, Janis H. and Ellen Kozelka (2017) Global Mental Health and Psychopharmacology in Precarious Ecologies: Anthropological Considerations for Engagement and Efficacy. In: Ross White, Ursula Read, Sumeet Jain, David Orr, eds. Handbook of Global Mental Health. London: Palgrave Press.Google Scholar
  38. Kelleher, I., H. Keeley, P. Corcoran, H. Ramsay, C. Wasserman, V. Carli, M. Sarchiapone, C. Hoven, D. Wasserman, and M. Cannon (2013) Childhood Trauma and Psychosis in a Prospective Cohort Study: Cause, Effect, and Directionality. American Journal of Psychiatry 170(7): 734–41.CrossRefGoogle Scholar
  39. Kessler, Ronald C., Patricia Berglund, Olga Demler, Robert Jin, Kathleen R. Merikangas, and Ellen E. Walters (2005) Life-time Prevalence and Age-of-onset Distribution of DSM-IV Disorders in the National Co-Morbidity Survey Replication. Archives of General Psychiatry 62:593-602.CrossRefGoogle Scholar
  40. Kieling, C., H. Baker-Henningham, M. Belfer, G. Conti, I. Ertem, O. Omigbodun, L. A. Rohde, S. Srinath, N. Ulkuer and A. Rahman (2011) Child and adolescent mental health worldwide: Evidence for action. The Lancet 378(9801):1515-1525.CrossRefGoogle Scholar
  41. Kleinman, Arthur 1998 Experience and Its Moral Modes: Culture, Human Conditions, and Disorder. South Asia Research 21(1): 77–103.CrossRefGoogle Scholar
  42. Kleinman, Arthur (2007) What Really Matters: Living a Moral Life amidst Uncertainty and Danger. New York: Oxford University Press.Google Scholar
  43. Kleinman, Arthur, G. L. Estrin, S. Usmani, D. Chisholm, P.V. Marquez, T.G. Evans and S. Saxena (2016) Time for mental healht to come out of the shadows. The Lancet 387(100035):2274-2275.CrossRefGoogle Scholar
  44. Kohrt, Brandon A., Mark J.D. Jordans, Wietse A. Tol, Rebecca A. Speckman, Sujen M. Maharjan, Carol M. Worthman, and Ivan H. Komproe (2008) Comparison of Mental Health Between Former Child Soldiers and Children Never Conscripted by Armed Groups in Nepal. Journal of American Medical Association 300(6): 691-702.CrossRefGoogle Scholar
  45. Kohrt Brandon A., Mark J.D. Jordans, Wietse A. Tol, Em Perera, Rohit Karki, Suraj Koirala, and Nawaraj Upadhaya (2010) Social ecology of child soldiers: child, family, and community determinants of mental health, psychosocial well-being, and reintegration in Nepal. Transcultural Psychiatry 47:727–53CrossRefGoogle Scholar
  46. Kohrt, Brandon A., and Emily Mendenhall, eds. 2015 Global Mental Health: Anthropological Perspectives. London and New York: Routledge.Google Scholar
  47. Levert-Levitt, Ella and Abraham Sagi-Schwartz (2015) Integrated Attachment Theory. International Encyclopedia of the Social and Behavioral Sciences 12:228-234.CrossRefGoogle Scholar
  48. LeVine, Robert A. (2014) Attachment Theory as Cultural Ideology. In Different Faces of Attachment. Hiltrud Otto and Heidi Keller, eds. Cambridge, UK: Cambridge University Press.Google Scholar
  49. LeVine, Robert A. and Patrice M. Miller (1990) Commentary. Human Development 33:73-80.CrossRefGoogle Scholar
  50. LeVine, Robert A., and Rebecca S. New (2008) Anthropology and Child Development: A Cross-Cultural Reader. Malden, MA: Blackwell Publishing.Google Scholar
  51. LeVine, Robert A. and Karin Norman (2001) The infant’s acquisition of culture: early attachment reexamined in anthropological perspective. In: Carmella C. Moore and Holly F. Mathews (eds.) The Psychology of Cultural Experience, pp. 83-104. New York: Cambridge University Press.Google Scholar
  52. Lovell, Arminel 2012 Tending to the Unseen in Extraordinary Circumstances: Severe Mental Illness and Moral Experience during Hurricane Katrina. Invited session, “Embodied Morals, Demoralized Minds (Society for Medical Anthropology), 111th Annual Meeting, American Anthropological Association. San Francisco, CA, November 14–18.Google Scholar
  53. Masten, S (2001) Ordinary Magic: Resilience Processes in Development. American Psychologist 56(3): 227–238.CrossRefGoogle Scholar
  54. Masten, Ann S. 2014a Global Perspectives on Resilience in Children and Youth. Child Development 85(1):6–20.Google Scholar
  55. Masten, Ann S. 2014b Ordinary Magic: Resilience in Development. New York, NY: The Guilford Press.Google Scholar
  56. Masten, Ann S. and Jelena Obradovic (2006) Competence and Resilience in Development. In Resilience in Children. Barry M. Lester, Ann Masten, and Bruce McEwen, eds. Boston, MA: Blackwell Publishing.Google Scholar
  57. Mendenhall, Emily 2017 The Georgetown Symposium on Global Mental Health: Transdisciplinary Perspectives. Global Public Health. doi: 10.1080/17441692.2016.1265138.
