Culture Medicine and Psychiatry最新文献

{"title":"Non-clinical Psychosocial Mental Health Support Programmes for People with Diverse Language and Cultural Backgrounds: A Critical Rapid Review.","authors":"Nathalia Costa, Rebecca Olson, Karime Mescouto, Jenny Setchell, Stefanie Plage, Tinashe Dune, Jennifer Creese, Sameera Suleman, Rita Prasad-Ildes, Zheng Yen Ng","doi":"10.1007/s11013-024-09893-1","DOIUrl":"10.1007/s11013-024-09893-1","url":null,"abstract":"<p><p>Low accessibility to mainstream psychosocial services disadvantages culturally and linguistically diverse (CALD) populations, resulting in delayed care and high rates of unsupported psychological distress. Non-clinical interventions may play an important role in improving accessibility to psychosocial support, but what characterises best practice in this space remains unclear. This critical rapid review addressed this gap by searching for, and critically analysing, existing research on non-clinical psychosocial support services, drawing from a critical realist framework and Brossard and Chandler's (Brossard and Chandler, Explaining mental illness: Sociological perspectives, Bristol University Press, 2022) taxonomy of positions on culture and mental health. We searched PubMed, PsycInfo, LILACS, Scopus and Sociological Abstracts to identify non-clinical psychosocial support interventions for first-generation immigrant CALD populations delivered by lay-health workers. Thirty-eight studies were included: 10 quantitative, 7 mixed-methods and 21 qualitative. Most studies were conducted in North America (n = 19) and Europe (n = 7), with few conducted in low-income countries (Tanzania and Lebanon, n = 3 each, Kenya [n = 1]). Studies often focussed on specific interventions (e.g. psychoeducation) for targeted populations (e.g. refugees, Latinx immigrants); multimodal interventions (e.g. psychological support and food distribution) for broad populations were less common. Thirty-five different outcome scales were identified across quantitative and mixed-methods studies, with most covering depression, stress and trauma. Most studies identified significant improvements for at least one psychosocial outcome despite interventions being relatively short in sessions. Findings from qualitative studies highlighted varied engagement with theory-informed models of service, and identified important barriers to non-clinical psychosocial support services, including precarious resourcing. Our analysis suggests most studies were underpinned by split-relativist frameworks and focussed on interventions aimed at helping clients navigate the eurocentricity and complexity of mainstream services. Recognising the eurocentrism of universalist frameworks, working from a culturally relativist position, prioritising social determinants of health and using models that centre clients, flexibility, context, culture and community are likely to ensure best practice for non-clinical psychosocial support interventions.</p>","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":" ","pages":"585-648"},"PeriodicalIF":1.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12374882/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068839","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}

{"title":"Experience of Personal Recovery from Mental Disorders Among West African Refugees: A Clinical Case Study.","authors":"Marie-Aude Piot, Sarah Stabler, Marie Köenig, Clément Nougarède, Stéphanie Larchanché, Jean-Sébastien Cadwallader, Amina Ayouch-Boda, Christine Lefin-Ringuenet, Karine Lacombe, Laure Surgers","doi":"10.1007/s11013-025-09923-6","DOIUrl":"10.1007/s11013-025-09923-6","url":null,"abstract":"<p><p>Exposure to multiple vulnerability factors increase the likelihood of refugees experiencing mental health issues. Certain post-migratory factors exacerbate these disorders, while the processes of personal recovery remain unclear. This study explored the experience of personal recovery among West African refugees with mental issue, with the aim of helping health professionals in host countries to provide more appropriate care. We used the qualitative interpretative phenomenological analysis method. Ten participants were purposively sampled for face-to-face semi-structured interviews. Two themes emerged from the analysis. Despite their extreme socio-economic precariousness, mental disorders were perceived as forbidden conditions compared to the processes of acceptance of their somatic pathologies; hindering access to mental healthcare more markedly. Rebuilding a sense of security basis in the host country was seen as an essential step, but was also associated with factors that hindered the care process. Certain encounters could enable a return to care with patience, understanding and warmth. Our results highlighted the need to overcome some short-term self-protection strategies by adopting a benevolent attitude and active listening, ensuring secure socio-economical conditions first to enable mental care, increase the multicultural skills of healers, and support therapies that are not limited to face-to-face approach through activity, art, and group support. This may help to limit the risk of transmission of suffering to future generations.</p>","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":" ","pages":"523-543"},"PeriodicalIF":1.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144668707","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}

