Culture Medicine and Psychiatry最新文献

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Learning Language, Un/Learning Empathy in Medical School. 学习语言,在医学院学习同理心。
IF 1.5 4区 医学
Culture Medicine and Psychiatry Pub Date : 2025-03-01 Epub Date: 2023-09-19 DOI: 10.1007/s11013-023-09830-8
Seth M Holmes
{"title":"Learning Language, Un/Learning Empathy in Medical School.","authors":"Seth M Holmes","doi":"10.1007/s11013-023-09830-8","DOIUrl":"10.1007/s11013-023-09830-8","url":null,"abstract":"<p><p>This article considers the ways in which empathy for patients and related solidarity with communities may be trained out of medical students during medical school. The article focuses especially on the pre-clinical years of medical school, those that begin with orientation and initiation events such as the White Coat Ceremony. The ethnographic data for the article come from field notes and recordings from my own medical training as well as hundreds of hours of observant participation and interviews with medical students over the past several years. Exploring the framework of language socialization, I argue that learning the verbal, textual and bodily language of medical practice contributes to the increasing experience of separation between physicians and patients. Further considering the ethnographic data, I argue that we also learn a form of empathy limited to performance that short circuits clinical care and the possibility for solidarity for health equity. The article concludes with implications for medical education and the medical social sciences and humanities.</p>","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":" ","pages":"40-64"},"PeriodicalIF":1.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12053200/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41137852","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
Striving Against Sonlessness: The Moral Uses of Medical Pluralism in Western Indian Quests for a Boy. 反对无子:西印度群岛医学多元化的道德用途:寻找男孩》。
IF 1.5 4区 医学
Culture Medicine and Psychiatry Pub Date : 2025-03-01 Epub Date: 2024-09-25 DOI: 10.1007/s11013-024-09880-6
Utpal Sandesara
{"title":"Striving Against Sonlessness: The Moral Uses of Medical Pluralism in Western Indian Quests for a Boy.","authors":"Utpal Sandesara","doi":"10.1007/s11013-024-09880-6","DOIUrl":"10.1007/s11013-024-09880-6","url":null,"abstract":"<p><p>Amid patriarchal conditions that render one son necessary and multiple daughters burdensome, selective abortion of female fetuses has become pervasive in India. Public responses often cast sex selection as self-evidently ignorant, cruel, and misogynistic - an obvious evil meriting denunciation and eradication. Drawing on ethnographic fieldwork in Gujarat state, this article zooms out from ultrasound and abortion to survey the landscape of biomedical, herbal, and religious son production techniques surrounding them. Doing so clarifies the lived moral experience in which sex selection is embedded. Resort to multiple son production techniques is both an abstract moral indicator reflecting prevailing concerns and a pragmatic moral intervention aimed at harnessing every available means in response to those concerns. Fundamentally, people live out the multimodal quest that sometimes leads to selective abortion as aspiration - social, bodily, spiritual - toward an indispensable good, not as heartless rejection of daughters. Pluralistic son production illuminates the moral uses of medical pluralism for care-seekers, social scientists, and policymakers and practitioners. The case underscores that \"complementary\" therapies, rather than being just desperate behaviors, barriers to biomedical therapy, or curiosities to be integrated into care, may in fact be the clearest markers of the moral conditions in which public health problems unfold.</p>","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":" ","pages":"256-280"},"PeriodicalIF":1.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12053347/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142336940","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 Cultural Consonance Space: Multiplicities and Enactments of Male Body Ideals in South Korea. 文化和谐空间:韩国男性身体理想的多元性与表现。
IF 1.5 4区 医学
Culture Medicine and Psychiatry Pub Date : 2025-03-01 Epub Date: 2024-12-10 DOI: 10.1007/s11013-024-09885-1
Lawrence T Monocello
