This article proposes a theory of psychological disturbance (mental illness) as a cultural phenomenon. The theory is based on -and extends --the general cultural psychological theory of Vygotsky, Luria, and Leontiev, as well as the specific social approach to psychopathy of Fromm, Foucault, Laing, and Rieber. We demonstrate that the psychodynamics of individual disturbances are shaped by normative, macro cultural factors, such as gender norms, religious doctrine, family structure, architecture, and clothing. We illustrate this cultural psychological analysis of individual psychology with a case study of a 25 year old Saudi obsessive compulsive patient in Riyadh backed by 50 interviews with students about family relations in Saudi Arabia. We discuss the therapeutic and political implications of our cultural theory of psychological disturbance.Keywords: mental illness, cultural psychology, Saudi Arabia, Vygotsky, Saudi family, Islam, OCD, scrupulosity, macro cultural factors, hajib, gender, Leontiev, emotions, political, ideology, cross-cultural psychology, psychological anthropology 218 Ratner
Introduction to Cultural PsychologyIn this paper, we draw upon the general cultural psychological perspective developed by Urie Bronfenbrenner, Vygotsky, Luria, A.N. Leontiev, and Carl Ratner, along with a specific cultural view of psychopathology articulated by Eric Fromm, Foucault, Laing, and Rieber, to provide a framework for a theory of psychological disturbance/mental illness. 1 We explain its scientific potential for comprehending mental illness, its therapeutic application, and its political potential for mitigating psychological distress.Bronfenbrenner conceptualized psychology as formed by a network of cultural factors. He conceptualized this network as a set of concentric circles with micro level interactions surrounded by meso-level factors, and ultimately by macro cultural factors which are social policies, overarching patterns of ideology and organization of the social institutions common to a particular culture or subculture. "Public policy is a part of the macro system determining the specific properties of exo-, meso-, and microsystems that occur at the level of everyday life and steer the course of behavior and development" (Bronfenbrenner, 1979, pp. 8-9; Ratner, 1991, pp. 172-178).In his article "Activity and Consciousness" (available online: http:// www.marxists.org/archive/leontev/works/1977/leon1977.htm)Leontiev (1977) says: "Despite all its diversity, all its special features, the activity[Tatigkeit] of the human individual is a system that obeys the system of relations of society. Outside these relations human activity does not exist.How it exists is determined by the forms and means of material and spiritual1 In this paper we use psychological disturbance interchangeably with the more widely used term mental illness. We are cognizant of the terminological difficulties of these terms and do not wish to address them here. We are using these terms non-technically to refer to the panoply of severe, ...