{"title":"A Ring Transforms: Children Learning Life and Death in Lod.","authors":"Talia S Katz","doi":"10.1007/s11013-024-09894-0","DOIUrl":"10.1007/s11013-024-09894-0","url":null,"abstract":"<p><p>This article presents an ethnographic study of elementary school children's spontaneous role-plays at the Lod Theater Center in Israel, a site that brings psychodrama, a theater-based form of psychotherapy, to bear on Israel's long-standing institutional form of the community theater center. Based on sixteen months of ethnographic fieldwork (October 2021-January 2023) and in conversation with anthropological and psychodramatic theory, I chart how children growing up in a world of ongoing violence express their knowledge of life and death through spontaneous play. Analysis of the data revealed that children assimilated knowledge of death and political violence not as discrete events, but rather as part of learning something about their world as a whole. I posit that this finding has significant implications for understanding children's subjective experience of violence, showing how, in a particular context, ordinary life cycle events such as the loss of a grandmother from illness may appear just as normally as a terror attack. Shifting the focus of analysis from a bounded event to everyday life opens alternative pathways for conceptualizing how violence marks the self. This ethnographic approach moves beyond trauma discourse's focus on the event to describe how children piece together life lived in conflict.</p>","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":" ","pages":"667-688"},"PeriodicalIF":1.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143426472","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}

{"title":"Imitation, Rivalry, and Escalation: Rethinking Adolescent Self-Harm Through Mimetic Theory.","authors":"Andrew Sweetmore","doi":"10.1007/s11013-025-09926-3","DOIUrl":"10.1007/s11013-025-09926-3","url":null,"abstract":"<p><p>Self-harm amongst young people has risen significantly in recent years, yet existing models fail to fully explain its underlying mechanisms. This paper applies René Girard's theory of mimetic rivalry and escalation to self-harm, proposing that competition for social status and identity within peer groups and families may contribute to its development. In this framework, self-harm operates as a form of self-punishment, mirroring Girard's concept of scapegoating; a ritualised resolution to the tensions produced by mimetic escalation. The study explores how social media amplifies these dynamics by intensifying social comparison and reinforcing cycles of imitation and rivalry. Current treatments may be limited in their efficacy as they primarily focus on precipitating factors and crisis resolution without addressing the mimetic mechanisms driving self-harm. Integrating mimetic theory into clinical practice could offer a new framework for intervention, helping young people recognise and disengage from destructive social dynamics. Additionally, the paper highlights the potential for systemic and group-based interventions that target mimetic escalation within peer and family relationships. By understanding self-harm as a product of mimetic processes, this perspective offers novel insights for research, clinical practice, and public health strategies aimed at addressing the rise in self-harm amongst adolescents.</p>","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":" ","pages":"921-933"},"PeriodicalIF":1.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12374873/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144567999","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}

{"title":"Julia E.H. Brown: The Clozapine Clinic: Health Agency in High-risk Conditions : Routledge, London, 2022, 248 Pages.","authors":"Alison Fixsen","doi":"10.1007/s11013-025-09915-6","DOIUrl":"10.1007/s11013-025-09915-6","url":null,"abstract":"","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":" ","pages":"940-944"},"PeriodicalIF":1.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144267633","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}

{"title":"Smoked or Bewitched? The Relationship Between Cannabis Use and Mental Illness Among the Shona Persons in Zimbabwe.","authors":"Maja Jakarasi","doi":"10.1007/s11013-025-09898-4","DOIUrl":"10.1007/s11013-025-09898-4","url":null,"abstract":"<p><p>The metanarrative of biomedicine and \"psy\" discipline (psychology, psychoanalysis, psychiatry etc.) asserts that cannabis use is one of the fundamental causes of mental illness among different men in the Rushinga district of Zimbabwe. These metanarratives, however, appear to have universalised, medicalised and marginalised the conception and representation of mental illness as enmeshed in local epistemologies and ontologies of mental illness. Based on local epistemologies, elders in Diwa largely trace mental illness to discursive sociocultural explanations rarely linked to cannabis use. This paper answers the central question: How is the use of cannabis by different persons related to mental illness in the Rushinga district? I argue that community members, health providers and police officers want to think of persons, especially men, with mental illness as \"mad\" and immoral cannabis users who brought illnesses upon themselves and lack personal responsibility based on Western neoliberal and biomedical metanarratives. However, this framing is not helpful, it is detrimental to treatment and social reputation, as it bypasses local cultural explanations that may be protective and that offer clearer guidelines for treatment.</p>","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":" ","pages":"689-705"},"PeriodicalIF":1.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12374867/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143558305","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}

