In this article, I examine the effects of childhood suffering in two cases – one from my anthropological fieldwork in the central highlands of Sulawesi in Indonesia and one from my psychotherapeutic practice in Los Angeles. I argue that although people will always carry with them the psycho-bodily signature of their past social experience, these signatures are affected by the cultural idioms of distress into which they are woven and from which psycho-bodily attention is channeled and given meaning (or not). However, I also suggest that past social experiences are related to life trajectories in very complicated ways. For example, while the enactment of a cultural idiom of distress may help to resolve or give meaning to a form of illness or distress, it also may cause or exacerbate other forms of suffering – depending on how it is used and articulated by any given individual.
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References
1.
Bateson, G. (1972a). Steps to an ecology of mind. New York: Ballantine Books .
2.
Bateson, G. (1972b). Toward a theory of schizophrenia. In Steps to an ecology of mind (pp. 201–227). New York: Ballantine Books .
3.
Bateson, G. (1972c). The cybernetics of ‘self’: A theory of alcoholism. In Steps to an ecology of mind (pp. 309–337). New York: Ballantine Books .
4.
Bromberg, P. M. (1998). Standing in the spaces: Essays on clinical process, trauma and dissociation. Hillsdale, NJ: Analytic Press .
5.
Bruner, J. (1990). Acts of meaning. Cambridge, MA: Harvard University Press .
6.
Csordas, T. J. (1994). The sacred self: A cultural phenomenology of charismatic healing. Berkeley: University of California Press .
7.
Damasio, A. R. (1999). The feeling of what happens: Body and emotion in the making of consciousness. New York: Harcourt Brace .
8.
Davies, J. M. (1996). Linking the ‘pre-analytic’ with the postclassical: Integration, dissociation, and the multiplicity of unconscious process . Contemporary Psychoanalysis, 32, 553–576 .
9.
Ewing, K. P. (1990). This illusion of wholeness: Culture, self, and the experience of inconsistency . Ethos, 18, 251–278 .
10.
Hallowell, A. I. (1955). Culture and experience. Philadelphia: University of Pennsylvania Press .
11.
Hallowell, A. I. (1959). Behavioral evolution and the emergence of the self. In B. J. Meggars (Ed.), Evolution and anthropology (pp.36–60). Washington, DC: Anthropological Society of Washington .
12.
Herman, J. L. (1992). Trauma and recovery. New York: Basic Books .
13.
Hollan, D. (1994). Suffering and the work of culture: A case of magical poisoning in Toraja . American Ethnologist, 21, 74–87 .
14.
Hollan, D. (1996). Cultural and experiential aspects of spirit beliefs among the Toraja. In J. M. Mageo & A. Howard (Eds.), Spirits in culture, history, and mind (pp. 213–235). New York: Routledge .
15.
Hollan, D. (1999). Constructivist models of mind, self systems, and the problem of psychocultural adaptation . Paper presented in the conference on Anthropology and Psychiatry, University of California, San Diego.
16.
Hollan, D. (2000). Constructivist models of mind, contemporary psychoanalysis, and the development of culture theory . American Anthropologist, 102, 538–550 .
17.
Hollan, D. W., & Wellenkamp, J. C. (1994). Contentment and suffering: Culture and experience in Toraja. New York: Columbia University Press .
18.
Hollan, D. W., & Wellenkamp, J. C. (1996). The thread of life: Toraja reflections on the life cycle. Honolulu: University of Hawaii Press .
19.
Kirmayer, L. J. (1984a). Culture, affect and somatization, Part I . Transcultural Psychiatric Research Review, 21, 159–188 .
20.
Kirmayer, L. J. (1984b). Culture, affect and somatization, Part II . Transcultural Psychiatric Research Review, 21, 237–262 .
21.
Kirmayer, L. J. (1994). Pacing the void: Social and cultural dimensions of dissociation. In D. Spiegel (Ed.), Dissociation: Culture, mind, and body (pp. 91–122). Washington, DC: American Psychiatric Press .
22.
Kirmayer, L. J. (1996). Landscapes of memory: Trauma, narrative, and dissociation. In P. Antze & M. Lambek (Eds.), Tense past: Cultural essays in trauma and memory (pp. 173–198). New York: Routledge .
23.
Kirmayer, L. J., & Young, A. (1998). Culture and somatization: Clinical, epidemiological, and ethnographic perspectives . Psychosomatic Medicine, 60, 420–430 .
24.
