AND

THE problem of relating an emotionally ill individual and his pathologicalmode of adaptation as seen in the local culture is indeed fascinating. It is well known that certain cultures, such as the Hutterites, apparently tend to produce very little emotional illness, while others, such as the Kaska Indians, would appear to have a fair amount of emotional disturbance. ~5 Kardiner and Ovesey discuss how cultural factors affect the standardized patterns of child-rearing in Negro culture. (6) The Midtown Study postulates that &dquo;socio-cultural conditions operating in intrafamily and extra-family settings during childhood and adulthood have measurable consequences reflected in the mental health differences to be observed within a populations) In the traditional psychotherapeutic approach, the therapist served as a &dquo;blank screen&dquo;, and the therapist’s observation of a patient was limited to the patient’s intrapsychic conflicts. It was therefore extremely difficult to study the patient in his cultural milieu. With the development of ego psychology, which emphasizes interpersonal relationships, however, attempts to integrate culture and personality have become possible. Other developments of particular impor