Culture Medicine and Psychiatry最新文献

{"title":"Liberation Medicine in Authoritarian Contexts: The Brutality of U.S. Mass Incarceration.","authors":"Philippe Bourgois","doi":"10.1007/s11013-026-10004-5","DOIUrl":"10.1007/s11013-026-10004-5","url":null,"abstract":"<p><p>This article engages Führer and Vorhölter's (2025) reinvigoration of Nancy Scheper-Hughes's utopian call for liberation medicine in their special issue of Culture, Medicine, and Psychiatry. They offer a practical reconceptualization of liberation medicine as \"concrete utopias\" in the \"medical undercommons\". Inspired by Scheper-Hughes's humble call for \"good-enough\" ethnographic engagement in her documentation of a successful solidarity movement of single-mother agricultural laborers in Northeastern Brazil, I highlight ethnographically a (fragile) concrete utopian initiative: a peer-support program for inmates with psychosis spectrum conditions who are swept into the Los Angeles County Jail system's overcrowded mental health units on a daily basis by routinized law enforcement sweeps of homeless individuals. Developed by former gang members (without mental illness) facing capital punishment charges, this remarkable initiative of solidarity, redemption, and anti-racism through radical caregiving in a claustrophobic carceral environment is carving out a temporarily safe space free from abuse and violence. The larger facility remains gang-controlled and is overwhelmed by what colleagues and I have been calling \"predatory accumulation\" and \"necrogovernance\" processes (Hart et al., 2024, 2025). The inmates are powerless, caught within the \"carceral mesh\" of U.S. political-economic corporate and opportunistic special interests. Furthermore, the discretionary power of \"hyperpunitive\" U.S. judges allows them to routinely impose Life Without Parole (LWOP) sentences on redeemed inmates incarcerated as adolescents. Inspired by Scheper-Hughes's practical political optimism coupled with her love for ethnography and political activism, I end with eight practical suggestions for specific state bureaucratic reforms to foment public transparency about the useless cruelty of mass incarceration and the global rise of authoritarianisms in our perilous moment in global history.</p>","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":"50 4","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13615990/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149065215","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}

{"title":"Witnessing the Theatre of Self-Harm Among South Asian Women: Expression, Performance, and Hot Tea.","authors":"Anamika Shrimali","doi":"10.1007/s11013-026-10013-4","DOIUrl":"https://doi.org/10.1007/s11013-026-10013-4","url":null,"abstract":"<p><p>This Cultural Case Study examines how self-harm becomes meaningful within particular South Asian moral worlds, drawing on intergenerational family oral histories and autoethnographic reflection spanning Kashmir, Andhra Pradesh, Tehran, and the United States diaspora. Read alongside South Asian ethnographic and clinical scholarship, these narratives show that bodily self-injury can function as a form of situated agency and relational communication when verbal self-assertion is constrained. Building on prior work that interprets suicide and self-harm as gendered forms of communication in South Asia, I focus on the social variability of response: when self-harm compels witnessing and moral recognition, and when it instead meets habituation, ridicule, exhaustion, or strategic inattention. I argue that treating self-harm solely as psychopathology risks misreading its moral and interpersonal stakes and can undermine clinical assessment. A culturally attuned approach requires mapping the moral audiences, relational constraints, and idioms of personhood that structure how suffering becomes legible.</p>","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":"50 4","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148888338","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":"Psychosocial Challenges Faced by Women After Perinatal Loss in Pakistan and the Need for Supportive Interpregnancy Care.","authors":"Armaan A Rowther, Rakhshanda Liaqat, Hadia Maryam, Faareha Siddiqui, Abid Malik, Najia Atif, Pamela J Surkan","doi":"10.1007/s11013-026-10019-y","DOIUrl":"10.1007/s11013-026-10019-y","url":null,"abstract":"<p><p>Miscarriage and stillbirth can have lasting adverse effects on the mother and on her subsequent pregnancies. We retrospectively explored the postpartum experiences of women in Pakistan who experienced a prior miscarriage or stillbirth, subsequently conceived, and had symptoms of anxiety in their current pregnancy. We conducted in-depth interviews with 18 pregnant married women ≥18 years old in early to mid-pregnancy ( ≤22 weeks) in Rawalpindi, Pakistan, from September 2021 to June 2022, who scored at least mild ( ≥8) on the anxiety subscale of the Hospital Anxiety and Depression scale, without meeting