Culture Medicine and Psychiatry最新文献

{"title":"The Rebel Body: The Subversive Meanings of Illness.","authors":"Nancy Scheper-Hughes, Julia Vorhölter, Amand-Gabriel Führer","doi":"10.1007/s11013-025-09968-7","DOIUrl":"10.1007/s11013-025-09968-7","url":null,"abstract":"<p><p>Nancy Scheper-Hughes's and Margaret Lock's (1987) article on the \"the mindful body,\" in which they introduce their framework of three interconnected bodies (individual, social, and the body politic), has shaped debates in medical anthropology over the last three decades and, as Yates-Doerr (2017: 142) puts it, represented \"a zeitgeist for the field\" (italics in original). Scheper-Hughes's related, but more politicized idea of the \"rebel body,\" however-which she sketches in the following reprint-has not yet entered mainstream debates.Originally published only in print in the Traditional Acupuncture Society Journal (Scheper-Hughes, 1991), the article conceptualizes the rebel body as one that \"refuse[s] the demand to suffer quietly\" and thereby reveals and challenges political etiologies of illness. We discovered the article in our preparation of the special issue (see Führer and Vorhölter, 2025) and found it to be extremely valuable for our reflections on liberation medicine-and surprisingly timely. The article offers a compelling analysis of the political causes and potentials of illness, of pain and its demand for recognition, and of the power of refusal. While some of these themes have since been prominently discussed in more recent scholarship (see e.g., Buchbinder, 2015; Hamdy, 2008; Rose Hunt, 2016; McGranahan, 2016; Simpson, 2014), the conceptualization of the rebel body remains provocative and relevant to contemporary debates in and on medicine. By republishing this article here, we hope to make it accessible to a new generation of scholars, practitioners, patients, and activists and hereby further their aspirations toward an understanding of medicine as a form of everyday resistance.The article begins with a survey of anthropological understandings of and debates on the body, embodiment, and somatization. Based on her own fieldwork in North-Western Brazil, and using the framework of the \"three bodies,\" Scheper-Hughes reflects on the interrelations between the individual body, the social body, and the body politic. Through a reworking of established notions of illness, suffering, and healing, she proposes to understand illness as a form of bodily praxis that can be read as an expression of protest and rebellion to unequal and unjust social and political orders. Thus read, the moment of illness carries the potential for radical reflection and subsequent action, which medicine as well as society can either mute through biomedical cooptation or respond to with engagement in political therapy.We are republishing the article with the kind permission of the British Acupuncture Council. The text has been lightly edited and this introductory note/abstract has been added by Amand-Gabriel Führer and Julia Vorhölter. We have added references that were missing in the original article and have removed those that were not mentioned in the text. Furthermore, we have included the works that we cite in this introductory note/abstract in the reference ","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":"50 1","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12979354/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147436691","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":"Embracing Pluralism: Rethinking Western Psychiatric Models for Equitable Global Mental Health.","authors":"Augustus Osborne","doi":"10.1007/s11013-025-09966-9","DOIUrl":"10.1007/s11013-025-09966-9","url":null,"abstract":"<p><p>The global mental health movement has brought much-needed attention to the vast burden of mental illness worldwide, yet its overwhelming reliance on Western psychiatric models has generated critical debate regarding cultural relevance and effectiveness. This commentary examines the limitations of exporting Western diagnostic categories and treatments to diverse settings, highlighting the risks of cultural mismatch, medicalization of social suffering, and marginalization of indigenous healing systems. Drawing on recent evidence from task-shifting, community-based interventions, and hybrid models, we demonstrate that locally grounded approaches such as Zimbabwe's friendship bench and collaborative programs between traditional and biomedical practitioners can be highly effective, culturally resonant, and sustainable. However, the unchecked predominance of Western paradigms has sometimes led to increased stigma, over-reliance on pharmaceuticals, and the erosion of community trust. To address these challenges, this paper recommend a pluralistic and participatory approach to global mental health, emphasizing culturally adapted care, local leadership, equitable research funding, and respectful integration of multiple healing traditions. The future of global mental health depends on humility, partnership, and a commitment to social justice, ensuring that mental health services are not only scientifically sound but also meaningful and accessible to all communities. Achieving effective and equitable mental health care globally requires moving beyond Western models to embrace pluralism, cultural adaptation, community engagement, local leadership, and equity.