Culture Medicine and Psychiatry最新文献_第10页

The Influence of Culture on the Cause, Diagnosis and Treatment of Serious Mental Illness (Ufufunyana): Perspectives of Traditional Health Practitioners in the Harry Gwala District, KwaZulu-Natal. 文化对严重精神疾病（Ufufunyana）的病因、诊断和治疗的影响：夸祖鲁-纳塔尔省 Harry Gwala 地区传统医疗从业者的观点。

IF 1.5 4区医学

Culture Medicine and Psychiatry Pub Date : 2024-09-01 Epub Date: 2024-06-23 DOI: 10.1007/s11013-024-09863-7

Ntombifuthi P Ngubane, Brenda Z De Gama

{"title":"The Influence of Culture on the Cause, Diagnosis and Treatment of Serious Mental Illness (Ufufunyana): Perspectives of Traditional Health Practitioners in the Harry Gwala District, KwaZulu-Natal.","authors":"Ntombifuthi P Ngubane, Brenda Z De Gama","doi":"10.1007/s11013-024-09863-7","DOIUrl":"10.1007/s11013-024-09863-7","url":null,"abstract":"Cultural beliefs influence the perceived cause, methods of diagnosis and treatment of mental illnesses. A qualitative study was conducted among traditional health practitioners (THPs) in the Harry Gwala District Municipality to further explore this influence. Purposive sampling assisted in the recruitment of 31 participants (9 males and 22 females). The four key themes this study investigated in relation to mental illness included its causes, methods of diagnosis, common symptoms observed and treatment approaches used by THPs, and the system of patient management. Culturally, mental illness was reported to be caused by witchcraft and an ancestral calling in this study. Mental illness was predominantly diagnosed by spiritual intervention which included divination through consultation with the ancestors, familial background, burning of incense which can also be part of communicating with the ancestors and through examining the patient. The common symptoms included aggression, hallucination and unresponsiveness. Prevalent modes of treatment included the use of a medicinal concoction and performing cultural rituals where ancestors and other spirits were assumed influential. The duration of the treatment process was dependent on guidance from the ancestors. Most causal aspects of mental illness from diagnosis to treatment seemed to be influenced by cultural beliefs and ancestors.","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":" ","pages":"634-654"},"PeriodicalIF":1.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11362295/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141440976","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

Structuralizing Culture: Multicultural Neoliberalism, Migration, and Mental Health in Santiago, Chile. 文化结构化：智利圣地亚哥的多元文化新自由主义、移民和心理健康》（Multicultural Neoliberalism, Migration, and Mental Health in Santiago, Chile）。

IF 1.5 4区医学

Culture Medicine and Psychiatry Pub Date : 2024-09-01 Epub Date: 2024-05-24 DOI: 10.1007/s11013-024-09858-4

Gabriel Abarca-Brown

{"title":"Structuralizing Culture: Multicultural Neoliberalism, Migration, and Mental Health in Santiago, Chile.","authors":"Gabriel Abarca-Brown","doi":"10.1007/s11013-024-09858-4","DOIUrl":"10.1007/s11013-024-09858-4","url":null,"abstract":"The arrival of Afro-descendant migrants, mainly from Haiti and the Dominican Republic, has led to the emergence of new discourses on migration, multiculturalism, and mental health in health services in Chile since 2010. In this article, I explore how mental health institutions, experts, and practitioners have taken a cultural turn in working with migrant communities in this new multicultural scenario. Based on a multisited ethnography conducted over 14 months in a neighbourhood of northern Santiago, I focus on the Migrant Program-a primary health care initiative implemented since 2013. I argue that health practitioners have tended to redefine cultural approaches in structural terms focusing mainly on class aspects such poverty, social stratification, and socioeconomic inequalities. I affirm that this structural-based approach finds its historical roots in a political and ideological context that provided the conditions for the development of community psychiatry experiences during the 1960s and 1970s, as well as in multicultural and gender policies promoted by the state since the 1990s. This case reveals how health institutions and practitioners have recently engaged in debates on migration and intersectionality from a structural approach in Chile.","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":" ","pages":"526-546"},"PeriodicalIF":1.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11362220/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141088907","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

Mothering and Mental Health Care: Moral Sense-Making Among Mexican-American Mothers of Adolescents in Treatment. 母亲与心理保健：接受治疗的青少年的墨西哥裔美国母亲的道德观念。

IF 1.5 4区医学

Culture Medicine and Psychiatry Pub Date : 2024-09-01 Epub Date: 2024-06-19 DOI: 10.1007/s11013-024-09864-6

