alt Hacker News> Peru probably isn't the best place to live, but the food, weather, people, and general culture which almost normalizes suffering in an almost Buddhist way (Sufre Peruano sufre! lit. Suffer Peruvian, Suffer!) might have something to do with a more robust mental health situation?
Handling a mental health crisis or living through hardship in a stoic manner means nothing about your overall performance. People in the past used to take year-long sabbaticals due to sicknesses of all sorts which can definitely be classified as PTSD today. People handled hardship through alcohol, tobacco, drugs, and a level of physical violence that nobody who's experienced it would like it to return.
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I see it as the kid that falls and gets up because kids are made of rubber, but if the parents are watching and become alarmed, it gets scared, cries, gets cuddled, and adopts the pattern. Resiliency is not about being stoic and bottling emotions, it's about not framing small setbacks as tragedies.
In these times, the parents might even be aware of the consequences of what they're doing, but can't give the impression to neighbors and authorities that they neglect their kids.
I think everything you said is true, although as an addendum I (anecdotally) often find that some poorer nations are often closer and tight knit, which does cause stigma, but also reduces loneliness and stress associated with some mental issues.
I can't speak for everyone here, but I remember reading about a son of a Japanese-Colombian couple that felt anxious and lonely in Japan, but much more fulfilled and happy in Colombia. He said something about the Chaos bringing life into him, which makes him less introspective, less pensive of the future, yet also more optimistic and welcomed. I feel something similar in the States compared to Peru.
I think it could be because wealthier nations are more socially atomized, and much later in their stages of "Industrialization related anomie", and thus dissolves the "Asabiyya" or social cohesion of that culture.
Or I could just be biased, but I do think social atomization is much greater in wealthier nations.