{"title":"The Cultural Consonance Space: Multiplicities and Enactments of Male Body Ideals in South Korea.","authors":"Lawrence T Monocello","doi":"10.1007/s11013-024-09885-1","DOIUrl":"10.1007/s11013-024-09885-1","url":null,"abstract":"<p><p>Cultural consonance, defined as the extent to which one is able to approximate a given cultural model in one's own life, is a highly adaptive theory and method which anthropologists have used for decades to demonstrate direct connections between individuals' variation in relation to meaning systems and their health outcomes. However, it has been limited by use of a \"cultural consonance score\" which treats cultural consonance unidimensionally. Because people enact cultural models in multiple ways, cultural consonance may be better operationalized multidimensionally. Applying correspondence analysis to young South Korean men's responses to a cultural consonance scale measuring their approximation of the local ideal male body, cultural consonance is rather demonstrated to be a multiplicity. In the case of South Korean men's body ideals, two dimensions-men's overall attractiveness and whether they pursue a \"flower boy\" or a \"beastly man\" embodiment-are identified. These two dimensions are also significantly associated with university prestige and sexual identity, and predict disordered eating beyond body dissatisfaction. These data suggest that well-being in relation to cultural consonance is a product of its assemblage: both of degree of approximation of a cultural model and the manner by which individuals enact it.</p>","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":" ","pages":"328-351"},"PeriodicalIF":1.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142807977","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
Negotiating Normalcy: Epistemic Errors in Self-Diagnosing Late-ADHD. 协商正常:自我诊断晚期adhd的认知错误。
IF 1.5 4区 医学
Culture Medicine and Psychiatry Pub Date : 2025-03-01 Epub Date: 2025-01-05 DOI: 10.1007/s11013-024-09888-y
Alexandra Brandt Ryborg Jønsson
{"title":"Negotiating Normalcy: Epistemic Errors in Self-Diagnosing Late-ADHD.","authors":"Alexandra Brandt Ryborg Jønsson","doi":"10.1007/s11013-024-09888-y","DOIUrl":"10.1007/s11013-024-09888-y","url":null,"abstract":"<p><p>In this paper, I share insights from ongoing ethnographic fieldwork among adult Danes who identify as having Attention Deficit Hyperactivity Disorder (ADHD) but do not meet the clinical standards and have yet to receive a diagnosis. These individuals are particularly relevant to the ongoing debates about under- and overdiagnosis of ADHD, as their claims to the diagnosis influence and mirror societal perceptions of what is considered normal and what is seen as a condition. Despite their symptoms not strictly meeting diagnostic criteria, thus risking overdiagnosis and associated psychiatric labeling, they perceive themselves as distinct from 'normal' people. Through a critical anthropological lens, I argue that medicalizing variations in human personality represents a contemporary societal epistemic error, drawing on Gregory Bateson's work. I highlight the dynamics of diagnosis versus notions of normality in diagnosing and self-diagnosing ADHD. Understanding these dynamics is crucial for addressing concerns of overdiagnosis as well as underdiagnosis and misdiagnosis. By illuminating the complexities of diagnostic processes and their societal implications, I aim to contribute to a richer understanding of mental health discourse and practice.</p>","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":" ","pages":"369-391"},"PeriodicalIF":1.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142933059","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
Questions About Field Site, Method, and Clinical Translation for Psychiatric Anthropology. 关于精神病学人类学的现场、方法和临床翻译的问题。
IF 1.5 4区 医学
Culture Medicine and Psychiatry Pub Date : 2025-03-01 Epub Date: 2024-12-04 DOI: 10.1007/s11013-024-09886-0
Neil Krishan Aggarwal
{"title":"Questions About Field Site, Method, and Clinical Translation for Psychiatric Anthropology.","authors":"Neil Krishan Aggarwal","doi":"10.1007/s11013-024-09886-0","DOIUrl":"10.1007/s11013-024-09886-0","url":null,"abstract":"","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":" ","pages":"225-231"},"PeriodicalIF":1.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142773637","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
"For Me, 'Normality' is Not Normal": Rethinking Medical and Cultural Ideals of Midlife ADHD Diagnosis. “对我来说,‘正常’是不正常的”:重新思考中年ADHD诊断的医学和文化理想。
