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Drawing on an ethnopsychology of emotion that reflects increasingly popular models of neoliberal selfhood, these psychiatrists encourage patients to frame psychic distress in terms of private feelings to address the conditions in their lives that lead to chronic anxiety. However, most patients attribute their symptoms to neurasthenia instead of GAD. Differences between doctors\u2019 and patients\u2019 explanatory models are not just rooted in their understandings of illness but also in their respective conceptualizations of worry in terms of emotion and sentiment. Patients with neurasthenia reject doctors\u2019 attempts to psychologize distress and maintain a model of worry that supports a sense of moral selfhood based on notions of obligation and sacrifice.<\/jats:p>","DOI":"10.1111\/maq.12297","type":"journal-article","created":{"date-parts":[[2016,4,27]],"date-time":"2016-04-27T02:16:40Z","timestamp":1461723400000},"page":"198-217","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":22,"title":["Neurasthenia, Generalized Anxiety Disorder, and the Medicalization of Worry in a Vietnamese Psychiatric Hospital"],"prefix":"10.1111","volume":"31","author":[{"given":"Allen L.","family":"Tran","sequence":"first","affiliation":[{"name":"Department of Sociology and Anthropology Bucknell University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,6,30]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.2307\/2171066"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1037\/10585-000"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1525\/9780520938687"},{"key":"e_1_2_11_5_1","volume-title":"Training the Body for China: Sports in the Moral Order of the People's Republic","author":"Brownell S.","year":"1995"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/0957154X06075214"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1023\/A:1005340905397"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00127-006-0032-8"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1515\/9780824862473"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2013.00377"},{"key":"e_1_2_11_11_1","article-title":"Ch\u0103m lo s\u1ee9c kho\u1ebb t\u00e2m th\u1ea7n","author":"Nguy\u00ean Di\u1ec7u","year":"2013","journal-title":"Tu\u1ed5i Tr\u1ebb"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajp.2011.01.005"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.2471\/BLT.09.067066"},{"key":"e_1_2_11_14_1","volume-title":"Therapy Culture: Cultivating Vulnerability in an Uncertain Age","author":"Furedi F.","year":"2004"},{"key":"e_1_2_11_15_1","volume-title":"Women's Bodies, Women's Worries: Health and Family Planning in a Vietnamese Rural Commune","author":"Gammeltoft T.","year":"1999"},{"key":"e_1_2_11_16_1","volume-title":"Haunting Images: A Cultural Account of Selective Reproduction","year":"2014"},{"key":"e_1_2_11_17_1","first-page":"290","article-title":"Mental Health and Illness in Vietnamese Refugees","volume":"157","author":"Gold S.","year":"1992","journal-title":"Journal of Medicine"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1515\/9780804767217"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1023\/A:1025303315932"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/0277-9536(94)90332-8"},{"key":"e_1_2_11_21_1","unstructured":"H\u1ec7 th\u1ed1ng ch\u0103m s\u00f3c s\u1ee9c kho\u1ebb; t\u00e2m th\u1ea7n c\u1ed9ng \u0111\u1ed3ng t\u1ea1i Th\u00e0nh Ph\u1ed1; H\u1ed3 Ch\u00ed Minh (Community Mental Health Care System in Ho Chi Minh City)2007http:\/\/www.bvtt\u2010tphcm.org.vn\/gioi\u2010thieu\u2010benh\u2010vien\/210\u2010h\u2010thng\u2010chm\u2010soc\u2010sc\u2010khe\u2010tam\u2010thn\u2010cng\u2010ng\u2010ti\u2010tp\u2010h\u2010chi\u2010minh.html(accessed January 10 2012)."},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1177\/1363461504043564"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1002\/jts.20138"},{"key":"e_1_2_11_24_1","volume-title":"Culture and Panic Disorder","author":"Hinton D.","year":"2009"},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.1177\/1363461507081640"},{"key":"e_1_2_11_26_1","doi-asserted-by":"publisher","DOI":"10.1177\/13634615030403003"},{"key":"e_1_2_11_27_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11013-010-9175-x"},{"key":"e_1_2_11_28_1","doi-asserted-by":"publisher","DOI":"10.1111\/maq.12204"},{"key":"e_1_2_11_29_1","doi-asserted-by":"crossref","first-page":"50","DOI":"10.1176\/ps.2009.60.1.50","article-title":"Substance Use Disorders as Risk Factors for Psychiatric Hospitalization in Bipolar Disorder","volume":"60","author":"Hoblyn J. 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