Culture Medicine and Psychiatry最新文献_第10页

'The High Five Club': Social Relations and Perspectives on HIV-Related Stigma During an HIV Outbreak in West Virginia. 击掌俱乐部"：西弗吉尼亚州 HIV 爆发期间与 HIV 相关的社会关系和污名化观点。

IF 1.5 4区医学

Culture Medicine and Psychiatry Pub Date : 2023-06-01 Epub Date: 2022-02-23 DOI: 10.1007/s11013-022-09769-2

Sarah G Mars, Kimberly A Koester, Jeff Ondocsin, Valerie Mars, Gerald Mars, Daniel Ciccarone

{"title":"'The High Five Club': Social Relations and Perspectives on HIV-Related Stigma During an HIV Outbreak in West Virginia.","authors":"Sarah G Mars, Kimberly A Koester, Jeff Ondocsin, Valerie Mars, Gerald Mars, Daniel Ciccarone","doi":"10.1007/s11013-022-09769-2","DOIUrl":"10.1007/s11013-022-09769-2","url":null,"abstract":"In the United States, HIV outbreaks are occurring in areas most affected by the opioid epidemic, including West Virginia (WV). Cultural Theory contends that multiple cultures co-exist within societies distinguished by their differing intensities of rules or norms of behavior ('grid') or degree of group allegiance/individual autonomy ('group'). Accordingly, we would expect that perceptions about HIV, including stigma, correspond with individuals' grid/group attributes. To explore this, we conducted qualitative interviews with people who inject drugs (PWID) recruited from a WV syringe service program. This paper focuses on our unexpected findings on stigma during a coinciding HIV outbreak. PWID living homeless identified as belonging to a 'street family'. Its members were mutually distrustful and constrained by poverty and drug dependence but despite their conflicts, reported openness between each other about HIV + status. Interviewees living with HIV perceived little enacted stigma from peers since the local outbreak. Contrasting stigmatizing attitudes were attributed to the town's mainstream society. The 'High Five' (Hi-V) Club, expressing defiance towards stigmatizing behavior outside the street family, epitomized the tensions between a desire for solidary and mutual support and a fatalistic tendency towards division and distrust. Fatalism may hinder cooperation, solidarity and HIV prevention but may explain perceived reductions in stigma.","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":"47 2","pages":"329-349"},"PeriodicalIF":1.5,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8865492/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9620160","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

The Evolving Culture Concept in Psychiatric Cultural Formulation: Implications for Anthropological Theory and Psychiatric Practice. 精神病学文化建构中的文化概念演变:对人类学理论和精神病学实践的启示。

IF 1.7 4区医学

Culture Medicine and Psychiatry Pub Date : 2023-06-01 DOI: 10.1007/s11013-023-09821-9

Neil Krishan Aggarwal

{"title":"The Evolving Culture Concept in Psychiatric Cultural Formulation: Implications for Anthropological Theory and Psychiatric Practice.","authors":"Neil Krishan Aggarwal","doi":"10.1007/s11013-023-09821-9","DOIUrl":"https://doi.org/10.1007/s11013-023-09821-9","url":null,"abstract":"For thirty years, psychiatrists and anthropologists have collaborated to improve the validity of psychiatric diagnosis. This collaboration has produced the DSM-IV Outline for Cultural Formulation (OCF) and the DSM-5 Cultural Formulation Interview (CFI). Nonetheless, some anthropologists have critiqued the concept of culture in DSM-5 as too focused on patient meanings and not on clinician practices. This article traces the evolution of the culture concept from DSM-IV through DSM-5-TR by analyzing publications from the American Psychiatric Association on the OCF and CFI alongside scholarship in psychiatry and anthropology. DSM-IV relied on a culture concept of coherent ethnic communities sharing coherent cultures, primarily for minoritized ethnoracial individuals in the United States. Changing demographics and newer immigration patterns around the world deminoritized the culture concept for DSM-5. After George Floyd's death and demands for social justice, the culture concept in DSM-5-TR emphasized social structures. The article proposes an intersubjective model of culture through which patients and clinicians work through similarities and differences. It recommends a revised formulation that attends to clinician practices such as communicating, diagnosing, recommending treatments, and documenting, beyond collecting patient meanings. It also raises the question of whether an intersubjective model of culture prompts reconsiderations of culture-related text in other sections of the DSM. The social sciences can redirect attention to the clinician's culture of biomedicine to close patient health disparities.","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":"47 2","pages":"555-575"},"PeriodicalIF":1.7,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10036982/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9442140","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: 1

