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Construction and interpretation of self-related function and dysfunction in Intercultural Psychiatry

Published online by Cambridge University Press:  15 April 2020

A. Heinz ,
F. Bermpohl  and
M. Frank
A. Heinz*
Affiliation:
Department of Psychiatry and Psychotherapy, Charité – Berlin, Germany
F. Bermpohl
Affiliation:
Department of Psychiatry and Psychotherapy, Charité – Berlin, Germany
M. Frank
Affiliation:
Department of Philosophy, University of Tuebingen, Germany
*
*Corresponding Author. E-mail address:[email protected] (A. Heinz)
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Abstract

In several psychiatric disorders, key symptoms are associated with aspects of an individual, which are usually referred to as the “self”. For example in schizophrenia, it has been suggested that the activity of the self and the distinction between self and others are impaired. However, such models of the self and its dysfunction have been developed among Western societies and may not easily be transferred into different cultural settings, which can be characterized by alternative concepts of a person's self. This study compares traditional Western concepts of the self and its dysfunction with self-concepts developed in Caribbean, African and South-East-Asian societies.

This review demonstrates that “the self” is a fluid concept. Social function and dysfunction of such a self-concepts depend on a given cultural context. We argue that the cursive concept of the self is culturally constructed around cursive experiences which are shared by all human beings. Such universal experiences may include the prereflective access to individual thoughts and feelings, an automatic knowledge that (at least in non-pathological states) these emotions and cognitions belong to my self. Conscious self-reflection and its narrative articulation, on the other hand, is necessarily imbued with social and cultural norms, images and events, often of conflicting nature.

Keywords

Self-conceptPre-reflective self-awarenessSelf-referenceTranscultural psychiatryDysfunction of the self
Type
Research Article
Information
European Psychiatry , Volume 27 , Issue S2: Migration and Mental Health , June 2012 , pp. S32 - S43
Copyright
Copyright © 2012 Elsevier Masson SAS

