Culture Medicine and Psychiatry最新文献

Death and Happiness: Exploring the Temporalities of the Meditated Death and Everyday Life in Tibetan Buddhist Practice of Tukdam. 死亡与幸福：探索图克丹藏传佛教修行中冥想死亡与日常生活的时间性。

IF 1.5 4区医学

Culture Medicine and Psychiatry Pub Date : 2025-05-21 DOI: 10.1007/s11013-025-09914-7

Tenzin Namdul

{"title":"Death and Happiness: Exploring the Temporalities of the Meditated Death and Everyday Life in Tibetan Buddhist Practice of Tukdam.","authors":"Tenzin Namdul","doi":"10.1007/s11013-025-09914-7","DOIUrl":"https://doi.org/10.1007/s11013-025-09914-7","url":null,"abstract":"Although tukdam-a meditative state entered through various practices resting in extremely subtle consciousness while dying-is seen to only be achieved by adept practitioners, the philosophy and psychology that underpin tukdam inform Tibetan communities beyond just accomplished adepts and frame the very way death and dying is conceived. Based on an 18-month ethnographic study, this article explores the significance of death as a Tibetan Buddhist cultural-reference that offers a moral heuristic ground for adaptive methods in transforming orientations to self and others and in cultivating compassion and resilience. Tibetan Buddhist practitioners emphasize a strong correlation between a true understanding of self and sustained happiness. This article thus asks a dual conceptual question: (1) Why do Tibetans believe that meditating on death is the key to experiences of well-being in their day-to-day life? (2) What is the relation between the temporalities of the meditated death and that of the day-to-day life? Furthermore, the article proposes that Tibetan Buddhist practices that culminate in tukdam symbolize the way death and dying is assumed to be approached more broadly beyond advanced practitioners, and thereby, provides a cultural model for an \"ideal\" death that guides approaches to dying for oneself and others.","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144121196","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: Clinical Ethnographies of the Politics and Poetics of the US Healthcare Crisis. 更正：美国医疗危机的政治和诗学的临床民族志。

IF 1.5 4区医学

Culture Medicine and Psychiatry Pub Date : 2025-05-19 DOI: 10.1007/s11013-025-09911-w

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

引用次数: 0

'Why Bother?' Skeptical Doubt and Moral Imagination in Care for People with Profound Intellectual Disabilities. “何苦呢?”对重度智障人士关怀中的怀疑、怀疑与道德想象。

IF 1.5 4区医学

Culture Medicine and Psychiatry Pub Date : 2025-05-09 DOI: 10.1007/s11013-025-09913-8

Simon van der Weele

{"title":"'Why Bother?' Skeptical Doubt and Moral Imagination in Care for People with Profound Intellectual Disabilities.","authors":"Simon van der Weele","doi":"10.1007/s11013-025-09913-8","DOIUrl":"https://doi.org/10.1007/s11013-025-09913-8","url":null,"abstract":"Caring well for people with profound intellectual disabilities is challenging. This challenge is often framed in terms of their complex needs and the ambiguity of interpreting these needs. Based on ethnographic fieldwork, this article argues that behind these challenges lies a more fundamental challenge of doubt: doubt stemming from uncertainties about the mind of the other, and thus about the purpose of care itself. Drawing on Stanley Cavell's notion of skepticism, the article explores how this challenge arises and how caregivers grapple with it. The study finds that skeptical doubt always threatens care for people with profound intellectual disabilities, but often remains unseen. This is because caregivers deftly manage to ward off their skeptical doubt, by 'placing people into life': imagining the people in their care as participants in a shared human everyday life. The article tracks such exercises of 'placing people into life' to document how caregivers manage to retain faith in the purpose of their care. In this way, the article gives ethnographic texture to the challenge of caring well for people with profound intellectual disabilities and gathers clues for improving this care-which can also aid in improving care in other contexts of cognitive difference.","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144034151","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

Okweraliikirira and Okwenyamira: Idioms of Psychological Distress Among People Living with HIV in Rakai, Uganda. Okweraliikirira和Okwenyamira：乌干达拉凯地区艾滋病毒感染者的心理困扰习语。

IF 1.5 4区医学

Culture Medicine and Psychiatry Pub Date : 2025-05-07 DOI: 10.1007/s11013-025-09912-9

