Abstract

This book is an investigation into cultural variations in experiences of depression. With the aid of empirical data, and with a phenomenological outlook, the analyses presented aim to give a comparative account of the significance of culture in shaping cross-cultural variations, as seen in Iran and the UK. Through analysis of elements of Iranian culture such as literature and folk theories, and important pillars of current social make-up of the country like experience of Iran-Iraq war, the Islamic revolution and its dominant religious discourse, variations in conceptions, experiences and narratives of depression are accounted for. Some of the themes explored include discussions of particular symptoms of depression such as guilt, hopelessness, loss of meaning and somatic symptoms; social stigmas and help-seeking behaviours; changes in relations with others; and metaphors used to convey experiences of depression. The findings of the empirical data examined challenge the universalist approach to psychiatry as science and practice, as well as theoretical notions like idioms of distress that aim to account for cross-cultural variations of mental illness. Instead, it is claimed that a better understanding of the workings of mental illness is achieved by situating individuals and their experience in a meaning-making sociocultural context.