</p>","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":"50 1","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12967611/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147373377","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":"What Crisis? Competing Narratives of Mental Health in US Higher Education.","authors":"Eugene Raikhel","doi":"10.1007/s11013-026-09977-0","DOIUrl":"10.1007/s11013-026-09977-0","url":null,"abstract":"<p><p>The \"mental health crisis\" has become the dominant framework for understanding student distress in US higher education. Drawing on interviews with 35 mental health professionals working with college students, this paper examines how practitioners themselves understand and critique this crisis narrative. Rather than accepting or rejecting the crisis framing wholesale, professionals articulated five distinct and often competing ways of understanding what is happening in college mental health: (1) a mental health crisis emphasizing increasing student psychopathology; (2) a developmental crisis attributing distress to disrupted adolescent development from technology use and changing parenting practices; (3) an access crisis focusing on overwhelmed institutional capacity; (4) a crisis of meaning highlighting the semantic instability of diagnostic language as it circulates in vernacular usage; and (5) a crisis of higher education locating the problem in structural conditions and achievement culture. Each framing renders certain aspects of the situation visible while obscuring others, authorizes particular forms of expertise, and implies fundamentally different interventions. Building on critical scholarship that treats \"crisis\" as a framing device that performs political work, this paper argues that the multiplication of crisis narratives represents both a symptom of conceptual complexity and practitioners' efforts to make visible what dominant framings obscure. Ultimately, professionals face the task of addressing patients' needs while dealing with multiple simultaneous pressures and working with a limited capacity to address upstream causes of distress.</p>","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":"50 1","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12967395/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147373407","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":"Bridging Perspectives: Young Activists' Stories and Intergenerational Dialogue on Mental Health and Climate Change in Canada.","authors":"Émilie Tremblay, Sandra Harrisson","doi":"10.1007/s11013-026-09974-3","DOIUrl":"10.1007/s11013-026-09974-3","url":null,"abstract":"<p><p>This study examines climate change-related emotional responses among young adults engaged in climate activism and an intergenerational group of non-activists through an ecofeminist lens, which highlights interconnected oppression within patriarchal societies. The objectives were to understand how environmental decline influences young adults' climate engagement, thoughts, actions, and behaviors and to describe the emotional and psychological impacts of the climate crisis on both young adults and the intergenerational group. The study comprised two phases: young adult activists created digital stories, and an intergenerational focus group of non-activists viewed these stories and participated in a discussion. Thematic analysis constructed key themes: among activists, youth environmental awareness, psychoterratic syndromes, and activism; among non-activists, climate change perspectives and intergenerational injustice. Both groups expressed concern, anxiety, sadness, and grief, although activists reported experiencing these emotions more frequently and expressed worry about human health. Activists also conveyed hope for climate action, similar to older non-activists, whereas younger non-activists reported feelings of hopelessness and lack of motivation, and older non-activists showed little interest in collective action. Despite emotional burdens, young activists remained hopeful and motivated through collective efforts. Both groups underscored the disproportionate responsibility placed on young people to address climate change, calling for greater support and equitable distribution of responsibility.</p>","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":"50 1","pages":"16"},"PeriodicalIF":1.9,"publicationDate":"2026-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146198019","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":"Enacted Restoration of Selfhood: A Kierkegaardian Perspective on Self-harm Among People with Mental Illness.","authors":"Alexandra Brandt Ryborg Jønsson, Elizabeth Xiao-An Li, Anne Mia Steno","doi":"10.1007/s11013-026-09975-2","DOIUrl":"10.1007/s11013-026-09975-2","url":null,"abstract":"<p><p>Non-suicidal self-harm, particularly the phenomenon of cutting, is gaining increasing academic attention. However, most existing literature approaches this topic from clinical, cultural, or historical perspectives, often neglecting an in-depth exploration of the lived experiences of individuals engaging in self-harm. Notably, within the context of mental illnesses, self-harm is often viewed merely as a symptomatic behavior and consequently addressed solely through symptomatic treatments. This article draws on data from the first and last authors' extensive projects focusing on individuals living with mental illnesses in Denmark. Over a period of four years, we closely followed 19 participants (in two different projects) in various aspects of their daily lives, including periods of hospitalization. The article also includes uncensured images of self-harm, provided by participants with their permission to publish. We aim to underscore self-harm not only as the experiential nexus of a complex relationship between the body and the world but also as a mechanism for overcoming the self. Drawing inspiration from Kierkegaard's reflections on selfhood and despair, we propose the concept of 'enacted selfhood' as an analytical framework for comprehending self-harm among individuals living with mental illness.</p>","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":"50 1","pages":"17"},"PeriodicalIF":1.9,"publicationDate":"2026-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12907276/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146197971","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":"Abusive Practices, Self-regulation Strategies, and the Language of Addiction: Narratives Surrounding Problematic Smartphone Use in Southeastern Spanish Youth.","authors":"José Palacios Ramírez, Joaquín Rodes García, Antonio M Nogués Pedregal","doi":"10.1007/s11013-025-09964-x","DOIUrl":"10.1007/s11013-025-09964-x","url":null,"abstract":"<p><p>The smartphone has become fundamental in areas, such as leisure, sociability, and intimacy, especially for young people. Its impact has led to growing concerns about its effects, in terms of a potential addictive nature. This article approaches the articulation of abuse and self-regulation practices regarding the smartphone, and the presence of addictive explanations as a framework