Culture Medicine and Psychiatry最新文献

The Place Where the Ground Gives Way: On Functional Disorders, Uncertainty, and Fantasies of Medicine. 地面塌陷的地方：关于医学的功能障碍、不确定性和幻想。

IF 1.5 4区医学

Culture Medicine and Psychiatry Pub Date : 2026-05-07 DOI: 10.1007/s11013-026-09979-y

Daisy Couture

{"title":"The Place Where the Ground Gives Way: On Functional Disorders, Uncertainty, and Fantasies of Medicine.","authors":"Daisy Couture","doi":"10.1007/s11013-026-09979-y","DOIUrl":"https://doi.org/10.1007/s11013-026-09979-y","url":null,"abstract":"Functional disorders index the phenomenon in which someone is seriously ill-seizures, paralysis, complex pain-and yet no pathophysiological cause can be found. Traditionally, psychiatry has approached these disorders as instances of psychic distress manifesting through the body; however, multiple explanations currently compete within North American biomedicine and profound uncertainties, in diagnosis, treatment, and prognosis remain. Based on ethnographic fieldwork with clinicians and patients with suspected functional disorders at a Canadian neuropsychiatric clinic, this paper approaches medicine as an epistemological, psychic, and affective space. Focusing specifically on the role of fluctuation in these disorders, I explore how transience becomes a problem in the clinic, sticking to patients and instigating both ethical and epistemological crises. Following the anxieties and desires of both patients and clinicians, I argue that, in the unease surrounding functional disorders, a cultural fantasy of medicine as a space of certainty emerges. I describe this fantasy as a collective imagination of medicine as a place that can, and should, provide access to objective answers and stable truths. Despite the inescapable uncertainties of medicine, I suggest that this fantasy haunts the clinic, fundamentally shaping the conditions of possibility for affliction and care, especially for patients with contested illnesses.","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":"50 2","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844432","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Secular Mysticism: Entanglements of Science and Religion in Psychedelic Medicine. 世俗神秘主义：迷幻医学中科学与宗教的纠缠。

IF 1.5 4区医学

Culture Medicine and Psychiatry Pub Date : 2026-04-29 DOI: 10.1007/s11013-026-09988-x

Aidan Seale-Feldman

{"title":"Secular Mysticism: Entanglements of Science and Religion in Psychedelic Medicine.","authors":"Aidan Seale-Feldman","doi":"10.1007/s11013-026-09988-x","DOIUrl":"10.1007/s11013-026-09988-x","url":null,"abstract":"Psychedelic medicine is a rapidly growing, billion-dollar industry poised to transform mental health care by incorporating spiritual experiences into clinical psychiatry. However, while the blending of psychiatry and mystical experience has long made this field unique, the blurred boundaries between science and spiritual practice have sparked increasing public debate. What does the entanglement of science and religion in psychedelic medicine reveal about the concerns, anxieties, and yearnings of our contemporary social and political moment? This article draws on an analysis of public discourse alongside ethnographic and qualitative research within a psychedelic church, a psychedelic-assisted therapy training program, and psychedelic science conferences in the United States. Through stories of the intertwining of science and religion, psychotherapy and mysticism, and attempts to distinguish between drugs, medicine, and sacraments in both clinical and non-clinical spaces, I argue that the mainstreaming of psychedelic medicine is not only shifting paradigms of mental health care but also creating new forms of secular mysticism in an age of disenchantment.","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":"50 2","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13124874/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785411","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Question of the Origin of Overrepresentation of Violence in the French West Indies: A Psychosocial Approach to Attachment Issues. 法属西印度群岛暴力过度的起源问题：依恋问题的社会心理方法。

IF 1.5 4区医学

Culture Medicine and Psychiatry Pub Date : 2026-04-29 DOI: 10.1007/s11013-026-09991-2

