Abstract
Ataques de nervios are an idiom of distress used by Puerto Ricans and other Latinos to express dislocations in the social world of the family. This paper contributes to the growing study of the “anthropology of the emotions”. Through detailed interviews with 121 people in Puerto Rico, 78 of whom had had anataque de nervios, we are developing a thick description of both the prototypical models forataques de nervios and the varied individual experiences ofataques. The interview used in this study is a version of the Explanatory Model Interview Catalogue specifically adapted for use in a community study ofataques de nervios in Puerto Rico. Responses to questions on the experience ofataque de nervios were analyzed using a team of reviewers who represented differing knowledge and experience with Puerto Rican culture and mental health practice. The experience ofataques de nervios involves a loss of control in several important domains of experience: emotional expressions, bodily sensations, action dimensions and alterations in consciousness. That loss of control is closely linked to important social contexts relating to major life problems and the experience of suffering.
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References
American Psychiatric Association 1994 Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition. Washington, DC: American Psychiatric Association.
Canino, Glorisa, Milagros Bravo, Maritza Rubio-Stipec, and Michel Woodbury 1990 The Impact of Disaster on Mental Health: Prospective and Retrospective Analyses. International Journal of Mental Health 19: 51–69.
Csordas, Thomas J. 1990 Embodiment as a Paradigm for Anthropology. Ethos 18: 5–47.
1994 Embodiment and Experience: The Existential Ground of Culture and Self. Cambridge: Cambridge University Press.
Das, Veena 1993 Moral Orientations to Suffering: Legitimation, Power and Healing.In: Health and Social Change in International Perspective. Lincoln C. Chen, Arthur Kleinman, and Norma C. Ware, eds. Oxford: Oxford University Press.
Davis, Dona L., ed. 1988 Historical and Cross-Cultural Perspectives on Nerves. Social Science and Medicine 26: 1197–1259.
Davis, Dona L., and Peter J. Guamaccia, eds. 1989 Health, Culture and the Nature of Nerves. Medical Anthropology 11: 1–95.
Davis, Dona L., and Setha M. Low, eds. 1989 Gender, Health and Illness: The Case of Nerves. New York: Hemisphere Publishing Corporation.
DeLaCancela, Victor 1981 Towards a Critical Psychological Analysis of Machismo: Puerto Ricans and Mental Health. Unpublished doctoral dissertation. City University of New York.
DeLaCancela, Victor, Peter J. Guamaccia, and Emilio Carrillo 1986 Psychosocial Distress Among Latinos: A Critical Analysis of Ataques de Nervios. Humanity and Society 10: 431–447.
Desjarlais, Robert 1992 Body and Emotion: The Aesthetics of Illness and Healing in the Nepal Himalayas. Philadelphia: University of Pennsylvania Press.
Farmer, Paul 1992 AIDS and Accusation: Haiti and the Geography of Blame. Berkeley: University of California Press.
Farmer, Paul, and Arthur Kleinman 1989 AIDS as Human Suffering. Daedelus 118: 135–160.
Gaines, Atwood D. 1992 Ethnopsychiatry: The Cultural Construction of Psychiatries.In Ethnopsychiatry. Atwood D. Gaines, ed., pp. 3–49. Albany, NY: State University of New York Press.
Garrison, Vivian 1977 The “Puerto Rican Syndrome” in Psychiatry andEspiritismo.In Case Studies in Spirit Possession Vincent Crapanzano and Vivian Garrison, eds., pp. 383–449. New York, NY: Wiley-Interscience.
Geertz, Clifford 1983 “From the Native's Point of View”: On the Nature of Anthropological Understanding.In Local Knowledge: Further Essays in Interpretive Anthropology. pp. 55–70. New York: Basic Books.
Gelpi, Juan G. 1993 Literatura y Patemalismo en Puerto Rico. San Juan: Editorial de la Universidad de Puerto Rico.
