Traces of culture: The feedback loop between behavior, brain, and disorder

Transcult Psychiatry. 2020 Jun;57(3):387-407. doi: 10.1177/1363461519879515. Epub 2020 Jan 29.

Abstract

Culture is part of an extensive series of feedback loops, which involve multiple organismic levels including social contexts, cognitive mediations, neural processes, and behavior. Recent studies in neuroscience show that culturally contingent social processes shape some neural pathways. Studying the influence of cultural context on neural processes may yield new insights into psychiatric disorders. New methodologies in the neurosciences offer innovative ways to assess the impact of culture on mental health and illness. However, implementing these methodologies raises important theoretical and ethical concerns, which must be resolved to address patient individuality and the complexity of cultural diversity. This article discusses cultural context as a major influence on (and consequence of) human neural plasticity and advocates a culture-brain-behavior (CBB) interaction model for conceptualizing the relationship between culture, brain, and psychiatric disorders. Recommendations are made for integrating neuroscientific techniques into transcultural psychiatric research by taking a systems approach to evaluating disorders.

Keywords: CBB model; cognitive mediation; cultural neuroscience; culture–brain–behavior interaction model; fMRI; neural plasticity; transcultural psychiatry.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Behavior / physiology*
  • Brain / physiology*
  • Culture*
  • Ethnopsychology / trends
  • Feedback
  • Humans
  • Models, Theoretical*
  • Neuropsychology / trends
  • Neurosciences / trends