Culture Medicine and Psychiatry最新文献

Changes to Refugee Mental Health During and After a Cross-Sector PTSD Intervention: A Qualitative Longitudinal Study About the Influence of Social Support, Life Events, and Agency. 跨部门创伤后应激障碍干预期间和之后难民心理健康的变化：关于社会支持、生活事件和代理影响的定性纵向研究

IF 1.5 4区医学

Culture Medicine and Psychiatry Pub Date : 2025-10-05 DOI: 10.1007/s11013-025-09944-1

Henriette Laugesen Attardo, Maja Bruhn, Morten Skovdal, Jessica Carlsson, Åsa Audulv

{"title":"Changes to Refugee Mental Health During and After a Cross-Sector PTSD Intervention: A Qualitative Longitudinal Study About the Influence of Social Support, Life Events, and Agency.","authors":"Henriette Laugesen Attardo, Maja Bruhn, Morten Skovdal, Jessica Carlsson, Åsa Audulv","doi":"10.1007/s11013-025-09944-1","DOIUrl":"https://doi.org/10.1007/s11013-025-09944-1","url":null,"abstract":"Cross-sector interventions are increasingly suggested in care for trauma-affected refugees, but knowledge about how they influence mental health over time remains sparse. Using a qualitative longitudinal design, we explored patterns of mental health change and aspects contributing to change among refugees participating in a cross-sector intervention addressing post-migration stressors alongside treatment for post-traumatic stress disorder. Interviews were conducted with participants at four time points during the intervention and the year after. A pattern-oriented analysis helped identify three patterns of mental health change, in which participants experienced either consistent improvements, decline without the support of the intervention, or persistently poor mental health despite changes to post-migration stressors. The patterns differed in how refugees (a) perceived benefiting from the intervention, (b) desired or benefited from social interactions and support, (c) encountered challenging life events, and (d) explained their expectations and agency. The intervention supported improved mental health in two patterns; however, lasting improvement beyond the intervention period was identified in only one pattern. We discuss adaptations and alternative interventions. Findings support a personalized and cross-sectoral approach to mental health treatment to better support the individual needs of refugee patients.","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145233912","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 Time to Die: Mexican Life Debates and the Paradox of Choice in Palliative Care. 死亡的时刻：墨西哥人的生命辩论和姑息治疗选择的悖论。

IF 1.5 4区医学

Culture Medicine and Psychiatry Pub Date : 2025-10-05 DOI: 10.1007/s11013-025-09937-0

Elyse Ona Singer, Norma Alicia Ordóñez Vázquez

{"title":"A Time to Die: Mexican Life Debates and the Paradox of Choice in Palliative Care.","authors":"Elyse Ona Singer, Norma Alicia Ordóñez Vázquez","doi":"10.1007/s11013-025-09937-0","DOIUrl":"https://doi.org/10.1007/s11013-025-09937-0","url":null,"abstract":"Enduring contests between church, state, and individual control over the body in Mexico have recently manifested in a contentious \"life debate\" over the definition and ethics of \"dignified death\" (Roberts in God's laboratory: assisted reproduction in the Andes. University of California Press, 2012). In 2008, Mexico City passed the Advance Directive Law, authorizing the right to refuse or withdraw life-sustaining treatment and affording palliative care services to the terminally ill through public hospitals. While these measures have ostensibly ameliorated end-of-life suffering, a growing movement of activists argues that the law falls short. They advocate for the legalization of assisted dying as central to \"dignified death\" despite resistance from the Catholic hierarchy and its political allies. Drawing on one year of research in Mexico's National Cancer Institute, we analyze the place of public palliative care clinicians in this fraught debate, parsing their model of care, which is predicated on surrendering to the body's preordained rhythms of life and death. We argue that this orientation gives rise to a paradox at the heart of public palliative care, which simultaneously expands end-of-life choices while making certain choices inconceivable. Our argument has implications for anthropological theories of human agency and choice, provoking complex questions about who is authorized to draw boundaries around life and death.","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145233857","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

