Bay Area Icarus Hosts Ethan Watters For a Discussion About the DSM Gone Global

 

Ethan Watters Icarus Flyer 

               Last week in San Francisco, local author Ethan Watters spoke to a packed room of Icaristas and friends at the California Institute of Integral Studies about his most recent book: Crazy Like Us: The Globalization of the American Psyche. Ethan's book has been a really successful mainstream critique of the Biopsychiatric model and it was a pleasure having him step into the cultural underground of the Icarus Project for the evening to share ideas. It was a lively discussion which you can listen to here (you might have to download Quicktime 7 if it doesn't work -- sorry for the technical difficulties!)

  The event was the second in our speaker series, the first being a discussion in October with Robert Whittaker about his book Anatomy of An Epidemic. Bay Area Icarus is rockin these days with weekly meetings and the organizers group CARIOC (California Icarus Regional Organizing Collective) an anti-oppression training this past Saturday, periodic screenings and community discussions of Crooked Beauty and an upcoming retreat to strategize about the coming year.

Below are some of my favorite quotes from the New York Times article based on Crazy Like Us that was published earlier this year. I highly recommend checking out this book -- it feels like an important one for our movement.

Sascha

For more than a generation now, we in the West have aggressively spread our modern knowledge of mental illness around the world. We have done this in the name of science, believing that our approaches reveal the biological basis of psychic suffering and dispel prescientific myths and harmful stigma. There is now good evidence to suggest that in the process of teaching the rest of the world to think like us, we’ve been exporting our Western “symptom repertoire” as well. That is, we’ve been changing not only the treatments but also the expression of mental illness in other cultures. Indeed, a handful of mental-health disorders — depression, post-traumatic stress disorder and anorexia among them — now appear to be spreading across cultures with the speed of contagious diseases. These symptom clusters are becoming the lingua franca of human suffering, replacing indigenous forms of mental illness....
 --------------
The problem is that our biomedical advances are hard to separate from our particular cultural beliefs. It is difficult to distinguish, for example, the biomedical conception of schizophrenia — the idea that the disease exists within the biochemistry of the brain — from the more inchoate Western assumption that the self resides there as well. “Mental illness is feared and has such a stigma because it represents a reversal of what Western humans . . . have come to value as the essence of human nature,” McGruder concludes. “Because our culture so highly values . . . an illusion of self-control and control of circumstance, we become abject when contemplating mentation that seems more changeable, less restrained and less controllable, more open to outside influence, than we imagine our own to be.”...
----------

Behind the promotion of Western ideas of mental health and healing lie a variety of cultural assumptions about human nature. Westerners share, for instance, evolving beliefs about what type of life event is likely to make one psychologically traumatized, and we agree that venting emotions by talking is more healthy than stoic silence. We’ve come to agree that the human mind is rather fragile and that it is best to consider many emotional experiences and mental states as illnesses that require professional intervention. (The National Institute of Mental Health reports that a quarter of Americans have diagnosable mental illnesses each year.) The ideas we export often have at their heart a particularly American brand of hyperintrospection — a penchant for “psychologizing” daily existence. These ideas remain deeply influenced by the Cartesian split between the mind and the body, the Freudian duality between the conscious and unconscious, as well as the many self-help philosophies and schools of therapy that have encouraged Americans to separate the health of the individual from the health of the group. These Western ideas of the mind are proving as seductive to the rest of the world as fast food and rap music, and we are spreading them with speed and vigor.
--------------

If our rising need for mental-health services does indeed spring from a breakdown of meaning, our insistence that the rest of the world think like us may be all the more problematic. Offering the latest Western mental-health theories, treatments and categories in an attempt to ameliorate the psychological stress sparked by modernization and globalization is not a solution; it may be part of the problem. When we undermine local conceptions of the self and modes of healing, we may be speeding along the disorienting changes that are at the very heart of much of the world’s mental distress.