Saturday, December 16, 2017

Wisdom Of The Week

What are some causes of depression across cultures?

Many of the risk factors for depression are similar across cultures. These include gender, unemployment, traumatic events. The themes of depression tend to revolve around loss. But what people make of their losses and how they interpret their distress differs tremendously across cultures. In the West, we have increasingly pathologized depression and attributed it to biomedical factors. We tend to think that distancing people from their distress can be a functional way of helping them. However, teaching people that this very complex social, cultural, and biological phenomenon is entirely biological can backfire. It encourages people to ignore environmental factors, and instead, essentialize depression as a characteristic of themselves and their biology.

How does the meaning of depression vary around the world?

The meaning that people assign to suffering varies richly across cultures. Buddhism approaches suffering as an essential characteristic of life. We are mindful of it, yet, we don't try to chase it away. In Eastern European Orthodox Christianity and traditional Catholic contexts, there are two religious perspectives on suffering. On one hand, excessive suffering that blocks your goals is thought to be a sin. Simultaneously, suffering that allows you to stay engaged in your life is thought to bring you closer to God. It’s almost like broadcasting your suffering highlights you as a more complex and virtuous human being in other people’s eyes. Moreover, in India and Ecuador suffering can be interpreted as a rift in social networks that requires mending.

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Are there genetic vulnerabilities for depression across cultures?

Genetic vulnerability differs substantially from country to country. East Asian contexts, for example, show a high prevalence of genes associated with depression. Yet, despite these vulnerabilities, they develop fewer cases of the disorder. One hypothesis is that genetic vulnerabilities have co-evolved with culture, creating extra protective factors (in this case, extra interdependence). However, when these people leave their cultural contexts, they have a higher risk of developing depression.

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What is the role of emotion regulation?

Emotion regulation is increasingly becoming understood as a core factor in all affective disorders. In western societies, we don't see enough adaptive strategies like reappraisal: learning to tell yourself a different story that would eventually lead to different emotions. There is also not enough social regulation of emotion, which occurs by sharing our emotions with others. Research shows that cultures can facilitate functional regulation strategies. For example, Igor Grossmann’s work shows that Russians make rumination (generally considered a dysfunctional strategy) more functional by encouraging people to ruminate about the self from another person’s perspective, making rumination almost reappraisal-like in its quality.


How Culture Affects Depression

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