The Cultural Hybridization of Mothering in French Prison Nurseries: A Qualitative Study. 法国监狱托儿所教养的文化杂交:一项定性研究。

IF 1.7 4区医学

Culture Medicine and Psychiatry Pub Date : 2023-06-01 DOI: 10.1007/s11013-022-09782-5

Anais Ogrizek, Rahmeth Radjack, Marie Rose Moro, Jonathan Lachal

{"title":"The Cultural Hybridization of Mothering in French Prison Nurseries: A Qualitative Study.","authors":"Anais Ogrizek, Rahmeth Radjack, Marie Rose Moro, Jonathan Lachal","doi":"10.1007/s11013-022-09782-5","DOIUrl":"https://doi.org/10.1007/s11013-022-09782-5","url":null,"abstract":"In France, women can be incarcerated during pregnancy and can keep their babies with them in prison up to the age of 18 months. The small number of nurseries in France and their unequal geographic distribution as well as the high percentage of foreign prisoners often result in women's isolation from their usual cultural environment. Family members and cultural community play a crucial role in the process of mothering. The aim of this study is to explore through these mothers' narratives how they experience the cultural aspects of this process in the prison environment. We conducted semi-structured interviews to collect the experience of 25 mothers and 5 pregnant women in 13 different prison nurseries in France and used interpretative phenomenological analysis to explore the data. Four different themes emerged: prison: repression of cultural practices, prison: a culture of its own, loss of traditional culture, and cultural hybridization. The specific environmental architecture and operating rules in prison nurseries may induce acute repression regarding cultural ways of mothering. Considering both cultural permeability specific to the peripartum period during which women tend to more easily embrace cultural aspects from their environment, and family distance which restrains cultural transmission, these mothers gather multiple factors of vulnerability for full prisonization, as a form of forced assimilation to prison culture. But a sort of specific hybrid prison culture around motherhood seems to emerge instead, in a process similar to creolization.","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":"47 2","pages":"422-442"},"PeriodicalIF":1.7,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9435533","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: 1

Spirit Mediumship and Mental Health: Therapeutic Self-transformation Among Dang-kis in Singapore. 灵媒与心理健康:新加坡唐基的自我转化治疗。

IF 1.7 4区医学

Culture Medicine and Psychiatry Pub Date : 2023-06-01 DOI: 10.1007/s11013-021-09765-y

Boon-Ooi Lee, Laurence J Kirmayer

{"title":"Spirit Mediumship and Mental Health: Therapeutic Self-transformation Among Dang-kis in Singapore.","authors":"Boon-Ooi Lee, Laurence J Kirmayer","doi":"10.1007/s11013-021-09765-y","DOIUrl":"https://doi.org/10.1007/s11013-021-09765-y","url":null,"abstract":"While some early studies suggested that spirit mediums were psychiatrically ill individuals who found a culturally sanctioned role, subsequent work has found that they are generally in good physical and mental health. While the calling to be a healer often involves an initiatory illness, practitioners go on to play demanding social roles, suggesting that involvement in mediumship may be therapeutic for the practitioner. This study focuses on dang-ki healing, a form of Chinese spirit mediumship practiced in Singapore to explore whether participation in dang-ki healing is therapeutic for the mediums. We interviewed eight dang-kis from five temples about their life trajectories and assessed their mental health status with standardized psychological questionnaires. Most of the dang-kis did not appear to suffer from clinically significant emotional distress. Their narratives suggest that involvement in dang-ki mediumship may have therapeutic effects in which the embodied experience of self plays a central role. The dang-kis experienced changes in social identity, bodily experiences during spirit possession, and their overall sense of self through recurrent possession rituals. In general, the practice of spirit mediumship illustrates how the experiences and meanings of the self are constructed and reconstructed through body-world relations in ways that may confer a sense of wellness and social efficacy.","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":"47 2","pages":"271-300"},"PeriodicalIF":1.7,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9439084","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: 2

Breathing Together: Children Co-constructing Asthma Self-Management in the United States. 共同呼吸：美国儿童共同构建哮喘自我管理。

IF 1.5 4区医学

Culture Medicine and Psychiatry Pub Date : 2023-06-01 Epub Date: 2022-02-07 DOI: 10.1007/s11013-022-09766-5

