What are Mental Disorders? Exploring the Role of Culture in the Harmful Dysfunction Approach

• Published in: Integrative physiological and behavioral science 2024-12, Vol.58 (4), p.1048-1063
• Main Author: Brinkmann, Svend
• Format: Article
• Language: English
• Subjects: Anthropology; Behavioral Science and Psychology; Culture; Humans; Mental Disorders; Psychological Theory; Psychology; Psychopathology; Sociology
• ISSN: 1932-4502; 1936-3567; 1936-3567
• DOI: 10.1007/s12124-024-09837-9

A shared problem in psychology, psychiatry, and philosophy is how to define mental disorders. Various theories have been proposed, ranging from naturalism to social constructionism. In this article, I first briefly introduce the current landscape of such theories, before concentrating on one of the most influential approaches today: The harmful dysfunction theory developed by Jerome Wakefield. It claims that mental disorders are hybrid phenomena since they have a natural basis in dysfunctional mental mechanisms, but also a cultural component in the harm experienced by human beings. Although the theory is well thought through, I will raise a critical question: Is it possible to isolate mental mechanisms as naturally evolved from cultural factors? I will argue that it is not, but that the theory could still be helpful in an understanding of mental disorders, albeit on a new footing that does not operate with a natural and a cultural component as two separate factors. I argue that we need to develop a “naturecultural” approach to psychopathology that avoids mentalism, based on the fact that human beings are irreducibly persons.