IF 1.5 4区 医学
Culture Medicine and Psychiatry Pub Date : 2025-03-01 Epub Date: 2023-05-06 DOI: 10.1007/s11013-023-09825-5
Lior Tal, Yehuda C Goodman
{"title":"\"For Me, 'Normality' is Not Normal\": Rethinking Medical and Cultural Ideals of Midlife ADHD Diagnosis.","authors":"Lior Tal, Yehuda C Goodman","doi":"10.1007/s11013-023-09825-5","DOIUrl":"10.1007/s11013-023-09825-5","url":null,"abstract":"<p><p>According to psychiatry, Attention-Deficit/Hyperactivity Disorder (ADHD) is a chronic condition beginning in early life. Psychiatry advocates for early diagnosis to prevent comorbidities that may emerge in untreated cases. \"Late\"-diagnosis is associated with various hazards that might harm patients' lives and society. Drawing on fieldwork in Israel, we found that 'midlife-ADHDers,' as our informants refer to themselves, express diverse experiences including some advantages of being diagnosed as adults rather than as children. They share what it means to experience \"otherness\" without an ADHD diagnosis and articulate how being diagnosed \"late\" detached them from medical and social expectations and allowed some to nurture a unique ill-subjectivity, develop personal knowledge, and invent therapeutic interventions. The timeframe that psychiatry conceives as harmful has been, for some, a springboard to find their own way. This case allows us to rethink 'experiential time'-the meanings of timing and time when psychiatric discourse and subjective narratives intertwine.</p>","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":" ","pages":"183-204"},"PeriodicalIF":1.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9416055","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
Living Dead: Trans Cooperations with Mad Necropolitics and the Mad Trans Coalitions that Might Replace Them. 活死人:与疯狂亡灵政治的过渡合作以及可能取而代之的疯狂过渡联盟。
IF 1.5 4区 医学
Culture Medicine and Psychiatry Pub Date : 2025-03-01 Epub Date: 2024-10-16 DOI: 10.1007/s11013-024-09884-2
Wren Ariel Gould
{"title":"Living Dead: Trans Cooperations with Mad Necropolitics and the Mad Trans Coalitions that Might Replace Them.","authors":"Wren Ariel Gould","doi":"10.1007/s11013-024-09884-2","DOIUrl":"10.1007/s11013-024-09884-2","url":null,"abstract":"<p><p>Trans subjectivities continue to be included in major compendia of mental illness, despite recent moves to depathologize \"cross-gender identification.\" Regardless, the inclusion of \"gender dysphoria\" is often framed as a formal mechanism to support access to gender affirming care as transgender subjectivities are re-conceptualized as part of sex/gender diversity and away from madness. The latter permits trans individuals to evade sanist oppressions. However, moves to disassociate from mad individuals also often serve to condone sanism. For instance, a contemporary policy landscape often sees transgender advocates arguing for the \"medical necessity\" of gender affirming care for gender dysphoria as a \"recognized medical condition,\" thereby skirting the inclusion of gender dysphoria as a psychiatric condition and implying that gender dysphoria carries a special ontological status that separates it from madness (reified as \"mental illness\"). More though, this framework endorses material violences toward mad individuals that are often advanced via the workings of the state to consign marginalized constituents to death by withholding the means of life, i.e., necropolitics. In the following, I argue that trans disassociations from madness often endorses or assents to mad necropolitics. Drawing from Mbembe's (Necropolitics. Duke University Press, Durham, 2019) framework, I suggest that medicalizing trans narratives, despite being used to object to anti-trans laws in contemporary context, ideologically support mad \"death worlds\" organized through the U.S.A. welfare state and prison industrial complex. However, I also suggest alternative strategies, i.e., intersectional collaboration, that may uplift mad and/or trans communities.</p>","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":" ","pages":"205-224"},"PeriodicalIF":1.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477700","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 Movie Monday Archives: Chronicling Twenty-Six Years of Showing Films in a Psychiatric Hospital Theatre. 电影星期一档案:在精神病医院剧院放映电影26年的编年史。
IF 1.5 4区 医学
Culture Medicine and Psychiatry Pub Date : 2025-03-01 Epub Date: 2025-02-22 DOI: 10.1007/s11013-025-09900-z
