Epidemic Psychological Disturbance in a Malawian Secondary School: A Case Study in Social Change

Abstract

We describe a case of Epidemic Psychological Disturbance (EPD) involving 110 pupils at a Catholic Girls Secondary School in Malawi. The EPD 'syndrome' included 'outward' behaviours (screaming, continuous laughing, crying loudly, falling down and rolling, violently threatening classmates, speaking gibberish) and 'inward' behaviours (refusing to eat, withdrawal, hallucinating, hypersensitivity to noise, and headache at the base of the skull).

These problems disappeared when most of the affected pupils were sent home. We consider a number of possible causes for this case of EPD, including physical, psychological, traditional, institutional, and political factors. It is suggested that the present case of EPD can be interpreted as reflecting a defence and protest against certain aspects of the rapid social and political changes which Malawi has witnessed over the past few years.

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References

Bowa, M.F. & Maclachlan, M. (1994). No 'congratulations' in Chichewa: Deterring achievement motivation in Malawi. Paper presented at the Third University of Malawi Conference on Research and Development, Mangochi, April.

Chiona, J. , Mkhori, F. , Chimole, F.A. , Assolari, A. , Chamgwera, A. , Chisendera, G.M. , & Roche, J. (1992). Living our faith: Pastoral letter of the Catholic Bishops in Malawi. Balaka, Malawi: Montfort Press.

Ikeda, Y. (1966). An epidemic of emotional disturbance among leprosarium nurses in a setting of low morale and social change. Psychiatry , 29, 152-64.

Kiev, A. (1972). Transcultural psychiatry. New York: The Free Press.

Lee, L.L.M. & Ackerman, S.E. (1980). The sociocultural dynamics of mass hysteria: A case study of social conflict in West Malaysia. Psychiatry, 43, 78-88.

Maclachlan, M. , Nyirenda, T. , & Nyando, C. (1994). Attributions for admission to Zomba Mental Hospital: Implications for the development of Mental Health Services in Malawi. Manuscript under review.

Morakinyo, O. (1985). The brain-fag syndrome in Nigeria: Cognitive deficits in an Illness Associated with study. British Journal of Psychiatry , 146, 209-10.

Moss, P.D. And Mceverdy, C.P. (1966). An epidemic of overbreathing among schoolgirls . British Medical Journal, 2, 1295-1300.

Peltzer, K. (1987). Some contributions of traditional healing practices towards psychological health care in Malawi. Heidelburg : Asanger.

10.

Prince, R. (1989). The brain-fag syndrome. In K. Peltzer & P.O. Ebigbo (Eds.), Clinical Psychology in Africa. University of Nigeria: Working Group for Psychology in Africa.

11.

Schuller, E.A. AND Parenton, V.J. (1943). A recent epidemic of hysteria in a Louisiana high school. Journal of Social Psychology, 17, 221-35.

12.

Tseng, W. & Hsu,J. (1980). Minor Psychological Disturbances of Everyday Life . In H.C. Triandis & J.G. Draguns (Eds.), Handbook of Cross-cultural Psychology: Psychopathology. Volume 6. Boston: Allyn and Bacon, Inc.

13.

Wittstock, B. , ROSENTAL, L. And Henn, C. (1991). Mass Phenomena at a black South African primary school. Hospital and Community Psychiatry, 42(8), 851-52.

14.

Zambian Ministry Of Education, School Guidance Service (1992). Psycho-neurotic disorder-hysteria: A pilot study in Secondary School in the Luapula Province. Highlight Research Report No.5. Malawi: Zambian Ministry of Education .