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For thousands of years, globalization has been taking place around the world
and integration among the people, companies, and governments of different nations,
has the power to effect the environment, cultures, political systems, economic
development, and so much more (Watters, 2010). Today however, one would say
that there is a leader in this process, that leader being Western culture, but
specifically America. In Crazy Like Us: The Globalization of the American Psyche,
Ethan Watters claims that the most devastating consequence of this globalization of
he puts it, the way that the world goes mad (Watters). This is not just changing the
way that mental illnesses like anorexia, post-traumatic stress disorder (PTSD),
schizophrenia, and depression are talked about either, but the mental illnesses,
themselves.
There are over six billion people currently on Earth, and between these
Since the start of these cultures, peoples local beliefs have shaped mental illness
into endless varieties, relevant to that time and place. Over the past couple of
molded for our culture specifically, have been spreading around the world and to
illnesses spread though, the diseases themselves are spreading too, and even
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appearing in places where they werent before. The most disturbing part though, is
that America and its people are the pathogen that has led to these epidemics and
outbreaks, and they are the currents that these illnesses have traveled on (Watters).
America is a virus and in result, we are unintentionally making the rest of the world
In Hong Kong, China, social issues and confusions of female body image,
sexuality, youth, beauty, and aging are present. In fact, their beauty industry at one
point in time was even outspending every other business sector in advertising. In
America, where these social issues are also present, most well-educated Westerners
understand that these cultural cues contribute to, and even spark, anorexia. With its
attendant fear of fatness and body dimorphic disorder, Westerners believe that it is
born of a peculiar modern fixation with a slender, female body type, and that
popular culture transmits this fetish to young women (Wyatt). However, in earlier
times, Chinese anorexia was unlike that found in the West, and displayed a
completely different cluster of symptoms. In fact, Chinese anorexics denied any fear
of being fat and desired to get back to their normal body weight. They reported
having no appetite and other physical symptoms like literal blockages in their
throats or stomach pains, which were found in multiple cases to be in result of some
mental stress that they had experienced, whether it was losing a loved one or feeling
too much pressure to do well in school. The Diagnostic and Statistical Manual of
Mental Disorders (DSM) was quickly becoming the worldwide standard at this time,
though and it stated that someone suffering from anorexia not only obtains a low
rigidly body weight and disturbed self image, but also an intense fear of becoming
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obese even when underweight (Wyatt). The professional and popular press began
to create a kind of feedback loop for this standard, changing the nature of
adolescents as well as the accepted symptom pool of the time, or the culturally
recognized signal of suffering, which in turn made the illness grow exponentially in
its Western form. In this time and place, Western assumptions actually
overpowered local variations and acted as a vector, both shaping and spreading this
About a decade after anorexia went mainstream in China, a tsunami hit Sri
Lanka and the region surrounding it, launching Westerners into action with their
fears of a second tsunami of psychological trauma and PTSD that they thought were
sure to come. Since the assumption is that the Western world, particularly the U.S.,
is equipped with far more and better resources, this commenced what has been
Westerner psychologists, therapists, and other helpers went to Sri Lanka as aid,
unaffected by culture, and therefore the treatment for these people would be the
same offered for people with PTSD in America. What they didnt know though, was
that Sri Lankans actually turn to their rich cultural traditions in times of hardship
with a wide variety of healing and religious customs. These customs were
psychologists though, stages that are categorized by the DSM in their diagnosis of
was that psychic damage after traumatic events and their symptoms are actually a
reflection of cultural beliefs in a particular time and place, like those cultural
symptoms of distress that were recognized as legitimate for Vietnam veterans after
the war in the 1960s, for example. The meaning of an event matters as much as the
event itself, and therefore no one event should be handled with as though it was the
Farther east of Sri Lanka, over in Zanzibar, Africa, one particular psychologist
developing nations, like Zanzibar, having a better prognosis over time than those
living in the most industrialized countries in the world, like America. Surprisingly,
the clue to this puzzle was actually found to lie in the emotional tenor and
schizophrenia sprang from chemical imbalances in the brain had not been accepted
by most of the population, but the belief in spirit possession and the permeability of
the human consciousness by magical forces was (Wyatt). These beliefs actually
shaped the experience not only for the patient, but also for the family in the way that
they treated and understood the illness. Researchers found that schizophrenics
living in regions of the world with the most resources devote to the illness were the
most troubled and socially marginalized because of the intense, critical, and
intrusive emotional tenor that their family members showed for them. In the West, a
often comes to define a person, also leading to social marginalization and increased
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stress in the patient. Interestingly enough, because of the tone of the tolerance that
was found in families in less developed countries, patients had better prognoses.
Unfortunately, these traditional beliefs eventually began to mix with biomedical and
going from better to worse. These Western explanations may be appealing because
they are scientific and unemotional, but early results show that these explanations
are actually detrimental to the health of the schizophrenic. The West might
reconsider their own interventions into parts of the world that appear to have
Japans pharmaceutical market, a market that was not even driven by the Japanese
consumers need or want for an antidepressant medication. They, however, saw this
cultural beliefs. At this time in Japan, depression was thought of as a mental illness
and therefore a very small pharmaceutical market existed for it. GlaxoSmithKlines
they were going to do this by mega-marketing the disease along with their drug
(Watters). This cultural puzzle ended up being worth 400 million dollars within two
years of Paxil hitting the market in Japan, but costing Japan its deep-rooted cultural
beliefs about sadness and depression. Before Paxil was introduced, sadness was
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thought to be an ordinary part of life that makes you stronger by the Japanese. It
was not ever meant to be chronic illness. By marketing the idea that depression is a
cold of the soul though, and exploiting the vulnerable economic and social times
that Japan was in at the time, GlaxoSmithKline was able to sell this disease along
with their drug to Japanese people all over the country, where depression was never
alarm clock that would go off if not taken care of soon enough. Not only was Paxil
found later to only work in very particular patients, but also the side effects that
came with its use were discovered to be very dangerous. The landscape for Japans
psyche was now flattened because of an antidepressant that didnt necessarily work
Globalization has the power to increase economic growth and generate a wide range
people all over the world. It also supports the idea of an interdependent global
economy, which can especially favor developing countries and help in their
advocate for capitalistic and democratic political systems. These are the points that
people advocate with when things like what happened with GlaxoSmithKline in
Japan occur. What people are sometimes unaware of though, which is showcased in
many Westerners that are oblivious to the unhelpful measures that they take when
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trying to help, is that these benefits also come with costs. This cost is the remarkable
diversity once seen among cultures conceptions of various topics, like mental
illness (Watters). Some see this as an easy price to pay. Others see this as a global
America has indeed, been a world leader of some sort in generating new
health treatments and modern theories of the human psyche. This biomedical
knowledge is exported then, to other countries in hopes that it will relieve mental
Developing countries like Zanzibar, for instance, have not yet separated the mind
from the body in understanding diseases and epidemics. This does not make them
right or wrong in their understanding of mental illness, just different. Crazy Like Us
knowledge then, and gain an appreciation for these differences in light of the
contentment and psychological health that our cultural beliefs have brought on
home soil.
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References
Watters, E. (2010). Crazy like us: the globalization of the American psyche. New York,