Culture Medicine and Psychiatry最新文献

{"title":"Sustaining Hope Within Entangled Accompaniments: Toward an Otherwise Clinical Ethnography and Critical Social Medicine.","authors":"Matthew Hing, Salmaan Keshavjee","doi":"10.1007/s11013-025-09897-5","DOIUrl":"https://doi.org/10.1007/s11013-025-09897-5","url":null,"abstract":"<p><p>The series of papers in this special issue, \"Ethnography of and in Clinical Formation: Poetics and Politics of Dual Subjectivity,\" touch on several themes that are at the core of social medicine: the web of social structures and power relations that organize the risk and prematurity of disease and death, who gets care when and where, and what that care looks like and does within situated social worlds. As Levenson and Samra (this issue) describe in their contribution, social medicine turns on extending the field of medical action \"beyond the clinical encounter\" in order to visibilize how such encounters are \"organized by wider regimes of governance and expertise, and broader geographies of care, abandonment and violence.\" Writing from the \"fractured habitus\" as reported by Schlesinger (Doing and seeing: Cultivating a \"fractured habitus\" through reflexive clinician ethnography, Somatosphere, 2021) of clinician-ethnographers, the authors here witness and interrogate the nascent possibilities for more liberatory and autonomous forms of care within these otherwise determining regimes. They also expose the limits of traditional clinical ethnographic positioning through authors' diverse participations within spaces of organized violence - indicating the need for a \"new conceit\" (Aboiil, this issue) of the clinical ethnographer/social medicine practitioner who is open to sitting in the trouble of a \"complicity consciousness\" (Sufrin, this issue) and the expanded fields of theorizing, action, and accompaniment that it makes possible.</p>","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143383661","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}

{"title":"Troublesome Bodies: How Bodies Come to Matter and Intrude in Eating Disorder Recovery.","authors":"Mari Holen, Agnes Ringer, Anne Mia Steno","doi":"10.1007/s11013-025-09896-6","DOIUrl":"https://doi.org/10.1007/s11013-025-09896-6","url":null,"abstract":"<p><p>Understanding how bodies come to matter in eating disorder recovery is complex, particularly given the unresolved question of whether eating disorders are fundamentally about the body. Drawing on Analu Verbin's adaptation of Judith Butler's theory of performativity and Sarah Ahmed's body phenomenology, this paper examines how participants in a narrative and systemic group therapy program at a mental health clinic for eating disorders perceive themselves as recovering or recovered. We explore how the body is presented and understood in their recovery narratives, developing the concept of the 'troublesome body' to highlight the ambiguities these narratives reveal. The body in the participants' narratives is continuously shaped by an external gaze that alternates between recognition and concern, often oscillating between praise and scrutiny. Participants are tasked with cultivating a liberated, sensual body and a more natural relationship with food, achieved through therapeutic strategies such as establishing a mechanical eating pattern and 'neutralizing' the body in group settings. Yet the body resists, asserting its presence through physical sensations-rumbling stomachs and 'blobby' forms-that challenge these efforts. Crucially, the narrative and systemic group therapy is viewed by participants as pivotal in their recovery not because it resolves all eating disorder-related issues, but because it offers a collective space for 'troublesome bodies.' This space allows for bodies to exist without conforming to societal dichotomies or norms that are often imposed in other treatment contexts, thus, offering an alternative model of recovery where bodily ambiguities can be embraced rather than resolved.</p>","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143383686","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}

