The cultural practices and cultural meaning of health care in urban Japan.

This is one of the first attempts to explore the effects of social, political, and cultural variables on the interpretation of ideas about health, illness, and medical care in a technologically rich society. In this collection of essays, five anthropologists and one political scientist demonstrate that modern medical care in Japan is not a uniform, value-free scientific endeavor, but rather a culturally shaped part of a complex pluralistic medical system that is, itself, the product of a specific historical and social tradition. The comparative study of health, illness, and medical care provides a rich source of cross-fertilization of ideas among the social sciences. This collection of essays offers new insights on and raises new questions about contemporary Japanese society, biomedicine as a cultural product, and the transformation that occurs when medical knowledge and techniques are used in a different cultural milieu.

"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.

This collection brings together fifteen chapters written by scholars specializing in disciplines ranging from anthropology and sociology to literature, film, and performance studies. These scholars analyze complex questions about how the body is lived and imagined as a locus of meaning-making in contemporary Japan. Exploring such topics as mind-body dualism, aging and illness, spirit possession, beauty, performance, and gender, this collection addresses the wide array of socio-cultural and literary contexts in which the body is interpreted in Japanese culture and thought.

Over the last twenty years, type 2 diabetes skyrocketed to the forefront of global public health concern. In this book, Mari Armstrong-Hough examines the rise in and response to the disease in two societies: the United States and Japan. Both societies have faced rising rates of diabetes, but their social and biomedical responses to its ascendance have diverged. To explain the emergence of these distinctive strategies, Armstrong-Hough argues that physicians act not only on increasingly globalized professional standards but also on local knowledge, explanatory models, and cultural toolkits. As a result, strategies for clinical management diverge sharply from one country to another. Armstrong-Hough demonstrates how distinctive practices endure in the midst of intensifying biomedicalization, both on the part of patients and on the part of physicians, and how these differences grow from broader cultural narratives about diabetes in each setting.

Karatani Kojin is one of Japan's leading critics. In his work as a theoretician, he has described Modernity as have few others; he has re-evaluated the literature of the entire Meiji period and beyond. As one critic has said, Karatani's thought "has had a profound effect on the way we formulate the questions we ask about modern literature and culture ... [his] argument is compelling, moving even, and in the end the reader comes away with a different understanding not only of modern Japanese literature but of modern Japan itself." Among the many authors discussed are Soseki Natsume, Doppo Kunikida, Katai Tayama, and Shoyo Tsubouchi.