A Cultural Psychological Theory of Mental Illness, Supported by Research in Saudi Arabia

Abstract

This article proposes a theory of psychological disturbance (mental illness) as a cultural phenomenon. The theory is based on – and extends – the general cultural psychological theory of Vygotsky, Luria, and Leontiev, as well as the specific social approach to psychopathy of Fromm, Foucault, Laing, and Rieber. We demonstrate that the psychodynamics of individual disturbances are shaped by normative, macro cultural factors, such as gender norms, religious doctrine, family structure, architecture, and clothing. We illustrate this cultural psychological analysis of individual psychology with a case study of a 25 year old Saudi obsessive compulsive patient in Riyadh backed by 50 interviews with students about family relations in Saudi Arabia. We discuss the therapeutic and political implications of our cultural theory of psychological disturbance.