Bruce Wallace, Bruce Saunders
{"title":"The Movie Monday Archives: Chronicling Twenty-Six Years of Showing Films in a Psychiatric Hospital Theatre.","authors":"Bruce Wallace, Bruce Saunders","doi":"10.1007/s11013-025-09900-z","DOIUrl":"10.1007/s11013-025-09900-z","url":null,"abstract":"<p><p>A teaching theatre in a local psychiatric hospital was transformed into an ex-patient's Theatre of Dreams for over two decades as he hosted weekly events that welcomed patients from the wards, ex-patients and the general public to become an audience together. Movie Monday was a unique and innovative free weekly media arts programme that would become a valued community-arts programme that brought people together to be entertained while simultaneously addressing some of the society's most pressing and often divisive issues. The project ended when COVID locked down the hospital theatre. Now, the Movie Monday Archives are available to anyone online through Madness Canada. The Archives are a repository for the weekly programmes as well as special events such as the Reel Madness Film Festivals, and writings, photos, financial and programme details, and more. The Movie Monday Archives preserve this history of a local consumer-based initiative that engaged the arts to address mental health stigma and provide practical information of a potential model to build future initiatives elsewhere.</p>","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":" ","pages":"396-398"},"PeriodicalIF":1.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12053193/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143477143","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
Intimacy, Anonymity, and "Care with Nothing in the Way" on an Abortion Hotline. 堕胎热线上的亲密、匿名和 "无微不至的关怀"。
IF 1.5 4区 医学
Culture Medicine and Psychiatry Pub Date : 2025-03-01 Epub Date: 2022-11-28 DOI: 10.1007/s11013-022-09810-4
Jennifer Karlin, Caroline C Hodge
{"title":"Intimacy, Anonymity, and \"Care with Nothing in the Way\" on an Abortion Hotline.","authors":"Jennifer Karlin, Caroline C Hodge","doi":"10.1007/s11013-022-09810-4","DOIUrl":"10.1007/s11013-022-09810-4","url":null,"abstract":"<p><p>This essay is an ethnographic account of a volunteer, anonymous hotline of physicians and advanced practice providers who offer medical advice and guidance to those who are taking medications on their own to end their pregnancies. Attending to the phenomenology of caring on the Hotline reveals a new form of medical expertise at play, which we call \"care with nothing in the way.\" By operating outside the State's scrutiny of abortion provision, the Hotline offers its volunteers a way to practice abortion care that aligns with their professional and political commitments and that distances them from the direct harm they see caused by the political, financial, and bureaucratic constraints of their clinical work. By delineating the structure of this new regime of care, these providers call into question the notion of the \"good doctor.\" They radically re-frame widely shared assumptions about the tenets of the ideal patient-doctor relationship and engender a new form of intimacy-one based, ironically, out of anonymity and not the familiarity that is often idealized in the caregiving relationship. We suggest the implications of \"care with nothing in the way\" are urgent, not only in the context of increasing hostility to abortion rights, but also for a culture of medicine plagued by physician burnout.</p>","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":" ","pages":"127-153"},"PeriodicalIF":1.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9707088/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10632951","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
Care Compromised: Cases from a Jail Medical Ward. 护理受到损害:来自监狱医疗病房的案例。
IF 1.5 4区 医学
Culture Medicine and Psychiatry Pub Date : 2025-03-01 Epub Date: 2025-02-22 DOI: 10.1007/s11013-025-09902-x
Liza Buchbinder
{"title":"Care Compromised: Cases from a Jail Medical Ward.","authors":"Liza Buchbinder","doi":"10.1007/s11013-025-09902-x","DOIUrl":"10.1007/s11013-025-09902-x","url":null,"abstract":"","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":" ","pages":"169-176"},"PeriodicalIF":1.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12053046/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143477140","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
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