Culture Medicine and Psychiatry最新文献

Stigma, Chronicity and Complexity of Living with Long Covid in Kenya.

IF 1.5 4区医学

Culture Medicine and Psychiatry Pub Date : 2025-04-05 DOI: 10.1007/s11013-025-09906-7

Edna N Bosire, Lucy W Kamau, Emily Mendenhall

{"title":"Stigma, Chronicity and Complexity of Living with Long Covid in Kenya.","authors":"Edna N Bosire, Lucy W Kamau, Emily Mendenhall","doi":"10.1007/s11013-025-09906-7","DOIUrl":"https://doi.org/10.1007/s11013-025-09906-7","url":null,"abstract":"Living with a complex chronic illness can be debilitating as people are constantly negotiating new bodily symptoms, constant treatment-seeking, readjustments to identity and routine. In Kenya, millions of people were infected with COVID-19 and surveillance of Long Covid remains limited. We interviewed 23 Kenyans seeking medical care or social support for Long Covid to understand their lived experiences. Participants reported limited access to healthcare; they also described symptoms including disabling fatigue, memory inconsistencies, and acute pain in the muscle, gut, or tissues. However, we found a unique chronic illness stigma-where people did not want to reveal that they had Long Covid because they feared of being perceived to have HIV. Participants reported feeling dismissed or disbelieved by family, friends, and clinicians and turned to online social support groups like Facebook. While some appreciated clinicians who used experimental treatment, others expressed trepidation when treatments caused them to feel sicker. The chronicity and debilitating symptoms of Long Covid may cultivate a unique stigma around the condition and point to a normalization of Long Covid with other chronic conditions, despite limited treatments. A broader understanding of Long Covid symptoms and care must be expanded to include destigmatizing the condition in Kenya.","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143789223","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

Conservatorship: Inside California's System of Coercion and Care for Mental Illness by Alex Barnard: Columbia University Press, 2023, 416 pp.

IF 1.5 4区医学

Culture Medicine and Psychiatry Pub Date : 2025-04-05 DOI: 10.1007/s11013-025-09909-4

Owen Whooley

引用次数: 0

Families on the Edge: Experiences of Homelessness and Care in Rural New England by Elizabeth Carpenter-Song: MIT Press, 2023 192 pp.

IF 1.5 4区医学

Culture Medicine and Psychiatry Pub Date : 2025-04-01 DOI: 10.1007/s11013-025-09908-5

Alex V Barnard

引用次数: 0

"The University Lives Anxiety and De-pression": Diagnostic Uses and Affective Negotiations in Mental Health Care Services for University Students in Chile.

IF 1.5 4区医学

Culture Medicine and Psychiatry Pub Date : 2025-04-01 DOI: 10.1007/s11013-025-09905-8

Angela Cifuentes, Esteban Radiszcz, Francisco Ortega

{"title":"\"The University Lives Anxiety and De-pression\": Diagnostic Uses and Affective Negotiations in Mental Health Care Services for University Students in Chile.","authors":"Angela Cifuentes, Esteban Radiszcz, Francisco Ortega","doi":"10.1007/s11013-025-09905-8","DOIUrl":"https://doi.org/10.1007/s11013-025-09905-8","url":null,"abstract":"The expansion of mental health discourses within the university has attained global relevance over the course of the past decade. This article focuses on the Chilean case, exploring the diagnostic uses and affective negotiations on campus. The findings presented are part of a broader qualitative research that examined the interrelations between the neoliberal restructuring of the Chilean university, the modes of anxious affection among students, and the strategies implemented by university mental health services. We argue that, although the neoliberalization of higher education in Chile has driven normative and subjective transformations, the phenomenon of university mental health involves students' agency. Our findings demonstrate that, for both mental health professionals and students, university life serves as a \"catalyst of anxiety.\" Despite the existence of individualized diagnostic conceptions, they also allude to the inequalities inherent in the Chilean educational and health systems. We state that diagnostic uses involve strategies that students and professionals deploy to respond to the demands of adjustment/integration to universities, and even facilitate the possibility of re-imagining futures in the face of experiences of failure. Diagnostic uses engage affective negotiations in everyday situations, thereby configuring university life as a dynamic environment, subject to potential and permanent transformations.","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143755086","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

Neuroanthropology and Body Image: The Impact of Technology and Cultural Shifts on Self-Perception.

IF 1.5 4区医学

Culture Medicine and Psychiatry Pub Date : 2025-03-23 DOI: 10.1007/s11013-025-09907-6

Jônatas de Oliveira

引用次数: 0

The Suppression of Depression as Multimediation: Psychiatric Diagnoses Under Myanmar's Military Dictatorship.

IF 1.5 4区医学

Culture Medicine and Psychiatry Pub Date : 2025-03-23 DOI: 10.1007/s11013-025-09899-3

Stefan Ecks

引用次数: 0

From Touch to Mental Imagery: The Embodied Aesthetic Experience of Late-Blind People Engaged in the Tactile Exploration of Enrico Castellani's Pseudo-Braille Surface.

