Culture Medicine and Psychiatry最新文献_第3页

Sunflower Citizens? Resilience as Lived Negotiation among Mental Health Professionals in Zero-COVID China. 向日葵公民吗?零冠疫情中国心理健康专业人员的弹性谈判

IF 1.9 4区医学

Culture Medicine and Psychiatry Pub Date : 2026-07-09 DOI: 10.1007/s11013-026-10007-2

Anna Iskra

{"title":"Sunflower Citizens? Resilience as Lived Negotiation among Mental Health Professionals in Zero-COVID China.","authors":"Anna Iskra","doi":"10.1007/s11013-026-10007-2","DOIUrl":"10.1007/s11013-026-10007-2","url":null,"abstract":"This article examines how resilience and its key tool, adaptability, were defined, mobilized, and contested during Shanghai's Zero-COVID period, foregrounding the understudied perspectives of psychological counsellors. Drawing on 30 interviews with 25 counsellors and a discursive analysis of 268 posts from the Shanghai Mental Health Centre (SMHC), it shows how state discourse framed resilience as optimism, acceptance, and disciplined self-adjustment, while counsellors reinterpreted it through trauma, helplessness, delayed collapse, and relational care. As intermediaries increasingly woven into state institutions through outsourcing arrangements, counsellors negotiated between official prescriptions and the lived crises of clients whose distress was shaped by uncertainty, family conflict, gendered burdens, and economic precarity. By tracing these quiet negotiations, the article argues that resilience in Shanghai was neither a universal trait nor simply a neoliberal injunction. Rather, it functioned as a culturally situated, politically charged field of interpretation through which mental health, citizenship, and crisis survival were negotiated. Situating Shanghai within wider debates on resilience, the article shows how resilience became a \"multiple\": at once demanded, embodied, contested, and re-signified through the interactions of state institutions, professional ethics, and the uneven temporalities of crisis.","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":"50 3","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13350120/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148425428","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

Rethinking Conflict Health Allocation: Reconstituting Mental Health Service Delivery in Yemen. 重新思考冲突卫生分配：也门精神卫生服务的重建。

IF 1.9 4区医学

Culture Medicine and Psychiatry Pub Date : 2026-07-08 DOI: 10.1007/s11013-026-10005-4

Aamer Aldbyani

引用次数: 0

Navigating between Action and Inaction: Moral Distress in Mental Health Professionals. 在行动与不作为之间导航：心理健康专业人员的道德困扰。

IF 1.9 4区医学

Culture Medicine and Psychiatry Pub Date : 2026-06-16 DOI: 10.1007/s11013-026-10000-9

Chandrasen Yadav, Yukta Mehdiratta

{"title":"Navigating between Action and Inaction: Moral Distress in Mental Health Professionals.","authors":"Chandrasen Yadav, Yukta Mehdiratta","doi":"10.1007/s11013-026-10000-9","DOIUrl":"10.1007/s11013-026-10000-9","url":null,"abstract":"Moral distress is often understood as arising from an inability to act in accordance with the known morally right course of action. In mental health care this is often a consequence of institutional or hierarchical constraints and constraints set by the binds of the profession itself. This paper draws from the clinical experience within a multidisciplinary public mental health institution in India, highlighting moral distress as a quieter and cumulative phenomenon that emerges even when professionals act competently, ethically and within the boundaries of their defined roles. By the virtue of their training, Mental Health Professionals (MHPs) are inclined towards holistic understanding of mental health yet their intervention foci are essentially partial and role-bound. As a consequence, conflict arises between holistic understanding and role-bound intervention. This results in a prolonged and pervasive unease that presents in everyday clinical encounters rather than isolated moral crises or dilemmas. Such consistent uncertainty about the rightfulness of the course of action induces a feeling of moral ambiguity in the professionals, leading to moral distress. The paper engages with philosophy of ethics, morality and psychological anthropology to examine how this form of moral distress shapes professional responsibility and everyday clinical interactions within a hierarchical and multidisciplinary setting. Two anecdotal vignettes illustrate distinct manifestations of moral distress: one emerging despite remaining within ethical and professional boundaries, and the other arising through anticipatory hesitation around questioning professional authority within hierarchical interdisciplinary settings. The paper further highlights the need for more collective and institutionally supported ways of grappling with such experiences.","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":"50 3","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148260103","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

The Past in the Exam Room: Intergenerational Memory, Moral Ambiguity, and the Work of Empathy. 考场里的过去：代际记忆、道德歧义和移情作用。

IF 1.9 4区医学

Culture Medicine and Psychiatry Pub Date : 2026-06-16 DOI: 10.1007/s11013-026-09996-x

Dominika Jegen

引用次数: 0

Culture as Guidance in Social Connection Services: A Symbol-Value-Norm Framework for Reflecting on Organisational Norms. 文化在社会联系服务中的引导作用：反思组织规范的符号-价值-规范框架。

