Culture Medicine and Psychiatry最新文献_第7页

The Social Drama of Mental Health Professionals who are also Former Mental Health Service Users. 前心理健康服务使用者的心理健康专业人员的社会戏剧。

IF 1.5 4区医学

Culture Medicine and Psychiatry Pub Date : 2025-12-01 Epub Date: 2025-11-02 DOI: 10.1007/s11013-025-09955-y

Karina Stjernegaard, Lene Lauge Berring, Sidse Marie Arnfred, David Crepaz-Keay, Niels Buus

{"title":"The Social Drama of Mental Health Professionals who are also Former Mental Health Service Users.","authors":"Karina Stjernegaard, Lene Lauge Berring, Sidse Marie Arnfred, David Crepaz-Keay, Niels Buus","doi":"10.1007/s11013-025-09955-y","DOIUrl":"10.1007/s11013-025-09955-y","url":null,"abstract":"Studies indicate that the lived experience of being a mental health service user is common among mental health professionals. However, little is known about how such experiences may influence clinical practice. Through interviews and diary notes from fourteen Danish mental health professionals, we explored how these experiences become part of everyday practices. Data were coded and analyzed following an abductive process incorporating the theory of social drama by Victor Turner. We propose a conceptual model of the transitional challenges faced by these professionals within the current social order of Danish mental health services. For some, the lived experience disturbed the social order to such a degree that they questioned their employment; for others, lived experience was either shared verbally or concealed from service users and/or colleagues in ways that did not disturb the social order significantly. The proposed conceptual model points to dichotomies of service users versus professionals and of madness versus normalcy as evident discursive practices within mental health services that do not favor mental health professionals drawing on their lived experience.","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":" ","pages":"1394-1416"},"PeriodicalIF":1.5,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12745326/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145432365","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

Migrants' Access to Mental Health Services in Italy: The Case of the Transcultural Psychiatric Operational Unit of Catania in Eastern Sicily. 意大利移民获得精神卫生服务的机会：东西西里岛卡塔尼亚跨文化精神病学业务单位的案例。

IF 1.5 4区医学

Culture Medicine and Psychiatry Pub Date : 2025-12-01 Epub Date: 2025-11-08 DOI: 10.1007/s11013-025-09950-3

Irene Maffi, Simona Carotenuto, Aldo Virgilio

{"title":"Migrants' Access to Mental Health Services in Italy: The Case of the Transcultural Psychiatric Operational Unit of Catania in Eastern Sicily.","authors":"Irene Maffi, Simona Carotenuto, Aldo Virgilio","doi":"10.1007/s11013-025-09950-3","DOIUrl":"10.1007/s11013-025-09950-3","url":null,"abstract":"This article, based on a collaboration between an ethnopsychiatrist, a psychologist and an anthropologist at the Transcultural Psychiatric Operational Unit (TPOU) in Catania, Sicily, examines how a culturally sensitive approach can support migrants suffering from trauma, depression and other psychological or psychiatric disorders in their recovery and adaptation to the host society. First, we analyse the structure of Italy's migrant reception system and the specific characteristics of the public healthcare framework in Sicily. Next, we trace the history of the TPOU, detailing patient profiles and the facility's philosophy of care since its inception. In the second part, through an exploration of five individuals' therapeutic journeys, we illustrate how access to ethnopsychiatric services has facilitated their recovery and sociocultural integration. Finally, we underscore the disparities in access to treatment opportunities and psychosocial distress prevention programmes in Sicily, highlighting the absence of public facilities capable of providing culturally competent responses to migrants' social suffering.","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":" ","pages":"1481-1503"},"PeriodicalIF":1.5,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12745301/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145477267","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

Transgressive Care. The Specters of Physicality in Global Mental Health. 违法的护理。全球心理健康中的肉体幽灵。

IF 1.5 4区医学

Culture Medicine and Psychiatry Pub Date : 2025-12-01 Epub Date: 2025-10-27 DOI: 10.1007/s11013-025-09951-2

