Toward a social theory of psychiatric phenomena.
This essay relies on a positivistic/scientific perspective to define psychiatric phenomena. However, it draws a distinction between a biomedical versus a social science approach. The aim is to review some of the theoretical and empirical considerations that pertain to psychiatric phenomena that need to be addressed in order to develop a social theory about them. The object of the theory is to explain how psychiatric phenomena are labeled, interpreted, and handled across societies that differ in terms of social structure and culture. Some of the kinds of variables and questions that would allow for cross-cultural analyses are identified. In addition, two topics that a social theory could address--that of the medicalization and stigmatization of psychiatric phenomena--are introduced. These topics are elaborated by developing propositions that substantively illustrate the questions/hypotheses of a social theory of psychiatric phenomena. The essay illustrates that a social theory constitutes a complex enterprise that requires dealing with philosophical, methodological and empirical issues.
Fabrega
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University of Pittsburg School of Medicine, Western Psychiatric Institute and Clinic, PA 15213.
D001290:Attitude; D003431:Cross-Cultural Comparison; D003466:Cultural Characteristics; D006801:Humans; D001523:Mental Disorders / Q000523:psychology*; D012919:Social Behavior; D012931:Social Environment; D012945:Social Values; D012959:Socioeconomic Factors