Good, Byron J. 1992 Culture and Psychopathology: Directions for Psychiatric Anthropology.In New Directions in Psychological Anthropology. Theodore Schwartz, Geoffrey M. White and Catherine A. Lutz, eds., pp. 181–205. Cambridge: Cambridge University Press.
1994 Medicine, Rationality and Experience: An Anthropological Perspective. Cambridge: Cambridge University Press.
Guarnaccia, Peter J., Victor DeLaCancela, and Emilio Carrillo 1989 The Multiple Meanings of Ataques de Nervios in the Latino Community. Medical Anthropology 11: 47–62.
Guarnaccia, Peter J., Glorisa Canino, Maritza Rubio-Stipec, and Milagros Bravo 1993 The Prevalence of Ataques de Nervios in the Puerto Rico Disaster Study: The Role of Culture in Psychiatric Epidemiology. The Journal of Nervous and Mental Disease 181: 159–167.
Harwood, Alan 1977 Rx: Spiritist As Needed: A Study of a Puerto Rican Community Mental Health Resource. New York, NY. Wiley-Interscience.
Jenkins, Janis 1988 Ethnopsychiatric Interpretations of Schizophrenic Illness: The Problem ofNervios within Mexican American Families. Culture, Medicine and Psychiatry 12: 301–330.
Jenkins, Janis 1991 The State Construction of Affect: Political Ethos and Mental Health among Salvadoran Refugees. Culture, Medicine and Psychiatry 15: 139–165.
Kirmayer, Laurence J. 1992 The Body's Insistence on Meaning: Metaphor as Presentation and Representation in Illness Experience. Medical Anthropology Quarterly 6: 323–346.
Kleinman, Arthur 1980 Patients and Healers in the Context of Culture: An Exploration of the Borderland between Anthropology, Medicine and Psychiatry. Berkeley: University of California.
Kleinman, Arthur 1986 Social Origins of Distress and Disease: Depression, Neurasthenia and Pain in Modem China. New Haven: Yale University Press.
Kleinman, Arthur 1988 Rethinking Psychiatry: From Cultural Category to Personal Experience. New York, NY: The Free Press.
Kleinman, Arthur, and Joan Kleinman 1991 Suffering and its Professional Transformation: Toward an Ethnography of Experience. Culture, Medicine and Psychiatry 15: 275–301.
, and Joan Kleinman 1994 How Bodies Remember. Social Memory and Bodily Experience of Criticism, Resistance and Deligitimation Following China's Cultural Revolution. New Literary History 25: 707–723.
Kleinman, Arthur, Wen-zhi Wang, Shichuo Li, Xue-ming Cheng, Xiu-ying Dai, Kun-tun Li, and Joan Kleinman 1995 The Social Course of Epilepsy: Chronic Illness as Social Experience in Interior China. Social Science and Medicine 40(10): 1319–1330.
Lauria, Antonio 1964 “Respeto,” “Relajo” and Inter-personal Relations in Puerto Rico. Anthropological Quarterly 37: 53–67.
Lewis-Fernandez, Roberto, and Arthur Kleinman 1995 Cultural Psychiatry: Theoretical, Clinical and Research Issues. Psychiatric Clinics of North America 18(3): 433–448.
Lock, Margaret 1993 Cultivating the Body: Anthropology and Epistemologies of Bodily Practice and Knowledge. Annual Review of Anthropology 22: 133–155.
Lock, Margaret, and Nancy Scheper-Hughes 1990 A Critical-Interpretive Approach in Medical Anthropology: Rituals and Routines of Discipline and Dissent.In Medical Anthropology: Contemporary Theory and Method. Thomas M. Johnson and Carolyn F. Sargent, eds., pp. 47–72. New York: Praeger.
Low, Setha M. 1981 The Meaning of Nervios. Culture, Medicine and Psychiatry 5: 25–47.