criteria for Major Depressive Episode on a structured clinical interview, and had at least one prior pregnancy loss. We analyzed interview transcripts using an inductive thematic framework. Self-recrimination for pregnancy loss was common, often enmeshed in stories attributing the pregnancy loss to inappropriate diet or lack of precautions against travel, heavy chores, or other physically demanding tasks. Spirituality appeared in women's accounts of miscarriage and stillbirth in two ways: as consolatory beliefs about qadar (fate) or as suspicions of nazar (evil eye) resulting from another's envy. Following pregnancy loss, women described specific responses by family and providers as contributing to their distress (e.g. withholding information about the deceased fetus). Reactions by family and others to the loss were often stigmatizing in that they were perceived by women as reinforcing notions of personal blame for their pregnancy loss. Our findings point to natural targets for preventive psychosocial interventions and the need for postpartum and supportive interpregnancy care after perinatal loss.</p>","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":"50 4","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148888190","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":"Liberation Medicine: Why We Need It Desperately (Even Though or Partially Because We Don't Know Precisely What It Is).","authors":"Seth M Holmes","doi":"10.1007/s11013-026-09997-w","DOIUrl":"https://doi.org/10.1007/s11013-026-09997-w","url":null,"abstract":"","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":"50 4","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148888131","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":"…And Breathe! Wellness, the Nation, and Holistic Reproductive Practitioners in India.","authors":"Adhvik Shetty","doi":"10.1007/s11013-026-10021-4","DOIUrl":"10.1007/s11013-026-10021-4","url":null,"abstract":"<p><p>Garbh Sanskar (GS) is an Indian holistic reproductive programme that claims roots in ancient Ayurvedic and yogic traditions while drawing upon contemporary wellness practices and international health policy. GS centres offer breathwork, guided meditation, and counselling to expectant and hopeful couples. This article draws upon interviews with GS practitioners across nine Indian cities to examine how these practitioners use wellness discourses to articulate strategies of individual and national improvement. I argue that GS practitioners seek to interweave soteriological and wellness logics to produce enriched reproductive subjects for a therapeutic vision of nation-building. This project uses wellness to assuage the anxieties of modernity, suggest civilisational exceptionalism, and articulate aspirations for the nation. Together, GS illustrates the emergence of a bio-spiritual therapeutic politics where wellness is part of reproductive governance.</p>","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":"50 4","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13541945/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148888989","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}

{"title":"Flexible Interview for ICD-11 (FLII-11): Cultural Adaptation and Translation for India.","authors":"T S Jaisoorya, Girish N Rao, Geoffrey M Reed, Lakshmi Jogi, Karen T Maré, Ajit B Dahale, Chethan Raj, Hareesh Angothu, Guru S Gowda, John Vijay Sagar Kommu, Harsh Khandelwal, Avani Sharma, G M Susanna, Varsha Shamanna, Aemal Akhtar, Dan J Stein, Mathew Varghese, Pratima Murthy, Y C Janardhan Reddy, Venkatasubramanian Ganesan, Vivek Benegal","doi":"10.1007/s11013-026-09995-y","DOIUrl":"https://doi.org/10.1007/s11013-026-09995-y","url":null,"abstract":"<p><p>The Flexible Interview for ICD-11 (FLII-11) is a new structured diagnostic interview developed by the World Health Organization (WHO) for diagnosing mental disorders based on the ICD-11's clinical descriptions and diagnostic requirements. The instrument is to be used for India's National Mental Health Survey-2 as the primary assessment instrument for mental health morbidity. This paper outlines the systematic process of culturally adapting the FLII-11 for India. Given India's immense cultural and linguistic diversity, this was deemed a crucial step to ensure a valid and reliable data collection process. Key steps included: preliminary evaluation by experts for language and cultural congruence; ascertaining the adaptation's effectiveness in clinical settings; interim analysis, followed by modifications and retesting; and incorporating feedback from both Indian and international collaborators. It also describes the protocol for translating the instrument into 22 recognized Indian languages, ensuring that it can be administered in each state's language. This project was an international collaboration involving teams from India, South Africa, the UK and the USA. Almost all of the changes made from this study were also incorporated into the current version of the FLII-11, which is being tested in other countries, representing the study's global contribution of the study.