Culture remains an ambiguous concept for psychiatry: deprecated by the
assumption that it is secondary to biomedical reality, yet at the sam
e time some notion of 'culture' has served to represent the modern aga
inst the primitive. Contemporary clinical understandings of culture de
rive from imperial medicine which had applied the accepted distinction
between the biological form and the cultural content of psychopatholo
gy to local illnesses which could not easily be fitted into the Europe
an nosology. The later concept of 'culture-bound pathology', like the
psychoanalysts' 'modal personality', only imperfectly escaped from eva
luative assumptions of 'development', but it is difficult to argue tha
t psychiatry provided British colonial administrations with any signif
icant ideological justification.