Rebecca Seligman

引用次数: 0

Psych Unit Gangs: An Autoethnography. 精神科帮派：自述。

IF 1.5 4区医学

Culture Medicine and Psychiatry Pub Date : 2024-09-01 Epub Date: 2024-06-24 DOI: 10.1007/s11013-024-09866-4

Kathryn Burrows

{"title":"Psych Unit Gangs: An Autoethnography.","authors":"Kathryn Burrows","doi":"10.1007/s11013-024-09866-4","DOIUrl":"10.1007/s11013-024-09866-4","url":null,"abstract":"The stigma against people with mental illness is a well-worn subject; however, stigma between groups of people with different mental illnesses is rarely discussed. Within the context of a psychiatric hospital, hierarchies form among patients based on symptomatology and diagnosis. In this perspectives piece, I explore, how, in my experiences with being on the bottom of this hierarchy as a person with a schizophrenia-spectrum psychotic illness in a psychiatric hospital. I, and my fellow \"psychotics,\" were stigmatized and outcasted by other groups of individuals who were diagnosed with mental illnesses that are considered less serious than psychosis. I explore how one stigmatized, outcasted group (people with substance use and mood disorders) construct power relationships over an even more highly stigmatized, marginalized group (people with psychotic disorders). Utilizing Goffmanian and Tajfel theories, the perspective explores stigma within a total institution, and the formation of in-groups and out-groups. I explore how people, upon entering the psychiatric hospital unit, know almost immediately whether they belong to the dominant group or the subordinate group, and I conclude with recommendations to reduce the stigma of psychotic disorders within popular culture.","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":" ","pages":"663-675"},"PeriodicalIF":1.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141443529","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

Work, Self, and Society: A Socio-historical Study of Morita Therapy. 工作、自我与社会：森田疗法的社会历史研究》。

IF 1.5 4区医学

Culture Medicine and Psychiatry Pub Date : 2024-09-01 Epub Date: 2024-02-19 DOI: 10.1007/s11013-024-09845-9

Yu-Chuan Wu

{"title":"Work, Self, and Society: A Socio-historical Study of Morita Therapy.","authors":"Yu-Chuan Wu","doi":"10.1007/s11013-024-09845-9","DOIUrl":"10.1007/s11013-024-09845-9","url":null,"abstract":"Morita therapy is known as a psychotherapy grounded in the culture of Japan, particularly its Buddhist culture. Its popularity in Japan and other East Asian countries is cited as an example of the relevance and importance of culture and religion in psychotherapy. To complement such interpretations, this study adopts a socio-historical approach to examine the role and significance of work in Morita's theory and practice within the broader work environment and culture of the 1920s and 1930s in Japan. Morita conceptualized shinkeishitsu as a personality disease and a social illness caused by an alienating work environment. He proposed a remedy that emphasized the subjective emotional experience of work. To his primarily middle-class clients and readers, Morita's reconciliation between the self and society and that between autonomy and compliance was persuasive and useful, providing a philosophy whereby they could integrate into the work environment without loss of self-worth. The socio-historical character of Morita therapy is vital to understanding its power and appeal during Morita's time. Moreover, it sheds light on the complex interrelationships between work, mental health, and society.","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":" ","pages":"488-506"},"PeriodicalIF":1.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11362480/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139900713","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 Shaman and Schizophrenia, Revisited. 萨满和精神分裂症，重新审视。

IF 1.5 4区医学

Culture Medicine and Psychiatry Pub Date : 2024-09-01 Epub Date: 2023-11-30 DOI: 10.1007/s11013-023-09840-6

Tanya Marie Luhrmann, John Dulin, Vivian Dzokoto

{"title":"The Shaman and Schizophrenia, Revisited.","authors":"Tanya Marie Luhrmann, John Dulin, Vivian Dzokoto","doi":"10.1007/s11013-023-09840-6","DOIUrl":"10.1007/s11013-023-09840-6","url":null,"abstract":"This paper presents evidence that some-but not all-religious experts in a particular faith may have a schizophrenia-like psychotic process which is managed or mitigated by their religious practice, in that they are able to function effectively and are not identified by their community as ill. We conducted careful phenomenological interviews, in conjunction with a novel probe, with okomfo, priests of the traditional religion in Ghana who speak with their gods. They shared common understandings of how priests hear gods speak. Despite this, participants described quite varied personal experiences of the god's voice. Some reported voices which were auditory and more negative; some seemed to describe trance-like states, sometimes associated with trauma and violence; some seemed to be described sleep-related events; and some seemed to be interpreting ordinary inner speech. These differences in description were supported by the way participants responded to an auditory clip made to simulate the voice-hearing experiences of psychosis and which had been translated into the local language. We suggest that for some individuals, the apprenticeship trained practice of talking with the gods, in conjunction with a non-stigmatizing identity, may shape the content and emotional tone of voices associated with a psychotic process.","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":" ","pages":"442-469"},"PeriodicalIF":1.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11362382/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138463664","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