</p>","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":"50 4","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148889014","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":"From Moral Ambiguity to Moral Injury in Nursing Academia: An Autoethnographic Account of Moral Distress and Institutional Life.","authors":"Patricia Camillo","doi":"10.1007/s11013-026-10022-3","DOIUrl":"https://doi.org/10.1007/s11013-026-10022-3","url":null,"abstract":"<p><p>Moral distress has been documented in clinical nursing, but far less attention has been given to morally troubling experiences within academic healthcare settings. This study examines how conflicts between professional values and organizational culture may give rise to moral ambiguity, evolve into moral distress, and contribute to moral injury over time. Guided by a critical, transformative theoretical framework, this longitudinal autoethnography explores these experiences across a 45-year nursing career in academic settings. Data were generated through sustained self-observation and reflexive writing between 2013 and 2023, using thematic analysis, along with external documents for triangulation. The analysis identified three academic scenarios in which concerns related to student safety, tenure standards, and racism created ethically troubling situations. Across these scenarios, moral ambiguity emerged at the intersection of personal values, professional obligations, and institutional expectations. Moral distress developed when actions taken in response to these situations were unsupported, ineffective, institutionally silenced, or professionally costly. Moral injury became visible retrospectively through the enduring emotional, embodied, professional, and financial consequences of these unresolved moral events. Subthemes included faculty incivility and racism. Recognizing this progression changed how these experiences could be understood. What had long been interpreted as personal failure, poor coping, or professional inadequacy could instead be seen as part of a larger moral struggle shaped by organizational culture. This study suggests that moral ambiguity may be an early and often unnamed part of that struggle and that when it remains unresolved or unsupported, it can move into moral distress and, in some circumstances, moral injury. Bringing these experiences into view may help academic nursing better recognize and respond to the moral consequences of institutional life.</p>","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":"50 4","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148889031","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":"A Fire and Altadena: Biographical Diffraction and Climate Disaster Loss.","authors":"Elizabeth McKibben","doi":"10.1007/s11013-026-10020-5","DOIUrl":"10.1007/s11013-026-10020-5","url":null,"abstract":"<p><p>This paper develops a conceptualization of biographical diffraction via a creative autoethnography of climate disaster grief. In January 2025, the Eaton Fire devastated Altadena, California killing 19 people and destroying over 9,000 structures. Among them was my family home. Having lived abroad in Aotearoa New Zealand for 5 years, I return to Altadena after the fire, navigating loss from sites of distance and proximity. Drawing upon Barad's concept of diffraction and the void, I grapple with the asymmetries of grief, privilege, belonging, and self that emerge with the loss of \"home.\" To do so, I craft a narrative with audio recordings of my footsteps walking around the debris of the Eaton Fire burn scar. By weaving together sensory vignettes, evocative writing, images, and reflections I consider how climate disaster grief is an embodied and emplaced phenomenon both historically entangled and unequally distributed. I then draw upon cross-cultural learnings to explore how Indigenous knowledge can, and cannot, inform healing of place and self from positions of settler-colonialism. Biographical diffraction is thus presented as a tool for attending to the layered emotional, material, and political dimensions of climate disaster, particularly when \"home\" becomes an unrecognizable site of trauma, memory, and transformation.</p>","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":"50 4","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13541936/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148889069","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}