{"title":"Troublesome Bodies: How Bodies Come to Matter and Intrude in Eating Disorder Recovery.","authors":"Mari Holen, Agnes Ringer, Anne Mia Steno","doi":"10.1007/s11013-025-09896-6","DOIUrl":"10.1007/s11013-025-09896-6","url":null,"abstract":"<p><p>Understanding how bodies come to matter in eating disorder recovery is complex, particularly given the unresolved question of whether eating disorders are fundamentally about the body. Drawing on Analu Verbin's adaptation of Judith Butler's theory of performativity and Sarah Ahmed's body phenomenology, this paper examines how participants in a narrative and systemic group therapy program at a mental health clinic for eating disorders perceive themselves as recovering or recovered. We explore how the body is presented and understood in their recovery narratives, developing the concept of the 'troublesome body' to highlight the ambiguities these narratives reveal. The body in the participants' narratives is continuously shaped by an external gaze that alternates between recognition and concern, often oscillating between praise and scrutiny. Participants are tasked with cultivating a liberated, sensual body and a more natural relationship with food, achieved through therapeutic strategies such as establishing a mechanical eating pattern and 'neutralizing' the body in group settings. Yet the body resists, asserting its presence through physical sensations-rumbling stomachs and 'blobby' forms-that challenge these efforts. Crucially, the narrative and systemic group therapy is viewed by participants as pivotal in their recovery not because it resolves all eating disorder-related issues, but because it offers a collective space for 'troublesome bodies.' This space allows for bodies to exist without conforming to societal dichotomies or norms that are often imposed in other treatment contexts, thus, offering an alternative model of recovery where bodily ambiguities can be embraced rather than resolved.</p>","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":" ","pages":"649-666"},"PeriodicalIF":1.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12374897/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143383686","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}

{"title":"\"Here It is Not About Learning Evidence-Based Medicine; It is About Medicine Based on that Which is\": Pragmatic Approaches to Liberation Medicine.","authors":"Beatriz Aragón Martín","doi":"10.1007/s11013-025-09943-2","DOIUrl":"https://doi.org/10.1007/s11013-025-09943-2","url":null,"abstract":"<p><p>This article explores the potential of liberation medicine through an ethnographic account of a primary healthcare van operating in Cañada Real, an informal settlement on the margins of Madrid. Drawing from 10 years of clinical experience and anthropological inquiry, the article offers a situated analysis of \"context-based medicine\"; a mode of practice grounded in relationality, trust, and responsiveness to structural violence. Engaging with María Lugones' concept of pilgrimages and Hannah Arendt's idea of power with, the paper examines how this interstitial program disrupts dominant rationales within the healthcare system (gatekeeping, managerialism, and evidence-based medicine) by fostering collective, care-based alternatives. Through fieldwork and reflective practice, the author argues that the van's displacement (which is physical, institutional, and professional) creates a liminal space where emancipatory practices can emerge. While not a utopian model, the van provides a lens to imagine how clinical work might transgress spatial and institutional boundaries to align more closely with the political and ethical stakes of care.</p>","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144974430","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}

{"title":"Unspoken Grievances and Artistic Voices: A Reflective Letter on Deepening Clinical and Social Engagement.","authors":"Ke Meng, Kexin Liu, Chenlei Sun","doi":"10.1007/s11013-025-09941-4","DOIUrl":"10.1007/s11013-025-09941-4","url":null,"abstract":"","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144884110","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}

{"title":"Does the Wide Reach of the \"Trauma-informed\" Model Exceed its Narrow Grasp?","authors":"Vojtech Pisl, Sanne Te Meerman, Allen Frances, Laura Batstra","doi":"10.1007/s11013-025-09938-z","DOIUrl":"10.1007/s11013-025-09938-z","url":null,"abstract":"<p><p>Compared to the biomedical model of mental suffering, the increasingly influential trauma model has received little critical attention. We examine the discursive practices justifying and promoting the trauma-informed care: a set of assumptions and clinical recommendations presented as universal and uncontested guidelines for mental health practitioners. Critical review of two major guidelines for trauma-informed care - the SAMHSA's Concept of Trauma and Guidance for a Trauma-Informed Approach (2014) and A paradigm shift: relationships in trauma-informed mental health services by Sweeney et al. (2018) - was inspired by critical discourse analysis and the analysis of reification. Trauma-informed care is a diverse set of recommendations combining generally accepted standards with the notion of broadly defined trauma as the primary cause of mental suffering. We have identified mechanisms that (1) present the broad trauma model as an assumption-free description of reality, (2) portray it as superior to other models, and (3) elevate the authority of those who adopt the broad trauma model to interpret the suffering of others. The discursive procedures found in the trauma-informed manuals are similar to those documented in the biomedical-psychiatric literature. Potential risks include iatrogenic harm, politicization of mental health care, and reduction of its diversity and effectiveness. Evaluation of the guidelines from the perspectives of safety, cultural validity, ethics, and cost-effectiveness should precede their implementation into clinical practice.</p>","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144884109","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}