Maddalena Canna

{"title":"Transgressive Care. The Specters of Physicality in Global Mental Health.","authors":"Maddalena Canna","doi":"10.1007/s11013-025-09951-2","DOIUrl":"10.1007/s11013-025-09951-2","url":null,"abstract":"In mainstream doxa about global mental health, physical and tactile intervention on mental patients, such as corporeal containment, is frequently stigmatized and/or conflated with abusive practices. Nevertheless, in some Afro-Indigenous traditions, such as among the Miskitu of Nicaragua, certain forms of physical containment can be experienced as appropriate care, fostering somatic empathy. This article explores a set of misconceptions and conflations leading to a stigmatization of Miskitu physical containment, unduly associated to emblems of abusive restraint (e.g., straitjackets), and risks of sexual misconduct (2). By acknowledging the legitimacy of these fears, I argue that hauntings of psychiatric abuse must not be superimposed on practices that are superficially similar but substantially different in meaning, outcomes, and ethical implications. Drawing upon an ethnography of tactile care for grisi siknis (spiritual affliction) in Nicaragua, I explore the controversial practice of physically \"touching\" mental suffering through bodily containment. My aim is twofold: dissipating the false association between psychiatric abuse and any form of tactile mental care, and suggesting a broader reflection on the potentials of tactility for global mental health.","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":" ","pages":"1306-1323"},"PeriodicalIF":1.5,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145379374","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

Changes to Refugee Mental Health During and After a Cross-Sector PTSD Intervention: A Qualitative Longitudinal Study About the Influence of Social Support, Life Events, and Agency. 跨部门创伤后应激障碍干预期间和之后难民心理健康的变化：关于社会支持、生活事件和代理影响的定性纵向研究

IF 1.5 4区医学

Culture Medicine and Psychiatry Pub Date : 2025-12-01 Epub Date: 2025-10-05 DOI: 10.1007/s11013-025-09944-1

Henriette Laugesen Attardo, Maja Bruhn, Morten Skovdal, Jessica Carlsson, Åsa Audulv

{"title":"Changes to Refugee Mental Health During and After a Cross-Sector PTSD Intervention: A Qualitative Longitudinal Study About the Influence of Social Support, Life Events, and Agency.","authors":"Henriette Laugesen Attardo, Maja Bruhn, Morten Skovdal, Jessica Carlsson, Åsa Audulv","doi":"10.1007/s11013-025-09944-1","DOIUrl":"10.1007/s11013-025-09944-1","url":null,"abstract":"Cross-sector interventions are increasingly suggested in care for trauma-affected refugees, but knowledge about how they influence mental health over time remains sparse. Using a qualitative longitudinal design, we explored patterns of mental health change and aspects contributing to change among refugees participating in a cross-sector intervention addressing post-migration stressors alongside treatment for post-traumatic stress disorder. Interviews were conducted with participants at four time points during the intervention and the year after. A pattern-oriented analysis helped identify three patterns of mental health change, in which participants experienced either consistent improvements, decline without the support of the intervention, or persistently poor mental health despite changes to post-migration stressors. The patterns differed in how refugees (a) perceived benefiting from the intervention, (b) desired or benefited from social interactions and support, (c) encountered challenging life events, and (d) explained their expectations and agency. The intervention supported improved mental health in two patterns; however, lasting improvement beyond the intervention period was identified in only one pattern. We discuss adaptations and alternative interventions. Findings support a personalized and cross-sectoral approach to mental health treatment to better support the individual needs of refugee patients.","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":" ","pages":"1265-1285"},"PeriodicalIF":1.5,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12745305/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145233912","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

Brief Illness, Haunting Effects: Gestational Diabetes and the Spectrality of Care. 短暂的疾病，挥之不去的影响：妊娠糖尿病和频谱的护理。

IF 1.5 4区医学

Culture Medicine and Psychiatry Pub Date : 2025-12-01 Epub Date: 2025-10-22 DOI: 10.1007/s11013-025-09948-x

Anne-Sophie Guernon

{"title":"Brief Illness, Haunting Effects: Gestational Diabetes and the Spectrality of Care.","authors":"Anne-Sophie Guernon","doi":"10.1007/s11013-025-09948-x","DOIUrl":"10.1007/s11013-025-09948-x","url":null,"abstract":"This article interrogates the diagnostic category of gestational diabetes mellitus (GDM) as a spectral illness, that is transitory, affectively charged, and shaped by regimes of anticipation and surveillance. Drawing on six months of ethnographic fieldwork in Vancouver hospitals, I trace how GDM is enacted not through embodied symptoms but through numerical thresholds, creating a clinical reality that arrives unannounced and often departs before it is ever felt. Despite its apparent disappearance, GDM leaves behind lingering traces: haunting fears of the return of chronic illness, maternal guilt, residual disordered eating tendencies, and the specter of intergenerational risk. Through a conceptual framework that brings together Derrida's notions of the hauntology, spectres, ghosts, and revenants; Fischer's temporal disjunctions of the \"no longer\" and the \"not yet\"; and other theories of 'at-riskness' and surveillance in medicine, I argue that GDM initiates a haunting that reconfigures the experience of pregnancy. It summons past traumas, elicits future-oriented anxieties, and embeds the maternal body within a terrain of ongoing clinical and moral oversight. As a diagnosis with a temporal expiration but lasting affective and embodied consequences, GDM demands new analytic attention to how biomedicine produces and manages uncertainty, anticipation, spectrality, and haunting.","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":" ","pages":"1417-1436"},"PeriodicalIF":1.5,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145349186","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

