“Insanity is from home”
The expression of mental health challenges in Akan
This paper examines selected expressions relating to the articulation of mental health challenges in three Akan speaking communities in Ghana, in the context of considering that language is reflective of human thought, and that human cultural practices and behavior emanate from people’s underlying appreciation of particular issues. Expressions of mental health challenges were extracted from a total of 37 one-on-one interviews and 12 focus group discussions. We note that the expressions used fall into 3 categories: idioms and proverbs, non-figurative language and code mixed utterances. Overall, indirection permeates all the categories. Furthermore, our observation is that the expressions provide an indication of the manifestations and perceived causes of the illnesses, which are familial, spiritual or biomedical. There is a strong tendency towards an expectation of communal support for the mentally ill. An appreciation of the languages and cultures of local communities provides the basis for appropriate diagnosis, effective management of mental illness and efficient public health education.
Article outline
- 1.Introduction
- 2.Previous studies
- 3.Methods
- 4.Expressions of mental health challenges in Akan
- 4.1Idioms and proverbs
- 4.2Non-figurative language
- 4.3Code mixing as an avoidance strategy
- 5.Perceived causes of mental illnesses
- 5.1Familial
- 5.2Spiritual
- 5.3Biomedical
- 6.Conclusion
- Acknowledgements
- Notes
-
References
References (60)
References
Adebowale, T. O. & Ogunlesi, A. O. (1999). Beliefs and knowledge about aetiology of mental illness among Nigerian psychiatric patients and their relatives. African Journal of Medicine and Medical Sciences, 28(1–2), 35–41.
Agara, A. J., Makanjuola, A. B. & Morakinyo, O. (2008). Management of perceived mental health problems by spiritual healers: A Nigerian study. African Journal of Psychiatry, 111, 113–118.
Agerbo, E., Nordentoft, M. & Mortensen, P. B. (2002). Familial, psychiatric, and socioeconomic risk factors for suicide in young people: Nested case-control study. British Medical Journal, 3251, 74–79.
Agyekum, K. (2010a). The sociolinguistic of thanking in Akan. Nordic Journal of African Studies, 19(2), 77–97.
Agyekum, K. (2010b). Akan verbal taboos: In the context of the ethnography of communication. Accra: Ghana Universities Press.
Aina, O. F. (2004). Mental illness and cultural issues in West African films: Implications for orthodox psychiatric practice. Medical Humanities, 301, 23–26.
Appiah, P., Appiah, K. A. & Agyeman-Duah, I. (2007). Bu me bε: Proverbs of the Akans. Oxfordshire: Ayebia Clarke.
Asante, E. K. A. (2002). Akan proverbs: Their origins, meanings and symbolic representations in Ghanaian material cultural heritage. Accra: Asempa Publishers.
Bagasra, A. & Mackinem, M. (2014). An exploratory study of American Muslim conceptions of mental illness. Journal of Muslim Mental Health, 8(1), 57–75.
Bamiro, E. O. (2006). The politics of code switching: English vs Nigerian languages. World Englishes, 25(1), 23–35.
Barke, A., Nyarko, S. & Klecha, D. (2011). The stigma of mental illness in Southern Ghana: Attitudes of the urban population and patients’ views. Social Psychiatry and Psychiatric Epidemiology, 461, 1191–1202.
Bindura, C., Chinyanganya, T. L. & Muguti, J. (2013). Taboos and the pragmatics of teaching HIV and AIDS at primary school: Views from selected primary school teachers. Greener Journal of Educational Research, 3(2), 46–52.
Chang, H. & Tobiassen, D. (2000). Nurturing healthy children in a diverse society: The implications of racial, cultural and linguistic diversity for proposition. In N. Halfon, E. Shulman, M. Shannon & M. Hochstein (Eds.), Building Community Systems for Young Children (pp. 10). UCLA: Center for Healthier Children, Families and Communities.
Chiu, S. N. (2000). Historical, religious, and medical perspectives of possession phenomenon. Hong Kong Journal of Psychiatry, 10(1), 14–18.
