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Metacommunity: the current status of psychiatry and mental healthcare and implications for the future 元社区：精神病学和精神保健的现状及对未来的影响
BJPsych International Pub Date : 2024-05-16 DOI: 10.1192/bji.2024.15
George Ikkos, Nick Bouras
{"title":"Metacommunity: the current status of psychiatry and mental healthcare and implications for the future","authors":"George Ikkos, Nick Bouras","doi":"10.1192/bji.2024.15","DOIUrl":"https://doi.org/10.1192/bji.2024.15","url":null,"abstract":"We review the origins and history of community psychiatry and the challenges posed to it by advancing technology and the neoliberal political economy and society that have prevailed since the 1990s. We summarise both achievements and shortcomings and argue that the term ‘community’ fails to acknowledge the gap between its original ambition and the outcomes of its implementation. We argue that, because of the changes that have taken place, the implementation of community psychiatry's objectives as conceived originally is likely to continue to fail. To sharpen current awareness and thinking and optimise future policy discourse and service strategies we revisit the concept of ‘metacommunity’. This is a historical descriptive label that aims to encapsulate the fundamental transformations that have taken place. These in turn demand of psychiatrists and other mental health providers both more socially critical thinking and mental health activism in the public sphere. Ultimately, beyond both community and metacommunity psychiatry, what is required is a democratic psychiatry.","PeriodicalId":36441,"journal":{"name":"BJPsych International","volume":"30 23","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140966380","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}
引用次数: 0
Underrepresentation of Indigenous mental health professionals in Bangladesh 孟加拉国土著心理健康专业人员代表性不足
BJPsych International Pub Date : 2024-05-13 DOI: 10.1192/bji.2024.13
Md. Omar Faruk, Miguel R. Ramos, Umay Ching
{"title":"Underrepresentation of Indigenous mental health professionals in Bangladesh","authors":"Md. Omar Faruk, Miguel R. Ramos, Umay Ching","doi":"10.1192/bji.2024.13","DOIUrl":"https://doi.org/10.1192/bji.2024.13","url":null,"abstract":"Indigenous people worldwide are at increased risk of mental health problems compared with non-Indigenous people. Longstanding impacts of colonisation, systematic exclusion from rights and subsequent discrimination, and lack of access to quality education and healthcare, including mental healthcare, have been identified as contributory factors to these disproportionate mental health problems. With limited access, Indigenous people are less likely to seek healthcare, owing to the insufficient number of healthcare professionals representing Indigenous communities. In the face of growing numbers of mental health problems in Indigenous people in Bangladesh, this paper sheds light on the inadequate number of mental health professionals, particularly from Indigenous communities, and the potential impacts of this on the well-being of Indigenous people, and considers ways to increase representation of Indigenous mental health professionals. The aim is to ensure that the mental health system in Bangladesh is inclusive and embraces the country's diversity.","PeriodicalId":36441,"journal":{"name":"BJPsych International","volume":"119 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140985592","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}
引用次数: 0
The epistemic injustice of borderline personality disorder 边缘型人格障碍的认识论不公正
BJPsych International Pub Date : 2024-05-13 DOI: 10.1192/bji.2024.16
Jay Watts