Sociocultural Factors Underlying the Occurrence and Development of High-Risk Behaviors in Adolescent Girls with Substance Use Disorder: A Qualitative Study. 青少年女性物质使用障碍高危行为发生与发展的社会文化因素：一项定性研究

IF 1.5 4区医学

Culture Medicine and Psychiatry Pub Date : 2025-12-01 Epub Date: 2025-09-02 DOI: 10.1007/s11013-025-09942-3

Zakiye Ghelbash, Mousa Alavi, Mahnaz Noroozi, Masuood Mahdavian Far

{"title":"Sociocultural Factors Underlying the Occurrence and Development of High-Risk Behaviors in Adolescent Girls with Substance Use Disorder: A Qualitative Study.","authors":"Zakiye Ghelbash, Mousa Alavi, Mahnaz Noroozi, Masuood Mahdavian Far","doi":"10.1007/s11013-025-09942-3","DOIUrl":"10.1007/s11013-025-09942-3","url":null,"abstract":"Substance use disorder, as a high-risk behavior in adolescence, can underlie other high-risk behaviors, such as suicide, sexual risk behaviors, and violence. The initial step in implementing an effective program is to identify the underlying factors and assess the relevant context. Therefore, the current research aimed to gain deep insight into the sociocultural factors that contribute to high-risk behaviors in adolescent girls with substance use disorders. The present study was conducted with a qualitative approach and with conventional content analysis methodology. The participants consisted of 26 teenage girls with substance use disorders, specialists, and officials relevant to vulnerable groups (i.e., policy makers and managers in a variety of health/social sectors), as well as families of teenage girls. Data were collected via semistructured qualitative interviews and then coded after rewriting via MAX QDA software. The identified factors were assigned to four main categories, namely, gender stereotypes, unsafe context, gaps in fulfilling social health needs, and immature policies. The main challenges in the formation of risky behaviors in vulnerable adolescent girls were related to disturbances in the living environment, especially problems in cultural and social contexts, which itself was perceived as a product of shortcomings in the implementation of policies and intersectoral collaboration gaps. Therefore, it is imperative to make serious management decisions in the macro area in the framework of codified policies along with effective monitoring and evaluation during executive processes by social welfare organizations and health ministries.","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":" ","pages":"1246-1264"},"PeriodicalIF":1.5,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144974395","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

Navigating Hope and Despair: The Agonizing Boat Journeys of the Sri Lankan Tamil Refugees. 航行希望与绝望：斯里兰卡泰米尔难民痛苦的乘船之旅。

IF 1.5 4区医学

Culture Medicine and Psychiatry Pub Date : 2025-12-01 Epub Date: 2025-10-16 DOI: 10.1007/s11013-025-09952-1

B Riswana, Baiju Gopal

{"title":"Navigating Hope and Despair: The Agonizing Boat Journeys of the Sri Lankan Tamil Refugees.","authors":"B Riswana, Baiju Gopal","doi":"10.1007/s11013-025-09952-1","DOIUrl":"10.1007/s11013-025-09952-1","url":null,"abstract":"This study investigates the psychological experiences of Sri Lankan Tamil Refugees (SLTRs) involving boat journeys and the refugee lives that follow. Thirty participants from rehabilitation camps in Tamil Nadu, India, were interviewed. Reflexive thematic analysis was used to analyze the responses. The two overarching themes were 'the motives and consequences of exile' and 'the complexities of refugee life.' The findings reveal that the participants experienced psychosomatic symptoms immediately upon arrival, reflecting the inner conflicts resulting from war trauma and boat crossings. They reported serious bouts of trauma during and after their crossing. The first- and second-generation participants recounted nightmares pertaining to boat journeys which contributed to hauntedness, which is a state of emotional or mental disturbance often attributed to past trauma. Refugee life is complex, encompassing hopelessness and haunted memories which are passed down to subsequent generations, leading to intergenerational trauma. The boat journey in itself is an ambivalent phenomenon blending hope and profound agony. This study is a novel attempt to gain coherent insights into the boat travel experiences of the SLTR, the dynamics of the interplay of collective unconscious mechanisms, and anxieties in exile. These insights can play a seminal role in facilitating psychological reconstruction and developing effective coping strategies.","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":" ","pages":"1324-1348"},"PeriodicalIF":1.5,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145304095","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 Integration of Islamic Psychology with Acceptance and Commitment Therapy (ACT). 伊斯兰心理学与接受与承诺疗法（ACT）的整合。

