The Culture of Silence and Inuit Mental Health in Post-Pandemic Greenland: Reconfiguring Silence and Voice Beyond the Talking Cure.

IF 2 3区 医学 Q1 ANTHROPOLOGY
Transcultural Psychiatry Pub Date : 2026-10-01 Epub Date: 2026-08-11 DOI:10.1177/13634615261471987
Daria Morgounova Schwalbe
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Abstract

Over the past three decades, psychological trauma has become a central framework in Indigenous mental-health research, shaping how silence, disclosure, and healing are interpreted. Within this framework, Inuit silence has been framed as a collective pathology-a "culture of silence"-and a risk factor contributing to suicide in the Arctic. In this article, I draw on pandemic-era public communication and professional narratives collected at a large health event in Greenland to critically reflect on cultures of silence and confession. The article demonstrates how crises such as the pandemic bring to the surface tacit or neglected dynamics, and highlights how hegemonic knowledge frameworks, which prioritize disclosure-centred models of care, shape contemporary mental health governance in Greenland. The case study identifies three recurring patterns: (a) disclosure is framed as both a cure and a civic duty; (b) local practices of quiet that sustain dignity and relational safety are overlooked; and (c) institutional logic of disclosure redirects blame and responsibility from structural conditions to individual and collective failures. Drawing on conceptual metaphor theory, anthropological and historical scholarship on silence and violence, and decolonial approaches to knowledge production, the article highlights the risks of disclosure-centred frameworks. It argues that such models may misrecognize culturally grounded practices of quiet as absence or pathology, rather than as meaningful relational forms of coping and care. It suggests the need for approaches that attend to multiple forms of communication and care, and avoid equating well-being with verbal disclosure and silence with deficiency. By reframing silence as a relational and culturally situated practice, the article contributes to ongoing debates in transcultural psychiatry about the limits of universalizing therapeutic models. It also contributes to scholarship on structural violence, Indigenous mental health, and the potential mistranslation of illness and wellness.

大流行后格陵兰岛的沉默文化和因纽特人的心理健康:在谈话治疗之外重新配置沉默和声音。
在过去的三十年里,心理创伤已经成为土著心理健康研究的核心框架,塑造了沉默、披露和治疗的解释。在这个框架下,因纽特人的沉默被认为是一种集体病态——一种“沉默文化”——也是导致北极地区自杀的危险因素。在这篇文章中,我利用大流行时期的公共传播和在格陵兰岛的一个大型卫生活动中收集的专业叙述,批判性地反思沉默和忏悔的文化。本文展示了疫情等危机如何使隐性或被忽视的动态浮出水面,并强调了优先考虑以披露为中心的护理模式的霸权知识框架如何塑造了格陵兰当代精神卫生治理。该案例研究确定了三种反复出现的模式:(a)信息披露既是一种治疗方法,也是一种公民义务;(b)当地维持尊严和关系安全的安静做法被忽视;(c)披露的制度逻辑将责任和责任从结构性条件转向个人和集体的失败。利用概念隐喻理论、关于沉默和暴力的人类学和历史学术研究,以及知识生产的非殖民化方法,文章强调了以披露为中心的框架的风险。它认为,这种模式可能会错误地将基于文化的安静实践视为缺席或病理,而不是作为有意义的关系形式的应对和照顾。它表明需要采取多种形式的沟通和护理方法,避免将幸福与口头披露等同起来,将沉默与缺陷等同起来。通过将沉默重新定义为一种关系和文化情境的实践,这篇文章有助于跨文化精神病学关于普遍治疗模式的局限性的持续辩论。它还有助于研究结构性暴力、土著心理健康以及对疾病和健康的潜在误译。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
5.10
自引率
12.00%
发文量
93
期刊介绍: Transcultural Psychiatry is a fully peer reviewed international journal that publishes original research and review articles on cultural psychiatry and mental health. Cultural psychiatry is concerned with the social and cultural determinants of psychopathology and psychosocial treatments of the range of mental and behavioural problems in individuals, families and human groups. In addition to the clinical research methods of psychiatry, it draws from the disciplines of psychiatric epidemiology, medical anthropology and cross-cultural psychology.
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