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Traditionalism and mental health in the South Pacific: a re-examination of an old hypothesis

Published online by Cambridge University Press:  09 July 2009

H. B. M. Murphy*
Affiliation:
Department of Psychiatry, McGill University, Montreal, Canada; and Vaiola Hospital, Tonga
B. M. Taumoepeau
Affiliation:
Department of Psychiatry, McGill University, Montreal, Canada; and Vaiola Hospital, Tonga
*
1Address for correspondence: Professor H. B. M. Murphy, Department of Psychiatry, Section of Transcultural Psychiatric Studies, McGill University, 1266 Pine Avenue West, Montreal, PQ, Canada H3G 1A8.

Synopsis

Nineteenth-century theory held that mental disorder was rare in stable, traditional rural societies. Today most societies are rapidly changing, but Tonga still fits that model and the evidence suggests that the psychoses are genuinely infrequent there. It is proposed that both the theory and the evidence deserve further examination.

Type
Research Article
Copyright
Copyright © Cambridge University Press 1980

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References

Beaglehole, E. (1939). Psychic stress in a Tongan village.In Proceedings, 6th Pacific Science Congress Vol. 4, pp. 4354. University of California Press: Berkeley.Google Scholar
Brown, G. W. & Harris, T. (1978). Social Origins of Depression. Tavistock Publications: London.Google ScholarPubMed
Brown, G. W., Birley, J. L. T. & Wing, J. K. (1972). Influence of family life on the course of schizophrenic disorders: a replication. British Journal of Psychiatry 121, 241258.CrossRefGoogle ScholarPubMed
Buss, A. H. & Lang, P. J. (1965). Psychological deficit in schizophrenia. Journal of Abnormal Psychology 70, 224.CrossRefGoogle ScholarPubMed
Eaton, J. W. & Weil, R. J. (1955). Culture and Mental Disorders. Free Press: Glencoe, Ill.Google Scholar
Graves, T. D. & Graves, N. B. (1976). Demographic changes in the Cook Islands: perception and reality. Or, where have all the Mapu gone? Journal of the Polynesian Society 85, 447462.Google Scholar
Halliday, A. (1828). A General View of the Present State of Lunatics and Lunatic Asylums, in Great Britain and Ireland, and in some other Kingdoms, pp. 7980. Underwood: London.Google Scholar
Jarvis, E. (1852). On the supposed increase in insanity. American Journal of Insanity 8, 333364.Google Scholar
Meyer, P. A. (1971). Demography and resource-use differentials on ‘Eua Island, Tonga. M.A. Thesis deposited with University of South Pacific Extension Office, Tonga.Google Scholar
Murphy, H. B. M. (1961). Social change and mental health. Milbank Memorial Fund Quarterly 39, 385445.CrossRefGoogle ScholarPubMed
Murphy, H. B. M. (1977). Migration, culture and mental health. Psychological Medicine 7, 677684.CrossRefGoogle ScholarPubMed
Murphy, H. B. M. & Lemieux, M. (1967). Quelques considérations sur le taux élevé de schizophrénie dans un type de communauté canadienne-française. Canadian Psychiatric Association Journal 12, Numéro Special, S71–S81.CrossRefGoogle Scholar
Murphy, H. B. M., Engelsmann, F. & Tcheng-Laroche, F. (1976). The influence of foster-home care on psychiatric patients. Archives of General Psychiatry 33, 179183.CrossRefGoogle ScholarPubMed
Pacific Island Yearbook, 13th edition (1978). Pacific Publications: Sydney.Google Scholar
Rosen, G. (1968). Madness in Society, chapter 6. Harper Torchbooks: New York.Google Scholar
Rush, B. (1794). Medical Inquiries and Observations, pp. 2425. Dobson: Philadelphia. (Quoted by Rosen, 1968.)Google Scholar
Stewart, K. (1954). Pygmies and Dream Giants. Norton: New York.Google Scholar
Teoh, J. I. & Tan, E. S. (1976). An outbreak of epidemic hysteria in West Malaysia. In Culture-Bound Syndromes, Ethnopsychiatry, and Alternate Therapies (ed. Lebra, W. P.), pp. 3246. University of Hawaii Press: Honolulu.Google Scholar
Tuke, D. H. (1878). Insanity in Ancient and Modern Life, with Chapters on its Prevention, pp. 94 et seq. Macmillan: London.CrossRefGoogle Scholar
World Health Organization (1979). Schizophrenia. An International Follow-up Study. John Wiley & Sons: New York.Google Scholar