Culture Medicine and Psychiatry最新文献

Feasibility, Acceptability and Clinical Utility of the Bereavement and Grief Cultural Formulation Interview for Prolonged Grief Disorder. 长期哀伤障碍之丧恸文化构想访谈之可行性、可接受性及临床应用。

IF 1.5 4区医学

Culture Medicine and Psychiatry Pub Date : 2025-07-28 DOI: 10.1007/s11013-025-09927-2

Clare Killikelly, Lea-Martina Christen, Simon Groen, John S Ogrodniczuk, Andreas Maercker, Geert E Smid, Eva Heim

{"title":"Feasibility, Acceptability and Clinical Utility of the Bereavement and Grief Cultural Formulation Interview for Prolonged Grief Disorder.","authors":"Clare Killikelly, Lea-Martina Christen, Simon Groen, John S Ogrodniczuk, Andreas Maercker, Geert E Smid, Eva Heim","doi":"10.1007/s11013-025-09927-2","DOIUrl":"https://doi.org/10.1007/s11013-025-09927-2","url":null,"abstract":"Prolonged grief disorder (PGD) is a new diagnostic category included in global diagnostic classification systems for mental disorders. However, PGD can only be diagnosed if the severity and duration exceed socio-cultural norms. Here, we present a new supplementary module to the DSM-5 Cultural Formulation Interview: the Bereavement and Grief Cultural Formulation Interview (BG-CFI). The BG-CFI was developed to help clinicians provide a culturally informed diagnosis and guide treatment planning.We investigated the feasibility, acceptability, and clinical utility of the BG-CFI. Two participant groups (11 refugees, asylum seekers or migrants experiencing bereavement and 3 clinicians) took part in the study and were interviewed using open-ended questions on measures of feasibility, acceptability, and clinical utility. A step-by-step procedure was followed: (1) Clinicians and/or researchers conducted the BG-CFI with participants; (2) Debriefing interviews were conducted separately with clinicians and with bereaved participants.The BG-CFI was found to be a feasible, acceptable, and clinically useful tool for both bereaved participants and clinicians. Where clinicians found the interview difficult to conduct (i.e. lack of conceptual clarity or triggering emotional distress) specific changes were made to the interview format such as prompts for further questioning or recommendations for withholding or adapting questions. The BG-CFI would offer a useful complement for a reliable assessment of PGD in clinical settings working with cultural incongruity.","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144733973","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

Navigating the Unknown: Mental Pain, Uncertainty, and Self-Isolation in Bali and Java. 导航未知：巴厘岛和爪哇的精神痛苦、不确定性和自我隔离。

IF 1.5 4区医学

Culture Medicine and Psychiatry Pub Date : 2025-07-28 DOI: 10.1007/s11013-025-09930-7

Florin Cristea

{"title":"Navigating the Unknown: Mental Pain, Uncertainty, and Self-Isolation in Bali and Java.","authors":"Florin Cristea","doi":"10.1007/s11013-025-09930-7","DOIUrl":"https://doi.org/10.1007/s11013-025-09930-7","url":null,"abstract":"Mental pain is commonly defined as an experience situated on a continuum between cognitive appraisal of the painful event and the affective disposition of the person experiencing it. Drawing on ethnographic material and interviews on severe psychiatric disorders in Bali and Java, I will try to understand what mental pain does to the person experiencing it, as well as to their immediate environment. To answer this question, I will first describe the salient attributes of mental pain as they emerged during my conversations with outpatients and observations of their milieu. These were a challenged \"realness\" of the experience of mental pain, its ability to take hold of one's subjective experience, an elusive and relational quality, and a perceived ambiguous and indeterminate temporal dimension. Moreover, I will describe the uncertainties of people navigating a severe psychiatric disorder (health, sanative, social, and behavioral uncertainties), and I will suggest that the salient attributes of mental pain contribute to the makeup of these uncertainties. Finally, this article illustrates that the interrelated nature of mental pain and experienced uncertainties can inform certain illness behaviors, particularly instances of self-isolation.","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144733974","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

A Bit Damaged, But Not Broken": Seed Containers, Care, and Safe Spaces for Suicidality. 有点损坏，但没有坏”：种子容器，护理和自杀的安全空间。

IF 1.5 4区医学

Culture Medicine and Psychiatry Pub Date : 2025-07-28 DOI: 10.1007/s11013-025-09921-8