  58. Merikangas, K.R., He, J.P., Burstein, M., Swanson, S.A., Avenevoli, S., Cui, L., Benjet, C., Georgiades, K. and Swendsen, J. (2010) Lifetime prevalence of mental disorders in US adolescents: results from the National Comorbidity Survey Replication–Adolescent Supplement (NCS-A). Journal of the American Academy of Child & Adolescent Psychiatry, 49(10), pp. 980-989.CrossRefGoogle Scholar
  59. Murray, Christopher J L and Alan D Lopez (1997) Global mortality, disability, and the contribution of risk factors: Global Burden of Disease Study. The Lancet 349:1436–42CrossRefGoogle Scholar
  60. Myers, Neely L. (2015) Madness, Moral Agency and Mental Health Care. Nashville, TN, Vanderbilt University Press.Google Scholar
  61. Otto, Hiltrud, and Heidi Keller, eds. 2014 Different Faces of Attachment: Cultural Variation on a Universal Human Need. Cambridge, UK: Cambridge University PressGoogle Scholar
  62. Panter-Brick, Catherine (2014) Health, Risk, and Resilience: Interdisciplinary Concepts and Applications. Annual Review of Anthropology 43:431–48.CrossRefGoogle Scholar
  63. Panter-Brick, Catherine, and James F. Leckman (2013) Editorial commentary: Resilience in child development—interconnected pathways to wellbeing. Journal of Child Psychology and Psychiatry 54:333–36.CrossRefGoogle Scholar
  64. Patel, V., N. Boyce, P. Y. Collins, S. Saxena and R. Horton (2011) A renewed agenda for global mental health. The Lancet 378(9801):1441-1442.CrossRefGoogle Scholar
  65. Prince, M., V. Patel, S. Saxena, M. Maj, J. Maselko, M. R. Phillips and A. Rahman (2007) No Health without Mental Health. Lancet Psychiatry 30(4): 339-362Google Scholar
  66. Quinn, N., J. Mageo, (2013) Attachment and Culture: An Introduction. In: Attachment Reconsidered: Cultural Perspectives on a Western Theory. N. Quinn, J. Mageo, eds. New York: Palgrave.CrossRefGoogle Scholar
  67. Rosaldo, Michelle (1984) Towards an Anthropology of Self and Feeling. In Culture Theory: Essays on Mind, Self, and Emotion. Richard Shweder, and Robert A. LeVine, eds. Pp. 137-157. Cambridge: Cambridge University Press.Google Scholar
  68. Rutter, Michael (2006) Implications of Resilience Concepts for Scientific Understanding. In Resilience in Children. Barry M. Lester, Ann Masten, and Bruce McEwen, eds. Boston, MA: Blackwell Publishing.Google Scholar
  69. Sameroff, Arnold J., and Katherine L. Rosenblum (2006) Psychosocial Constraints on the Development of Resilience. In Resilience in Children. Barry M. Lester, Ann Masten, and Bruce McEwen, eds. Boston, MA: Blackwell Publishing.Google Scholar
  70. Segal, Lotte (2016) No Place for Grief: Martyrs, Prisoners, and Mourning in Contemporary Palestine. Philadelphia: University of Pennsylvania Press.CrossRefGoogle Scholar
  71. Tillfors, M., B. El-Khouri, M. B. Stein and K. Trost (2009) Relationships between social anxiety, depressive symptoms, and antisocial behaviors: evidence from a prospective study of adolescent boys. J Anxiety Disord 23(5): 718-724.CrossRefGoogle Scholar
  72. Tran, Allen 2016 Neurasthenia, Generalized Anxiety Disorder, and the Medicalization of Worry in a Vietnamese Psychiatric Hospital. Medical Anthropology Quarterly 1192: 198-217.Google Scholar
  73. Ungar, Mario, Marion Brown, Linda Liebenberg, Rasha Othman, Wai Man Kwong, Mary Armstrong, and Jane Gilgun (2007) Unique Pathways to Resilience Across Culture. Adolescence 42(166):287-310.Google Scholar
  74. Verhulst, Frank C. (1995) A Review of Community Studies. In The Epidemiology of Child and Adolescent Psychopathology. Frank C. Verhelst and Hans M. Koot, eds. Pp 146-177. Oxford: Oxford University Press.Google Scholar
  75. Walker, Lynn S., Joy Beck, and Julia Anderson (2009) Functional Abdominal Pain and Separation Anxiety: Helping the Child Return to School. Pediatric Annals 38(5): 267–271.Google Scholar
  76. White, Ross, Ursula Read, Sumeet Jain, David Orr, Eds (2017) Handbook of Sociocultural Perspectives on Mental Health. UK: Palgrave Press.Google Scholar
  77. World Health Organization (WHO) (2005) Child and Adolescent Mental Health Policies and Plans. Geneva: World Health Organization.Google Scholar
  78. World Health Organization (WHO) (2012) Adolescent Mental Health: Mapping actions of nongovernmental organizations and other international development organizations. Geneva: World Health Organization.Google Scholar
  79. Yarris, Kristin E. (2014) “Pensando Mucho” (“Thinking too Much”): Embodied Distress among Grandmothers in Nicaraguan Transnational Families. Culture, Medicine & Psychiatry 38(3):473-498.CrossRefGoogle Scholar

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© Springer Science+Business Media, LLC 2017

Authors and Affiliations

  1. 1.University of California San DiegoLa JollaUSA

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