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Lao buddhism,mental health,and contemporary implications
Authors:Joseph Westermeyer MD  MPH  PhD
Institution:(1) Psychiatry University of Minnesota, Minnesota, USA
Abstract:Summary In the absence of mental health workers, the people of Laos effectively support one another through crises and role changes. They accomplish this by employing social institutions and traditions that have been present in their culture from antiquity. Central to these traditional social resources are religious ritual (especially thebaci), community ldquoeldersrdquo, and homecentered religious activities involving the extended family, neighbors, and friends.We in the Western world can learn from Lao Buddhism. As mental health workers have displaced religious leaders, our standards for behavior have moved from ldquowhat is rightrdquo toward ldquowhat is donerdquo. Life-change events have increased in our lives, butrites de passage have atrophied. At times of crisis, neighbors, relatives, friends, and clergy often fail to lend support when it is most needed.Religion can and should contribute to the mental health of a people. It cannot accomplish this by larger churches, more elaborate theology, or an isolated clergy. Instead, simple home-centered ritual, conducted by leaders whom participants know and with whom they can identify, should be adapted to the crises and role shifts in our lives today.with current clinical assignment as Director of Acute Inpatient Service and Outpatient Evaluation in the University's Day Hospital. In 1965–67, he served as Deputy Chief, Division of Public Health, Agency for International Development, Laos. He has written a number of articles on anthropology relating to the Meo of Laos and the Chippewa of Minnesota, drug abuse, and other psychosocial, medical, and public health topics.
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