A Disability of the Soul: An Ethnography of Schizophrenia and Mental Illness in Contemporary Japan
Karen Nakamura
"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.
Product Details
About Karen Nakamura
Reviews for A Disability of the Soul: An Ethnography of Schizophrenia and Mental Illness in Contemporary Japan
Amy Borovoy
The Journal of Japanese Studies
Written in plain language and told in a narrative style, accompanied by a DVD containing two documentary videos and filled with a host of pictures, this easily accessible and deeply engaging work combines broad historical, social, and cultural context with intimate personal experiences and poignantly articulated vignettes to immerse the reader in the lives of members of Bethel House, the professional staff who work with them and the residents of the town of Urakawa located on the island of Hokkaido, Japan.
Michael Rembis
Years Work in Critical and Cultural Theory
In A Disability of the Soul: An Ethnography of Schizophrenia and Mental Illness in Contemporary Japan, anthropologist and professor of East Asian Studies, Karen Nakamura provides the type of thick description and careful analysis called for by Mehrotra [author of Disability, Gender and State Policy: Exploring Margins]. Written in plain language and told in a narrative style... this easily accessible and deeply engaging work combines broad historical, social, and cultural context with intimate personal experiences and poignantly articulated vignettes to immerse the reader.
disability studies quarterly