Culture Medicine and Psychiatry最新文献_第2页

Working in Pairs: The Dialogic Distribution of Clinical Responsibility. 结对工作：临床责任的对话分配。

IF 1.9 4区医学

Culture Medicine and Psychiatry Pub Date : 2026-09-03 DOI: 10.1007/s11013-026-10017-0

Lauren Cubellis

引用次数: 0

Culture, Psychiatry and Epigenetics. 文化，精神病学和表观遗传学。

IF 1.9 4区医学

Culture Medicine and Psychiatry Pub Date : 2026-09-03 DOI: 10.1007/s11013-026-10015-2

Wolfgang Mastnak

引用次数: 0

"I Really Feel Heard by AI": A Cultural Case Study of AI-Mediated Listening Across China and the UK. “我真的感觉被人工智能听到了”：中英两国人工智能介导的倾听文化案例研究

IF 1.9 4区医学

Culture Medicine and Psychiatry Pub Date : 2026-09-02 DOI: 10.1007/s11013-026-10010-7

Xin Zhan

{"title":"\"I Really Feel Heard by AI\": A Cultural Case Study of AI-Mediated Listening Across China and the UK.","authors":"Xin Zhan","doi":"10.1007/s11013-026-10010-7","DOIUrl":"10.1007/s11013-026-10010-7","url":null,"abstract":"The increasing use of generative AI for emotional support has prompted growing debate about the future of mental health care. This article suggests that such reliance is better understood not simply as a technological shift, but as symptomatic of a wider crisis in the politics of listening. This cultural case study examines the experiences of Lily, a 24-year-old Chinese migrant woman navigating emotional distress across uneven care infrastructures in China and the UK. Drawing on person-centred ethnography, it shows how AI chatbots come to function as provisional sites of care under conditions of precarity, gendered obligation, and moralised endurance. The analysis conceptualises these chatbot interactions as a care-patch: a temporary form of digital holding that emerges where human listening is scarce, delayed, or experienced as burdensome. Rather than treating AI use as a matter of technological adoption, the case situates AI-mediated listening within culturally specific moral relations of obligation and responsibility. In doing so, it reframes therapeutic automation as an index of the erosion of listening as a shared social good and redirects attention to the political and ethical challenge of rebuilding infrastructures of human listening capable of absorbing distress without extracting it, outsourcing it, or returning it as blame.","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":"50 4","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13538232/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148882034","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

Palliative Obstinacy: When Care Becomes a Constraint at the End of Life. 姑息性固执：当临终关怀成为一种束缚。

IF 1.9 4区医学

Culture Medicine and Psychiatry Pub Date : 2026-09-01 DOI: 10.1007/s11013-026-10014-3

Gustavo Ortiz-Millán

{"title":"Palliative Obstinacy: When Care Becomes a Constraint at the End of Life.","authors":"Gustavo Ortiz-Millán","doi":"10.1007/s11013-026-10014-3","DOIUrl":"10.1007/s11013-026-10014-3","url":null,"abstract":"This paper develops the concept of \"palliative obstinacy\" to describe situations in which palliative care, rather than alleviating suffering in accordance with the patient's wishes and values, becomes a new form of clinical paternalism at the end of life. Drawing on a case narrated by Elyse Ona Singer and Norma Alicia Ordóñez-Vázquez of a patient with cancer requesting physician-assisted death, the paper argues that some models of palliative care unjustifiably pathologize the desire to die by treating it exclusively as a symptom of untreated suffering, depression, or inadequate care. Building on the analysis by Singer and Ordóñez-Vázquez, the paper examines the paradox whereby palliative care expands certain end-of-life choices while simultaneously rendering others-especially physician-assisted death-morally or conceptually unthinkable. It argues that denying the rationality of some requests for hastened death risks undermining patient autonomy and imposing a singular moral framework concerning suffering and dying. The paper concludes that palliative care and physician-assisted death should be understood as complementary rather than mutually exclusive options within end-of-life care.","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":"50 4","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148875777","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

