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Depression, Conversion, Possession and Family Relations: A Socio-cultural Study

Chun‐Yi Lee, Jung-Kwang Wen

臺灣精神醫學 September 1, 2011 DOI: 10.29478/tjp.201109.0009 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Case study Case report Peer reviewed
Sample size 1
Population 46-year-old housewife patient with major depressive disorder
Topics Depression
Key findings The patient's symptoms progressed through somatization, hysterical conversion, dissociative trance, and spirit possession, and recovery involved conscious coping to restore interpersonal harmony. The authors propose that Confucianism, Taoism, Buddhism, and Shamanism influence mental health in East Asian socio-cultural contexts.

Abstract

Objective: A socio-cultural model of depression in Confucianism-oriented societies has the basic assumption that its psychopathology is determined by the disturbance of a harmonious relationship with others. We present a case study in the context of the socio-cultural background to address the relevant issues regarding mental health. Case Report: A 46-year-old housewife patient with major depressive disorder, had progressive clinical features from somatization, hysterical conversion, to dissociative trance and spirit possession, through the emotional turmoil involving family relational problems. In the recovering process, the psychiatrists showed that she expressed the defense and coping mechanisms consciously to recover the interpersonal equilibrium.

Conclusion: The authors suggest that in this case report, Confucianism, Taoism, Buddhism, and Shamanism have influenced mental health, and mental illnesses of the people who share the common socio- cultural values in East Asia.

Comparable studies

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Electroconvulsive Therapy, Ketamine, and Esketamine in a Patient with Major Depressive Disorder and Multiple Comorbidities: A Case Report over 10-year Treatment from Adolescence to Adulthood. A patient with treatment-resistant depression and comorbid generalized anxiety... 2025 Case report n = 1
Oral Administration of the NMDA Receptor Antagonist S-Ketamine as Add-On Therapy of Depression: A Case Series Four depressed patients taking standard antidepressants 2009 Case series n = 4
A longitudinal case series of IM ketamine for patients with severe and enduring eating disorders and comorbid treatment‐resistant depression Patients with enduring eating disorders and treatment-resistant depression 2021 Case series n = 4
Effects of intranasal (S)-ketamine on Veterans with co-morbid treatment-resistant depression and PTSD: A retrospective case series Veterans with co-morbid depression and PTSD 2022 Retrospective case series n = 35
Case report: Intramuscular ketamine or intranasal esketamine as a treatment in four patients with major depressive disorder and comorbid anorexia nervosa Patients with anorexia nervosa and a comorbid depressive disorder treated at a private... 2023 Case report n = 4

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