Attacked by the gods or by mental illness? Hybridizing mental and spiritual health in Okinawa

Abstract

In 1972, the reversion to Japanese rule brought with it many changes for Okinawans, among them the widespread introduction of psychiatry. Psychiatry was not well received at first due to the extensive presence of shamans, who had traditionally dealt with Okinawans’ spiritual and psychological afflictions. Both psychiatrists and shamans claimed to be able to heal those who were labelled ‘mentally ill’ or ‘mentally disordered’ by psychiatrists. This conflict between systems over the body of the patient/client is relevant to debates today about both the perceived value of generic mental health diagnosis and treatment regimes compared with indigenous healing,1 and the question of isolating how markers or symbols of identity are employed in patients’ help-seeking choices. We examine three cases from the 1970s of patients who were diagnosed as suffering from both schizophrenia and an indigenous condition known as kami daarii.