{"title":"The epistemic injustice of borderline personality disorder","authors":"Jay Watts","doi":"10.1192/bji.2024.16","DOIUrl":"https://doi.org/10.1192/bji.2024.16","url":null,"abstract":"Borderline personality disorder (BPD) has been a controversial diagnosis for over 40 years. It was to be removed from the latest version of the ICD, only to be reintroduced as a trait qualifier as a result of last-minute lobbying. Retaining BPD as a de facto diagnosis keeps us stuck at a deadlock that undermines the voices of patients who have persistently told us this label adds ‘insult to injury’. Miranda Fricker's concept of epistemic injustice helps illuminate how this affects subjectivity and speech, hermeneutically sealing patients in ways of thinking that are not evidence-based, resulting in testimonial smothering (altering or withholding one's narratives) and testimonial quieting (dismissing a speaker's capacity to provide worthy testimony) that prevent more affirmative explanations.","PeriodicalId":36441,"journal":{"name":"BJPsych International","volume":"57 18","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140983543","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}
引用次数: 0
Spirituality and behavioural addictions: narrative review 精神与行为成瘾：叙事性回顾
BJPsych International Pub Date : 2024-05-08 DOI: 10.1192/bji.2024.9
M. Kanabar, P. Kathiresan, H. Elkholy, Arash Khojasteh Zonoozi, L. Orsolini, Jiang Long, M. Farokhnia, R. Bhad, Jenna L. Butner, Francina Fonseca, Vicky Phan, Sophia Achab, M. Potenza
{"title":"Spirituality and behavioural addictions: narrative review","authors":"M. Kanabar, P. Kathiresan, H. Elkholy, Arash Khojasteh Zonoozi, L. Orsolini, Jiang Long, M. Farokhnia, R. Bhad, Jenna L. Butner, Francina Fonseca, Vicky Phan, Sophia Achab, M. Potenza","doi":"10.1192/bji.2024.9","DOIUrl":"https://doi.org/10.1192/bji.2024.9","url":null,"abstract":"The relationship between spirituality and behavioural addictions is complex. Although some studies have suggested spirituality to be a protective factor helping in recovery from addictive behaviours, others have found spirituality to be a potential risk factor. To better understand the relationship between spirituality and various behavioural addictions, this review summarises the literature on the association between spirituality and the following behavioural addictions: gaming disorder, gambling disorder, problematic internet use, problematic smartphone use, compulsive sexual behaviour disorder and compulsive buying/shopping disorder. Implications for clinical practice and future research are discussed.","PeriodicalId":36441,"journal":{"name":"BJPsych International","volume":"193 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141001821","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}
引用次数: 0
Gypsy, Roma and Traveller populations and mental health in the UK: a need for real working together and co-production of services 吉普赛人、罗姆人和游民与英国的精神健康：需要真正的合作和共同提供服务
BJPsych International Pub Date : 2024-05-06 DOI: 10.1192/bji.2024.14
Radha Kothari, Amy Ward, Derek K Tracy
{"title":"Gypsy, Roma and Traveller populations and mental health in the UK: a need for real working together and co-production of services","authors":"Radha Kothari, Amy Ward, Derek K Tracy","doi":"10.1192/bji.2024.14","DOIUrl":"https://doi.org/10.1192/bji.2024.14","url":null,"abstract":"Gypsy, Roma and Traveller (GRT) communities have considerably worse mental health outcomes than the general population and many other ethnic minority groups. We argue that there is a dynamic, interplaying ‘accessibility mismatch’, resulting in a failure of healthcare services to adequately understand and work with GRT communities in a meaningful way. The consequences are limited engagement and poor health outcomes. Contact with services is often at crisis points, such as in forensic services, which reinforces existing prejudice. Research is limited, and therefore so is the evidence base. It is critical that the UK's National Health Service takes a culturally informed approach to co-produce services that are accessible and responsive to GRT communities. Here we offer practical actions that healthcare organisations can undertake to help redress imbalances and increase equity of healthcare outcomes for these overlooked populations.","PeriodicalId":36441,"journal":{"name":"BJPsych International","volume":"349 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141006877","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}
引用次数: 0
Pandora's Box. 潘多拉的盒子
BJPsych International Pub Date : 2024-05-01 DOI: 10.1192/bji.2024.7
