Medicalization in Nepal: A Study of the Influence of Westernization on Defining Deviant and Illness Behavior in a Developing Country

Abstract

One point of debate in discussions of the modernization of developing societies concerns the effects of Westernization on how people in these societies see the world and develop a sense of meaning in light of rapid and often broad-sweeping social and cultural changes. Where Western culture has little influence, traditional and religious based ideologies that define “why people misbehave” dominate modes of thinking, and medicalized definitions of deviant behavior are absent (Conrad 1992).This study of 276 Nepali teachers investigates if definitions of deviant behavior may be influenced by encroaching Westernization. Subjects were presented with a scenario of a 12-year-old girl engaging in deviant behavior. Results indicate that those who were in agreement with certain Western values and cultural tastes were more likely to label the girl’s behavior as a mental illness and to refer her to a Western-style social agent for treatment rather than to a traditional Nepali helper. These findings lend tentative support to the notion that medicalization is a function of Western culture.