Beyond Competence: Efficiency in American Biomedicine. 超越能力：美国生物医学的效率。

IF 1.5 4区医学

Culture Medicine and Psychiatry Pub Date : 2024-09-01 Epub Date: 2022-09-30 DOI: 10.1007/s11013-022-09806-0

Julia Knopes, Ariel Cascio

{"title":"Beyond Competence: Efficiency in American Biomedicine.","authors":"Julia Knopes, Ariel Cascio","doi":"10.1007/s11013-022-09806-0","DOIUrl":"10.1007/s11013-022-09806-0","url":null,"abstract":"\"Competence\" is a longstanding value of American biomedicine. One underidentified corollary of competence is efficiency: at once a manifestation of competence, a challenge to competence, and a virtue in its own right. We will explore the social construction of efficiency in US undergraduate medical education through an analysis of its sociocultural and technological landscapes. We present qualitative data from two allopathic medical school field sites in the Midwestern United States, where medical students' careful selection of certain learning resources and overall perspectives on the curriculum underscore their focus on efficiency and pragmatic approaches to knowledge. In the discussion, we consider the ethical implications of physician efficiency, as well as future trajectories for the study of efficiency in the medical social sciences, bioethics, and medical education. We posit that efficiency is at the theoretical heart of US medical practice and education: a finding that has wide-reaching implications for how researchers conceptualize the enterprise of biomedicine across cultural contexts and interpret the lived experiences of physicians, medical students, and other clinicians.","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":" ","pages":"401-419"},"PeriodicalIF":1.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9523160/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10326386","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

No Ordinary Scribble: The Person Diagnosed with Schizophrenia Paints Their Soul. 不是普通的涂鸦：被诊断患有精神分裂症的人描绘自己的灵魂。

IF 1.5 4区医学

Culture Medicine and Psychiatry Pub Date : 2024-09-01 Epub Date: 2024-05-08 DOI: 10.1007/s11013-024-09857-5

Alex Ferentzy

引用次数: 0

'He Should Party a Little Less': Evolving Orthodox Religiosities in Psychotherapeutic Interventions Among Jewish Gay Men. “他应该少参加聚会”:犹太男同性恋者心理治疗干预中不断演变的正统宗教信仰。

IF 1.5 4区医学

Culture Medicine and Psychiatry Pub Date : 2024-09-01 Epub Date: 2023-11-27 DOI: 10.1007/s11013-023-09841-5

Einat Bar Dror, Yehuda C Goodman

引用次数: 0

The Clinical Evolutions of Surveillance and Violence During Three Contemporary US Crises: Opioid Overdose, COVID-19, and Racial Reckoning. 美国当代三次危机中监控与暴力的临床演变：阿片类药物过量、COVID-19 和种族反思。

IF 1.5 4区医学

Culture Medicine and Psychiatry Pub Date : 2024-09-01 Epub Date: 2024-01-16 DOI: 10.1007/s11013-023-09842-4

Kelly Ray Knight

{"title":"The Clinical Evolutions of Surveillance and Violence During Three Contemporary US Crises: Opioid Overdose, COVID-19, and Racial Reckoning.","authors":"Kelly Ray Knight","doi":"10.1007/s11013-023-09842-4","DOIUrl":"10.1007/s11013-023-09842-4","url":null,"abstract":"In 2020, three crises coalesced to transform the clinical care landscape of addiction medicine in the United States (US). The opioid overdose crisis (crisis #1), which had been contributing to excess US mortality for over two decades, worsened during the COVID-19 pandemic (crisis #2). The racial reckoning (crisis #3) spurred by the murder of George Floyd at the hands of police impacted clinical care, especially in safety net clinical settings where the majority of people targeted by police violence, and other forms of structural violence, receive healthcare to mend both physical and psychological wounds. Collectively, the three crises changed how providers and patients viewed their experiences of clinical surveillance and altered their relationships to the violence of US healthcare. Drawing from two different research studies conducted during the years preceding and during the COVID-19 pandemic (2017-2022) with low income, safety net patients at risk for opioid overdose and their care providers, I analyze the relationship between surveillance and violence in light of changes wrought by these three intersecting health and social crises. I suggest that shifting perceptions about surveillance and violence contributed to clinical care innovations that offer greater patient autonomy and transform critical components of addiction medicine care practice.","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":" ","pages":"470-487"},"PeriodicalIF":1.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11362391/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139472685","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