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References

Adityanjee, G., Raju, S., Khandelwal, S.K.Current status of multiple personality disorder in India.”. Am J Psychiatry 1989; 146: 1607–1610.Google Scholar
Aristoteles. Metaphysik. Stuttgart: Reclam: 1970.Google Scholar
Aristoteles. De anima. London: Routledge: 1993.Google Scholar
Campbell, H.Rasta and resistance. London: Hansib: 1985.Google Scholar
Castañeda, H.N.“He” – A study in the logic of self-consciousness.”. Ratio 1966; 8: 130–157.Google Scholar
Castillo, R.J.Spirit possession in South Asia, dissociation or hysteria? Part 1: Theoretical background.”. Cult Med Psychiatry 1994; 18: 1–21.CrossRefGoogle ScholarPubMed
Castillo, R.J.Spirit possession in South Asia, dissociation or hysteria? Part 2: Case histories.”. Cult Med Psychiatry 1994; 18: 141–162.CrossRefGoogle ScholarPubMed
Chiao, J.Y., Harada, T., Komeda, H., Li, Z., Mano, Y., Saito, D., et al.Neural basis of individualistic and collectivistic views of self. Hum Brain Mapp 2009; 30: 2813–2820.CrossRefGoogle Scholar
Craig, A.D.How do you feel? Interoception: the sense of the physiological condition of the body.”. Nat Rev Neurosci 2002; 3: 655–666.CrossRefGoogle Scholar
Descartes, R.Œuvres et lettres. Paris: Gallimard: 1953.Google Scholar
Ehrsson, H.H., Spence, C., Passingham, R.E.That's my hand! Activity in premotor cortex reflects feeling of ownership of a limb. Science 2004; 305: 875–877.CrossRefGoogle ScholarPubMed
Fichte, J.G.1798. Extract from: “Wissenschaftslehre nova methodo”. In Frank, M. (editor). Selbstbewußtseinstheorien von Fichte bis Sartre Frankfurt a. M: Suhrkamp, 1991; p. 9–13.Google Scholar
Fortes, M., Mayer, D.Y.Psychosis and social change among the Tallensi of Northern Ghana. In: Foulkes, S.H., Prince, G.S. (editors). Psychiatry in a changing society London, New York, Sidney, Toronto, Wellington: Tavistock Publications; 1969. 33–73.Google Scholar
Frank, M.Selbstbewusstsein und Selbsterkenntnis. Stuttgart: Reclam: 1991.Google Scholar
Frank, M.Selbstgefühl. Eine historisch-systematische Erkundung. Frankfurt a. M: Suhrkamp: 2002.Google Scholar
Freud, S.Gesammelte Werke. Frankfurt am Main: Fischer: 1977.Google Scholar
Frith, C.Attention to action and awareness of other minds. Conscious Cogn 2002; 11: 481–487.CrossRefGoogle ScholarPubMed
Gallagher, S.Neurocognitive models of schizophrenia: A phenomenological critique. Psychopathology 2004; 37: 8–19.CrossRefGoogle Scholar
de Greck, M., Rotte, M., Paus, R., Moritz, D., Thiemann, R., Proesch, U., et al.Is our self based on reward? Self-relatedness recruits neural activity in the reward system. Neuroimage 2008; 39: 2066–2075.CrossRefGoogle ScholarPubMed
Gusnard, D.A., Raichle, M.E.Searching for a baseline: functional imaging and the resting human brain.‘‘. Nat Rev Neurosci 2001; 2: 685–694.CrossRefGoogle Scholar
Han, S., Northoff, G.Understanding the self: a cultural neuroscience approach.”. Prog Brain Res. 2009; 178: 203–212.CrossRefGoogle Scholar
Heinz, A., Payne-Jackson, A.Blood terms and concepts in Jamaicans and Jamaican Americans – acculturation of explanatory models.”. MACLAS Latin American Essays 1989; XI: 19–28.Google Scholar
Heinz, A.Anthropologische und evolutionäre Modelle in der Schizophrenieforschung. Berlin: Verlag für Bildung und Wissenschaft: 2002.Google Scholar
Heise, T., Pfefferer-Wolf, H., Leferink, K., Wulff, E., Heinz, A.History and prospects of transcultural psychiatry and psychotherapy. Nervenarzt 2001; 72: 231–233.CrossRefGoogle Scholar
Honnett, A.Kampf um Anerkennung. Frankfurt am Main: Suhrkamp: 1992.Google Scholar
Horgan, T., Kriegel, U.Phenomenal epistemology: What is consciousness that we may know it so well?”. Philosophical Issues 2007; 17: 123–144.CrossRefGoogle Scholar
Hume, D.A treatise of human nature. Oxford: Clarendon Press: 1978.Google Scholar
Husserl, E.Phänomenologische Psychologie. Vorlesungen Sommersemester 1925. In: Biemel, W. (editor). Husserliana. Edmund Husserl Gesammelte Werke, Vol. 9. The Hague: Martinus Nijhoff Publishers. 1962.Google Scholar
Jaspers, K.Allgemeine Psychopathologie. Ein Leitfaden für Studierende. Ärzte und Psychologen Berlin und Heidelberg: Springer, 1946.Google Scholar
Jung, C.G.Über die Psychologie der Dementia praecox (1907). In: Bleuler, M. (editor). Beiträge zur Schizophrenielehre der Züricher Universitätsklinik Burghölzli, edited by Darmstadt; 1979.Google Scholar
Kant, I.Kritik der reinen Vernunft In: Mohr, G. (editor). Frankfurt a. M: Suhrkamp, 2004.Google Scholar
[Immanuel] Kant's gesammelte Schriften. In: Deutsche Akademie der Wissenschaften zu Berlin (editor), Berlin und Leipzig: Reimer (later: Berlin: de Gruyter), 1900 resp. 1911 ff. (incomplete).Google Scholar
Kelley, W.M., Macrae, C.N., Wyland, C.L., Caglar, S., Inati, S., Heatherton, T.F.Finding the self? An event-related fMRI study. J Cogn Neurosci 2002; 14: 785–794.CrossRefGoogle ScholarPubMed
