Nepali concepts of psychological trauma

The role of idioms of distress, ethnopsychology and ethnophysiology in alleviating suffering and preventing stigma

Brandon A. Kohrt, Daniel Hruschka

Research output: Contribution to journalArticle

88 Citations (Scopus)

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.

Original languageEnglish (US)
Pages (from-to)322-352
Number of pages31
JournalCulture, Medicine and Psychiatry
Volume34
Issue number2
DOIs
StatePublished - Jun 2010

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ethnopsychology
Ethnopsychology
trauma
Nepal
Medical Anthropology
Refugees
Wounds and Injuries
brain
Brain
Linguistics
Post-Traumatic Stress Disorders
psychosocial care
Survivors
Mental Health
Emotions
Therapeutics
event
Communication
posttraumatic stress disorder
move

Keywords

  • Nepal
  • Posttraumatic stress disorder
  • Psychosocial
  • Stigma
  • Trauma

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Health(social science)
  • Anthropology

Cite this

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