Anais Ogrizek, Arthur Felix

{"title":"The Question of the Origin of Overrepresentation of Violence in the French West Indies: A Psychosocial Approach to Attachment Issues.","authors":"Anais Ogrizek, Arthur Felix","doi":"10.1007/s11013-026-09991-2","DOIUrl":"https://doi.org/10.1007/s11013-026-09991-2","url":null,"abstract":"The French West Indies, particularly Martinique and Guadeloupe, are grappling with high rates of violence, particularly among youth, which might be deeply rooted in historical trauma from slavery. A significant portion of the population has experienced abuse and violence in early life, prompting researchers to explore the connection with attachment theory. The transatlantic slave trade tore families apart and disrupted the secure attachments that are essential for healthy emotional development. Children raised without stable caregivers often develop insecure attachment styles, which may have been passed down through generations. These unresolved attachment wounds often manifest as violence or self-destructive behavior. Without nurturing figures, both parental and societal, individuals may feel unworthy and angry. France, seen as the \"abusive stepmother,\" failed to provide meaningful support after emancipation to replace lost parental figures. Consequently, the population oscillates between a desire for recognition and a fear of further rejection. This emotional paradox mirrors the turbulence of adolescence, where independence is both craved and feared.","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":"50 2","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785619","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Exploring Barriers to Recovery Amongst Women with Psychosis: A Qualitative Secondary Analysis. 探索女性精神病患者康复的障碍：一项定性的二次分析。

IF 1.5 4区医学

Culture Medicine and Psychiatry Pub Date : 2026-04-17 DOI: 10.1007/s11013-026-09985-0

Chizara Lock, Anna Lavis, Rosina Pendrous, Sheila Greenfield

{"title":"Exploring Barriers to Recovery Amongst Women with Psychosis: A Qualitative Secondary Analysis.","authors":"Chizara Lock, Anna Lavis, Rosina Pendrous, Sheila Greenfield","doi":"10.1007/s11013-026-09985-0","DOIUrl":"10.1007/s11013-026-09985-0","url":null,"abstract":"Experiencing psychosis can impact all areas of a person's life, causing significant changes to thoughts, perceptions, mood, behaviour, and sense of self. Details of the specific barriers to recovery experienced by women with psychosis and how these barriers may relate to both sex and gender remain unknown. To identify and conceptualise barriers to recovery, a qualitative secondary analysis was undertaken of 31 semi-structured interviews from a primary anthropological study focused on women's lived experiences of a first episode of psychosis. Participants were recruited from Early Intervention Services in England, UK, between 2010 and 2015. Reflexive thematic analysis demonstrated various barriers to recovery, including internal conflicts with identity, the constraining of moral agency, inadequate support to address past traumas, structural factors, and stigma. Each of these barriers intersects with both sex and gender norms in a number of ways. Barriers to recovery must be addressed within mental health services to ensure that women have the best chance of moving forward with, and finding new meaning in, their lives after psychosis. Consideration of past experiences as well as normative gender roles, and other structural barriers is needed. Future research should develop and evaluate sex- and gender-specific interventions and consider integrating these into clinical practice.","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":"50 2","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13090180/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147718332","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Invisible Care in a Low-Income Setting: Reflecting on Family Caregiver Fatigue in Dementia Care. 低收入环境下的隐形护理：对痴呆症护理中家庭照顾者疲劳的反思。

IF 1.5 4区医学

Culture Medicine and Psychiatry Pub Date : 2026-04-17 DOI: 10.1007/s11013-026-09981-4

Gebrezabher Niguse Hailu, Jonas Sami Albuquerque De Oliveira, Kessya Dantas Diniz, Sandra Lucia Arantes

{"title":"Invisible Care in a Low-Income Setting: Reflecting on Family Caregiver Fatigue in Dementia Care.","authors":"Gebrezabher Niguse Hailu, Jonas Sami Albuquerque De Oliveira, Kessya Dantas Diniz, Sandra Lucia Arantes","doi":"10.1007/s11013-026-09981-4","DOIUrl":"https://doi.org/10.1007/s11013-026-09981-4","url":null,"abstract":"Dementia care is largely provided by family members, particularly in low-income settings where formal support systems are limited or absent. As a result, family caregivers face sustained emotional, physical, and psychological demands that place them at high risk of caregiver fatigue. Although caregiver burden in dementia care is well documented, less attention has been given to how caregiver fatigue is experienced, normalized, and rendered invisible within everyday life and health systems. This reflective paper draws on personal experience as a family caregiver for a relative with dementia in Ethiopia, supported by relevant literature, to explore the lived dimensions of caregiver fatigue in the absence of formal support structures. Reflection revealed that caregiver exhaustion was not solely task-related, but a predictable response to structural absence, moral expectations, and limited institutional recognition. Through reflective engagement, caregiver fatigue was reinterpreted from an individual limitation to an ethical and systemic concern. The paper discusses implications for nursing practice, education, advocacy, and policy, highlighting the need for collective responsibility and meaningful support for family caregivers.","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":"50 2","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147718319","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Too Black for Care: Clinical Apperception, Anti-Blackness, and Narrative Aporia. 太黑而不需要照顾：临床统觉、反黑性和叙事性焦虑症。