Cobbah, J. A. M. (1987). African values and the human rights debate: An African perspective. Human Rights Quarterly, 9(3), 309–331.
Cockerham, W. C. (1981). Sociology of Mental Disorder. Englewood Cliffs, NJ: Prentice Hall
Coppock, V. & Dunn, B. (2010). Understanding social work practice in mental health. London: Sage.
Dancygier, B. & Sweetser, E. (2014). Figurative language. Cambridge: Cambridge University Press.
Durkheim, E. (1933). Division of labor in society. Illinois: The Free Press of Glencoe.
Ellis, P. M. & Collings, S. C. D. (1997). Mental health in New Zealand from a public health perspective. Wellington: Public Health Group, Ministry of Health.
Evans, V. & Green, M. (2006). Cognitive Linguistics: An introduction. Edinburgh: Edinburgh University Press.
Fosu, G. B. (1981). Disease classification in rural Ghana: Framework and implications for health behaviour. Social Science and Medicine, 151, 471–482.
Ghana Statistical Service (2012). 2010 Population and Housing Census. Summary Report of Final Results. [URL]
Gyekye, K. (1995). An essay on African philosophical thought: The Akan conceptual scheme. Philadelphia: Temple University Press.
Gyekye, K. (1996). African cultural values: An introduction. Accra: Sankofa Publishing.
Gyekye, K. (2003). Person and community in African thought. In P. H. Coetzee & A. P. J. Roux (Eds.). The African philosophy reader. Third edition (pp. 297–312). London: Routledge.
Honna, N. (1995). English in Japanese society: Language within language. Journal of Multilingual and Multicultural Development, 16(1&2), 45–62.
Hugo, C. J., Boshoff, D. E., Traut, A., Zungu-Dirwayi, N., & Stein, D. J. (2003). Community attitudes toward and knowledge of mental illness in South Africa. Social Psychiatry and Psychiatric Epidemiology, 381, 715–719.
Kabir, M., Iliyasu, Z., Abubakar, I. S. & Aliyu, M. H. (2004). Perception and beliefs about mental illness among adults in Karfi village, Northern Nigeria. BMC International Health and Human Rights, 4(3), 1–5.
Kövecses, Z. & Radden, G. (1998). Metonymy: Developing a cognitive linguistics view. Cognitive Linguistics, 9(1), 37–77.
Lewis, M. P., Gary, F. S. & Fennig, C. D. (Eds.), (2015). Ethnologue: Languages of the world. Seventeenth edition. Dallas, Texas: SIL International. Online version [URL].
Makanjuola, A. B., Adelekan, M. L. & Morakinyo, O. (2000). Current status of traditional mental health practice in Ilorin emirate council area of Kwara State, Nigeria. West African Journal of Medicine, 19(1), 43–49.
Money, M. (2001). Shamanism as a healing paradigm for complementary therapy. Complementary Therapies in Nursing and Midwifery, 7(3), 126–131.
Mukenge, C. & Chimbarange, A. (2012). A discourse analysis of the use of code switching in the film Yellow Card. International Journal of Linguistics, 4(4), 581–589.
Obeng, C. S. (2004). Voices of affliction: Aspects of traditional healing practices and their Impact on Akan families in Ghana. Cologne, Germany: Rudiger Koeppe Verlag.
Obeng, S. G. (1994). Verbal indirection in Akan informal discourse. Journal of Pragmatics, 211, 37–65.
Obeng, S. G. (1996). The proverb as a mitigating and politeness strategy in Akan discourse. Anthropological Linguistics, 38(3), 521–549.
Obeng, S. G. (2005). Akan and Nyo languages. In P. Strazny (Ed.), Encyclopedia of Linguistics, (pp. 28–31). New York: Routledge.
Obeng, S. G. (2003). Language in African social interaction: Indirectness in Akan. New York: Nova Science Publishers.
