{"title":"Suspicion as care: Rumor and accusation in community mental health","authors":"Julio Villa-Palomino","doi":"10.1111/etho.70024","DOIUrl":null,"url":null,"abstract":"<p>This article examines Perú’s transition from mental healthcare in psychiatric hospitals to a Community Mental Health (CMH) model. Based on 18 months of fieldwork on the outskirts of Lima, I show that one of CMH's effects has been an unexpected increase in rumors and accusations between neighbors. While mental health reforms have been characterized as a withdrawal from the state, I argue that CMH involves a series of interventions under the ethos of community care that create a new type of sociality and that bring together multiple actors who are now responsible and accountable for the care of deinstitutionalized individuals and their community. I propose the analytics of suspicion as care to evidence and analyze how residents are recruited and incorporated into CMH, and how suspicion, rumor, and accusation are conceived of as acts of care.</p>","PeriodicalId":51532,"journal":{"name":"Ethos","volume":"53 4","pages":""},"PeriodicalIF":1.3000,"publicationDate":"2025-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://anthrosource.onlinelibrary.wiley.com/doi/epdf/10.1111/etho.70024","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Ethos","FirstCategoryId":"90","ListUrlMain":"https://anthrosource.onlinelibrary.wiley.com/doi/10.1111/etho.70024","RegionNum":4,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"ANTHROPOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
This article examines Perú’s transition from mental healthcare in psychiatric hospitals to a Community Mental Health (CMH) model. Based on 18 months of fieldwork on the outskirts of Lima, I show that one of CMH's effects has been an unexpected increase in rumors and accusations between neighbors. While mental health reforms have been characterized as a withdrawal from the state, I argue that CMH involves a series of interventions under the ethos of community care that create a new type of sociality and that bring together multiple actors who are now responsible and accountable for the care of deinstitutionalized individuals and their community. I propose the analytics of suspicion as care to evidence and analyze how residents are recruited and incorporated into CMH, and how suspicion, rumor, and accusation are conceived of as acts of care.
期刊介绍：
Ethos is an interdisciplinary and international quarterly journal devoted to scholarly articles dealing with the interrelationships between the individual and the sociocultural milieu, between the psychological disciplines and the social disciplines. The journal publishes work from a wide spectrum of research perspectives. Recent issues, for example, include papers on religion and ritual, medical practice, child development, family relationships, interactional dynamics, history and subjectivity, feminist approaches, emotion, cognitive modeling and cultural belief systems. Methodologies range from analyses of language and discourse, to ethnographic and historical interpretations, to experimental treatments and cross-cultural comparisons.
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