1985 Culturally-Interpreted Symptoms or Culture-Bound Syndromes: A Cross-Cultural Review of Nerves. Social Science and Medicine 21: 187–196.
1994 Embodied Metaphors: Nerves as Lived Experience.In Embodiment and Experience. Thomas J. Csordas, ed., pp. 139–162. Cambridge: Cambridge University Press.
Lutz, Catherine A. 1988 Unnatural Emotions. Chicago: University of Chicago Press.
Lutz, Catherine, and Geoffrey White 1986 The Anthropology of Emotions. Annual Review of Anthropology 15: 405–436.
Nichter, Mark 1981 Idioms of Distress: Alternatives in the Expression of Psychosocial Distress. A Case Study from South India. Culture, Medicine and Psychiatry 5: 5–24.
O'Nell, Theresa D. 1996 Disciplined Hearts: History, Identity and Depression in an American Indian Community. Berkeley: University of California Press.
Ramirez, Rafael L. 1993 Dime Capitán: Reflexiones sobre la Masculinidad. Rio Piedras: Ediciones Huracán.
Robins, Lee N., John E. Helzer, J. Croughnan, and K.S. Ratcliffe 1981 National Institute of Mental Health Diagnostic Interview Schedule. Archives of General Psychiatry 38: 281–389.
Rosaldo, Renato 1989 Introduction: Grief and a Headhunter's Rage.In Culture and Truth: The Remaking of Social Analysis, pp. 1–21. Boston: Beacon Press.
Scarry, Elaine 1985 The Body in Pain: The Making and Unmaking of the World. New York: Oxford University Press.
Scheper-Hughes, Nancy 1988 The Madness of Hunger. Sickness, Delirium and Human Needs. Culture, Medicine and Psychiatry 12: 429–458.
Scheper-Hughes, Nancy 1992 Hungry Bodies, Medicine, and the State: Toward a Critical Psychological Anthropology.In New Directions in Psychological Anthropology. Theodore Schwartz, Geoffrey M. White and Catherine A. Lutz, eds., pp. 221–247. Cambridge: Cambridge University Press.
Shweder, Richard 1991 Cultural Psychology: What Is It?In Thinking Through Cultures, pp. 73–110. Cambridge, MA: Harvard University Press.
1993 The Cultural Psychology of the Emotions.In The Handbook of the Emotions. Michael Lewis and Jeannette M. Haviland, eds., pp. 417–431. New York: Guilford Press.
Shweder, Richard, and Edmund J. Bourne 1992 Does the Concept of the Person Vary Cross-Culturally.In Thinking Through Cultures, pp. 113–155. Cambridge, MA: Harvard University Press.
Tesch, Renata, Bo Summerlund, and Ole Steen Kristensen 1993 Textbase Alpha User's Manual. Desert Hot Springs, CA: Qualitative Research Management.
Weiss, Mitchell, D.R. Doongaji, S. Siddhartha, D. Wypij, S. Pathare, M. Bhatawdekar, A. Bhave, A. Seth, and R. Ferándes 1992 The Explanatory Model Interview Catalogue (EMIC): Contribution to CrossCultural Research Methods from a Study of Leprosy and Mental Health. British Journal of Psychiatry 160: 819–830.
White, Geoffrey M., and Catherine A. Lutz 1992 Introduction.In New Directions in Psychological Anthropology. Theodore Schwartz, Geoffrey M. White and Catherine A. Lutz, eds., pp. 1–17. Cambridge: Cambridge University Press.
Young, Allan 1982 The Anthropologies of Illness and Sickness. Annual Review of Anthropology 11: 257–285.
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Guarnaccia, P.J., Rivera, M., Franco, F. et al. The experiences ofAtaques de nervios: Towards an anthropology of emotions in Puerto Rico. Cult Med Psych 20, 343–367 (1996). https://doi.org/10.1007/BF00113824
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DOI: https://doi.org/10.1007/BF00113824