Culture Medicine and Psychiatry最新文献_第2页

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":null,"pages":null},"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

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

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":null,"pages":null},"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

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

I Didn't Want the Psychotic Thing to Get Out to Anyone at All: Adolescents with Early Onset Psychosis Managing Stigma. 我不想让任何人知道我有精神病：早发性精神病青少年如何处理耻辱感。

IF 1.5 4区医学

Culture Medicine and Psychiatry Pub Date : 2024-09-01 Epub Date: 2024-06-13 DOI: 10.1007/s11013-024-09859-3

Dea Gowers Klauber, Sofie Heidenheim Christensen, Anders Fink-Jensen, Anne Katrine Pagsberg

{"title":"I Didn't Want the Psychotic Thing to Get Out to Anyone at All: Adolescents with Early Onset Psychosis Managing Stigma.","authors":"Dea Gowers Klauber, Sofie Heidenheim Christensen, Anders Fink-Jensen, Anne Katrine Pagsberg","doi":"10.1007/s11013-024-09859-3","DOIUrl":"10.1007/s11013-024-09859-3","url":null,"abstract":"The impact of stigmatisation on adults with mental illnesses has been thoroughly demonstrated. However, little is known about experiences of stigmatisation among adolescents with mental illness. Through semi-structured interviews with 34 Danish adolescents (14-19 years) diagnosed with psychosis, this study explores adolescents' experiences of psychosis stigma. On the basis of phenomenological analysis, we find that stigmatisation is widely experienced, and psychosis is generally regarded as more stigmatising than co-morbid mental illnesses. The participants engage in different strategies to manage possible stigma, especially strategies of (non-)disclosure. Disclosure is experienced as both therapeutic and normative, but also bears the risk of stigmatisation, and is therefore associated with numerous considerations. Being understood when disclosing is central to the participants, and lack of understanding from others is a continuous challenge. Nevertheless, participants experience benefits when feeling understood by people they confide in and can to a degree create the grounds for this through centralising aspects of their experiences of psychosis and mental illness. We argue that disclosure is both a stigma management strategy and a normative imperative, and that being understood or not is a challenge transcending stigma definitions.Clinical trial registration: Danish Health and Medicines Authority: 2612-4168. The Ethics Committee of Capital Region: H-3-2009-123. ClinicalTrials.gov: NCT01119014. Danish Data Protection Agency: 2009-41-3991.","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11362372/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141312000","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":null,"pages":null},"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

Patient Perceptions of Illness Causes and Treatment Preferences for Obsessive-Compulsive Disorder: A Mixed-Methods Study. 患者对强迫症病因和治疗偏好的看法：一项混合方法研究

IF 1.5 4区医学

Culture Medicine and Psychiatry Pub Date : 2024-09-01 Epub Date: 2024-06-19 DOI: 10.1007/s11013-024-09865-5

Neil Krishan Aggarwal, Shima Sadaghiyani, Schahryar Kananian, Peter Lam, Gabrielle Messner, Clara Marincowitz, Madhuri Narayan, Alan Campos Luciano, Anton J L M van Balkom, Dianne Hezel, Christine Lochner, Roseli Gedanke Shavitt, Odile A van den Heuvel, Blair Simpson, Roberto Lewis-Fernández

{"title":"Patient Perceptions of Illness Causes and Treatment Preferences for Obsessive-Compulsive Disorder: A Mixed-Methods Study.","authors":"Neil Krishan Aggarwal, Shima Sadaghiyani, Schahryar Kananian, Peter Lam, Gabrielle Messner, Clara Marincowitz, Madhuri Narayan, Alan Campos Luciano, Anton J L M van Balkom, Dianne Hezel, Christine Lochner, Roseli Gedanke Shavitt, Odile A van den Heuvel, Blair Simpson, Roberto Lewis-Fernández","doi":"10.1007/s11013-024-09865-5","DOIUrl":"10.1007/s11013-024-09865-5","url":null,"abstract":"Obsessive-compulsive disorder (OCD) is a condition with high patient morbidity and mortality. Research shows that eliciting patient explanations about illness causes and treatment preferences promotes cross-cultural work and engagement in health services. These topics are in the Cultural Formulation Interview (CFI), a semi-structured interview first published in DSM-5 that applies anthropological approaches within mental health services to promote person-centered care. This study focuses on the New York City site of an international multi-site study that used qualitative-quantitative mixed methods to: (1) analyze CFI transcripts with 55 adults with OCD to explore perceived illness causes and treatment preferences, and (2) explore whether past treatment experiences are related to perceptions about causes of current symptoms. The most commonly named causes were circumstantial stressors (n = 16), genetics (n = 12), personal psychological traits (n = 9), an interaction between circumstantial stressors and participants' brains (n = 6), and a non-specific brain problem (n = 6). The most common treatment preferences were psychotherapy (n = 42), anything (n = 4), nothing (n = 4), and medications (n = 2). Those with a prior medication history had twice the odds of reporting a biological cause, though this was not a statistically significant difference. Our findings suggest that providers should ask patients about illness causes and treatment preferences to guide treatment choice.","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141427959","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

Entanglements of Technologies, Agency and Selfhood: Exploring the Complexity in Attitudes Toward Mental Health Chatbots. 技术、代理和自我身份的纠葛：探索对心理健康聊天机器人态度的复杂性。

IF 1.5 4区医学

Culture Medicine and Psychiatry Pub Date : 2024-08-17 DOI: 10.1007/s11013-024-09876-2

Robert Meadows, Christine Hine

{"title":"Entanglements of Technologies, Agency and Selfhood: Exploring the Complexity in Attitudes Toward Mental Health Chatbots.","authors":"Robert Meadows, Christine Hine","doi":"10.1007/s11013-024-09876-2","DOIUrl":"https://doi.org/10.1007/s11013-024-09876-2","url":null,"abstract":"Whilst chatbots for mental health are becoming increasingly prevalent, research on user experiences and expectations is relatively scarce and also equivocal on their acceptability and utility. This paper asks how people formulate their understandings of what might be appropriate in this space. We draw on data from a group of non-users who have experienced a need for support, and so can imagine self as therapeutic target-enabling us to tap into their imaginative speculations of the self in relation to the chatbot other and the forms of agency they see as being at play; unconstrained by a specific actual chatbot. Analysis points towards ambiguity over some key issues: whether the apps were seen as having a role in specific episodes of mental health or in relation to an ongoing project of supporting wellbeing; whether the chatbot could be viewed as having a therapeutic agency or was a mere tool; and how far these issues related to matters of the user's personal qualities or the specific nature of the mental health condition. A range of traditions, norms and practices were used to construct diverse expectations on whether chatbots could offer a solution to cost-effective mental health support at scale.","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141996677","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 Chinese Dance Therapy Framework. 中国舞蹈治疗框架

IF 1.5 4区医学

Culture Medicine and Psychiatry Pub Date : 2024-08-14 DOI: 10.1007/s11013-024-09875-3

Wolfgang Mastnak

引用次数: 0