This book outlines a "new ethnopsychiatry," one that considers popular or folk ethnomedicines and professional psychiatric systems in the same discourse, effacing the traditional distinction between psychiatry and ethnopsychiatry. The essays in this volume are from a diverse, interdisciplinary group representing history, psychology, sociology, and medicine, as well as anthropology. The author view both ethnomedical practices and illness as local cultural constructions. They consider ideologies and institutions from both professional and popular ethnopsychiatric systems in America, Western Europe, South Africa, the Caribbean, Japan, and India. The book demonstrates that professional and popular psychiatric medicines lie along the same local cultural continua, that professional, "scientific" psychiatries and less formalized systems of local popular psychology are epistemological relatives, aspects of common cultural discourses on normality and abnormality. The essays reject the notion of a universal, uniform reality of psychopathology beyond cultural boundaries, but the data strongly support the cultural and historically constructed nature of ethnopsychiatry, in its illness, ideologies, and institutions. Contributors to this volume include Amy V. Blue, Thomas Csordas, Ellen Dwyer, Paul E. Farmer, M.D., Atwood D. Gaines, Helena Jia Hershel, Janis Jenkins, Pearl Katz, Thomas Maretzki, Naoki Nomura, Charles Nuckolls, Kathryn Oths, Lorna Amarasingham Rhodes, and Leslie Swartz.

"This is a terrific book―moving, clear, and compassionate. It not only illustrates the way psychiatric illness is shaped by culture, but also suggests that social environments can be used to improve the course and outcome of the illness. Well worth reading." — T. M. Luhrmann, author of Of Two Minds: An Anthropologist looks at American Psychiatry Bethel House, located in a small fishing village in northern Japan, was founded in 1984 as an intentional community for people with schizophrenia and other psychiatric disorders. Using a unique, community approach to psychosocial recovery, Bethel House focuses as much on social integration as on therapeutic work. As a centerpiece of this approach, Bethel House started its own businesses in order to create employment and socialization opportunities for its residents and to change public attitudes toward the mentally ill, but also quite unintentionally provided a significant boost to the distressed local economy. Through its work programs, communal living, and close relationship between hospital and town, Bethel has been remarkably successful in carefully reintegrating its members into Japanese society. It has become known as a model alternative to long-term institutionalization. In A Disability of the Soul, Karen Nakamura explores how the members of this unique community struggle with their lives, their illnesses, and the meaning of community. Told through engaging historical narrative, insightful ethnographic vignettes, and compelling life stories, her account of Bethel House depicts its achievements and setbacks, its promises and limitations. A Disability of the Soul is a sensitive and multidimensional portrait of what it means to live with mental illness in contemporary Japan.