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Ethnopsychiatric interpretations of schizophrenic illness: The problem of nervios within Mexican-American families

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Abstract

Among Mexican-American families, the concept of nervios (nerves) serves as a culturally meaningful illness category for a wide range of conditions, including schizophrenic disorders diagnosed according to psychiatric criteria. This article examines the nature and the meaning of nervios as a notion used by Mexican-American families to understand the schizophrenic illness of a relative. Family descriptions of the condition are presented and the emotional and symbolic meanings of the concept are discussed. The complex and somewhat ambiguous nature of folk conceptions is evidenced not only by variations in the description of nervios but also by the finding that nervios is but one way to view schizophrenic illness. It is suggested that a cultural preference for the term nervios is linked to the efforts of family members to reduce the stigma associated with a mental illness while also reinforcing the strength of family bonds and solidarity by fostering tolerant inclusion of the family member within the home. It is argued that the concept of nervios, and the family emotions that surround this folk label, may mediate the course and outcome of schizophrenic disorder.

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References

  • Barrett, R. Ceremonies of Clinical Writing: The Documentary Construction of Schizophrenia. Culture, Medicine, & Psychiatry, in press.

  • Bleuler, M. 1978 The Schizophrenic Disorders: Long-Term Patient and Family Studies. New Haven and London: Yale University Press.

    Google Scholar 

  • Brown, G. W., J. L. T. Birley, and J. K. Wing 1972 Influence of Family Life on the course of Schizophrenic Disorders: A replication. British Journal of Psychiatry 121: 241–258.

    Google Scholar 

  • Brown, G. and M. Rutter 1966 The Measurement of Family Activities and Relationships: A methodological study. Human Relations 19: 241–263.

    Google Scholar 

  • Cuellar, I., L. C. Harris, and R. Jasso 1980 An Acculturation Scale for Mexican American Normal and Clinical Populations. Hispanic Journal of Behavioral Sciences 2(3): 199–217.

    Google Scholar 

  • Davis, D. L. 1987 Newfoundland Nervosity: Victorian Legacy or Thoroughly Modern Folkway? Medic. Anthrop. in press.

  • Edgerton, R. B. 1969 On the “Recognition” of Mental Illness. In Changing Perspectives in Mental Illness. S. Plog and R. B. Edgerton, eds., New York: Holt, Rinehart and Winston.

    Google Scholar 

  • Edgerton, R. B. 1966 Conceptions of Psychosis in Four East African Societies. American Anthropologist 68: 408–425.

    Google Scholar 

  • Edgerton, R. B., and M. Karno 1971 Mexican-American Bilingualism and the Perception of Mental Illness. Archives of General Psychiatry 24: 286–290.

    Google Scholar 

  • Estroff, S. 1982 Long Term Psychiatric Clients in an American Community: Some Sociocultural Factors in Chronic Mental Illness. In Clinically Applied Anthropology: Anthropologists in Health Science Settings. N. J. Chrisman and T. W. Maretzki, eds., Dordrecht, Holland: D. Reidel Publishing Co.

    Google Scholar 

  • Estroff, S. 1981 Making it Crazy: An Ethnography of Psychiatric Clients in an American Community. Berkeley: University of California Press.

    Google Scholar 

  • Fabrega, H. 1982 Culture and Psychiatric Illness: Biomedical and Ethnomedical Aspects. In Cultural Conceptions of Mental Health and Therapy. A. Marsella and M. White, eds., Dordrecht, Holland: D. Reidel Publishing Co.

    Google Scholar 

  • Fabrega, H. 1970 On the Specificity of Folk Illnesses. Southwest Journal of Anthropology 26: 305–314.

    Google Scholar 

  • Gecas, V. 1976 Self-Conceptions of Migrant and Settled Mexican-Americans. In Chicanos: Social and Psychological Perspectives. C. A. Hernandez, M. J. Haug, and N. N. Wagner, eds., St. Louis: C. V. Mosby Company.

    Google Scholar 

  • Gilbert, J. M. 1978 Extended Family Integration among Second-Generation Mexican Americans. In Family and Mental Health in the Mexican American Community, J. M. Casas and S. E. Keefe, eds., Los Angeles: Spanish Speaking Resource Center, University of California, Los Angeles.

    Google Scholar 

  • Good, B. J. 1977 The Heart of What's the Matter: the Semantics of Illness in Iran. Culture, Medicine and Psychiatry 1: 25–58.

    Google Scholar 

  • Good, B. J., and M. J. Del Vecchio Good 1982 Toward a Meaning-Centered Analysis of Popular Illness Categories: “Fright Illness” and “Heart Distress” in Iran. In Cultural Conceptions of Mental Health and Therapy. A. Marsella and G. White, eds., Dordrecht, Holland: D. Reidel Publishing Co.

    Google Scholar 

  • Good, B. J., and M. J. Del Vecchio Good 1981 The Meaning of Symptoms: A Cultural Hermeneutic Model for Clinical Practice. In The Relevance of Social Science for Medicine, L. Eisenberg and A. Kleinman, eds., Dordrecht, Holland: D. Reidel Publishing Co.

