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Nepali concepts of psychological trauma: the role of idioms of distress, ethnopsychology and ethnophysiology in alleviating suffering and preventing stigma.
Cult Med Psychiatry. 2010 Jun; 34(2):322-52.CM

Abstract

In the aftermath of a decade-long Maoist civil war in Nepal and the recent relocation of thousands of Bhutanese refugees from Nepal to Western countries, there has been rapid growth of mental health and psychosocial support programs, including posttraumatic stress disorder treatment, for Nepalis and ethnic Nepali Bhutanese. This medical anthropology study describes the process of identifying Nepali idioms of distress and local ethnopsychology and ethnophysiology models that promote effective communication about psychological trauma in a manner that minimizes stigma for service users. Psychological trauma is shown to be a multifaceted concept that has no single linguistic corollary in the Nepali study population. Respondents articulated different categories of psychological trauma idioms in relation to impact on the heart-mind, brain-mind, body, spirit, and social status, with differences in perceived types of traumatic events, symptom sets, emotion clusters and vulnerability. Trauma survivors felt blamed for experiencing negative events, which were seen as karma transmitting past life sins or family member sins into personal loss. Some families were reluctant to seek care for psychological trauma because of the stigma of revealing this bad karma. In addition, idioms related to brain-mind dysfunction contributed to stigma, while heart-mind distress was a socially acceptable reason for seeking treatment. Different categories of trauma idioms support the need for multidisciplinary treatment with multiple points of service entry.

Authors+Show Affiliations

Department of Anthropology, Emory University, 1557 Dickey Dr., Atlanta, GA 30322, USA. brandonkohrt@gmail.comNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

20309724

Citation

Kohrt, Brandon A., and Daniel J. Hruschka. "Nepali Concepts of Psychological Trauma: the Role of Idioms of Distress, Ethnopsychology and Ethnophysiology in Alleviating Suffering and Preventing Stigma." Culture, Medicine and Psychiatry, vol. 34, no. 2, 2010, pp. 322-52.
Kohrt BA, Hruschka DJ. Nepali concepts of psychological trauma: the role of idioms of distress, ethnopsychology and ethnophysiology in alleviating suffering and preventing stigma. Cult Med Psychiatry. 2010;34(2):322-52.
Kohrt, B. A., & Hruschka, D. J. (2010). Nepali concepts of psychological trauma: the role of idioms of distress, ethnopsychology and ethnophysiology in alleviating suffering and preventing stigma. Culture, Medicine and Psychiatry, 34(2), 322-52. https://doi.org/10.1007/s11013-010-9170-2
Kohrt BA, Hruschka DJ. Nepali Concepts of Psychological Trauma: the Role of Idioms of Distress, Ethnopsychology and Ethnophysiology in Alleviating Suffering and Preventing Stigma. Cult Med Psychiatry. 2010;34(2):322-52. PubMed PMID: 20309724.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Nepali concepts of psychological trauma: the role of idioms of distress, ethnopsychology and ethnophysiology in alleviating suffering and preventing stigma. AU - Kohrt,Brandon A, AU - Hruschka,Daniel J, PY - 2010/3/24/entrez PY - 2010/3/24/pubmed PY - 2010/9/3/medline SP - 322 EP - 52 JF - Culture, medicine and psychiatry JO - Cult Med Psychiatry VL - 34 IS - 2 N2 - In the aftermath of a decade-long Maoist civil war in Nepal and the recent relocation of thousands of Bhutanese refugees from Nepal to Western countries, there has been rapid growth of mental health and psychosocial support programs, including posttraumatic stress disorder treatment, for Nepalis and ethnic Nepali Bhutanese. This medical anthropology study describes the process of identifying Nepali idioms of distress and local ethnopsychology and ethnophysiology models that promote effective communication about psychological trauma in a manner that minimizes stigma for service users. Psychological trauma is shown to be a multifaceted concept that has no single linguistic corollary in the Nepali study population. Respondents articulated different categories of psychological trauma idioms in relation to impact on the heart-mind, brain-mind, body, spirit, and social status, with differences in perceived types of traumatic events, symptom sets, emotion clusters and vulnerability. Trauma survivors felt blamed for experiencing negative events, which were seen as karma transmitting past life sins or family member sins into personal loss. Some families were reluctant to seek care for psychological trauma because of the stigma of revealing this bad karma. In addition, idioms related to brain-mind dysfunction contributed to stigma, while heart-mind distress was a socially acceptable reason for seeking treatment. Different categories of trauma idioms support the need for multidisciplinary treatment with multiple points of service entry. SN - 1573-076X UR - https://www.unboundmedicine.com/medline/citation/20309724/Nepali_concepts_of_psychological_trauma:_the_role_of_idioms_of_distress_ethnopsychology_and_ethnophysiology_in_alleviating_suffering_and_preventing_stigma_ L2 - https://doi.org/10.1007/s11013-010-9170-2 DB - PRIME DP - Unbound Medicine ER -