Moralised Eating and Identity Work in Digital Wellness Culture: A Critical Discourse Analysis of Orthorexia-Related Narratives. 数字健康文化中的道德饮食和身份工作：对正畸症相关叙事的批判性话语分析。

IF 1.9 4区医学

Culture Medicine and Psychiatry Pub Date : 2026-07-27 DOI: 10.1007/s11013-026-10011-6

Omer Horovitz

{"title":"Moralised Eating and Identity Work in Digital Wellness Culture: A Critical Discourse Analysis of Orthorexia-Related Narratives.","authors":"Omer Horovitz","doi":"10.1007/s11013-026-10011-6","DOIUrl":"10.1007/s11013-026-10011-6","url":null,"abstract":"Orthorexia nervosa (ON) is increasingly understood as a morally saturated health orientation in which dietary restraint is organised through ideals of purity, discipline, and self-worth. Building on social theory that treats health as a cultural project and a site of identity governance, this study theorises ON as moral identity work enacted and contested in digital environments. Using a large-scale qualitative design integrating thematic corpus mapping and Critical Discourse Analysis (CDA), 1,100 texts from Reddit, YouTube, and blogs (2020-2025) were analysed; an intensified CDA subset (n=80) traced how key meanings were rhetorically accomplished. Across platforms, moralised purity/contamination vocabularies and identity-relevant self-positioning were common but genre-sensitive. In the CDA subset, a recurring configuration framed restrictive eating as (a) morally evaluative, (b) identity-defining and non-negotiable, and (c) defended via boundary work and resistance to pathologisation; recovery narratives more often disrupted these binaries and decoupled selfhood from dietary purity. Extending existing accounts that document morality narratives around ON, the analysis specifies the discursive mechanisms and genre- and platform-sensitive configurations through which moralisation becomes identity-defensive and resistant to critique. These findings clarify the discursive mechanisms through which ON becomes intelligible and defensible within digital wellness culture, with implications for prevention and care focused on moralised self-concept and digitally reinforced rigidity.","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":"50 3","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13407596/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148608701","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

Psychiatric Violence as Communist Statecraft: Political Medicine and Failed Accountability in Romania. 精神暴力作为共产主义治国之道：罗马尼亚的政治医学和失败的问责制。

IF 1.9 4区医学

Culture Medicine and Psychiatry Pub Date : 2026-07-25 DOI: 10.1007/s11013-026-10012-5

Cringuta Irina Pelea

{"title":"Psychiatric Violence as Communist Statecraft: Political Medicine and Failed Accountability in Romania.","authors":"Cringuta Irina Pelea","doi":"10.1007/s11013-026-10012-5","DOIUrl":"10.1007/s11013-026-10012-5","url":null,"abstract":"This article examines the political abuse of psychiatry in Romania during the Ceaușescu era (1965-1989), analyzing how psychiatric institutions were systematically transformed into instruments of ideological control. Drawing on Securitate archives, victim testimonies, legal documents, and medical reports, this study demonstrates three interconnected dimensions of psychiatric repression: the operational mechanics through which political dissent was pathologized into psychiatric diagnosis; the deployment of medical authority to disguise political persecution as therapeutic intervention; and Romania's distinctive post-1989 failure of accountability, through which perpetrator structures survived regime change intact. The analysis reveals how complicit psychiatrists wielded diagnostic categories such as \"paranoia\" and \"discordant syndrome\" as political code, while institutions inflicted systematic violence masked as treatment. Unlike other post-communist transitions where lustration laws dismantled collaborator networks, Romania's psychiatric nomenclatura maintained uninterrupted control over professional structures, investigative commissions, and institutional memory. This article contributes to scholarship on medical ethics, state violence, and the weaponization of health care under authoritarian regimes, integrating operational, institutional, and transitional justice perspectives. In doing so, it demonstrates how the fusion of medical authority with security power produced a form of repression uniquely resistant to external scrutiny and post-communist accountability.","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":"50 3","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148593992","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