IF 1.5 4区医学

Culture Medicine and Psychiatry Pub Date : 2025-03-10 DOI: 10.1007/s11013-025-09904-9

S Uboldi, A Bortolotti, G Candeloro, A Marasco, F Sardella, M Tartari, P L Sacco

{"title":"From Touch to Mental Imagery: The Embodied Aesthetic Experience of Late-Blind People Engaged in the Tactile Exploration of Enrico Castellani's Pseudo-Braille Surface.","authors":"S Uboldi, A Bortolotti, G Candeloro, A Marasco, F Sardella, M Tartari, P L Sacco","doi":"10.1007/s11013-025-09904-9","DOIUrl":"https://doi.org/10.1007/s11013-025-09904-9","url":null,"abstract":"This paper examines the embodied aesthetic experiences of late-blind individuals during tactile engagements with Enrico Castellani's Pseudo-Braille Surface artwork. The study applies a mixed computational-qualitative approach, utilizing the Atlas-Ti software for semantic analysis of interviews with 21 participants. Categories emerging from the analysis suggest a vivid relationship between touch, mental imagery, emotional well-being, and the creation of meaning. Key findings demonstrate a transformation from a traditional pedagogical approach to an immersive aesthetic experience, marked by a significant meta-cognitive shift, transitioning from practical understanding to haptic contemplation and narrative digression. Sometimes, participants initially experience negative well-being due to difficulties in interpreting tactile stimuli, but this evolves into positive well-being as they engage in an imaginative process, invoking autobiographical memories and personal narratives. The study reveals that this personal and relational encounter with original art enables participants to overcome initial feelings of inadequacy, unlock creative freedom, and attain emotional well-being. The participants' experiences are interpreted in the light of Walter Benjamin's notion of Aura, unveiling the unique and authentic interaction between viewer and artwork in the realm of haptic perception. The results advocate for the inclusion of tactile aesthetics in art appreciation, emphasizing the potential for aesthetic experiences to contribute to the well-being and empowerment of visually impaired individuals.","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143597259","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

Excess Stigma and Troubling Messaging: Debates about the Diagnostic Label Chidai for Dementia in China.

IF 1.5 4区医学

Culture Medicine and Psychiatry Pub Date : 2025-03-10 DOI: 10.1007/s11013-025-09903-w

Yan Zhang

{"title":"Excess Stigma and Troubling Messaging: Debates about the Diagnostic Label Chidai for Dementia in China.","authors":"Yan Zhang","doi":"10.1007/s11013-025-09903-w","DOIUrl":"https://doi.org/10.1007/s11013-025-09903-w","url":null,"abstract":"Diagnostic labels aim to classify individuals for treatment in clinical settings. Yet, relatively little attention has been paid to the troubling messaging when a diagnostic label itself carries severe stigma and how relevant stakeholders react to it. Based on twenty-month fieldwork in Shanghai, this article analyzes the adverse effects of the diagnostic label chidai that is used to describe dementia and the relevant stakeholders' responses to the labeling threat. It focuses on the moral context in which the stigma related to dementia unfolds, the power of the medical term chidai in activating stigma, and the efforts that are put into formulating a stigma-free public health message. I found that the label chidai is not only an instance of excess stigma-that discredits one's cognitive capability and deprives one's moral status-but also an instrument used by medical authorities and governments to protect public safety. The debates on the diagnostic labels are meant to reshape new understandings of dementia and to challenge the power of medical authorities who often neglect humanity and care when they form their judgments and interpretations of disease. This paper contributes to the studies of stigma and dementia activism by highlighting the power of diagnostic labels.","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143597104","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

Smoked or Bewitched? The Relationship Between Cannabis Use and Mental Illness Among the Shona Persons in Zimbabwe.

IF 1.5 4区医学

Culture Medicine and Psychiatry Pub Date : 2025-03-05 DOI: 10.1007/s11013-025-09898-4

Maja Jakarasi

{"title":"Smoked or Bewitched? The Relationship Between Cannabis Use and Mental Illness Among the Shona Persons in Zimbabwe.","authors":"Maja Jakarasi","doi":"10.1007/s11013-025-09898-4","DOIUrl":"https://doi.org/10.1007/s11013-025-09898-4","url":null,"abstract":"The metanarrative of biomedicine and \"psy\" discipline (psychology, psychoanalysis, psychiatry etc.) asserts that cannabis use is one of the fundamental causes of mental illness among different men in the Rushinga district of Zimbabwe. These metanarratives, however, appear to have universalised, medicalised and marginalised the conception and representation of mental illness as enmeshed in local epistemologies and ontologies of mental illness. Based on local epistemologies, elders in Diwa largely trace mental illness to discursive sociocultural explanations rarely linked to cannabis use. This paper answers the central question: How is the use of cannabis by different persons related to mental illness in the Rushinga district? I argue that community members, health providers and police officers want to think of persons, especially men, with mental illness as \"mad\" and immoral cannabis users who brought illnesses upon themselves and lack personal responsibility based on Western neoliberal and biomedical metanarratives. However, this framing is not helpful, it is detrimental to treatment and social reputation, as it bypasses local cultural explanations that may be protective and that offer clearer guidelines for treatment.","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143558305","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

Clinical Ethnographies of the Politics and Poetics of the US Healthcare Crisis.

IF 1.5 4区医学

Culture Medicine and Psychiatry Pub Date : 2025-02-22 DOI: 10.1007/s11013-025-09901-y

Liza Buchbinder, Rebecca Newmark, Bonnie Wong, Seth Holmes, Philippe Bourgois

引用次数: 0