IF 1.5 4区医学

Culture Medicine and Psychiatry Pub Date : 2026-04-10 DOI: 10.1007/s11013-026-09984-1

Roy Cherian

{"title":"Too Black for Care: Clinical Apperception, Anti-Blackness, and Narrative Aporia.","authors":"Roy Cherian","doi":"10.1007/s11013-026-09984-1","DOIUrl":"10.1007/s11013-026-09984-1","url":null,"abstract":"In this essay, I read Seth Holmes and Maya Ponte's work on \"en-casement\" alongside Immanuel Kant's Critique of Pure Reason to argue that faculties of biomedical apperception cultivated through clinical training are symptomatic of an orientation to sensational experience developed within Enlightenment philosophy. Characterized by the negation of subjectivity, en-casement is an expression of the anti-Black tendency to dehumanize and dominate the other in ways that render the biomedical paradigm of healing impotent with regard to the redress of Black suffering. I problematize narrative medicine as an intervention to resist en-casement by drawing on Afropessimism to elaborate limits and failures derivative from its assumptive logic of a free, agentive, autonomous, and sovereign subject capable of dramatizing suffering. Insofar as paradigmatic social death renders Blackness as a site of absolute dereliction on the level of the Symbolic, Black suffering is aporetic to narrative in ways that make even the humanist intervention no less impotent as a mode of redress. Given that the totalizing violence of anti-Blackness forecloses the redress of Black suffering within humanist paradigms of healing writ large, from the biomedical to the narrative, I consider the unmet demand for ante-anti-Black forms of care from the framework of abolition medicine.","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":"50 2","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13068754/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147655189","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Psychiatric Care and Legal Residency for Japan's 'Non-legal' Immigrants. 日本“非合法”移民的精神病学护理和合法居留权。

IF 1.5 4区医学

Culture Medicine and Psychiatry Pub Date : 2026-04-10 DOI: 10.1007/s11013-026-09978-z

Selim Gokce Atici

{"title":"Psychiatric Care and Legal Residency for Japan's 'Non-legal' Immigrants.","authors":"Selim Gokce Atici","doi":"10.1007/s11013-026-09978-z","DOIUrl":"https://doi.org/10.1007/s11013-026-09978-z","url":null,"abstract":"This article examines the role of psychiatric care in the passage of unstably documented migrants and asylum seekers in Japan from detention-bound, dispossessed non-citizens with no recognized voice to medically certified claimants whose documented distress opens legal pathways to social protection. Psychiatric care is the only medical welfare provision in Japan for those without residential registry, who are required to verify severe mental illnesses to maintain provisional release permits (PRPs) that may defer detention and potential forced repatriation. Drawing on multisited ethnography through 18 months of fieldwork in Hanami Clinic-a neighborhood-based psychiatric clinic-and Tsunagi Shelter-a refuge for individuals lacking formal registration-I explore the intersection of clinical intervention, legal procedures, and everyday experiences of mental illness. Through these psychiatric care practices, multi-ethnic PRP holders cultivate new ways to articulate their detention experience and legal predicament, discursively broadening narratives about their psychological distress along with its potential for documentability. My argument is that psychiatric medicalization is helping create an important conceptual space for psychiatric legitimization of access to basic rights. Through its constitutive role in legal documentation and PRP justification, psychiatric mediation provides new discourses that legitimize moral claims to legal resolution.","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":"50 2","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147647104","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Resistance and Reproduction: Mental Illness Stigma Observed in a Chinese Psychiatric Hospital. 抵抗与生殖：在中国精神病院观察到的精神疾病耻感。