{"title":"Pandora's Box.","authors":"","doi":"10.1192/bji.2024.7","DOIUrl":"https://doi.org/10.1192/bji.2024.7","url":null,"abstract":"","PeriodicalId":36441,"journal":{"name":"BJPsych International","volume":"21 2","pages":"47-48"},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11035959/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140868328","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Using a literary and arts magazine to promote mental health and wellness among trainee healthcare professionals: lessons from a Canadian student-led project - ADDENDUM. 利用文学艺术杂志促进见习医护专业人员的心理健康和幸福感：从加拿大学生主导的项目中汲取的经验教训 - 增补。
BJPsych International Pub Date : 2024-05-01 DOI: 10.1192/bji.2024.10
Carl Zhou, Keerthana Pasumarthi, Isabella Liang, Jim Xie, Andrew Toyin Olagunju
{"title":"Using a literary and arts magazine to promote mental health and wellness among trainee healthcare professionals: lessons from a Canadian student-led project - ADDENDUM.","authors":"Carl Zhou, Keerthana Pasumarthi, Isabella Liang, Jim Xie, Andrew Toyin Olagunju","doi":"10.1192/bji.2024.10","DOIUrl":"10.1192/bji.2024.10","url":null,"abstract":"","PeriodicalId":36441,"journal":{"name":"BJPsych International","volume":"21 2","pages":"49"},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11035965/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140852690","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
BJI volume 21 issue 2 Cover and Back matter BJI 第 21 卷第 2 期封面和封底
BJPsych International Pub Date : 2024-04-22 DOI: 10.1192/bji.2024.12
{"title":"BJI volume 21 issue 2 Cover and Back matter","authors":"","doi":"10.1192/bji.2024.12","DOIUrl":"https://doi.org/10.1192/bji.2024.12","url":null,"abstract":"","PeriodicalId":36441,"journal":{"name":"BJPsych International","volume":"2 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140673636","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}
引用次数: 0
Ukrainian healthcare providers under siege during the first year of war: challenges and adaptations 战争第一年被围困的乌克兰医疗服务提供者：挑战与适应
BJPsych International Pub Date : 2024-04-22 DOI: 10.1192/bji.2023.43
Alexandra A Deac, Irina Zaviryukha, Oleksandr Zeziulin, Anna Peycheva, Renata Solórzano de Souza, Harry Skipper, Asmau Abubakar, V. B. Gustilo, S. Shenoi, Graham Thornicroft, Julia Rozanova
{"title":"Ukrainian healthcare providers under siege during the first year of war: challenges and adaptations","authors":"Alexandra A Deac, Irina Zaviryukha, Oleksandr Zeziulin, Anna Peycheva, Renata Solórzano de Souza, Harry Skipper, Asmau Abubakar, V. B. Gustilo, S. Shenoi, Graham Thornicroft, Julia Rozanova","doi":"10.1192/bji.2023.43","DOIUrl":"https://doi.org/10.1192/bji.2023.43","url":null,"abstract":"The overlapping COVID-19 crisis and the war starting in 2022 threaten front-line healthcare workers’ mental health, well-being and job retention in Ukraine. This paper provides a synopsis of a panel discussion held by the Global Mental Health Humanitarian Coalition in May 2022 and expert consultations with clinicians between December 2022 and February 2023 on these challenges. The crises created new problems and exacerbated many pre-existing difficulties. We found that healthcare workers had needed to mobilise previously untapped strengths, including portable emergency medical documents and bespoke local psychosocial support services, amid the costs and pressures of ongoing healthcare reforms.","PeriodicalId":36441,"journal":{"name":"BJPsych International","volume":"7 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140673411","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}
引用次数: 0
BJI volume 21 issue 2 Cover and Front matter BJI 第 21 卷第 2 期封面和封底
BJPsych International Pub Date : 2024-04-22 DOI: 10.1192/bji.2024.11
{"title":"BJI volume 21 issue 2 Cover and Front matter","authors":"","doi":"10.1192/bji.2024.11","DOIUrl":"https://doi.org/10.1192/bji.2024.11","url":null,"abstract":"","PeriodicalId":36441,"journal":{"name":"BJPsych International","volume":"83 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140675276","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}
引用次数: 0
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