IF 1.9 4区医学

Culture Medicine and Psychiatry Pub Date : 2026-06-16 DOI: 10.1007/s11013-026-09999-8

Yasuhiro Kotera

{"title":"Culture as Guidance in Social Connection Services: A Symbol-Value-Norm Framework for Reflecting on Organisational Norms.","authors":"Yasuhiro Kotera","doi":"10.1007/s11013-026-09999-8","DOIUrl":"10.1007/s11013-026-09999-8","url":null,"abstract":"Social connection is a core determinant of mental and physical health, and connection-oriented services (e.g. peer programmes, groups, and social prescribing) are increasingly implemented. Yet social connection is culturally patterned. When participants' interaction styles align with a service's implicit organisational norms, belonging may be easier to achieve; when they do not, cultural mismatch may reduce recognition, constrain participation, and intensify loneliness, leaving some participants feeling more disconnected. This paper operationalises organisational norms around participation and help-seeking using three sociological elements (symbols, values, and norms), and proposes a brief reflective audit that can be embedded in routine quality improvement. The audit is intended to help services make implicit rules of engagement more visible (e.g. expectations around disclosure, turn-taking, help-seeking, disagreement, and what counts as \"good participation\"), and identify which interaction styles are more readily recognised versus under-supported. Two possible outputs are proposed: (1) a participant-facing, plain-language participation brief that may improve clarity about how participation works; and (2) an internal action plan intended to widen routes to connection (e.g. structured turn-taking, opt-in written or one-to-one routes, small-group formats, and facilitator prompts validating quiet participation). Making organisational norms more explicit may offer a practical reflective approach to strengthen inclusivity by design in connection-focused services.","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":"50 3","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148260156","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

Dementia Diagnosis in Postapartheid South Africa: Providers' Perspectives in Ethnographic Context. 种族隔离后的南非痴呆症诊断：民族志背景下提供者的观点。

IF 1.9 4区医学

Culture Medicine and Psychiatry Pub Date : 2026-05-29 DOI: 10.1007/s11013-026-09994-z

Casey Golomski

引用次数: 0

Wèrè and the Ontological Politics of Global Mental Health: Distributed Cognition in Yorùbá Traditional Medicine. Wèrè和全球心理健康的本体论政治：Yorùbá传统医学中的分布式认知。

IF 1.9 4区医学

Culture Medicine and Psychiatry Pub Date : 2026-05-27 DOI: 10.1007/s11013-026-09992-1

Obafemi Jegede

{"title":"Wèrè and the Ontological Politics of Global Mental Health: Distributed Cognition in Yorùbá Traditional Medicine.","authors":"Obafemi Jegede","doi":"10.1007/s11013-026-09992-1","DOIUrl":"10.1007/s11013-026-09992-1","url":null,"abstract":"Global mental health initiatives increasingly replace indigenous diagnostic categories with neuropsychiatric frameworks, framing this as anti-stigma progress. Drawing on twenty years of ethnographic research with traditional healers in southwestern Nigeria and my position as both researcher and practitioner, this paper examines wèrè-the Yorùbá term for mental illness-to reveal fundamental ontological incommensurability between Western personalistic medicine and Yorùbá ecological-cosmological healing. Through linguistic analysis, micro-phenomenological interviews, and participant observation, I demonstrate that wèrè (wé = weave; ìrè = misery) diagnoses not individual brain dysfunction but unraveling of interconnections across bodily, environmental, ancestral, and spiritual domains. Yorùbá language grammatically locates cognitive processes beyond the brain-fear in chest (ayá), happiness in stomach (inú), focus in liver (ẹ̀dọ̀)-while recognizing environmental agents (rivers, trees, earth) as cognitive beings with agency requiring ritual attention. Therapeutic protocols operationalize \"totalness\" (gbogbo àyè), addressing not only persons but ecological-cosmological fields where disequilibrium occurs. Replacing wèrè with àrún ọpọ̀lọ (brain illness) constitutes epistemic violence, imposing personalistic ontology where ecological-cosmological ontology operates. Global mental health must recognize ontological pluralism: multiple valid healing sciences operating in incommensurable realities.","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":"50 2","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148036455","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

Children's Everyday Actions After Disaster: Cultural Meaning, Developmental Timing, and Moral Agency in Post-disaster Japan. 灾后儿童的日常行为：日本灾后的文化意义、发展时机和道德能动性。

IF 1.9 4区医学

Culture Medicine and Psychiatry Pub Date : 2026-05-24 DOI: 10.1007/s11013-026-09993-0

