Protein-energy malnutrition as a culture-bound syndrome
- 1 December 1982
- journal article
- research article
- Published by Springer Nature in Culture, Medicine, and Psychiatry
- Vol. 6 (4), 325-345
- https://doi.org/10.1007/bf00118881
Abstract
A new definition of the concept of culture-bound syndrome demonstrates that culture-boundedness is common and applies as well to Western biomedical disease categories as to nonWestern categories. Culture-boundedness is important when a common disorder with a large sociopsychological component is frequently treated, but unsuccessfully. To improve intervention success, therapists must recognize and accept that clients and interventionists may employ widely dissimilar culture-bound explanatory models. Therapists must learn to synthesize among models, neither rejecting nor discounting those of clients. The fact that Western notions of cause are culture-bound has gone largely unrecognized because of the tendency among biomedical scientists to treat science as if it were culture-free and universally comprehensible. This is of course a naive and invalid understanding. These points are illustrated for the case of protein-energy malnutrition. If those who design and facilitate intervention to alleviate hunger can come to understand that the scientific explanatory model of protein-energy malnutrition is only one among several cogent models, they will be in a strong position to understand intervention failure and possibly to overcome it.Keywords
This publication has 26 references indexed in Scilit:
- THE GREAT PROTEIN FIASCOThe Lancet, 1974
- An Approach to the Study of the Medical Aspects of CultureCurrent Anthropology, 1973
- Classification of the Culture-Bound Reactive SyndromesAustralian & New Zealand Journal of Psychiatry, 1967
- A FRESH LOOK AT PROTEIN-CALORIE MALNUTRITIONThe Lancet, 1966
- The Epidemiology of a Folk Illness: Susto in Hispanic AmericaEthnology, 1964
- Protein-calorie malnutrition in tropical preschool children: A review of recent knowledgeThe Journal of Pediatrics, 1959
- Etiology of Illness in GuinhangdanAmerican Anthropologist, 1958
- "KWASHIORKOR"The Lancet, 1935
- A nutritional disease of childhood associated with a maize diet--and pellagraArchives of Disease in Childhood, 1934
- A nutritional disease of childhood associated with a maize dietArchives of Disease in Childhood, 1933