Culture Medicine and Psychiatry最新文献_第6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":" ","pages":"663-675"},"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

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":" ","pages":"401-419"},"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

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":" ","pages":"569-590"},"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

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

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":" ","pages":"470-487"},"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

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":" ","pages":"591-613"},"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

"I Felt Like I Was Cut in Two": Postcesarean Bodies and Complementary and Alternative Medicine in Switzerland. "我感觉自己被切成了两半"：瑞士的剖腹产后身体与补充和替代医学》（Postcesarean Bodies and Complementary and Alternative Medicine in Switzerland）。

IF 1.5 4区医学

Culture Medicine and Psychiatry Pub Date : 2024-06-01 Epub Date: 2024-05-06 DOI: 10.1007/s11013-024-09856-6

Caroline Chautems

引用次数: 0

A Glossary of Distress Expressions Among Kannada-Speaking Urban Hindu Women. 卡纳达语城市印度教妇女苦恼表达词汇》。

IF 1.5 4区医学

Culture Medicine and Psychiatry Pub Date : 2024-06-01 Epub Date: 2024-02-07 DOI: 10.1007/s11013-023-09843-3

Lesley Jo Weaver, Shivamma Nanjaiah, Fazila Begum, Nagalambika Ningaiah, Karl Krupp, Purnima Madhivanan

{"title":"A Glossary of Distress Expressions Among Kannada-Speaking Urban Hindu Women.","authors":"Lesley Jo Weaver, Shivamma Nanjaiah, Fazila Begum, Nagalambika Ningaiah, Karl Krupp, Purnima Madhivanan","doi":"10.1007/s11013-023-09843-3","DOIUrl":"10.1007/s11013-023-09843-3","url":null,"abstract":"People's lived experiences of distress are complex, personal, and vary widely across cultures. So, too, do the terms and expressions people use to describe distress. This variation presents an engaging challenge for those doing intercultural work in transcultural psychiatry, global mental health, and psychological anthropology. This article details the findings of a study of common distress terminology among 63 Kannada-speaking Hindu women living in Mysuru, the second largest city in the state of Karnataka, South India. Very little existing scholarship focuses on cultural adaptation for speakers of Dravidian languages like Kannada; this study aims to fill this gap and support greater representation of this linguistic family in research on mental health, idioms of distress, and distress terminology. Between 2018 and 2019, we conducted a 3-phase study consisting of interviews, data reduction, and focus group discussions. The goal was to produce a non-exhaustive list of common Kannada distress terms that could be used in future research and practice to translate and culturally adapt mental health symptom scales or other global mental health tools.","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":" ","pages":"367-383"},"PeriodicalIF":1.5,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139698634","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

Detransition Narratives Trouble the Simple Attribution of Madness in Transantagonistic Contexts: A Qualitative Analysis of 16 Canadians' Experiences. 反语篇叙事困扰反语语境中疯狂的简单归因：对16名加拿大人经历的定性分析。

IF 1.5 4区医学

Culture Medicine and Psychiatry Pub Date : 2024-06-01 Epub Date: 2023-09-22 DOI: 10.1007/s11013-023-09838-0

Wren Ariel Gould, Kinnon R MacKinnon, June Sing Hong Lam, Gabriel Enxuga, Alex Abramovich, Lori E Ross

{"title":"Detransition Narratives Trouble the Simple Attribution of Madness in Transantagonistic Contexts: A Qualitative Analysis of 16 Canadians' Experiences.","authors":"Wren Ariel Gould, Kinnon R MacKinnon, June Sing Hong Lam, Gabriel Enxuga, Alex Abramovich, Lori E Ross","doi":"10.1007/s11013-023-09838-0","DOIUrl":"10.1007/s11013-023-09838-0","url":null,"abstract":"Emerging evidence suggests that transgender individuals are more likely than cisgender peers to receive a diagnosis with a primary mental disorder. Attributions of madness, though, may serve the social function of dismissing and discrediting transgender individual's self-perceptions. The narratives of individuals who stop or reverse an initial gender transition who also identify as living with mental health conditions can sometimes amplify these socio-political discourses about transgender people. Through a critical mental health lens, this article presents a qualitative analysis of 16 individuals who stopped or reversed a gender transition and who also reported a primary mental health condition. Semi-structured, virtual interviews were conducted with people living in Canada. Applying constructivist grounded theory methodology, and following an iterative, inductive approach to analysis, we used the constant comparative method to analyse these 16 in-depth interviews. Results show rich complexity such that participants narrated madness in nuanced and complex ways while disrupting biased attitudes that madness discredited their thoughts and feelings, including prior gender dysphoria. Instead, participants incorporated madness into expanding self-awareness and narrated their thoughts and feelings as valid and worthy. Future research must consider provider's perspectives, though, in treating mad individuals who detransitioned, since alternate gender-affirming care models may better support the identification and wellness of care-seeking individuals who may be identified (in the past, present, or future) as mad.","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":" ","pages":"247-270"},"PeriodicalIF":1.5,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41133499","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