Lambek, M. (1981). Human spirits: A cultural account of trance in Mayotte. Cambridge: Cambridge University Press .
25.
Lambek, M. (1989). From disease to discourse: Remarks on the conceptualization of trance and spirit possession. In C. A. Ward (Ed.), Altered states of consciousness and mental health: A cross-cultural perspective (pp. 36–61). Newbury Park, CA: Sage .
26.
Lambek, M. (1996). Afterword: Spirits and their histories. In J. M. Mageo & A. Howard (Eds.), Spirits in culture, history, and mind.(pp. 237–249). New York: Routledge .
27.
Levy, R. I. (1973). Tahitians: Mind and experience in the Society Islands. Chicago: Chicago University Press .
28.
Levy, R. I. (1984). Emotion, knowing, and culture. In R. A. Shweder & R. A. LeVine (Eds.), Culture theory: Essays on mind, self, and emotion (pp. 214–237). Cambridge: Cambridge University Press .
29.
Mageo, J. M., & Howard, A. (Eds.). (1996). Spirits in culture, history, and mind. New York: Routledge .
30.
Obeyesekere, G. (1981). Medusa’s hair: An essay on personal symbols and religious experience. Chicago: University of Chicago Press .
31.
Schachtel, E. G. (1949). On memory and childhood amnesia. In P. Mullahy (Ed.), A study of interpersonal relations: New contributions to psychiatry (pp. 3–49). New York: Hermitage .
32.
Schacter, D. L. (1996). Searching for memory: The brain, the mind, and the past. New York: Basic Books .
33.
Schore, A. N. (1994). Affect regulation and the origin of the self: The neurobiology of emotional development. Hillsdale, NJ: Erlbaum .
34.
Shore, B. (1996). Culture in mind: Cognition, culture, and the problem of meaning. New York: Oxford University Press .
35.
Siegel, D. J. (1999). The developing mind: Toward a neurobiology of interpersonal experience. New York: Guilford Press .
36.
Slavin, M. O. (1990). The dual meaning of repression and the adaptive design of the human psyche . Journal of the American Academy of Psychoanalysis, 18, 307–341 .
37.
Slavin, M. O., & Kriegman, D. (1992). The adaptive design of the human psyche: Psychoanalysis, evolutionary biology, and the therapeutic process. New York: Guilford Press .
38.
Spence, D. P. (1982). Narrative truth and historical truth: Meaning and interpretation in psychoanalysis. New York: W.W. Norton .
39.
Spiro, M. E. (1965). Religious systems as culturally constituted defense mechanisms. In M. E. Spiro, (Ed.), Context and meaning in anthropology (pp. 100–113). New York: Free Press .
40.
Spiro, M. E. (1997). Gender ideology and psychological reality: An essay on cultural reproduction. New Haven, CT: Yale University Press .
41.
Stern, D. B. (1996). Dissociation and constructivism . Psychoanalytic Dialogues, 6, 251–266 .
42.
Stern, D. B. (1997). Unformulated experience: From dissociation to imagination in psychoanalysis. Hillsdale, NJ: Analytic Press .
43.
Stoler, R. (1975). Perversion. New York: Pantheon .
44.
Strauss, C., & Quinn, N. (1997). A cognitive theory of cultural meaning. Cambridge: Cambridge University Press .
45.
Sullivan, H. S. (1953). The interpersonal theory of psychiatry. New York: Norton .
46.
Sullivan, H. S. (1956). Clinical studies in psychiatry. New York: Norton .
47.
Van der Kolk, B. A. (1987). The psychological consequences of overwhelming life experiences. In B. A. van der Kolk (Ed.), Psychological trauma (pp. 1–30). Washington, DC: American Psychiatric Press .
48.
Van der Kolk, B. A. (1989). The compulsion to repeat the trauma . Psychiatric Clinics of North America, 12, 389–411 .
49.
Van der Kolk, B. A., & van der Hart, O. (1989). Pierre Janet and the breakdown of adaptation in psychological trauma . American Journal of Psychiatry, 146, 1530–1540 .
50.
Volkman, T. (1985). Feasts of honor: Ritual and change in the Toraja Highlands. Urbana: University of Illinois Press .
51.
Weiss, J. (1993). How psychotherapy works: Process and technique. New York: Guilford Press .
52.
Weiss, J., & Sampson, H. (1986). The psychoanalytic process: Theory, clinical observation, and empirical research. New York: Guilford Press .