Highly Sensitive Person: Idiomizing Distress in Pandemic-Era Tokyo. 高度敏感的人：大流行时代东京的苦恼。

IF 1.9 4区医学

Culture Medicine and Psychiatry Pub Date : 2026-07-25 DOI: 10.1007/s11013-026-10002-7

Ramsey Ismail

{"title":"Highly Sensitive Person: Idiomizing Distress in Pandemic-Era Tokyo.","authors":"Ramsey Ismail","doi":"10.1007/s11013-026-10002-7","DOIUrl":"10.1007/s11013-026-10002-7","url":null,"abstract":"How does an English-language pop-psychology term become a commonly used mental health idiom in Japan, decades after its coinage? Based on twenty months of ethnographic fieldwork in Tokyo at Raku-no-Kai, a nonprofit supporting people navigating social withdrawal and related distress, this article traces the local uptake of \"Highly Sensitive Person\" (HSP) as a vocabulary for narrating vulnerability in everyday life. I argue that HSP functions as an emergent idiom of distress (Nichter, 1981, 2010): a flexible, morally workable language (Myers, 2015) through which people make sensitivity speakable, and at times care-able, without fully submitting to psychiatric diagnosis. Situating HSP within the infrastructures that enabled its spread-digital platforms, self-help publishing, and therapeutic media-I trace the conditions under which sensitivity became newly available as a personal disposition and socially legible form of suffering. The COVID-19 pandemic intensified this process by creating a rare public moment in which strain, withdrawal, and emotional overwhelm became broadly discussable rather than privately borne. Yet HSP's very looseness also produces friction in clinical encounters, where it can draw people into care while failing to translate cleanly into diagnostic categories. In tracing HSP across peer spaces, media circuits, and the clinic, this article contributes to anthropological debates on idioms of distress, psychiatric legibility, and the contemporary social lives of psychological categories.","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":"50 3","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13401568/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148593962","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

"But Thanks to God, I Learned to Forgive Them and Work on Myself and Things That I Love": Revenge Fantasies of Indian Muslim Women through Drawings and Narratives. “但感谢上帝，我学会了原谅他们，并为自己和我喜欢的事情而努力”：印度穆斯林妇女通过绘画和叙事的复仇幻想。

IF 1.9 4区医学

Culture Medicine and Psychiatry Pub Date : 2026-07-23 DOI: 10.1007/s11013-026-10009-0

Meghna Girish

{"title":"\"But Thanks to God, I Learned to Forgive Them and Work on Myself and Things That I Love\": Revenge Fantasies of Indian Muslim Women through Drawings and Narratives.","authors":"Meghna Girish","doi":"10.1007/s11013-026-10009-0","DOIUrl":"10.1007/s11013-026-10009-0","url":null,"abstract":"This study explores how women make sense of injustice and express revenge fantasies through both visual and narrative forms of expression. Using an interpretative phenomenological approach, the study examines drawings and accompanying narratives from fourteen Muslim women in Kerala, India, an under-researched population within the literature on revenge and coping. The analysis identified four superordinate themes: emotional validation through relational reversal, restoration of moral order through indirect or inevitable justice, reclaiming power through aggression and achievement, and withdrawal, moral reflection, and transformation of response. Findings suggest that revenge fantasies are not uniform or solely driven by aggression. Rather, they reflect a range of psychological processes aimed at restoring balance, agency, and meaning following unjust experiences. Across themes, participants were often not positioned as direct agents of revenge but instead engaged in imagined, symbolic, or internally oriented responses. The integration of drawings and narratives revealed important distinctions in expression: Drawings captured more immediate and affective dimensions, while narratives reflected more structured and socially mediated interpretations. Convergences between modalities indicated clarity in meaning-making, whereas divergences highlighted internal conflict and evolving interpretations. The study contributes to the existing literature by demonstrating the value of combining visual and verbal methods for understanding complex emotional experiences. It also offers preliminary insights into how socio-cultural and religious contexts may shape responses to injustice. Overall, revenge fantasies emerge as dynamic and multifaceted processes that function less as intentions to harm and more as ways of negotiating emotional pain, identity, and psychological balance.","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":"50 3","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13395835/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148563466","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