that links such practices to a culture of addiction. For this purpose, 24 young people (between 18 and 29 years) with different socio-demographic profiles (age, gender, occupation) and levels of problematic use of digital technologies were interviewed. The results show how respondents regulate the constant influx of smartphones into their daily lives with individual strategies that attempt to balance the perceived effects of their digital practices. Their effectiveness is modulated by aspects, such as maturity, personal context, or commitment to other activities. In many cases, their self-perceptions are permeated by popularized discourses of addiction, which coexist with ironic positions regarding their agency facing the technological designs and are aligned with logics of individual responsibility. They also highlight emergent aspects, such as the link between weekend binge or nightly practices of smartphone abuse, with their own personal sphere and self-gratification.</p>","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":"50 1","pages":"13"},"PeriodicalIF":1.9,"publicationDate":"2026-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12886315/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146151040","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":"Cultural Countertransference of Young Clinicians Facing a State of Possession: A Cultural Case Study.","authors":"Manon Arminot, Lara Haghiri Ghazvini, Thierry Baubet, Marie Rose Moro, Théo Mouhoud","doi":"10.1007/s11013-026-09976-1","DOIUrl":"10.1007/s11013-026-09976-1","url":null,"abstract":"<p><p>Possession states are a well-known but a complex clinical aspect of transcultural psychiatry. How do young clinicians react when facing such symptoms? Starting from the case of a Somali patient suffering from possession states, treated in a transcultural consultation group, we will attempt to explain the cultural countertransference experienced by young clinicians who witnessed a trance. Using the Cultural Formulation Interview, we observed an evolution of the countertransference, and therefore an evolution of the symptom's understanding and of the patient's condition. This clinical case thus highlights the necessity to take into account the cultural countertransference of young clinicians within the transcultural consultation.</p>","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":"50 1","pages":"14"},"PeriodicalIF":1.9,"publicationDate":"2026-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146150999","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":"Review of the Book 'Under the Gaze of Global Mental Health: A Critical Reflection'.","authors":"Delia Da Mosto, Luca Negrogno","doi":"10.1007/s11013-026-09970-7","DOIUrl":"https://doi.org/10.1007/s11013-026-09970-7","url":null,"abstract":"<p><p>The book Under the Gaze of Global Mental Health: A Critical Reflection offers a powerful critique of Euro-North American epistemology and biomedical universalism, which continue to shape global mental health policies and practices. The authors challenge the assumption that Euro-North American ways of understanding the mind and mental illness are universally valid, arguing instead that these frameworks reflect a colonial legacy with practical and epistemological consequences - particularly through the influence of international agencies.</p>","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":"50 1","pages":"9"},"PeriodicalIF":1.5,"publicationDate":"2026-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146100696","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":"Psychiatric Oppression in Women's Lives: Creative Resistance and Collective Dissent : Palgrave, 2024, pp.228.","authors":"Ellen Annandale","doi":"10.1007/s11013-025-09967-8","DOIUrl":"https://doi.org/10.1007/s11013-025-09967-8","url":null,"abstract":"","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":"50 1","pages":"11"},"PeriodicalIF":1.5,"publicationDate":"2026-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146100704","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":"Six Core Conflictual Themes Identified in the Narratives of Hikikomori.","authors":"Hisako Wada, Toyoaki Ogawa, Tadaaki Furuhashi, Takashi Sakai","doi":"10.1007/s11013-025-09957-w","DOIUrl":"10.1007/s11013-025-09957-w","url":null,"abstract":"<p><p>As awareness of hikikomori has increased worldwide, the body of research has diversified, deepening our understanding of the subject. Nevertheless, qualitative studies on the subjective experiences of primary hikikomori remain limited. Within this context, this study aims to enhance understanding of the primary type of hikikomori by exploring their lived experiences through in-depth interviews. The analysis identified six interrelated conflictual themes, woven through social-existential strife. At the core of this struggle lies an intricate negotiation of self-worth and belonging amid the tension between individual vulnerability and societal expectations. An existential yearning for meaningful relatedness underscored these struggles, despite an apparent severance from the social world on the surface. The subjects appeared neither apathetic nor indifferent, but rather encapsulated in a complex web of conflicting forces, experiencing pain both when retreating from and venturing into the outside world. These experiences were deeply intersected with cultural and societal dynamics, including subtle and largely invisible pressures arising from contemporary norms of sociality. Capturing the meanings of withdrawal within the resonance of an affected person's sense of self and their view of the social world is thus crucial, given the friction inherent in contemporary pursuits of self-discovery and social connection. By linking psychological distress with structural and relational forces, this study also seeks to offer an integrative perspective on social withdrawal, yielding insights that extend beyond the Japanese context.</p>","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":"50 1","pages":"12"},"PeriodicalIF":1.9,"publicationDate":"2026-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12861992/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146100724","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}