    Google Scholar 

  • Gottesman, I. I., and J. Shields 1982 Schizophrenia: The Enigmatic Puzzle. Cambridge: Cambridge University Press.

    Google Scholar 

  • Guarnaccia, P. 1987Ataques de Nervios: An Idiom of Distress in the Latino Community. Medic. Anthrop., in press.

  • Henry, J. 1971 Pathways to Madness. New York: Vintage.

    Google Scholar 

  • Hughes, C. 1985 Culture-Bound or Construct-Bound? The Syndromes and DSM-III. In The Culture-Bound Syndromes: Folk Illnesses of Psychiatric and Anthropological Interest. R. Simons and C. Hughes, eds., Dordrecht, Holland: D. Reidel Publishing Co.

    Google Scholar 

  • Janzen, J. M. (with the collaboration of W. Arkinstill, M.D.) 1978 The Quest for Therapy in Lower Zaire. Berkeley: University of California Press.

    Google Scholar 

  • Jenkins, J. H. 1988 Conceptions of Schizophrenia as a Problem of Nerves: A Cross-Cultural Comparison of Mexican-Americans and Anglo-Americans. Social Science and Medicine 26(12): 1233–1244.

    Google Scholar 

  • Jenkins, J. H., M. Karno, A. de la Selva, F. Santana 1986a Expressed Emotion in Cross-Cultural Context: Familial Responses to Schizophrenic Illness Among Mexican-Americans. Schizophrenia: Family Assessment and Intervention, Springer Verlag.

    Google Scholar 

  • Jenkins, J. H., M. Karno, A. de la Selva, F. Santana, C. Telles, S. Lopez, and J. Mintz 1986b Expressed Emotion, Maintenance Pharmacotherapy, and Schizophrenic Relapse Among Mexican-Americans. Psychopharmacology Bulletin 22(3):

  • Karno, M., J. H. Jenkins, A. de la Selva, F. Santana, C. Telles, S. Lopez, and J. Mintz 1987 Expressed Emotion and Schizophrenic Outcome among Mexican-American Families. J. of Nervous and Mental Disease 175(3): 143–151.

    Google Scholar 

  • Keefe, S. 1979 Urbanization, Acculturation, and Extended Family Ties: Mexican Americans in Cities. American Ethnologist 6: 349–369.

    Google Scholar 

  • Keefe, S. E., and J. M. Casas 1980 Mexican Americans and Mental Health: A Selected Review and Recommendations for Mental Health Service Delivery. American Journal of Community Psychology 8(3): 303–325.

    Google Scholar 

  • Kiev, A. 1968 Curanderismo: Mexican-American Folk Psychiatry. New York: Free Press.

    Google Scholar 

  • Kleinman, A. 1980 Patients and Healers in the Context of Culture: An Exploration of the Borderland between Anthrolopology, Medicine, and Psychiatry. Berkeley: University of California Press.

    Google Scholar 

  • Kleinman, A. 1977 Rethinking the Social and Cultural Context of Psychopathology and Psychiatric Care. In Renewal in Psychiatry: A Critical Rational Perspective. T. Manschrek and A. Kleinman, eds., Washington, D.C.: Hemisphere Publishing Co.

    Google Scholar 

  • Kleinman, A. and B. Good 1985 Culture and Depression. Berkeley: University of California Press.

    Google Scholar 

  • Lin, T. Y., and M. C. Lin 1981 Love, Denial and Rejection: Responses of Chinese Families to Mental Illness. In Normal and Abnormal Behavior in Chinese Culture. A. Kleinman and T.-Y. Lin, eds., Dordrecht, Holland: D. Reidel Publishing Co.

    Google Scholar 

  • Locke, M. 1982 Popular Conceptions of Mental Health in Japan. In Cultural Conceptions of Mental Health and Therapy. A. Marsella and G. White, eds., Dordrecht, Holland: D. Reidel Publishing Co.

    Google Scholar 

  • Low, S. 1985 Culturally Interpreted Symptoms or Culture-Bound Syndromes: A Cross-Cultural Review of Nerves. Social Science and Medicine. 21(2): 187–196.

    Google Scholar 

  • Low, S. 1981 Meaning of Nervios: A Sociocultural Analysis of Symptom Presentation in San Jose, Costa Rica. Culture, Medicine and Psychiatry 5: 25–47.

    Google Scholar 

  • Lutz, C. 1983 Parental Goals, Enthnopsychology, and the Development of Emotional Meaning. Ethos 11(4): 246–262.

    Google Scholar 

  • Lutz, C. 1982 The Domain of Emotion Words on Ifaluk. American Ethnologist 9(1): 113–128.

    Google Scholar 

  • Lutz, C. and G. White 1986 The Anthropology of Emotions. Ann. Rev. Anthropol. 15: 405–36.

    Google Scholar 

  • Murillo, N. 1976 The Mexican American Family. In Chicanos: Social and Psychological Perspectives. C. A. Hernanadez, M. J. Haug, & N. N. Wagner, eds., St. Louis: The C. V. Mosby Company.

