This week in my Psychopathology class we have been studying anxiety. Following is a post I wrote addressing the construct known as Anxiety Disorder:
"The PDM (2006) says that Generalized Anxiety Disorder would be better categorized as a “personality disorder in which anxiety is the psychological organizing experience” (pps. 56-57). This makes sense to me as a way to organize the characteristics that can show up in a variety of ways that signal anxiety. From the readings it seems that what we define as Anxiety Disorder can actually be seen as a symptom of a larger issue, and shows up as a symptom of many disorders. As I understand it, anxiety is a really broad term with a lot of different ways of showing up. As are many disorders, anxiety can often be co-morbid and show up in conjunction with many other symptoms. Does this point to it as a more general symptom of other defined disorders rather than a disorder on its own.
Below is Shepard's (2004) list as an example of themes found in land-based, in-tact cultures that we might utilize in order to reform our connection with our whole, sane selves developing into full maturity.
"Themes of Cultural Recovery
Ontogenic
(The process of biological growth and development)
1. Formal recognition of stages in the whole life cycle
2. The progressive dynamics of bonding and separation
3. Earth-crawling freedom by 18 months
4. Richly textures play space
5. No reading prior to "symbolic" age (about 12 years)
6. All-age access to butchering scenes
7. All-age access to birth, copulation, death scenes
8. Few toys
9. Early access via speech to rich species taxonomy
10. Formal celebration of life-stage passages such as initiation
11. Rich animal-mimic play and other introjective processes
12. Non-peer-group play
13. Parturition and neonate "soft" environment
14. Access to named places in connection with mythology
15. Extended family or dense social structure
16. Extended lactation
17. Play as the internal prediction of the living world
18. Little storage, accumulation, or provision
19. Diversity of "work"
20. Handmade tools and other objects
21. No monoculture
22. Independent family subsistence plus customary sharing
23. Ecotypic economy - keyed to place
24. No landownership in the sense of "fee simple"
25. Little absolute territoriality
26. No fossil fuel use
27. Minimal housekeeping
28. No domestic plants or animals
Social
29. Prestige based on demonstrated integrity
30. Little or no heritable rank
31. Size of genetic/marriage/linguistic group or tribe: 500-3000
32. Clan and other membership giving progressive identity with age
33. Limited exposure to strangers
34. Hospitality to outsiders ,
35. Functional roles of aunts and uncles
36. Postreproductive advisory functions such grandparental roles
37. Size of fire-circle group: 10 adults (council of the whole)
38. Occasional larger congregations
39. Emphasis on mneumonics with its generational repository
40. Participant politics vs. representational or authoritarian
41. Vernacular gender and age functions
42. Totemic analogical thought of eco-predicated logos
43. Dynamic, emergent, and dispersed leadership
44. Decentralized power
45. Intertribal tension-reduction rites (song duels, peacepipe)
46. Cosmologically rather than sociohierarchically focused ritual
Other
47. Periodic mobility, no sedentism
48. Conceptual notion of spirit in all life, numinous otherness
49. Centrality of narrative, routine recall and story
50. Dietary omnivory
51. Rare-species demography
52. Subordination of art to cosmology
53. Participatory rather than audience-focused music
54. Sensual science ("science of the concrete") vs. intangible science
55. Celebration of social and cosmological function of meat eating
56. Religious regulation of the special effects of plant substances
57. Extensive foot travel
58. Only organic medicine
59. Regular dialogue on dream experience
6o. The "game" approach -- to love, not hate, the opponent
61. Attention to listening, to the sound environment as voice
62. Running
63. Attention to kinship and the "presence" of ancestors
64. Attunement to the daily cycle and seasonality
65. No radical intervention on fetal genetic malformations
66. Immediate access to the wild, wilderness, solitude
67. Nonlinear time and space-no history, progress, or destiny
68. Sacramental (not sacrificial) trophism
69. Formal recognition of a gifted subsistence
70. Participation in hunting and gathering
71. Freedom -- to come and go, to choose skills, to marry or not, etc. (pps. 171-172)"
References
Diagnostic and statistical manual of mental disorders (DSM, 5th ed.). (2013). Washington, D.C., American Psychiatric Association.
Maddux, J. E., & Winstead, B. A. (2012). Psychopathology: Foundations for a contemporary understanding (3rd ed.). New York, NY: Routledge.
PDM Task Force. (2006). Psychodynamic diagnostic manual. Silver Springs, MD: Alliance of Psychoanalytic Organizations
Shepard, P. (2004). In Shepard F. R. (Ed.), Coming home to the pleistocene. Washington, DC: Island Press.