Professional Documents
Culture Documents
CHAPTEREIGHT Psychopharmacology
CHAPTEREIGHT Psychopharmacology
CHAPTEREIGHT Psychopharmacology
Janetius, S.T., Alemayehu Tibebe & Mini TC, (2015). Abyssinia in the
New Millennium (Revised Edition), 2016. Amazon CS Publication,
ISBN: 9781522757719
Page 79-88
[1]
The definitions of health and disease, normal and abnormal are
determined by the prevailing social norms and they are culturally
determined. Culture refers to a group or community with whom common
experiences are shared, that shape the way people interact and
understand the outside world. It includes community in which we are
born, gender, race, or national origin, religion etc.; also the groups
and communities we join or become part of. Our culture influences how
we grow, develop, think and behave, interact and participate in groups
and communities.
[2]
that the psychosexual development theory of Freud is not culture-
sensitive and needs a lot of modifications and revisions in order to
apply in Ethiopia or African cultures. However, thinking about Freud
in African culture, specifically in Ethiopian culture, force me to
make a war cry for culture-specific theories of human development and
personality.
1
Neo-Freudians use the term Eros & Thanatos
[3]
nursing enables the infant to derive gratification through a
pleasurable reduction of tension in the oral region. Infants seek
gratification through mouth, mainly sucking the breast, feeding,
crying, and other oral explorations. Freud called this the oral stage
of development. Fixation at this stage will affect the growth of the
child, especially the personality, leading to disturbed adult
behaviors like being passive, overly dependent, verbal aggression,
impatience, greediness, and a preoccupation with giving and taking.
Adult habits like smoking, overeating, thumb sucking, objects chewing
are expressions of fixations and poor oral development. During the
second year, the source of excitation is said to shift to the anal
area, and the start of toilet training leads the child to invest
libido in the anal functions. Freud called this period of development
the anal stage. Too little gratification in this stage results
fixation often reflected as orderliness, neatness, rigidity,
obstinate, stingy, and possessive and other compulsive behaviors.
During the period from three through six years, the child's attention
is attracted to sensations from the genitals, and Freud called this
stage the phallic stage. This stage is one of the important periods
of psychological development. Oedipus complex occurs in male children
and penis envy in females. Oedipal conflict according to Freud takes
place when most male children realize the sex difference in their
organs, and the male child identifies with the father and desires his
mother. Castration anxiety makes the male child afraid of the father
(a strange feeling according to Freud that the child fears that he
may lose his sex organ for such thoughts). In the female, it is
labeled as Electra complex (by the latter psychologists) where the
female child desires her father and hates the mother thinking that
it is the mother who created her without penis. Conflicts and
fixations at this stage, according to Freud lead to homosexuality,
authority problems, and rejection of appropriate gender roles.
[4]
to 3½ to 4 years. The only exception is poverty or famine, in such
case the mother has no milk and the child is deprived of longer breast
feeding. Another cultural issue that hinders the application is the
second stage of Freud’s theory - the toilet training period.
Practically there is no toilet training as such given to children in
this part of the world, except few urban cities. In all other places,
children go for toilet anywhere and everywhere without discretion and
without parental guidance. Although there are many projects by western
countries and WHO funding for public health that shows that almost
majority of the population has toilet facilities, in my observation
research projects of public health are only in papers not seen in the
ground. If we apply the theory of Freud in this context, we have to
classify all the people of Ethiopia having fixations that lead to
poor adult development, which would be farce. How can one say that
the whole country is suffering from neurosis because of a western
theory of human development? The major problem to the application of
this theory in the Ethiopian context arises in the age brackets given
by Freud in table below.
Mouth:
sucking, Weaning away from
0-2 0-3.5/4 Oral
biting, mother’s breast
swallowing
6-
8-9 Latency
puberty
Physical
sexual
changes
Reawakening
of
Puberty Puberty
Genital repressed
onwards onwards
needs Social rules
Direct
sexual
feeling
towards
others
[5]
civilization and society. The indigenous peoples of Asia and Africa
and their unique lifestyles are often unnoticed or under-appreciated.
Realizing the value of indigenous wisdom or knowledge, uniqueness of
different cultures of different continents, many scholars today try
to create psychology for specific culture and population integrating
the core values and beliefs, customs of different societies. The
social, geographical, cultural factors play a vital role in the
understanding of human growth, development, personality, maturity
etc… It is evident that Western-made psychology and theories do not
provide enough knowledge about people and their behavior in other
parts of the world. Therefore, we need culture-specific theories of
human behavior, human development and personality.
[6]