IF 1.5 4区医学

Culture Medicine and Psychiatry Pub Date : 2026-04-09 DOI: 10.1007/s11013-026-09980-5

Zhuyun Lin

引用次数: 0

Seeing Oneself Seize: A Case Study on the Affordances of a Video-Based Diagnostic Encounter for a Patient with Functional Seizures. 看到自己癫痫发作：一个基于视频的功能性癫痫发作诊断的案例研究。

IF 1.5 4区医学

Culture Medicine and Psychiatry Pub Date : 2026-04-06 DOI: 10.1007/s11013-026-09983-2

Paula Muhr

{"title":"Seeing Oneself Seize: A Case Study on the Affordances of a Video-Based Diagnostic Encounter for a Patient with Functional Seizures.","authors":"Paula Muhr","doi":"10.1007/s11013-026-09983-2","DOIUrl":"https://doi.org/10.1007/s11013-026-09983-2","url":null,"abstract":"This paper examines how integrating clinical video recordings into the diagnostic encounter shapes a patient's experience of functional seizures, a contested neurological condition historically known as hysterical attacks. Drawing on James Gibson's theory of affordances and de Haan et al.'s account of how individuals perceive affordances based on their needs and concerns, the study analyzes a single in-depth interview with an 18-year-old patient recently diagnosed with functional seizures. It explores what viewing seizure videos with a doctor offers the patient-in clinical, epistemic, emotional, and experiential terms. The interview was subjected to a close reading, attending to how video-mediated communication of diagnosis intersects with the patient's prior illness history, sociocultural context, and understanding of self. The analysis identified three positive (epistemic insight, diagnostic validation, trauma recollection) and three negative affordances (shame, vulnerability, resignation). These affordances emerged not only from what the videos showed but also from how they were viewed, framed, and interpreted during the diagnostic encounter. The study concludes that the videos' affordances cannot be separated from an individual patient's interpretive resources and biography. Clinical video viewing can generate meaningful diagnostic insights, but it also risks harm unless embedded within a carefully structured dialogical process that attends to the patient's specificities.","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":"50 2","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147628967","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Pharmacological Microcontroversies and Civilizational Grammars Around ADHD in Chile. 智利ADHD的药理学微观争议和文明语法。

IF 1.5 4区医学

Culture Medicine and Psychiatry Pub Date : 2026-04-06 DOI: 10.1007/s11013-026-09986-z

Esteban Radiszcz, Hugo Sir, Juan Pablo Pinto

{"title":"Pharmacological Microcontroversies and Civilizational Grammars Around ADHD in Chile.","authors":"Esteban Radiszcz, Hugo Sir, Juan Pablo Pinto","doi":"10.1007/s11013-026-09986-z","DOIUrl":"https://doi.org/10.1007/s11013-026-09986-z","url":null,"abstract":"This article examines pharmacological microcontroversies (PMC) surrounding attention deficit hyperactivity disorder (ADHD) in Chile, based on a comparative, multisited ethnography in four educational contexts with differing socioeconomic and territorial profiles. Drawing on science and technology studies, microcontroversies studies, and Norbert Elias's sociology of interdependence, the study conceptualizes ADHD as a situational configuration in which diagnosis and treatment emerge from interwoven relations among children, caregivers, educators, and health professionals. Data were collected through focused ethnography, open interviews, discussion groups, and triangular groups and analyzed via emergent content and sociological discourse analysis. Two axes structure PMC: (i) desired effect-stillness versus performance, and (ii) normative model-external conduct versus internal capacities. Across sites, pharmaceuticals were embedded in distinct \"civilizational grammars\" linking bodily regulation, moral expectations, and educational aims: from medication as protection against criminality to a \"concentration pill\" enabling hidden potential. These grammars mediate acceptance, rejection, or ambivalence toward medication crossed by other vectors as class and gender. ADHD-related debates thus constitute territorially situated normative arrangements, revealing how local trajectories and interdependencies shape diagnoses and the production of children's interiority.","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":"50 2","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147628931","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0