Elsher Lawson-Boyd, Stephanie Lloyd

{"title":"A Bit Damaged, But Not Broken\": Seed Containers, Care, and Safe Spaces for Suicidality.","authors":"Elsher Lawson-Boyd, Stephanie Lloyd","doi":"10.1007/s11013-025-09921-8","DOIUrl":"https://doi.org/10.1007/s11013-025-09921-8","url":null,"abstract":"The provision of care for suicidal and, perhaps especially, chronically suicidal people walks a fine line: between acknowledging a person's suffering and their desire to die, and trying to accompany them safely through their most difficult moments. In this article, we explore what it means to receive and provide \"safe care,\" as traced through the words of people with lived experiences of suicide. Our data comes from 18 interviews with members of an Australian lived experience of suicide organization, which included people with lived experience of chronic suicidal ideation, the bereaved, peer workers, and Safe Space volunteers. Drawing on the anthropology of care and aligned psychoanalytic theory, particularly Emily Yates-Doerr's (Anthropol Human 45:233-244, 2020) consideration of the seed container and Donald Winnicott's notion of holding, we unpack how suicidality is experienced, what makes care safe, and how notions of holding space for people are becoming anchored in emerging \"Safe Spaces.\" Interview participants called for a paradigmatic shift in suicide care: in contrast to \"negative\" conceptions (Baril, in: Disability Stud Q 40:1-41, 2020), what arose in their stories were appeals for present-focused and engaged support where emotion, turmoil, and sorrow could be weathered alongside the listener. Thus, safe care works within infrastructures of care to neutralize-not diminish, prevent, or fix-suicidality, and to hold it within a space of concern so that it may transform.","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144733972","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

Ronaldo on the Clapham Omnibus: Complex Recoveries in Complex Psychosis. c罗在克拉彭综合医院：复杂精神病中的复杂康复。

IF 1.5 4区医学

Culture Medicine and Psychiatry Pub Date : 2025-07-28 DOI: 10.1007/s11013-025-09931-6

Henry J Whittle

{"title":"Ronaldo on the Clapham Omnibus: Complex Recoveries in Complex Psychosis.","authors":"Henry J Whittle","doi":"10.1007/s11013-025-09931-6","DOIUrl":"https://doi.org/10.1007/s11013-025-09931-6","url":null,"abstract":"Dominant cultural framings of recovery in psychosis describe a process of increasing social connection, community integration, identity reclamation, and hope. Drawing on 6 months of ethnographic fieldwork on a psychiatric rehabilitation ward for 'complex psychosis' in London, I consider what we might learn from recoveries that appear not to follow this trajectory. My primary case study, of a man diagnosed with treatment-resistant schizoaffective disorder who identifies with/as the famous ex-footballer Ronaldo, interrogates the social implications of his attempts to 'mask' his identity while on leave from the hospital to avoid \"caus[ing] trouble\"-strategically embodying, in effect, the fictitious 'ordinary' person denoted by the English idiom the man on the Clapham omnibus. I argue that his complex recovery, built on a trial-and-error process of retreat from social connection and caution towards hope, reflects a degree of clinical complexity seldom acknowledged outside psychiatric rehabilitation. Engaging with more nuanced anthropological theories of recovery in psychosis, my analysis illuminates how the time, space, and relative safety of a lengthy involuntary hospital admission proved necessary for his complex recovery to unfold. This insight contrasts with the dominant operationalisation of recovery in contemporary mental health systems, which seems to be fuelling disinvestment in such rehabilitative admissions.","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144733975","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

Correction: Life in Suspension with Death: Biocultural Ontologies, Perceptual Cues, and Biomarkers for the Tibetan Tukdam Postmortem Meditative State. 校正：生命与死亡的暂停：西藏图克丹人死后冥想状态的生物文化本体论、知觉线索和生物标记。

IF 1.5 4区医学

Culture Medicine and Psychiatry Pub Date : 2025-07-24 DOI: 10.1007/s11013-025-09935-2

Tawni L Tidwell

引用次数: 0

Between Depression and Alienation: Burnout as a Translator Category for Critical Theories. 在抑郁与异化之间：倦怠作为批判理论的翻译范畴。

IF 1.5 4区医学

Culture Medicine and Psychiatry Pub Date : 2025-07-21 DOI: 10.1007/s11013-025-09929-0

