“Thinking a Lot” Among the Khwe of South Africa

A Key Idiom of Personal and Interpersonal Distress

Bibliographic Data

ID18941522
AuthorsT N Den Hertog (University of Amsterdam, corresponding author), M De Jong (0000-0001-6554-2458), A J Van Der Ham (0000-0001-5586-1631), D Hinton, Devon E Hinton (Massachusetts General Hospital), R Reis (0000-0001-8249-0856, University of Cape Town)
Year2015
Volume40
Issue3
Pages383-403
Publication date2015-10-20
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueCulture Medicine and Psychiatry (JOURNAL)
Journal identifiersISSN: 0165-005X • E-ISSN: 1573-076X
PublisherSpringer Science+Business Media (PUBLISHER • DE)
DOI10.1007/s11013-015-9475-2
PMID26487660
OpenAlexW2227475008
LanguageEN
Citations received19
References cited34

"Thinking too much", and variations such as "thinking a lot", are common idioms of distress across the world. The contextual meaning of this idiom of distress in particular localities remains largely unknown. This paper reports on a systematic study of the content and cause, consequences, and social response and coping related to the local terms |x'an n|a te and |eu-ca n|a te, both translated as "thinking a lot", and was part of a larger ethnographic study among the Khwe of South Africa. Semi-structured exploratory interviews with community members revealed that "thinking a lot" refers to a common experience of reflecting on personal and interpersonal problems. Consequences were described in emotional, psychological, social, behavioral, and physical effects. Coping strategies included social support, distraction, and religious practices. Our contextualized approach revealed meanings and experiences of "thinking a lot" that go beyond a psychological state or psychopathology. The common experience of "thinking a lot" is situated in socio-political, economic, and social context that reflect the marginalized and displaced position of the Khwe. We argue that "thinking a lot" and associated local meanings may vary across settings, may not necessarily indicate psychopathology, and should be understood in individual, interpersonal, community, and socio-political dimensions

Distress · Empathy · Interpersonal communication · Personal distress · Political science · Politics · Psychopathology · Psychotherapist · Sociology · Clinical Psychology · Health, psychology, and well-being · Mental Health Treatment and Access · Migration, Health and Trauma · Psychology · Social Psychology