Keysers, C., Gazzola, V.Integrating simulation and theory of mind: from self to social cognition.”. Trends Cogn Sci 2007; 11: 194–196.CrossRefGoogle Scholar
Kircher, T.T., Senior, C., Phillips, M.L., Benson, P.J., Bullmore, E.T., Brammer, M., et al.Towards a functional neuroanatomy of self processing: effects of faces and words. Brain Res Cogn Brain Res 2000; 10: 133–144.CrossRefGoogle ScholarPubMed
Klein, M.Das Seelenleben des Kleinkindes und andere Beiträge zur Psychoanalyse. Stuttgart 1962.Google Scholar
Kohut, H.Narzißmus. Frankfurt am Main: Suhrkamp: 1992.Google Scholar
Laing, R.D.Das geteilte Selbst. Köln: Kiepenhauer & Witsch: 1983.Google Scholar
Leferink, K., Heinz, A.Schizophrenie als Zeichenprozeß. Sozial-und psychosemiotische Aspekte der “Sprache der Schizophrenie”.”. Fundamenta Psychiatrica 1999; 13: 112–118.Google Scholar
Lewis-Williams, D., Dowson, T.Images of power. Understanding bushman rock art. Johannesburg: Southern Book Publishers: 1989.Google Scholar
Martin, P.Das rebellische Eigentum. Hamburg: Junius: 1985.Google Scholar
Metzinger, T.Die Selbstmodell-Theorie der Subjektivität: Eine Kurzdarstellung in sechs Schritten. In: Herrmann, C., Pauen, M., Rieger, J., Schicktanz, S. (editors). Bewusstsein: Philosophie, Neurowissenschaften, Ethik, Fink UTB; 2005. p. 242–269.Google Scholar
Morris, B.H.Anthropology of the self. The individual in cultural perspective. London, Bolder, Colorado: Pluto Press: 1994.Google Scholar
Müller, W.Sprache und Naturauffassung bei den Sioux. In: Duerr, H.P. (editor). Unter dem Pflaster liegt der Strand, Berlin: Karin Kramer Verlag 1981; 4: 145–177.Google Scholar
Northoff, G., Bermpohl, F.Cortical midline structures and the self. Trends Cogn Sci 2004; 8: 102–107.CrossRefGoogle ScholarPubMed
Northoff, G., Heinzel, A., de Greck, M., Bermpohl, F., Dobrowolny, H., Panksepp, J.Self-referential processing in our brain—a meta-analysis of imaging studies on the self.”. Neuroimage 2006; 31: 440–457.CrossRefGoogle Scholar
Northoff, G., Schneider, F., Rotte, M., Matthiae, C., Tempelmann, C., Wiebking, C., et al.Differential parametric modulation of self-relatedness and emotions in different brain regions. Hum Brain Mapp 2009; 30: 369–382.CrossRefGoogle ScholarPubMed
Reich, W.Charakteranalyse. Frankfurt am Main: Fischer: 1985.Google Scholar
Sajonz, B., Kahnt, T., Margulies, D.S., Park, S.Q., Wittmann, A., Stoy, M., et al.Delineating self-referential processing from episodic memory retrieval: common and dissociable networks.”. Neuroimage 2010; 50: 1606–1617.CrossRefGoogle Scholar
Sartorius, N., Jablensky, A., Korten, A., Ernberg, G., Anker, M., Cooper, J.E., et al.Early manifestations and first-contact incidence of schizophrenia in different cultures. A preliminary report on the initial evaluation phase of the WHO Collaborative Study on determinants of outcome of severe mental disorders. Psychol Med 1986; 16: 909–928.CrossRefGoogle Scholar
Sartre, J.P.Conscience de soi et connaissance de soi. Frankfurt, Main: Suhrkamp: 1947.Google Scholar
Sass, L.Madness and Modernism. New York: Basic Books: 1992.Google Scholar
Sass, L., Parnas, J.Schizophrenia, consciousmess, and the self. Schizophrenia Bulletin 2003; 29: 427–444.CrossRefGoogle Scholar
Schneider, K.Psychischer Befund und psychiatrische Diagnose. Leipzig: Thieme: 1942.Google Scholar
Shoemaker, S. (together with Swinburne, R.). 1984. Personal Identity. Oxford: Blackwell.Google Scholar
Sobo, E.H.One blood. The Jamaican body. New York: State University of New York Press: 1993.Google Scholar
Summerfield, J.J., Hassabis, D., Maguire, E.A.Cortical midline involvement in autobiographical memory.”. Neuroimage 2009; 44: 1188–1200.CrossRefGoogle Scholar
Tomasello, M.Origins of human communication. Cambridge, MA: The MIT Press: 2008.CrossRefGoogle Scholar
Tugendhat, E., Wolf, U.Logisch-semantische Propädeutik. Stuttgart: Reclam: 1983.Google Scholar
Turner, V.Anthropology of performance. New York: Performing Arts Journal Publications: 1987.Google Scholar
Varma, V.K., Bouri, M., Wig, N.N.Multiple personality in India: comparison with hysterical possession state”. Am J Psychother 1981; 35: 113–120.CrossRefGoogle Scholar
Vogeley, K., Bussfeld, P., Newen, A., Herrmann, S., Happe, F., Falkai, P., et al.Mind reading: neural mechanisms of theory of mind and self-perspective. Neuroimage 2001; 14: 170–181.CrossRefGoogle ScholarPubMed
Vogeley, K., May, M., Ritzl, A., Falkai, P., Zilles, K., Fink, G.R.Neural correlates of first-person perspective as one constituent of human self-consciousness. J Cogn Neurosci 2004; 16: 817–827.CrossRefGoogle ScholarPubMed
Watts, A.W.Zen. Rheinberg. Zero 1981.Google Scholar
Zhu, Y., Zhang, L., Fan, J., Han, S.Neural basis of cultural influence on self-representation.”. Neuroimage 2007; 34: 1310–1316.CrossRefGoogle Scholar
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