Naru Fukuchi

{"title":"Children's Everyday Actions After Disaster: Cultural Meaning, Developmental Timing, and Moral Agency in Post-disaster Japan.","authors":"Naru Fukuchi","doi":"10.1007/s11013-026-09993-0","DOIUrl":"10.1007/s11013-026-09993-0","url":null,"abstract":"Following the 2011 Great East Japan Earthquake, children in affected regions exhibited everyday behaviors that challenge conventional psychological interpretations. Drawing on ethnographic field observations conducted in schools, shelters, and temporary housing in Miyagi Prefecture between March 2011 and March 2012, with follow-up observations from 2012 to 2013, this study examines five vignettes of children's post-disaster behaviors: hiding shoes, experiencing perceived scarcity related to school lunches, impulsive spending, giving away sweets and supplies, and engaging in silent play in communal spaces. The study aims to explore how these behaviors function as culturally and developmentally meaningful adaptations to disaster rather than as indicators of psychopathology. Analytically, these behaviors are interpreted through Japanese cultural frameworks-particularly group harmony (wa), reciprocal obligation (giri), and tacit social negotiation-alongside developmental theories of moral and cognitive growth in middle childhood. The findings suggest that these behaviors represent symbolic efforts by children to reassert moral agency, reconstruct temporal coherence, and restore social belonging in disrupted environments. The study concludes that culturally grounded, interpretive approaches are essential for understanding children's post-disaster responses and for developing psychosocial interventions that recognize children as active agents in communal recovery.","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":"50 2","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148007130","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

Phenomenology of Subjective Anomalous Experiences in People with Schizophrenia. 精神分裂症患者主观异常体验的现象学。

IF 1.9 4区医学

Culture Medicine and Psychiatry Pub Date : 2026-05-23 DOI: 10.1007/s11013-026-09989-w

Orlando Mondragón-Benítez, Lina Díaz-Castro, Fernando Corona-Hernández, Héctor Cabello-Rangel

{"title":"Phenomenology of Subjective Anomalous Experiences in People with Schizophrenia.","authors":"Orlando Mondragón-Benítez, Lina Díaz-Castro, Fernando Corona-Hernández, Héctor Cabello-Rangel","doi":"10.1007/s11013-026-09989-w","DOIUrl":"10.1007/s11013-026-09989-w","url":null,"abstract":"Current diagnostic criteria for schizophrenia overlook the patient's subjective experience, offering a simplified view. To describe the subjective anomalies in the personal experience of the \"lived world\" in patients diagnosed with schizophrenia via the EAWE interview (Examination of Anomalous World Experience). A qualitative study was conducted between January and May 2024. Semistructured interviews were conducted with patients diagnosed with schizophrenia, using the thematic axes of the EAWE as a framework. Also, the interviews were recorded and transcribed for analysis using ATLAS.ti.v24 software. We interviewed five patients, three men and two women, aged between 18 and 46. The main narrative focused on religious and sexual delusions involving God, the Virgin Mary, or the Holy Spirit, within the context of \"Existential Orientation.\" Sexual experiences were identified as an emerging category in the interview content. In the \"Space and Objects\" domain, participants reported hallucinations and blurred vision. The \"time and events\" domain showed a perception of slowness. The \"Other Persons\" domain included hypoattunement and paranoia. The \"Language\" domain revealed disorganized thinking. The \"Atmosphere\" domain covered déjà vu and emotional emptiness. Conclusions: Individuals may experience their place in the world and their intimate relationships in ways that significantly differ from usual.","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":"50 2","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13198455/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148007179","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 Place Where the Ground Gives Way: On Functional Disorders, Uncertainty, and Fantasies of Medicine. 地面塌陷的地方：关于医学的功能障碍、不确定性和幻想。

IF 1.9 4区医学

Culture Medicine and Psychiatry Pub Date : 2026-05-07 DOI: 10.1007/s11013-026-09979-y

Daisy Couture

{"title":"The Place Where the Ground Gives Way: On Functional Disorders, Uncertainty, and Fantasies of Medicine.","authors":"Daisy Couture","doi":"10.1007/s11013-026-09979-y","DOIUrl":"10.1007/s11013-026-09979-y","url":null,"abstract":"Functional disorders index the phenomenon in which someone is seriously ill-seizures, paralysis, complex pain-and yet no pathophysiological cause can be found. Traditionally, psychiatry has approached these disorders as instances of psychic distress manifesting through the body; however, multiple explanations currently compete within North American biomedicine and profound uncertainties, in diagnosis, treatment, and prognosis remain. Based on ethnographic fieldwork with clinicians and patients with suspected functional disorders at a Canadian neuropsychiatric clinic, this paper approaches medicine as an epistemological, psychic, and affective space. Focusing specifically on the role of fluctuation in these disorders, I explore how transience becomes a problem in the clinic, sticking to patients and instigating both ethical and epistemological crises. Following the anxieties and desires of both patients and clinicians, I argue that, in the unease surrounding functional disorders, a cultural fantasy of medicine as a space of certainty emerges. I describe this fantasy as a collective imagination of medicine as a place that can, and should, provide access to objective answers and stable truths. Despite the inescapable uncertainties of medicine, I suggest that this fantasy haunts the clinic, fundamentally shaping the conditions of possibility for affliction and care, especially for patients with contested illnesses.","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":"50 2","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844432","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