{"title":"Non-clinical Psychosocial Mental Health Support Programmes for People with Diverse Language and Cultural Backgrounds: A Critical Rapid Review.","authors":"Nathalia Costa, Rebecca Olson, Karime Mescouto, Jenny Setchell, Stefanie Plage, Tinashe Dune, Jennifer Creese, Sameera Suleman, Rita Prasad-Ildes, Zheng Yen Ng","doi":"10.1007/s11013-024-09893-1","DOIUrl":"https://doi.org/10.1007/s11013-024-09893-1","url":null,"abstract":"<p><p>Low accessibility to mainstream psychosocial services disadvantages culturally and linguistically diverse (CALD) populations, resulting in delayed care and high rates of unsupported psychological distress. Non-clinical interventions may play an important role in improving accessibility to psychosocial support, but what characterises best practice in this space remains unclear. This critical rapid review addressed this gap by searching for, and critically analysing, existing research on non-clinical psychosocial support services, drawing from a critical realist framework and Brossard and Chandler's (Brossard and Chandler, Explaining mental illness: Sociological perspectives, Bristol University Press, 2022) taxonomy of positions on culture and mental health. We searched PubMed, PsycInfo, LILACS, Scopus and Sociological Abstracts to identify non-clinical psychosocial support interventions for first-generation immigrant CALD populations delivered by lay-health workers. Thirty-eight studies were included: 10 quantitative, 7 mixed-methods and 21 qualitative. Most studies were conducted in North America (n = 19) and Europe (n = 7), with few conducted in low-income countries (Tanzania and Lebanon, n = 3 each, Kenya [n = 1]). Studies often focussed on specific interventions (e.g. psychoeducation) for targeted populations (e.g. refugees, Latinx immigrants); multimodal interventions (e.g. psychological support and food distribution) for broad populations were less common. Thirty-five different outcome scales were identified across quantitative and mixed-methods studies, with most covering depression, stress and trauma. Most studies identified significant improvements for at least one psychosocial outcome despite interventions being relatively short in sessions. Findings from qualitative studies highlighted varied engagement with theory-informed models of service, and identified important barriers to non-clinical psychosocial support services, including precarious resourcing. Our analysis suggests most studies were underpinned by split-relativist frameworks and focussed on interventions aimed at helping clients navigate the eurocentricity and complexity of mainstream services. Recognising the eurocentrism of universalist frameworks, working from a culturally relativist position, prioritising social determinants of health and using models that centre clients, flexibility, context, culture and community are likely to ensure best practice for non-clinical psychosocial support interventions.</p>","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068839","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}

{"title":"Monster of the Night: Identifying Pakistani Gender-Based, Religious, and Cultural Influences on Sleep Paralysis Among University Students.","authors":"Fariya Fatima Khan, Muhammad Salman Ul Haq, Asia Ashfaq, Muhammad Saud, Abdullah Ibrahim","doi":"10.1007/s11013-024-09892-2","DOIUrl":"https://doi.org/10.1007/s11013-024-09892-2","url":null,"abstract":"<p><p>The present study has explored the folk knowledge about the phenomenon of sleep paralysis in Pakistani society. The research aimed to gain a nuanced glimpse focusing on three major factors, culture, religion, and gender, that influence the lived experiences of those who face sleep paralysis. In this qualitative research, to have a holistic perception of indigenous knowledge about it, we selected both male and female participants who have experienced sleep paralysis. The findings indicate that there is an influence of Pakistani culture and religion regarding the experiences of the people with sleep paralysis, and gender is linked with the folklore on creatures that were linked to fairy tales and Islamic teachings. The study also revealed that Pakistani ethnic diversity has created a pool of versatility for identifying different experiences regarding sleep paralysis. These experiences were not just a part of the medical situation but portrayed the multicultural facets that are embedded in the individuals throughout their lives. Lastly, the study suggests that there is a complexity within the interactions between culture, religion, and gender on sleep paralysis. This needs to be further investigated to create culturally appropriate therapies that may have a favorable effect on both physical and mental health outcomes.</p>","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143042196","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}

{"title":"Chinese in France amid the Covid-19 Pandemic: Daily Lives, Racial Struggles and Transnational Citizenship of Migrants and Descendants, edited by Simeng Wang: Brill, 2023, 365 pp. : Redefining Anti-Asian Racism among Chinese Diaspora in France during the COVID-19 Pandemic.","authors":"Sabrina Lin","doi":"10.1007/s11013-024-09890-4","DOIUrl":"https://doi.org/10.1007/s11013-024-09890-4","url":null,"abstract":"","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014014","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}

{"title":"When Resources Become Stressors: Dynamics of the Stress Process in the Flint Water Crisis.","authors":"Courtney Cuthbertson, Jennifer Lai","doi":"10.1007/s11013-024-09887-z","DOIUrl":"https://doi.org/10.1007/s11013-024-09887-z","url":null,"abstract":"<p><p>Disasters create and intensify stress for communities, with many factors contributing to how that stress results in mental health outcomes. Guided by the stress process model, this article presents findings from a qualitative investigation of the meaning of stress among community leaders in the context of the water crisis in Flint, Michigan. Semi-structured interviews were conducted with six community leaders in Flint and analyzed using grounded theory techniques. Secondary stressors such as necessary changes to everyday routines, being discredited by government officials, and perceptions of a lack of government action and accountability were perceived to impact the community's mental health, with potentially more influence than the impact of the primary stressor of contaminated water. Findings indicate that both stressors and coping resources evolve with profound intrapersonal impact, such that proposed social coping resources become stressors when they do not meet individual or community needs or expectations.</p>","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956755","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}