    Google Scholar 

  • Murphy, J. 1982 Cultural Shaping and Mental Disorders. Deviance and Mental Illness. W. R. Grove, ed., Beverly Hills: Sage Publications.

    Google Scholar 

  • Murphy, J. 1976 Psychiatric Labeling in Cross-Cultural Perspective. Science 191: 1091–1028.

    Google Scholar 

  • Myers, F. 1979 Emotions and the Self: A Theory of Personhood and Political Order among Pintupi Aborigines. Ethos 7(4): 343–370.

    Google Scholar 

  • Newton, F. 1978 The Mexican American Emic System of Mental Illness: An Exploratory Study. In Family and Mental Health in the Mexican American Community, J. M. Casas and S. E. Keefe, eds., Los Angeles: University of California, Los Angeles Spanish Speaking Mental Health Resource Center.

    Google Scholar 

  • Ramirez, O. and C. Arce 1981 The Contemporary Chicano Family. In Explorations in Chicano Psychology. A. Baron, ed., New York: Praeger Publishers.

    Google Scholar 

  • Rin, H. and T.-Y. Lin 1962 Mental Illness among Formosan Aborigines as Compared to Chinese in Taiwan. Journal of Mental Science 108: 134–145.

    Google Scholar 

  • Rogler, L. and A. Hollingshead 1965 Trapped: Families and Schizophrenia. New York: John Wiley and Sons Publishers.

    Google Scholar 

  • Rosaldo, M. 1984 Toward an Anthropology of Self and Feeling. In Culture Theory: Essays on Mind, Self, and Emotion. R. Shweder and R. LeVine, eds., Cambridge: Cambridge University Press.

    Google Scholar 

  • Sartorius, N., A. Japlensky, and R. Shapiro 1978 Cross-Cultural Differences in the Short-Term Prognosis of Schizophrenic Psychosis. Schizophrenia Bulletin 4: 102–113.

    Google Scholar 

  • Scheper-Hughes, N. 1987 ‘Mental’ in ‘Southie’: Individual, Family, and Community Responses to Psychosis in South Boston. Culture, Medicine, and Psychiatry 11(1): 53–78.

    Google Scholar 

  • Scheper-Hughes, N. 1979 Saints, Scholars, and Schizophrenics: Mental Illness in Rural Ireland. Berkeley: University of California Press.

    Google Scholar 

  • Schieffelin, E. 1983 Anger and Shame in the Tropical Forest: On Affect as a Cultural System in Papua New Guinea. Ethos 11(3): 181–191.

    Google Scholar 

  • Solomon, R. C. 1984 Getting Angry: the Jamesian theory of emotion in anthropology. In Culture Theory: Essays on Mind, Self, and Emotion. R. A. Shweder and R. LeVine, eds., Cambridge: Cambridge University Press.

    Google Scholar 

  • Tousignant, M. 1984Pena in the Ecuadorian Sierra: A Psychoanthropological Analysis of Sadness. Culture, Medicine, and Psychiatry 8: 381–398.

    Google Scholar 

  • Townsend, J. 1978 Cultural Conceptions and Mental Illness. A comparison of Germany and America. Chicago: University of Chicago Press.

    Google Scholar 

  • Townsend, J. 1979 Stereotypes of Mental Illness: A Comparison with Ethnic Stereotypes. Culture, Medicine, and Psychiatry 3(3): 205–229.

    Google Scholar 

  • Vaughn, C. and J. Leff 1976a The Influence of Family and Social Factors on the Course of Psychiatric Illness. British Journal of Psychiatry 129: 125–137.

    Google Scholar 

  • Vaughn, C. and J. Leff 1976b The Measurement of Expressed Emotion in the Families of Psychiatric Patients. British Journal of Social and clinical Psychology 15: 157–165.

    Google Scholar 

  • Vaughn, C., K. Snyder, S. Jones, W. Freeman, and I. Falloon 1984 Family Factors in Schizophrenic Relapse: A California replication of the British research on expressed emotion. Archives of General Psychiatry 41: 1169–1177.

    Google Scholar 

  • Waxler, N. 1974 Culture and Mental Illness: A Social Labeling Perspective. Journal of Nervous and Mental Disorders 159: 379–395.

    Google Scholar 

  • White, G. 1982 The Ethnographic Study of Cultural Knowledge of “Mental Disorder.” In Cultural Conceptions of Mental Health and Therapy. A. Marsella and G. White, eds., pp. 69–95. Dordrecht, Holland: D. Reidel Publishing Co.

    Google Scholar 

  • Wynne, L., R. Cromwell, and S. Matthysse 1978 The Nature of Schizophrenia: New Approaches to Research and Treatment. New York: John Wiley and Sons.

    Google Scholar 

  • World Health Organization 1979 Schizophrenia: An International Follow-up Study. Chichester: John Wiley and Sons.

    Google Scholar 

Download references

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  1. Department of Social Medicine and Health Policy, Harvard Medical School, USA

    Janis H. Jenkins

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Jenkins, J.H. Ethnopsychiatric interpretations of schizophrenic illness: The problem of nervios within Mexican-American families. Cult Med Psych 12, 301–329 (1988). https://doi.org/10.1007/BF00051972

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