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Patients and Agents

Mental Illness, Modernity and Islam in Sylhet, Bangladesh

Alyson Callan

252 pages, 25 illus., bibliog., index

ISBN  978-0-85745-488-1 $120.00/£85.00 Hb Published (August 2012)

eISBN 978-0-85745-489-8 eBook


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Sylhet, the area of Bangladesh most closely associated with overseas migration, has seen an increase in remittances sent home from abroad, introducing new inequalities.  Social change has also been mediated by the global forces of Western biomedicine and orthodox Islam.  This book examines the effects of these modernizing trends on mental health and on local, traditional healing as the new inequalities have exacerbated existing social tensions and led to increased vulnerability to mental illness.  It is the young women of Sylhet who are most affected.  The global economy has increased competition for resources and led to marriage being seen as a route to economic advancement.  Parents prefer to give their daughters in marriage to families that will widen their social contacts and enhance their economic and social standing.  Accordingly, the young wife’s outsider status (and hence vulnerability to mental illness) has increased as it is no longer customary to give daughters in marriage to local kin.  Yet, patients and their families do not work out tensions passively.  They are active agents in the construction of their own diagnosis.  The extent to which patients act or are acted upon is an investigation that runs throughout the book.

Alyson Callan is a psychiatrist and anthropologist. She currently works as a consultant psychiatrist in Brent for the Central and North West London NHS Foundation Trust.

Subject: General Anthropology Religion Gender Studies
Area: Asia

LC: RA790.7.B3C35 2012

BL: YC.2012.a.20134

BISAC: SOC002010 SOCIAL SCIENCE/Anthropology/Cultural; MED078000 MEDICAL/Public Health; SOC026010 SOCIAL SCIENCE/Sociology/Marriage & Family

BIC: PSXM Medical anthropology; JHBK Sociology: family & relationships




Contents

List of illustrations
Acknowledgements
List of key informants

Chapter 1. Introduction
Chapter 2. Sylhet and Social Change
Chapter 3. An Outline Ethnopsychiatry of Sylhet
Chapter 4. The Relationship Between Madness and Religiosity
Chapter 5. Sorcery: ‘What else do we Bengalis do?
Chapter 6. Marriage, Madness and Resistance
Chapter 7. Spirit Possession, Personal Autonomy and the Law of Allah
Chapter 8. Muslim patients, Hindu healers
Chapter 9. Female Saints
Chapter 10. Conclusion

Glossary
Bibliography

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