Obeng, S. G. (2008). If we have something to tell God, we tell it to the wind: A linguistic and discursive analysis of Akan therapeutic discourse. In T. Falola and H. Matthew (Eds.), Health Knowledge and Belief Systems in Africa (pp. 435–460). Carolina: Carolina Academic Press.
Ofori-Atta, A., Cooper, S., Akpalu, B., Osei, A., Doku, V., Lund, C., Flisher, A. & The MHAPP Research Programme Consortium (2010). Common understandings of women’s mental illness in Ghana: Results from a qualitative study. International Review of Psychiatry, 22(6), 589–598.
Ofori-Atta, A. & Ohene, S. (2014). Mental health care and research in Ghana. Accra: Sub-Saharan Publishers.
Opare-Henaku, A. (2013). Notions of spirits as agents of mental illness among the Akan of Ghana: A cultural-psychological exploration. PhD Dissertation. Virginia Commonwealth University.
Opoku, K. A. (1997). Hearing and Keeping. Akan Proverbs. Accra: Asempa Publishers.
Quinn, N. (2007). Beliefs and community responses to mental illnesses in Ghana: The experience of family carers. International Journal of Social Psychiatry, 53(2), 175–188.
Quintanilla, B. (2010). Witchcraft or Mental Illness? [URL].
Razali, S. M., Khan, U. A. & Hasanah, C. I. (1996). Belief in supernatural causes of mental illness among Malay patients: Impact on treatment. Acta Psychiatrica Scandinavica, 94(4), 229–233.
Read, U. M., Adiibokah, E. & Nyame, S. (2009). Local suffering and the global discourse of mental health and human rights: An ethnographic study of responses to mental illnesses in rural Ghana. Globalization and Health, 5(13), 1–16.
Read, U. M. & Doku, V. C. K. (2012). Mental health research in Ghana: A literature review. Ghana Medical Journal, 46(2), 29–38.
Roberts, H. (2001). A way forward for mental health care in Ghana? The Lancet, 357, 1859.
Sag, I. A. & Wasow, T. (1994). Idioms. Language, 70(3), 491–538.
Sorsdahl, K., Stein, D. J., Grimsrud, A., Seedat, S., Flisher, A. J., Williams, D. R., & Myer, L. (2009). Traditional healers in the treatment of common mental disorders in South Africa. The Journal of Nervous and Mental Disease, 197(6), 434-41. .
Sorsdahl, K., Stein, D. J. & Lund, C. (2012). Mental health services in South Africa: Scaling up and future directions. African Journal of Psychiatry, 151, 168–171.
Twumasi, P. K. (2005). Medical systems in Ghana: A study in medical sociology. Accra: Ghana Publishing Corporation.
Weobong, B., Akpalu, B., Doku, V., Owusu-Agyei, S., Hurt, L., Kirkwood, B. & Prince, M. (2009). The comparative validity of screening scales for postnatal common mental disorder in Kintampo, Ghana. Journal of Affective Disorders, 1131, 109–117.
Wiredu, K. (1990). An African perspective on human rights. In A. A. An-Na’im and F. Deng (Eds.), Human rights in Africa: Cross-cultural perspectives (pp. 243–260). Washington DC: The Brookings Institute.
Wolff, H. E. (2000). Language and society. In B. Heine & D. Nurse (Eds.), African languages: An introduction (pp. 298–347). Cambridge: Cambridge University Press.
Yankah, K. (1989). Proverbs: The Aesthetics of traditional communication. Research in African Literatures, 20(3), 325–346.
Cited by (2)
Cited by two other publications
Thompson, Rachel G. A., Jerry John Nutor & Julene K. Johnson
2021.
Communicating Awareness About COVID-19 Through Songs: An Example From Ghana.
Frontiers in Public Health 8
Ansah, Mercy Akrofi & Mercy Adzo Klugah
2020.
Investigating language barriers in psychiatric care in Ghana.
Journal of Communication in Healthcare 13:4
► pp. 325 ff.
This list is based on CrossRef data as of 5 august 2024. Please note that it may not be complete. Sources presented here have been supplied by the respective publishers.
Any errors therein should be reported to them.