title: Navigating diagnoses: understanding mind-body relations, mental health, and stigma in Nepal.
abstract: Anthropologists and psychiatrists traditionally have used the salience of a mind-body dichotomy to distinguish Western from non-Western ethnopsychologies. However, despite claims of mind-body holism in non-Western cultures, mind-body divisions are prominent in non-Western groups. In this article, we discuss three issues: the ethnopsychology of mind-body dichotomies in Nepal, the relationship between mind-body dichotomies and the hierarchy of resort in a medical pluralistic context, and, finally, the role of mind-body dichotomies in public health interventions (biomedical and psychosocial) aimed toward decreasing the stigmatization of mental illness. We assert that, by understanding mind-body relations in non-Western settings, their implications, and ways in which to reconstitute these relations in a less stigmatizing manner, medical anthropologists and mental health workers can contribute to the reduction of stigma in global mental health care.
authors.affiliation: Department of Anthropology, Emory University, Atlanta, GA 30322, USA. brandonkohrt@gmail.com
authors.forename: Brandon A
authors.initials: BA
authors.lastname: Kohrt
authors.forename: Ian
authors.initials: I
authors.lastname: Harper
mesh_terms: D000328:Adult; D001294:Attitude to Health; D003469:Culture; D005260:Female; D006801:Humans; D008519:Medicine, Traditional; D001523:Mental Disorders / Q000175:diagnosis* / Q000523:psychology / Q000628:therapy*; D009390:Nepal; D011603:Psychophysiology
references.citation: Lancet. 1999 Mar 27;353(9158):1070
references.pmid: 10199363
references.citation: Transcult Psychiatry. 2003 Dec;40(4):488-506
references.pmid: 14979464
references.citation: Changgeng Yi Xue Za Zhi. 1998 Mar;21(1):1-12
references.pmid: 9607258
references.citation: Soc Sci Med. 1997 Aug;45(3):441-7
references.pmid: 9232738
references.citation: Cult Med Psychiatry. 2002 Jun;26(2):155-78
references.pmid: 12211323
references.citation: Int Rev Psychiatry. 2004 Feb-May;16(1-2):142-9
references.pmid: 15276946
references.citation: J Nerv Ment Dis. 2007 Jun;195(6):544; author reply 545
references.pmid: 17568305
references.citation: Anthropol Med. 2004 Apr 1;11(1):75-89
references.pmid: 26868100
references.citation: Anthropol Med. 2005 Dec;12(3):239-54
references.pmid: 26873669
references.citation: Lancet. 2006 Feb 11;367(9509):525-7
references.pmid: 16473128
references.citation: J Nerv Ment Dis. 2006 Dec;194(12):962-6
references.pmid: 17164637
references.citation: Cult Med Psychiatry. 1981 Dec;5(4):379-408
references.pmid: 7326955