1887
Volume 5, Issue 1
  • ISSN 2214-3157
  • E-ISSN: 2214-3165
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Abstract

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.

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2018-05-18
2019-10-21
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References

  1. 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.
    [Google Scholar]
  2. 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, 11, 113–118. doi: 10.4314/ajpsy.v11i2.30262
    https://doi.org/10.4314/ajpsy.v11i2.30262 [Google Scholar]
  3. 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, 325, 74–79. doi: 10.1136/bmj.325.7355.74
    https://doi.org/10.1136/bmj.325.7355.74 [Google Scholar]
  4. Agyekum, K.
    (2004) The socio-cultural concept of face in Akan community. Pragmatics & Cognition, 12, 73–95. doi: 10.1075/pc.12.1.06agy
    https://doi.org/10.1075/pc.12.1.06agy [Google Scholar]
  5. (2010a) The sociolinguistic of thanking in Akan. Nordic Journal of African Studies, 19(2), 77–97.
    [Google Scholar]
  6. (2010b) Akan verbal taboos: In the context of the ethnography of communication. Accra: Ghana Universities Press.
    [Google Scholar]
  7. Aina, O. F.
    (2004) Mental illness and cultural issues in West African films: Implications for orthodox psychiatric practice. Medical Humanities, 30, 23–26. doi: 10.1136/jmh.2003.000152
    https://doi.org/10.1136/jmh.2003.000152 [Google Scholar]
  8. Appiah, P. , Appiah, K. A. & Agyeman-Duah, I.
    (2007) Bu me bε: Proverbs of the Akans. Oxfordshire: Ayebia Clarke.
    [Google Scholar]
  9. Asante, E. K. A.
    (2002) Akan proverbs: Their origins, meanings and symbolic representations in Ghanaian material cultural heritage. Accra: Asempa Publishers.
    [Google Scholar]
  10. Bagasra, A. & Mackinem, M.
    (2014) An exploratory study of American Muslim conceptions of mental illness. Journal of Muslim Mental Health, 8(1), 57–75. doi: 10.3998/jmmh.10381607.0008.104
    https://doi.org/10.3998/jmmh.10381607.0008.104 [Google Scholar]
  11. Bamiro, E. O.
    (2006) The politics of code switching: English vs Nigerian languages. World Englishes, 25(1), 23–35. doi: 10.1111/j.0083‑2919.2006.00445.x
    https://doi.org/10.1111/j.0083-2919.2006.00445.x [Google Scholar]
  12. 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, 46, 1191–1202. doi: 10.1007/s00127‑010‑0290‑3
    https://doi.org/10.1007/s00127-010-0290-3 [Google Scholar]
  13. 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), 46–52.10.15580/GJER.2013.2.011613381
    https://doi.org/10.15580/GJER.2013.2.011613381 [Google Scholar]
  14. 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.
    [Google Scholar]
  15. Chiu, S. N.
    (2000) Historical, religious, and medical perspectives of possession phenomenon. Hong Kong Journal of Psychiatry, 10(1), 14–18.
    [Google Scholar]
  16. Cobbah, J. A. M.
    (1987) African values and the human rights debate: An African perspective. Human Rights Quarterly, 9(3), 309–331. doi: 10.2307/761878
    https://doi.org/10.2307/761878 [Google Scholar]
  17. Cockerham, W. C.
    (1981) Sociology of Mental Disorder. Englewood Cliffs, NJ: Prentice Hall
    [Google Scholar]
  18. Coppock, V. & Dunn, B.
    (2010) Understanding social work practice in mental health. London: Sage.10.4135/9781446288276
    https://doi.org/10.4135/9781446288276 [Google Scholar]
  19. Corrigan, R. , Moravcsik, E. A. , Ouali, H. & Wheatley, K.
    (Eds.) (2009) Formulaic language (Vol 1), Distribution and historical change. Amsterdam: John Benjamins. doi: 10.1075/tsl.82
    https://doi.org/10.1075/tsl.82 [Google Scholar]
  20. Dancygier, B. & Sweetser, E.
    (2014) Figurative language. Cambridge: Cambridge University Press.
    [Google Scholar]
  21. Durkheim, E.
    (1933) Division of labor in society. Illinois: The Free Press of Glencoe.
    [Google Scholar]
  22. 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.
    [Google Scholar]
  23. Evans, V. & Green, M.
    (2006) Cognitive Linguistics: An introduction. Edinburgh: Edinburgh University Press.
    [Google Scholar]
  24. Fosu, G. B.
    (1981) Disease classification in rural Ghana: Framework and implications for health behaviour. Social Science and Medicine, 15, 471–482.
    [Google Scholar]
  25. Ghana Statistical Service
    Ghana Statistical Service (2012) 2010 Population and Housing Census. Summary Report of Final Results. www.statsghana.gov.gh/docfiles/2010phc/Census2010_Summary_​report_of_final_results.pdf
  26. Gyekye, K.
    (1995) An essay on African philosophical thought: The Akan conceptual scheme. Philadelphia: Temple University Press.
  27. (1996) African cultural values: An introduction. Accra: Sankofa Publishing.
    [Google Scholar]
  28. (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.
    [Google Scholar]
  29. Honna, N.