Domonkos Sik

{"title":"Between Depression and Alienation: Burnout as a Translator Category for Critical Theories.","authors":"Domonkos Sik","doi":"10.1007/s11013-025-09929-0","DOIUrl":"https://doi.org/10.1007/s11013-025-09929-0","url":null,"abstract":"The horizon of critical theories and their target audience (i.e., the subjects exposed to social suffering) have drifted apart. While the former relies on its own set of diagnostic concepts (e.g., alienation), the actors are socialized within the frames of biomedical discourses. This creates a rupture between theory and praxis: the concepts of social suffering fail to orient collective action. To overcome this challenge, a translator category is elaborated, which can link the distinct biomedical and critical discourses, while reconnecting theory and praxis. Burnout is chosen as a translator category because it is located at the border of the psychological discourses (on depression) and the critical sociological discourses (on alienation). First, the birth of the concept is reconstructed in a genealogical fashion. Second, the psychological measurement tools and explanations are overviewed with a special emphasis on the failed attempt of discursive medicalization. Third, the sociological explanations are analyzed from the perspective of their potential of breaking the biomedical and psychological discursive hegemony. In the last section, it is discussed how burnout can link the discourses of alienation (as a cause of burnout) and depression (as a consequence of burnout), while remaining accessible to the biomedically socialized subjects.","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144683400","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

Revenge Fantasies Expressed Through Drawings and Narratives: Insights from Indian Perspectives Based on Gender and Religion. 通过绘画和叙事表达的复仇幻想：基于性别和宗教的印度视角的见解。

IF 1.5 4区医学

Culture Medicine and Psychiatry Pub Date : 2025-07-18 DOI: 10.1007/s11013-025-09928-1

Meghna Girish, Rachel Lev-Wiesel

{"title":"Revenge Fantasies Expressed Through Drawings and Narratives: Insights from Indian Perspectives Based on Gender and Religion.","authors":"Meghna Girish, Rachel Lev-Wiesel","doi":"10.1007/s11013-025-09928-1","DOIUrl":"https://doi.org/10.1007/s11013-025-09928-1","url":null,"abstract":"The mixed-methods study aimed to explore revenge fantasies among Indians, focusing on gender and religious differences, and to evaluate the alignment between quantitative measures and qualitative expressions through drawings and narratives. The sample comprised 97 Indian women and 55 men, aged 18-56, who identified as either Hindu or Christian. Quantitative assessments included the demographics sheet, Traumatic Events Questionnaire (TEQ), and Injustice Experiences Questionnaire (IEQ). Qualitative measures involved drawings and narratives depicting a personal injustice and the participant's desired outcome for the perpetrator. Analysis employed non-parametric tests and Interpretative Phenomenological Analysis for the drawings and narratives. The findings revealed no overall gender differences in the revenge fantasies depicted in drawings, though differences emerged in the types of perpetrators and central themes in narratives. Religious affiliation influenced the type of revenge fantasy, with Hindus and Christians showing significant differences in narrative organization, central themes, and resolution. Additionally, significant correlations were found between IEQ scores and various drawing indicators (event type, perpetrator type, and hierarchy) as well as narrative themes. These results suggest that gender and religious affiliation intricately shape revenge fantasies, highlighting the importance of considering cultural and social factors in understanding responses to perceived injustices.","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144668708","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

The Integration of Islamic Psychology with Acceptance and Commitment Therapy (ACT). 伊斯兰心理学与接受与承诺疗法（ACT）的整合。

IF 1.5 4区医学

Culture Medicine and Psychiatry Pub Date : 2025-07-18 DOI: 10.1007/s11013-025-09924-5

Imran Khan, Shaystah Dean, Damien Ridge, Nikolaos Souvlakis

{"title":"The Integration of Islamic Psychology with Acceptance and Commitment Therapy (ACT).","authors":"Imran Khan, Shaystah Dean, Damien Ridge, Nikolaos Souvlakis","doi":"10.1007/s11013-025-09924-5","DOIUrl":"https://doi.org/10.1007/s11013-025-09924-5","url":null,"abstract":"Black and ethnic minority groups (diverse groups) face inequalities when it comes to healthcare in the United Kingdom, including access, stigma, and discrimination. Many of these diverse communities include Muslims. It is also known that barriers for Muslims especially involve accessing mental health services because of fears of stereotyping, stigma, and expected NHS incongruence with religious beliefs. Many Muslims make connections between religious attributions and mental health issues and consider religion a source of support. There have been efforts to construct an Islamic model of the self as a framework for healing in the therapeutic context for Muslim patients. This article develops an initial framework to integrate an Islamic model of the self with acceptance and commitment therapy (ACT). We will detail the rationale for this spiritual integration in the development of a potential mental health intervention for Muslim patients. We describe how ACT is useful, given the overlap of ACT's aim to increase psychological flexibility with the therapeutic and spiritual goals of Islamic Psychology. We use a case example to briefly illustrate the points of congruence between ACT and Islamic principles. This approach has the potential to enhance access to healthcare for Muslim patients via the NHS. Further work will be needed to develop a practical tool for therapists who wish to deliver an Islamic based therapy for Muslims using ACT as a framework.","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144660787","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