Julie Spray, Jean Hunleth

{"title":"Breathing Together: Children Co-constructing Asthma Self-Management in the United States.","authors":"Julie Spray, Jean Hunleth","doi":"10.1007/s11013-022-09766-5","DOIUrl":"10.1007/s11013-022-09766-5","url":null,"abstract":"Pediatric asthma management in the U.S. is primarily oriented around caregivers. As evident in policy, clinical literature and provider practices, this caregiver-centric approach assumes unidirectional transfer of practices and knowledge within particular relational configurations of physicians, caregivers, and children. Reflecting broader societal values and hierarchies, children are positioned as passive recipients of care, as apprentices for future citizenship, and as the responsibility of parents who will train them in the knowledge and labor of asthma management. These ideas, though sometimes contradictory, contribute to a systemic marginalization of children as participants in their health care, leaving a conceptual gap regarding children's inclusion in chronic illness management: what children's roles in their health care are or should be. We address this conceptual gap by asking, what does pediatric asthma management look like when we center children, rather than caregivers in our lens? We draw data from a study of asthma management in St. Louis, Missouri, and Gainesville, Florida, which included 41 caregivers, 24 children, and 12 health-care providers. By asking children to show us how they manage asthma, we find that children actively co-construct health practices within broader interdependencies of care and the structural constraints of childhoods.","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":"47 2","pages":"301-328"},"PeriodicalIF":1.5,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8821853/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9449407","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

"As Long as I Got a Breath in My Body": Risk and Resistance in Black Maternal Embodiment. “只要我还有一口气”:黑人母性体现中的风险与抵抗。

IF 1.7 4区医学

Culture Medicine and Psychiatry Pub Date : 2023-06-01 DOI: 10.1007/s11013-022-09780-7

Sarah E Rubin, Joselyn Hines

{"title":"\"As Long as I Got a Breath in My Body\": Risk and Resistance in Black Maternal Embodiment.","authors":"Sarah E Rubin, Joselyn Hines","doi":"10.1007/s11013-022-09780-7","DOIUrl":"https://doi.org/10.1007/s11013-022-09780-7","url":null,"abstract":"\"Mothering while black\" in Cleveland, Ohio is a radical act. This highly segregated, highly unequal urban environment is replete with the chronic stressors that degrade well-being and diminish survival for Black mothers and their infants; specifically, a maternal mortality rate two and a half times that of their white counterparts and an infant mortality rate nearly three times that of infants born to white mothers. In the midst of such tragedy and disadvantage, Black mothers strive to love and care for their children in ways that mitigate the toxicity of structural racism. The seventeen pregnant and postpartum Black women in this ethnographic study describe transformational experiences with what we label \"betterment:\" whereby they center their children's perspective and needs, reconsider their social networks, and focus on the future with an unflinching understanding of the constraints of structural racism. Locating betterment alongside other examples of maternal embodiment and through the rich theoretical lens of Black feminist scholars these participant narratives suggest that the toxic effects of racism and the means to resist them are embodied by Black mothers. A nuanced understanding of Black motherhood disrupts public discourses of blame and responsibility that obscure our collective duty to dismantle structural racism.","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":"47 2","pages":"495-518"},"PeriodicalIF":1.7,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9439112","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: 1

Food and Trauma: Anthropologies of Memory and Postmemory. 食物与创伤:记忆与后记忆人类学。

IF 1.7 4区医学

Culture Medicine and Psychiatry Pub Date : 2023-06-01 DOI: 10.1007/s11013-022-09785-2

Mattias Strand

{"title":"Food and Trauma: Anthropologies of Memory and Postmemory.","authors":"Mattias Strand","doi":"10.1007/s11013-022-09785-2","DOIUrl":"https://doi.org/10.1007/s11013-022-09785-2","url":null,"abstract":"Much has been written about the multifaceted significance of food and eating from an anthropological perspective; the same can be said about the role of food in collective identity construction and nation building. In contrast, the nexus of food, memory, psychological trauma, and disordered eating has been less explored. The aim of this interdisciplinary article is to synthesize available knowledge on this topic by engaging with research literature in fields such as food history, anthropology, sociology, and psychiatry as well as autobiographical works, cookbooks, etc. One main section of the article focuses on the role of food and cooking in exile and refuge. Another section deals with the role of food in the aftermath of historical trauma, whereas a final section discusses various works on disordered eating in the wake of traumatic experiences. In sum, the dual nature of food and cooking-at once concrete and abstract, material and symbolic-offers an arena in which ambivalent memories of trauma can take on tangible form. The concept of postmemory may be useful in understanding how food and cooking can function both as a vehicle and as a remedy for intergenerational trauma.","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":"47 2","pages":"466-494"},"PeriodicalIF":1.7,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10167143/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9440689","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: 2