Decolonial Modes of Attention: Classic Attachment Theory, Structural Racism, and Caregiving Practices in the Aftermath of Apartheid. 非殖民化的注意模式：经典依恋理论、结构性种族主义和种族隔离后的照料实践。

IF 1.9 4区医学

Culture Medicine and Psychiatry Pub Date : 2026-07-23 DOI: 10.1007/s11013-026-10008-1

Stephen Steph McIsaac

{"title":"Decolonial Modes of Attention: Classic Attachment Theory, Structural Racism, and Caregiving Practices in the Aftermath of Apartheid.","authors":"Stephen Steph McIsaac","doi":"10.1007/s11013-026-10008-1","DOIUrl":"10.1007/s11013-026-10008-1","url":null,"abstract":"For decades, scholars have critiqued the universalizing assumptions of classic attachment theory-particularly the work of John Bowlby and Mary Ainsworth-arguing for more culturally specific and historically situated frameworks of childhood development. Drawing on twenty months of ethnographic research with mental health professionals in peri-urban Cape Town, South Africa, this article shows how classic attachment theory affects clinical attention in a context of distributed caregiving practices shaped by racialized dispossession, displacement, and economic precarity. The article identifies two modes of attention: a clinical one and a decolonial one. The clinical mode, grounded in classic attachment theory, narrows attention around maternal absence and sensitivity, frames distributed caregiving as deficient, localizes blame in individual caregivers, and produces racialized representations of black communities as inherently \"dysfunctional.\" The decolonial mode, practiced by counselors who shared their clients' history of displacement and dispossession, foregrounds structural context as an organizing frame, refuses individualized blame while acknowledging harm, and holds the complexities of endurance alongside generational grief. Because modes of attention are cultivated rather than fixed, tracking them opens a different question: not who to blame, but how one might attend differently.","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":"50 3","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148563473","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

Distressed or De-stressed? Crafting "Mental Health" in University Peer Education and Health Promotion. 苦恼还是减压？在大学同伴教育和健康促进中塑造“心理健康”。

IF 1.9 4区医学

Culture Medicine and Psychiatry Pub Date : 2026-07-11 DOI: 10.1007/s11013-026-10001-8

Gracie Wilson

{"title":"Distressed or De-stressed? Crafting \"Mental Health\" in University Peer Education and Health Promotion.","authors":"Gracie Wilson","doi":"10.1007/s11013-026-10001-8","DOIUrl":"10.1007/s11013-026-10001-8","url":null,"abstract":"In recent years, universities have demonstrated heightened recognition of and concern for students' mental health by expanding mental health services as well as campus-wide mental health promotion campaigns. This article examines peer education -- a growing initiative on American campuses in which students work with their institution to create and deliver health education and awareness campaigns to their peers. I present findings from an ethnographic study including 30 interviews with student peer health educators and their supervisory staff, participant observation among three university programs, and content analysis of digital and print media created by peer educators. Using the framework of boundary objects (Star & Griesemer, 1989), I show how mental health education-and the very construct of \"student mental health\"- is produced in mental health promotion campaigns. As they co-construct mental health promotion initiatives, peer educators and their supervisors rely upon ambiguous working definitions of mental health that homogenize mental health challenges while individualizing their remedy through broad appeals to stress management. In this way, \"student mental health\" becomes synonymous with student success and retention, obscuring the shared and structural bases of student distress.","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":"50 3","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13356083/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148425494","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