    (1995) English in Japanese society: Language within language. Journal of Multilingual and Multicultural Development, 16(1&2), 45–62. doi: 10.1080/01434632.1995.9994592
    https://doi.org/10.1080/01434632.1995.9994592 [Google Scholar]
  30. 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, 38, 715–719. doi: 10.1007/s00127‑003‑0695‑3
    https://doi.org/10.1007/s00127-003-0695-3 [Google Scholar]
  31. 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.
    [Google Scholar]
  32. Kövecses, Z. & Radden, G.
    (1998) Metonymy: Developing a cognitive linguistics view. Cognitive Linguistics, 9(1), 37–77. doi: 10.1515/cogl.1998.9.1.37
    https://doi.org/10.1515/cogl.1998.9.1.37 [Google Scholar]
  33. Lewis, M. P. , Gary, F. S. & Fennig, C. D.
    (Eds.) (2015) Ethnologue: Languages of the world. Seventeenth edition. Dallas, Texas: SIL International. Online versionwww.ethnologue.com.
    [Google Scholar]
  34. 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.
    [Google Scholar]
  35. Money, M.
    (2001) Shamanism as a healing paradigm for complementary therapy. Complementary Therapies in Nursing and Midwifery, 7(3), 126–131. doi: 10.1054/ctnm.2001.0546
    https://doi.org/10.1054/ctnm.2001.0546 [Google Scholar]
  36. 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. doi: 10.5296/ijl.v4i4.2929
    https://doi.org/10.5296/ijl.v4i4.2929 [Google Scholar]
  37. 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.
    [Google Scholar]
  38. Obeng, S. G.
    (1994) Verbal indirection in Akan informal discourse. Journal of Pragmatics, 21, 37–65. doi: 10.1016/0378‑2166(94)90046‑9
    https://doi.org/10.1016/0378-2166(94)90046-9 [Google Scholar]
  39. (1996) The proverb as a mitigating and politeness strategy in Akan discourse. Anthropological Linguistics, 38(3), 521–549.
    [Google Scholar]
  40. (2005) Akan and Nyo languages. In P. Strazny (Ed.), Encyclopedia of Linguistics, (pp.28–31). New York: Routledge.
    [Google Scholar]
  41. (2003) Language in African social interaction: Indirectness in Akan. New York: Nova Science Publishers.
    [Google Scholar]
  42. (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.
    [Google Scholar]
  43. 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. doi: 10.3109/09540261.2010.536150
    https://doi.org/10.3109/09540261.2010.536150 [Google Scholar]
  44. Ofori-Atta, A. & Ohene, S.
    (2014) Mental health care and research in Ghana. Accra: Sub-Saharan Publishers.
    [Google Scholar]
  45. 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.
    [Google Scholar]
  46. Opoku, K. A.
    (1997) Hearing and Keeping. Akan Proverbs. Accra: Asempa Publishers.
    [Google Scholar]
  47. 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. doi: 10.1177/0020764006074527
    https://doi.org/10.1177/0020764006074527 [Google Scholar]
  48. Quintanilla, B.
  49. 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. doi: 10.1111/j.1600‑0447.1996.tb09854.x
    https://doi.org/10.1111/j.1600-0447.1996.tb09854.x [Google Scholar]
  50. 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.
    [Google Scholar]
  51. Read, U. M. & Doku, V. C. K.
    (2012) Mental health research in Ghana: A literature review. Ghana Medical Journal, 46(2), 29–38.
    [Google Scholar]
  52. Roberts, H.
    (2001) A way forward for mental health care in Ghana?The Lancet, 357, 1859.
    [Google Scholar]
  53. Sag, I. A. & Wasow, T.
    (1994) Idioms. Language, 70(3), 491–538. doi: 10.1353/lan.1994.0007
    https://doi.org/10.1353/lan.1994.0007 [Google Scholar]
  54. 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. doi: 10.1097/NMD.0b013e3181a61dbc.
    https://doi.org/10.1097/NMD.0b013e3181a61dbc [Google Scholar]
  55. Sorsdahl, K. , Stein, D. J. & Lund, C.
    (2012) Mental health services in South Africa: Scaling up and future directions. African Journal of Psychiatry, 15, 168–171. doi: 10.4314/ajpsy.v15i3.21
    https://doi.org/10.4314/ajpsy.v15i3.21 [Google Scholar]
  56. Twumasi, P. K.
    (2005) Medical systems in Ghana: A study in medical sociology. Accra: Ghana Publishing Corporation.
    [Google Scholar]
  57. 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, 113, 109–117. doi: 10.1016/j.jad.2008.05.009
    https://doi.org/10.1016/j.jad.2008.05.009 [Google Scholar]
  58. 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.
    [Google Scholar]
  59. Wolff, H. E.
    (2000) Language and society. In B. Heine & D. Nurse (Eds.), African languages: An introduction (pp.298–347). Cambridge: Cambridge University Press.
    [Google Scholar]
  60. Yankah, K.
    (1989) Proverbs: The Aesthetics of traditional communication. Research in African Literatures, 20(3), 325–346.
    [Google Scholar]
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  • Article Type: Research Article
Keyword(s): Akan , Ghana , idioms , indirection , mental health and proverbs
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