"For Me, 'Normality' is Not Normal": Rethinking Medical and Cultural Ideals of Midlife ADHD Diagnosis. “对我来说，‘正常’是不正常的”:重新思考中年ADHD诊断的医学和文化理想。

IF 1.7 4区医学

Culture Medicine and Psychiatry Pub Date : 2023-05-06 DOI: 10.1007/s11013-023-09825-5

Lior Tal, Yehuda C Goodman

引用次数: 0

Corpses in Clinical Space and the Preposterous Temporality of Pandemic Care. 临床空间中的尸体与流行病护理的前期。

IF 1.5 4区医学

Culture Medicine and Psychiatry Pub Date : 2023-04-08 DOI: 10.1007/s11013-023-09817-5

Sheyda M Aboii

{"title":"Corpses in Clinical Space and the Preposterous Temporality of Pandemic Care.","authors":"Sheyda M Aboii","doi":"10.1007/s11013-023-09817-5","DOIUrl":"10.1007/s11013-023-09817-5","url":null,"abstract":"Articulations of the chasm between ideal and attainable forms of care surfacing throughout the coronavirus (COVID-19) pandemic have highlighted the proliferation of unceremonious deaths associated with inequitable conditions. This paper reconsiders the preposterous temporality of pandemic care by following corpses in and out of clinical space. Written from the perspective of a MD/PhD student's encounter with a corpse replacing the patient on the medicine ward prior to pandemic onset, this paper asks how corpses might interrupt narratives of clinical care. Sifting through Eugène Ionesco's 1954 play \"Amédée,\" Édouard Glissant's rejection of the tragic heroine, Achille Mbembe's positing of viscerality as autopsy, and David Marriott's theorization of blackness as corpsing among other engagements, I conceptualize how corpses might refigure clinical spaces as preposterous realms wherein distinctions between a before and after falter. Considering the continuities between an apparent before and after, I argue that the contemporary concerns punctuating the pandemic as a unique period in time might not be as contemporary as they first appear. Taking cues from literary analysis and fictional works, I engage the corpse as a figure that prompts a rethinking of what might constitute ideal as well as failed care. I argue that corpses in clinical space signal a critique of the ideal narrative arc, one that centers the medical provider as heroine/hero in the midst of tragedy. Turning to the corpse as an interruptive figure, I ask what this dominant narrative might ultimately demand of its cast of characters-protégé, provider, and patient.","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2023-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10082340/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9721142","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

What About Us? Experiences of Relatives Regarding Physician-Assisted Death for Patients Suffering from Mental Illness: A Qualitative Study. 我们怎么办?精神疾病患者家属对医师协助死亡的经验:一项质性研究。

IF 1.7 4区医学

Culture Medicine and Psychiatry Pub Date : 2023-03-01 DOI: 10.1007/s11013-021-09762-1

Rosalie Pronk, D L Willems, S van de Vathorst

{"title":"What About Us? Experiences of Relatives Regarding Physician-Assisted Death for Patients Suffering from Mental Illness: A Qualitative Study.","authors":"Rosalie Pronk, D L Willems, S van de Vathorst","doi":"10.1007/s11013-021-09762-1","DOIUrl":"https://doi.org/10.1007/s11013-021-09762-1","url":null,"abstract":"Physician-assisted death (PAD) for patients suffering from mental illness is legally permitted in the Netherlands. Although patients' relatives are not entrusted with a legal role, former research revealed that physicians take into account the patient's social context and their well-being, in deciding whether or not to grant the request. However, these studies focussed on relatives' experiences in the context of PAD concerning patients with somatic illness. To date, nothing is known on their experiences in the context of PAD concerning the mentally ill. We studied the experiences of relatives with regard to a PAD request by patients suffering from mental illness. The data for this study were collected through 12 interviews with relatives of patients who have or had a PAD request because of a mental illness. We show that relatives are ambivalent regarding the patient's request for PAD and the following trajectory. Their ambivalence is characterised by their understanding of the wish to die and at the same time hoping that the patient would make another choice. Respondents' experiences regarding the process of the PAD request varied, from positive ('intimate') to negative ('extremely hard'). Some indicated that they wished to be more involved as they believe the road towards PAD should be a joint trajectory. To leave them out during such an important event is not only painful, but also harmful to the relative as it could potentially complicate their grieving process. Professional support during or after the PAD process was wanted by some, but not by all.","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":"47 1","pages":"237-251"},"PeriodicalIF":1.7,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8674522/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9290798","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: 5