IF 1.5 4区医学

Culture Medicine and Psychiatry Pub Date : 2025-12-01 Epub Date: 2025-07-18 DOI: 10.1007/s11013-025-09924-5

Imran Khan, Shaystah Dean, Damien Ridge, Nikolaos Souvlakis

{"title":"The Integration of Islamic Psychology with Acceptance and Commitment Therapy (ACT).","authors":"Imran Khan, Shaystah Dean, Damien Ridge, Nikolaos Souvlakis","doi":"10.1007/s11013-025-09924-5","DOIUrl":"10.1007/s11013-025-09924-5","url":null,"abstract":"Black and ethnic minority groups (diverse groups) face inequalities when it comes to healthcare in the United Kingdom, including access, stigma, and discrimination. Many of these diverse communities include Muslims. It is also known that barriers for Muslims especially involve accessing mental health services because of fears of stereotyping, stigma, and expected NHS incongruence with religious beliefs. Many Muslims make connections between religious attributions and mental health issues and consider religion a source of support. There have been efforts to construct an Islamic model of the self as a framework for healing in the therapeutic context for Muslim patients. This article develops an initial framework to integrate an Islamic model of the self with acceptance and commitment therapy (ACT). We will detail the rationale for this spiritual integration in the development of a potential mental health intervention for Muslim patients. We describe how ACT is useful, given the overlap of ACT's aim to increase psychological flexibility with the therapeutic and spiritual goals of Islamic Psychology. We use a case example to briefly illustrate the points of congruence between ACT and Islamic principles. This approach has the potential to enhance access to healthcare for Muslim patients via the NHS. Further work will be needed to develop a practical tool for therapists who wish to deliver an Islamic based therapy for Muslims using ACT as a framework.","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":" ","pages":"1067-1086"},"PeriodicalIF":1.5,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12745322/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144660787","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

Revenge Fantasies Expressed Through Drawings and Narratives: Insights from Indian Perspectives Based on Gender and Religion. 通过绘画和叙事表达的复仇幻想：基于性别和宗教的印度视角的见解。

IF 1.5 4区医学

Culture Medicine and Psychiatry Pub Date : 2025-12-01 Epub Date: 2025-07-18 DOI: 10.1007/s11013-025-09928-1

Meghna Girish, Rachel Lev-Wiesel

{"title":"Revenge Fantasies Expressed Through Drawings and Narratives: Insights from Indian Perspectives Based on Gender and Religion.","authors":"Meghna Girish, Rachel Lev-Wiesel","doi":"10.1007/s11013-025-09928-1","DOIUrl":"10.1007/s11013-025-09928-1","url":null,"abstract":"The mixed-methods study aimed to explore revenge fantasies among Indians, focusing on gender and religious differences, and to evaluate the alignment between quantitative measures and qualitative expressions through drawings and narratives. The sample comprised 97 Indian women and 55 men, aged 18-56, who identified as either Hindu or Christian. Quantitative assessments included the demographics sheet, Traumatic Events Questionnaire (TEQ), and Injustice Experiences Questionnaire (IEQ). Qualitative measures involved drawings and narratives depicting a personal injustice and the participant's desired outcome for the perpetrator. Analysis employed non-parametric tests and Interpretative Phenomenological Analysis for the drawings and narratives. The findings revealed no overall gender differences in the revenge fantasies depicted in drawings, though differences emerged in the types of perpetrators and central themes in narratives. Religious affiliation influenced the type of revenge fantasy, with Hindus and Christians showing significant differences in narrative organization, central themes, and resolution. Additionally, significant correlations were found between IEQ scores and various drawing indicators (event type, perpetrator type, and hierarchy) as well as narrative themes. These results suggest that gender and religious affiliation intricately shape revenge fantasies, highlighting the importance of considering cultural and social factors in understanding responses to perceived injustices.","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":" ","pages":"1044-1066"},"PeriodicalIF":1.5,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12745304/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144668708","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

Unspoken Grievances and Artistic Voices: A Reflective Letter on Deepening Clinical and Social Engagement. 无言的委屈与艺术的声音：一封关于深化临床与社会参与的反思信。

IF 1.5 4区医学

Culture Medicine and Psychiatry Pub Date : 2025-12-01 Epub Date: 2025-08-19 DOI: 10.1007/s11013-025-09941-4

Ke Meng, Kexin Liu, Chenlei Sun

引用次数: 0