Between the triggering of our Neuroticism by a stimulus,
And our Conscientiousness and Agreeableness suppressing a response,
A certain amount of Identity Work must take place,
That involves the ‘Internalisation of the Aggressor’,
Where this does not take place, you are likely to find, an increase in Psychoticism,
Although this can be expressed/suppressed differently in different populations,
Depending on the cultural boundaries that have evolved,
Keeping the social matrix of all other identities, occupying their positions,
And the ‘relationships of production’ that exist between them,
In their place.
Whereas cognitive behaviour therapy normally only relies on an analysis
of self/other, good/bad, whole/part, general/specific, object relations,
The addition of an internal/external impulse into this matrix,
Creates the context for opposing interpretations of a/the master/slave complex,
Precisely because when/where a/the ‘internalisation of the aggressor’ takes place,
Preserves a/the adult/child relationship, within broader/deeper social dominance hierarchies,
Unconsciously triggering and suppressing each others' trauma memories,
In a double-bind construction of artificial/social imaginary-realities,
Pending the accumulation of more and more socially desirable personality traits,
In their place.
REFERENCES:
Jarvis, G. Eric. (2025). Cultural variations in psychosis: Recent research and clinical implications. Transcultural psychiatry. 13634615251324088. 10.1177/13634615251324088. This article introduces a thematic issue of Transcultural Psychiatry dedicated to understanding the role of culture in the expression and treatment of psychotic symptoms. While many clinicians and researchers view psychotic disorders as brain diseases firmly rooted in neurological processes and requiring medical treatments to resolve, the papers in this issue propose something different: that psychotic symptoms are refracted through the lens of culture with the result being socially and culturally constructed disorders that have as much to do with the attitudes and knowledge systems of the observer as the lived experience of patients. Hence, expression of psychotic symptoms and disorders represent the result of a negotiated space between individual distress and the values and norms of the wider society. This thematic issue touches on several important points: critical perspectives of high rates of psychosis in migrants, the lack of culturally adapted research and clinical tools in psychosis work, new methods to engage people with psychosis from diverse backgrounds, and cultural issues related to the etiology of psychosis, interpretation of symptoms, and help–seeking. There remain many important topics at the intersection of culture and psychosis not covered by this thematic issue, including stigma and psychosis, delusion formation in cultural context, the history of psychosis concepts, and insight in psychosis. Yet, despite these omissions, the articles in this issue, as a whole, foster recognition of the limits of standard approaches to psychosis and advocate for culturally adapted assessments and interventions, which if implemented from a position of cultural humility, carry the long–term potential of revolutionizing the field.
Xavier, Salome & Iyer, Srividya. (2025). Reflections on the explanations of higher psychosis rates among migrant and ethnic minority populations: A critical discourse analysis. Transcultural Psychiatry. 10.1177/13634615251326020. A growing number of studies suggest that migrant and ethnic minority populations are at higher risk for being diagnosed with psychosis. However, the reasons why have been disputed. This study aims to explore different interpretations of the observed higher rates of psychosis diagnosis among immigrants and ethnic minorities in some parts of the world. We sought to examine these interpretations through a critical lens, acknowledging the social underpinnings of discourses and their power to shape real-world practices. Peer-reviewed editorials, commentaries and letters regarding the topics of interest were retrieved from database searches and subjected to a pattern-based critical discourse analysis. Across a 30-year span of literature, conceptualizations and explanations of higher psychosis rates amongst migrant and minoritized populations evolved in relation to the larger social context, at times opposing one another. Three discursive themes were identified, reflecting intersecting explanations: institutional racism in psychiatry; psychiatry as a scientific discipline that sees and treats all patients equally; and the social locus of high rates. Tensions surrounding psychiatry as a field, including issues of evidence, biological reductionism, and the conceptualization of psychiatric nosological categories have played out within the evolution of this discourse. Exploring how discursive constructions in relation to psychosis and minoritization have been shaped by historical and social factors, we consider the role of local and global dynamics of social power in favouring one explanatory model over another and how these may have affected efforts to prevent and better treat psychosis amongst immigrant and minoritized groups.
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