Nora S West, Rosette Nakubulwa, Sarah M Murray, William Ddaaki, Denis Mayambala, Neema Nakyanjo, Fred Nalugoda, Heidi E Hutton, Pamela J Surkan, Caitlin E Kennedy

{"title":"Okweraliikirira and Okwenyamira: Idioms of Psychological Distress Among People Living with HIV in Rakai, Uganda.","authors":"Nora S West, Rosette Nakubulwa, Sarah M Murray, William Ddaaki, Denis Mayambala, Neema Nakyanjo, Fred Nalugoda, Heidi E Hutton, Pamela J Surkan, Caitlin E Kennedy","doi":"10.1007/s11013-025-09912-9","DOIUrl":"https://doi.org/10.1007/s11013-025-09912-9","url":null,"abstract":"Health and illness experiences are positioned within social and cultural contexts. Understanding the mental health and psychological distress of people living with HIV in highly affected communities is critical to addressing their needs and to ensure programming and interventions are targeted and appropriate. Grounded in the ethnomedical theoretical perspective, we conducted qualitative interviews to understand the experience and expression of psychological distress by people living with HIV in Rakai, Uganda. Participants included adults living with HIV (n = 20), health workers (counselors, peer health workers, nurses, n = 10), and key informants (n = 12). Interviews were audio recorded, transcribed/translated, coded, and analyzed using thematic analysis. Two idioms of distress, okweraliikirira (worry/apprehension) and okwenyamira (deep/many thoughts/lots of thoughts), were described as impacting people living with HIV. Both idioms were said to be alleviated by social support or counseling, but if left unaddressed could lead to more severe mental health problems and poor ART adherence. People living with HIV understand their psychological distress through culturally specific idioms; such distress can have deleterious impacts on well-being. Incorporating idioms of distress into screening and treatment for people living with HIV may improve identification of individuals in need and overall health services to address this need.","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144006508","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

"I Do not have ADHD When I Drive My Truck" Exploring the Temporal Dynamics of ADHD as a Lived Experience. “当我开卡车的时候，我没有多动症”，探索多动症作为一种生活经历的时间动态。

IF 1.5 4区医学

Culture Medicine and Psychiatry Pub Date : 2025-04-29 DOI: 10.1007/s11013-025-09910-x

Gitte Vandborg Rasmussen, Per Hove Thomsen, Sanne Lemcke, Rikke Sand Andersen

{"title":"\"I Do not have ADHD When I Drive My Truck\" Exploring the Temporal Dynamics of ADHD as a Lived Experience.","authors":"Gitte Vandborg Rasmussen, Per Hove Thomsen, Sanne Lemcke, Rikke Sand Andersen","doi":"10.1007/s11013-025-09910-x","DOIUrl":"https://doi.org/10.1007/s11013-025-09910-x","url":null,"abstract":"With this article, we set out to introduce a dynamic and expansive notion of what it means to live with ADHD. Based on ethnographic fieldwork among families living with ADHD in Denmark and inspired by Thomas Fuchs' Eigenzeit [own-time], we forward the notion of \"own-time space\" as a means of examining the dynamic nature of ADHD. Own-time spaces connect the lived experience of ADHD and time to space. Own-time spaces are situations where the presence or absence of others, and cultural expectations related to timing or tempo enter complex, rhythmic interactions in ways that allow ADHD symptoms to fade into the background. We suggest that own-time spaces are characterized by space, rhythm, and imagistic thinking, and add to our existing knowledge of shielding as a therapeutic effort in ADHD treatment. With own-time space we emphasize that shielding is not just a matter of place or protection from stimuli, but also involves temporal, meaning-making, and relational dimensions. Own-time spaces are dynamic environments where individuals can navigate and negotiate their own rhythms and temporalities and foster a sense of agency and thriving.","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144034148","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

Stigma, Chronicity and Complexity of Living with Long Covid in Kenya. 肯尼亚长期感染病毒的耻辱感、长期性和复杂性

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. 亚历克斯·巴纳德的《监护：加州精神疾病强制和护理系统》：哥伦比亚大学出版社，2023年，416页。

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. 边缘的家庭：新英格兰农村的无家可归和照顾的经历伊丽莎白卡彭特-宋：麻省理工学院出版社，2023年192页。

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. “大学生活焦虑和抑郁”：智利大学生心理保健服务的诊断使用和情感谈判。

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. 神经人类学和身体形象：技术和文化转变对自我感知的影响。

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