{"title":"“New Psychiatry” and Traditional Healing in Kyrgyzstan: Attempts to Develop Culturally Sensitive and Community-Based Treatment","authors":"D. Penkala-Gawęcka","doi":"10.23858/ethp40.2019.011","DOIUrl":"https://doi.org/10.23858/ethp40.2019.011","url":null,"abstract":"Healthcare in post-Soviet Central Asian countries, and mental healthcare in particular, has still preserved many characteristics of the previous Soviet system. In the Kyrgyz Republic, a wide-ranging reform of the healthcare system, which started in the second half of the 1990s, has not included psychiatric services in its priorities. In the face of severe deficiencies in the system, such as an over-institutionalisation of mental healthcare and a lack of adequate financing, a group of local psychiatrists, aware of the standards of contemporary psychiatry, have tried to implement an approach promoting culturally sensitive and community-based treatment of mentally ill patients. They notice a great popularity of traditional healers and their role in local communities, based on a worldview shared with their patients and competence in values and norms of social life. Moreover, these psychiatrists understand that healers’ interventions can be effective in the cases of non-psychotic mental health disorders, and attempt to develop some kind of cooperation with Kyrgyz healers, especially in crisis situations. In this article, grounded in the publications of this group of psychiatrists and my own fieldwork in Bishkek between 2011 and 2013, I discuss these achievements and show how globally promoted ideas and directives of contemporary psychiatry have been adapted to the local conditions.","PeriodicalId":34666,"journal":{"name":"Ethnologia Polona","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68898161","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Health Matters, Patients and Doctors Through the Lens of Medical Anthropology. Introduction","authors":"D. Penkala-Gawęcka","doi":"10.23858/ethp40.2019.001","DOIUrl":"https://doi.org/10.23858/ethp40.2019.001","url":null,"abstract":"","PeriodicalId":34666,"journal":{"name":"Ethnologia Polona","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68898486","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Medykalizacja nadpobudliwości. Od globalnego standardu do peryferyjnych praktyk [Eng. Medicalisation of hyperactivity. From global standard to peripheral practices], Michał Wróblewski, Kraków: Universitas 2018, pp. 332, ISBN 97883-242-3479-0 : [recenzja]","authors":"A. Witeska-Młynarczyk","doi":"10.23858/ethp40.2019.016","DOIUrl":"https://doi.org/10.23858/ethp40.2019.016","url":null,"abstract":"","PeriodicalId":34666,"journal":{"name":"Ethnologia Polona","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68898293","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Different Systems of Knowledge Found in the Reproductive Health of Ashaninka Women from the Peruvian Amazon","authors":"Monika Kujawska","doi":"10.23858/ethp40.2019.012","DOIUrl":"https://doi.org/10.23858/ethp40.2019.012","url":null,"abstract":"","PeriodicalId":34666,"journal":{"name":"Ethnologia Polona","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68898207","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Between the Substance Agency and the User’s Control. Instrumental Drug Use Among Drug Users in Warsaw","authors":"Zuzanna Sadowska","doi":"10.23858/ethp40.2019.009","DOIUrl":"https://doi.org/10.23858/ethp40.2019.009","url":null,"abstract":"The focus of this article is on instrumental drug use and the problem of agency in interaction with psychoactive substances. Most of the Euro-American discourse formed around drug use stresses the individual loss of self-control related to drug use. This paper is located within those critical studies of drug use, which challenge the notion that regular drug users are deprived of agency in their interaction with psychoactive substances. During my fieldwork among drug users in Warsaw, I got the impression that psychoactive substances can be treated as a tool for altering the state of the human mind, which can be employed in various ways and controlled by the user. Still, this tool is a dangerous one and cannot always be fully subject to human agency. Based on case studies, I analyse the functions of drugs for the users and their intentions regarding use. The ethnographic exploration of individual drug use trajectories is a starting point for the further consideration of the process of negotiating agency with psychoactive substances.","PeriodicalId":34666,"journal":{"name":"Ethnologia Polona","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68898387","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}