Experience of Personal Recovery from Mental Disorders Among West African Refugees: A Clinical Case Study. 西非难民从精神障碍中个人康复的经验：一个临床案例研究。

IF 1.5 4区医学

Culture Medicine and Psychiatry Pub Date : 2025-07-18 DOI: 10.1007/s11013-025-09923-6

Marie-Aude Piot, Sarah Stabler, Marie Köenig, Clément Nougarède, Stéphanie Larchanché, Jean-Sébastien Cadwallader, Amina Ayouch-Boda, Christine Lefin-Ringuenet, Karine Lacombe, Laure Surgers

{"title":"Experience of Personal Recovery from Mental Disorders Among West African Refugees: A Clinical Case Study.","authors":"Marie-Aude Piot, Sarah Stabler, Marie Köenig, Clément Nougarède, Stéphanie Larchanché, Jean-Sébastien Cadwallader, Amina Ayouch-Boda, Christine Lefin-Ringuenet, Karine Lacombe, Laure Surgers","doi":"10.1007/s11013-025-09923-6","DOIUrl":"https://doi.org/10.1007/s11013-025-09923-6","url":null,"abstract":"Exposure to multiple vulnerability factors increase the likelihood of refugees experiencing mental health issues. Certain post-migratory factors exacerbate these disorders, while the processes of personal recovery remain unclear. This study explored the experience of personal recovery among West African refugees with mental issue, with the aim of helping health professionals in host countries to provide more appropriate care. We used the qualitative interpretative phenomenological analysis method. Ten participants were purposively sampled for face-to-face semi-structured interviews. Two themes emerged from the analysis. Despite their extreme socio-economic precariousness, mental disorders were perceived as forbidden conditions compared to the processes of acceptance of their somatic pathologies; hindering access to mental healthcare more markedly. Rebuilding a sense of security basis in the host country was seen as an essential step, but was also associated with factors that hindered the care process. Certain encounters could enable a return to care with patience, understanding and warmth. Our results highlighted the need to overcome some short-term self-protection strategies by adopting a benevolent attitude and active listening, ensuring secure socio-economical conditions first to enable mental care, increase the multicultural skills of healers, and support therapies that are not limited to face-to-face approach through activity, art, and group support. This may help to limit the risk of transmission of suffering to future generations.","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144668707","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

Tukdam, Different Ontological Bodies, and Making Tibetan Deaths Visible. 图克丹，不同的本体，让藏人的死亡可见。

IF 1.5 4区医学

Culture Medicine and Psychiatry Pub Date : 2025-07-16 DOI: 10.1007/s11013-024-09889-x

Donagh Coleman

{"title":"Tukdam, Different Ontological Bodies, and Making Tibetan Deaths Visible.","authors":"Donagh Coleman","doi":"10.1007/s11013-024-09889-x","DOIUrl":"https://doi.org/10.1007/s11013-024-09889-x","url":null,"abstract":"Unknown to science until recently, the postmortem state of tukdam has not yet been adequately explained in biomedical terms. One way to understand this phenomenon is through ideas of different cultural bodies and death processes, where tukdam emerges as a particular kind of Indo-Tibetan death. This article draws upon medical anthropological scholarship and literature in history of science and cross-cultural medicine looking at epistemological theories of perception where different ways of conceiving-perceiving and attending to the body contribute toward producing different medical bodies-and deaths. This epistemological approach has entailed the idea of one reality \"out there,\" which I call into question. I argue instead for an ontological approach, where epistemology and ontology are collapsed so that different forms of conceiving-perceiving contribute toward different forms of being. Such an approach seems apt in the case of different cultural bodies and death processes that we encounter with tukdam and other extraordinary Tibetan death displays. I explore Yogācāra Buddhist philosophy and its Tibetan appropriations along with science studies, medical and ontological anthropology to sketch out theory for how ontologically distinct bodies might come about. Tantric Buddhist bodies and deaths emerge as largely incommensurable with, and invisible to, the modern medical gaze with its attendant Euroamerican regime of truth where visibility, quantification, and technological measurability set the grounds for the real. This regime also dominates in the European documentary film world, as I discovered while making a documentary on tukdam.","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144643818","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