{"title":"Healing Minds Through Education: Cultural Pathways to Medical and Health Humanities in Post-conflict Iraq.","authors":"Bushra Juhi Jani, Luma K Mohammed, Nawal Juhi Jani","doi":"10.1007/s11013-026-10016-1","DOIUrl":"https://doi.org/10.1007/s11013-026-10016-1","url":null,"abstract":"<p><p>Iraq has endured decades of political instability, war, and social fragmentation that have profoundly affected the nation's psychological and cultural landscape. The erosion of health infrastructures and the normalization of trauma have produced a population in need not only of medical intervention but also of moral and social repair. While biomedical psychiatry remains indispensable for diagnosis and treatment, it does not by itself fully address the relational, cultural, and ethical dimensions of suffering shaped by prolonged violence. This paper examines how Iraqi medical educators and clinicians perceive the introduction of \"Medical and Health Humanities\" (MHH) within Iraqi medical education as a culturally grounded complement to scientific training and a possible contribution to professional development and psychosocial repair. Drawing upon a three-round Delphi consensus study (2024-2025) involving twenty-two Iraqi medical educators, clinicians, and humanities scholars, the analysis is informed by a pilot pedagogical implementation of an \"English through Medical and Health Humanities\" course delivered to first-year medical students at the College of Medicine, Al-Nahrain University (2023-2024), providing an initial applied model of culturally grounded MHH in practice, with illustrative student feedback drawn on as perceptions rather than as outcome measures. Together, these strands investigate perceptions, barriers, and strategies for implementing MHH as part of national post-conflict recovery. Findings reveal an 85% consensus among participants that MHH should be embedded across medical curricula, emphasizing narrative medicine, reflective writing, and ethical reasoning as central to rebuilding empathy and restoring moral balance in healthcare. The study argues that such integration supplements scientific rigor rather than replacing it, cultivating narrative competence, cultural sensitivity, and moral resilience. By situating education as a site of healing, participants positioned MHH as a potential pedagogical and psychosocial intervention rather than a proven one. The Iraqi case suggests the potential cultural and geographic adaptability of Medical and Health Humanities approaches, which future intervention studies would need to test directly. When adapted to local ethical and literary traditions, MHH functions not as a Western import but as an applied form of cultural pedagogy capable of filling relational and interpretive gaps within technically oriented medical training. In this sense, the participating Iraqi experts contribute a locally grounded perspective for integrating humanities and biomedicine in contexts of recovery and reconstruction.</p>","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":"50 4","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148889026","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":"From 'Sensory' to 'Anxiety': Embodied States, Relational Care, and Ethical Transformation in Parental Care for U.S. Neurodivergent Childhood.","authors":"Elsa Davidson","doi":"10.1007/s11013-026-10018-z","DOIUrl":"10.1007/s11013-026-10018-z","url":null,"abstract":"<p><p>This paper draws on an ethnography of care for social-emotional differences in middle-class North American childhood to explore the relation between care practices employed by parents of neurodivergent, or neuroatypical, children, and emergent ethics of care. Focusing on a single case of asymmetrical care, that between a mother and a neurodivergent child, I draw on video-recorded interviews as well other ethnographic material to highlight how practices of care emphasizing forms of bodily and emotional connection, and labors of attunement to embodied states and forms of expression, enable shifts in the caretaker's perception of, and affective orientation toward, embodied states. In doing so, I show how moments of partially shared feeling across bodies (interembodiment) and intercorporeal connections can engender the parent-caretaker's perception of enhanced intersubjective understanding, and authentic insight into the child's embodied experience, particularly with regard to anxious and excited states. As such, I describe the caretaker's perceptual shift from an individualizing evaluation of her child's \"sensory issues\" to a relational understanding of \"anxiety\" as a collaboratively engendered embodied emotional state that can be altered, felt, shared, and alleviated through non-verbal tactile communication. In turn, I argue that it can be seen as a \"gift\" of ethical self-transformation that has implications for the care of neurodivergent childhood. In doing so, I suggest that such insight engenders care for a neurodivergent \"other\" that may come closer to preserving the other's singularity. Moreover, I argue that such insight rejects a stereotyped understanding of embodied neurodivergent selfhood as bounded, brain-based, and impermeable.</p>","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":"50 4","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13541780/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148889047","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}