Social defeat and the culture of chronicity: or, why schizophrenia does so well over there and so badly here

@article{Luhrmann2007SocialDA,
  title={Social defeat and the culture of chronicity: or, why schizophrenia does so well over there and so badly here},
  author={Tanya Marie Luhrmann},
  journal={Culture, Medicine and Psychiatry},
  year={2007},
  volume={31},
  pages={135-172}
}
  • T. Luhrmann
  • Published 30 May 2007
  • Psychology, Medicine
  • Culture, Medicine and Psychiatry
The history of the way schizophrenia has been conceptualized in American psychiatry has led us to be hesitant to explore the role of social causation in schizophrenia. But there is now good evidence for social impact on the course, outcome, and even origin of schizophrenia, most notably in the better prognosis for schizophrenia in developing countries and in the higher rates of schizophrenia for dark-skinned immigrants to England and the Netherlands. This article proposes that “social defeat… 
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Outcome studies of schizophrenia in developing countries are reviewed and concepts of poverty, inequality and violence in relation to the course of the illness in this context are debated.
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It was found that delusional themes of psychological persecution, such as control and reference, were more common in those with either moderate or severe degrees of social defeat.
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The role of culture on presentation, attributions and outcomes citing studies by both psychiatric epidemiologists and anthropologists is discussed, indicating cultural influences on schizophrenia and contributing to the debate on its diagnostic status.
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It is suggested that the key to de-othering schizophrenia may lie in an emerging body of research on “social defeat,” marginalization, and alienation, which is shown to arise in social and interpersonal contexts that are distinctly alienating, including the psychiatric encounter.
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put to the test. This also helps to explain the absence of overt homophobia that Dasgupta observes in his subjects’ upbringing (p. 54). Homosexuality is not hated—rather, it is simply off the radar.
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This essay examines the spaces across societies in which persons with severe mental illness lose meaningful social roles and are reduced to “bare life,” and suggests that these processes of exclusion take place differently: on the street in the United States, and in the family household in India.
"No One Ever Even Asked Me that Before": Autobiographical Power, Social Defeat, and Recovery among African Americans with Lived Experiences of Psychosis.
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Empirical research with African American males diagnosed with a psychotic disorder in a high-poverty urban area of the northeastern United States draws on ethnographic research to identify three important points when the loss of autobiographical power seemed to perpetuate social defeat or a sense of social powerlessness.
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