Sociocultural Factors Underlying the Occurrence and Development of High-Risk Behaviors in Adolescent Girls with Substance Use Disorder: A Qualitative Study. 青少年女性物质使用障碍高危行为发生与发展的社会文化因素：一项定性研究

IF 1.5 4区医学

Culture Medicine and Psychiatry Pub Date : 2025-09-02 DOI: 10.1007/s11013-025-09942-3

Zakiye Ghelbash, Mousa Alavi, Mahnaz Noroozi, Masuood Mahdavian Far

{"title":"Sociocultural Factors Underlying the Occurrence and Development of High-Risk Behaviors in Adolescent Girls with Substance Use Disorder: A Qualitative Study.","authors":"Zakiye Ghelbash, Mousa Alavi, Mahnaz Noroozi, Masuood Mahdavian Far","doi":"10.1007/s11013-025-09942-3","DOIUrl":"https://doi.org/10.1007/s11013-025-09942-3","url":null,"abstract":"Substance use disorder, as a high-risk behavior in adolescence, can underlie other high-risk behaviors, such as suicide, sexual risk behaviors, and violence. The initial step in implementing an effective program is to identify the underlying factors and assess the relevant context. Therefore, the current research aimed to gain deep insight into the sociocultural factors that contribute to high-risk behaviors in adolescent girls with substance use disorders. The present study was conducted with a qualitative approach and with conventional content analysis methodology. The participants consisted of 26 teenage girls with substance use disorders, specialists, and officials relevant to vulnerable groups (i.e., policy makers and managers in a variety of health/social sectors), as well as families of teenage girls. Data were collected via semistructured qualitative interviews and then coded after rewriting via MAX QDA software. The identified factors were assigned to four main categories, namely, gender stereotypes, unsafe context, gaps in fulfilling social health needs, and immature policies. The main challenges in the formation of risky behaviors in vulnerable adolescent girls were related to disturbances in the living environment, especially problems in cultural and social contexts, which itself was perceived as a product of shortcomings in the implementation of policies and intersectoral collaboration gaps. Therefore, it is imperative to make serious management decisions in the macro area in the framework of codified policies along with effective monitoring and evaluation during executive processes by social welfare organizations and health ministries.","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144974395","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

'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 : 2025-09-01 Epub 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":"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":"873-891"},"PeriodicalIF":1.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12374859/pdf/","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":"OA","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 : 2025-09-01 Epub 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":"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":"836-856"},"PeriodicalIF":1.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12374863/pdf/","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":"OA","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 : 2025-09-01 Epub 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":"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":"818-835"},"PeriodicalIF":1.5,"publicationDate":"2025-09-01","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

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 : 2025-09-01 Epub Date: 2025-03-23 DOI: 10.1007/s11013-025-09907-6

Jônatas de Oliveira

引用次数: 0

When Resources Become Stressors: Dynamics of the Stress Process in the Flint Water Crisis. 当资源成为压力源：弗林特水危机中压力过程的动力学。

IF 1.5 4区医学

Culture Medicine and Psychiatry Pub Date : 2025-09-01 Epub Date: 2025-01-08 DOI: 10.1007/s11013-024-09887-z

Courtney Cuthbertson, Jennifer Lai

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. 从触觉到心理意象：对Enrico Castellani伪盲文表面触觉探索的晚期盲人的具身美学体验。

IF 1.5 4区医学

Culture Medicine and Psychiatry Pub Date : 2025-09-01 Epub 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":"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":"725-764"},"PeriodicalIF":1.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12374881/pdf/","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Yuri's Story: Memory, Relational Healing, and the Reflexive Logics of Art Therapy in Japanese Clinical Psychology. 尤里的故事：记忆，关系治疗，以及日本临床心理学中艺术治疗的反身逻辑。

IF 1.5 4区医学

Culture Medicine and Psychiatry Pub Date : 2025-09-01 Epub Date: 2025-06-02 DOI: 10.1007/s11013-025-09916-5

Christopher Chapman

引用次数: 0