{"title":"Koro (Genital Retraction): Early Mention in 1849 by Carl Wilhelm Maurus Schmidtmüller and Early Psychiatric Verdict in 1883 by E.A. Aldridge.","authors":"Diederik F Janssen","doi":"10.1007/s11013-024-09895-z","DOIUrl":"https://doi.org/10.1007/s11013-024-09895-z","url":null,"abstract":"<p><p>This short historical note dates the earliest ethnomedical reference to koro back to the 1840s (about a half-century earlier than universally presumed), and the earliest ethnopsychiatric reference to 1883 (over a decade earlier than universally presumed).</p>","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956754","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}

{"title":"Negotiating Normalcy: Epistemic Errors in Self-Diagnosing Late-ADHD.","authors":"Alexandra Brandt Ryborg Jønsson","doi":"10.1007/s11013-024-09888-y","DOIUrl":"https://doi.org/10.1007/s11013-024-09888-y","url":null,"abstract":"<p><p>In this paper, I share insights from ongoing ethnographic fieldwork among adult Danes who identify as having Attention Deficit Hyperactivity Disorder (ADHD) but do not meet the clinical standards and have yet to receive a diagnosis. These individuals are particularly relevant to the ongoing debates about under- and overdiagnosis of ADHD, as their claims to the diagnosis influence and mirror societal perceptions of what is considered normal and what is seen as a condition. Despite their symptoms not strictly meeting diagnostic criteria, thus risking overdiagnosis and associated psychiatric labeling, they perceive themselves as distinct from 'normal' people. Through a critical anthropological lens, I argue that medicalizing variations in human personality represents a contemporary societal epistemic error, drawing on Gregory Bateson's work. I highlight the dynamics of diagnosis versus notions of normality in diagnosing and self-diagnosing ADHD. Understanding these dynamics is crucial for addressing concerns of overdiagnosis as well as underdiagnosis and misdiagnosis. By illuminating the complexities of diagnostic processes and their societal implications, I aim to contribute to a richer understanding of mental health discourse and practice.</p>","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142933059","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}

{"title":"Beauvoir, Ernaux, and Me: On Age, Disability, and Dying Well.","authors":"Thomas J Mann","doi":"10.1007/s11013-024-09891-3","DOIUrl":"https://doi.org/10.1007/s11013-024-09891-3","url":null,"abstract":"<p><p>Can the fraught relation between disability and aging ever become untangled? What is the place of the catastrophically disabled in a time when giving voice and being seen are significant lodestars of political activism? And what becomes of the caregivers, who often labor in silence, and who hope to work well enough just to get through another day? This essay draws on the memoirs of Simone de Beauvoir, Annie Ernaux, Amy Bloom, and my own experiences to show the complicated imbrications of age, disability, and caretaking. I attempt to demonstrate through these experiences that age and disability, which appear to be intimately woven together, are oftentimes misleadingly connected. I suggest that an ethic of vulnerability, rather, is a more useful heuristic that avoids collapsing the categories of age and disability together. Nevertheless, these reflections inevitably lead to a discussion of death and the choices, policies, and other care structures (un)available for persons who sometimes desire to make significant decisions about ending their life when confronted with the possibility of terminal and catastrophic mental and bodily decline. Finally, I suggest that these relationships and the decisions about (end of life) care must be understood to be ambiguous and require a deep reciprocity of care based upon love, sympathy, and respect.</p>","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2024-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142899340","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}

{"title":"The Cultural Consonance Space: Multiplicities and Enactments of Male Body Ideals in South Korea.","authors":"Lawrence T Monocello","doi":"10.1007/s11013-024-09885-1","DOIUrl":"https://doi.org/10.1007/s11013-024-09885-1","url":null,"abstract":"<p><p>Cultural consonance, defined as the extent to which one is able to approximate a given cultural model in one's own life, is a highly adaptive theory and method which anthropologists have used for decades to demonstrate direct connections between individuals' variation in relation to meaning systems and their health outcomes. However, it has been limited by use of a \"cultural consonance score\" which treats cultural consonance unidimensionally. Because people enact cultural models in multiple ways, cultural consonance may be better operationalized multidimensionally. Applying correspondence analysis to young South Korean men's responses to a cultural consonance scale measuring their approximation of the local ideal male body, cultural consonance is rather demonstrated to be a multiplicity. In the case of South Korean men's body ideals, two dimensions-men's overall attractiveness and whether they pursue a \"flower boy\" or a \"beastly man\" embodiment-are identified. These two dimensions are also significantly associated with university prestige and sexual identity, and predict disordered eating beyond body dissatisfaction. These data suggest that well-being in relation to cultural consonance is a product of its assemblage: both of degree of approximation of a cultural model and the manner by which individuals enact it.</p>","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2024-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142807977","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}