Culture Medicine and Psychiatry最新文献_第7页

Life in Suspension with Death: Biocultural Ontologies, Perceptual Cues, and Biomarkers for the Tibetan Tukdam Postmortem Meditative State. 生命与死亡的悬浮：西藏吐蕃人死后冥想状态的生物文化本体、感知线索和生物标志物》（Biocultural Ontologies, Perceptual Cues, and Biomarkers for the Tibetan Tukdam Postmortem Meditative State）。

IF 1.7 4区医学

Culture Medicine and Psychiatry Pub Date : 2024-02-23 DOI: 10.1007/s11013-023-09844-2

Tawni L Tidwell

{"title":"Life in Suspension with Death: Biocultural Ontologies, Perceptual Cues, and Biomarkers for the Tibetan Tukdam Postmortem Meditative State.","authors":"Tawni L Tidwell","doi":"10.1007/s11013-023-09844-2","DOIUrl":"https://doi.org/10.1007/s11013-023-09844-2","url":null,"abstract":"This article presents two cases from a collaborative study among Tibetan monastic populations in India on the postdeath meditative state called tukdam (thugs dam). Entered by advanced Tibetan Buddhist practitioners through a variety of different practices, this state provides an ontological frame that is investigated by two distinct intellectual traditions-the Tibetan Buddhist and medical tradition on one hand and the Euroamerican biomedical and scientific tradition on the other-using their respective means of inquiry. Through the investigation, the traditions enact two paradigms of the body at the time of death alongside attendant conceptualizations of what constitutes life itself. This work examines when epistemologies of these two traditions might converge, under what ontological contexts, and through which correlated indicators of evidence. In doing so, this work explores how these two intellectual traditions might answer how the time course and characteristics of physiological changes during the postmortem period might exhibit variation across individuals. Centrally, this piece presents an epistemological inquiry delineating the types of valid evidence that constitute exceptional processes post-clinical death and their potential ontological implications.","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2024-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139933517","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

Time in the State of Dementia Caregiving in South Korea: When Care Becomes (Non-)Waiting. 韩国痴呆症护理状态的时间:当护理变成(非)等待时。

IF 1.7 4区医学

Culture Medicine and Psychiatry Pub Date : 2023-12-01 Epub Date: 2023-04-27 DOI: 10.1007/s11013-023-09823-7

Jieun Lee

{"title":"Time in the State of Dementia Caregiving in South Korea: When Care Becomes (Non-)Waiting.","authors":"Jieun Lee","doi":"10.1007/s11013-023-09823-7","DOIUrl":"10.1007/s11013-023-09823-7","url":null,"abstract":"Exploring how time emerges as a central problem for lone family caregivers of people with dementia, this article draws attention to care as a way of being in time with others. In addition to active doings that are oriented toward achieving goods that have drawn much attention in recent anthropological discussion on care, care of an intimate other often entails the state of being for the caregiver on which another person's way of being in the present heavily relies. Examining how time is experienced among caregivers who strive to live in the dyadic world of home-based dementia care in South Korea, I consider care as (non-)waiting both in the long term, anticipating the end of the state of caregiving, and in everyday life anticipating small and large fluctuations and interruptions. In the state of caregiving, time is experienced as tense, repetitive, and chronic, which needs to be endured in order for an intimate other to be within the family. Lone caregivers' accounts of the overwhelming weight of care-time both allow and demand us to consider care as a way of being in time with the other, and attend to the experiences of lived time constituted by the difficult intersubjective relationship and its effects on the possibility of having a sense of the near future. This article calls for attention to caregiving as a state in which temporalization becomes challenging, if not impossible.","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":" ","pages":"898-917"},"PeriodicalIF":1.7,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9726786","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 Dreamwork of the Symptom: Reading Structural Racism and Family History in a Drug Addiction. 症状的梦境:阅读吸毒成瘾中的结构性种族主义和家族史。

IF 1.7 4区医学

Culture Medicine and Psychiatry Pub Date : 2023-12-01 Epub Date: 2023-04-06 DOI: 10.1007/s11013-023-09820-w

Jesse Proudfoot

{"title":"The Dreamwork of the Symptom: Reading Structural Racism and Family History in a Drug Addiction.","authors":"Jesse Proudfoot","doi":"10.1007/s11013-023-09820-w","DOIUrl":"10.1007/s11013-023-09820-w","url":null,"abstract":"A key tenet of critical health research is that individual symptoms must be considered in light of the social and political contexts that shape or, in some cases, produce them. Precisely how oppressive social forces give rise to individual symptoms, however, remains challenging to theorize. This article contributes to debates over the interpretation of symptoms through a close reading of the case of Leon, an African American man struggling with an addiction to crack cocaine. Leon presented a complex illness narrative in which his addiction was clearly a product of structural racism, but also the result of dynamics within his family. Drawing on critical reevaluations of Freud's concept of the dreamwork, I call attention to the surface elements of Leon's narrative-what I term the surface of the symptom-and to the formal mechanisms by which latent contents (such as the social, the political, and the personal) are transformed into the manifest form of his symptom. This formal mode of reading offers a productive way of approaching questions of demystification and interpretation, one that holds in tension the register of social causation with the singularities of individuals and their symptoms.","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":" ","pages":"961-981"},"PeriodicalIF":1.7,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10654195/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9258377","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

Living the Process: Examining the Continuum of Coercion and Care in Tijuana's Community-Based Rehabilitation Centers. 活在过程中:检视提华纳社区康复中心强制与照护的连续性。

IF 1.7 4区医学

Culture Medicine and Psychiatry Pub Date : 2023-12-01 Epub Date: 2023-04-06 DOI: 10.1007/s11013-023-09822-8

Ellen E Kozelka

{"title":"Living the Process: Examining the Continuum of Coercion and Care in Tijuana's Community-Based Rehabilitation Centers.","authors":"Ellen E Kozelka","doi":"10.1007/s11013-023-09822-8","DOIUrl":"10.1007/s11013-023-09822-8","url":null,"abstract":"In Mexico, community-based, non-biomedical treatment models for substance use are legally recognized in national drug policy, monitored by state-level Departments of Health, and in some cases publicly funded. Academic research on centers that utilize these forms of treatment have focused primarily on documenting their rapid spread and describing their institutional practices, particularly human rights abuses and lack of established biomedical efficacy. In Tijuana, these community-based therapeutic models are shaped by conceptions of health and illness from the local cultural context of the United States-Mexico border zone in ways that do not cleanly match western, biomedical notions of the illness \"addiction.\" In this article, I examine treatment ethics by exploring the contextually understood need for coerced treatment (i.e., why centers are locked) along with experiences of compulsion in a women's 12 Step center. These discussions highlight the contested therapeutic value of coercion from multiple perspectives. Utilizing engaged listening around local care practices marks a path for global mental health researchers to understand and sit with difference in order to communicate across opposing viewpoints in the service of mental health equity and best care practices.","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":" ","pages":"937-960"},"PeriodicalIF":1.7,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9607948","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

Meaning in Psychosis: A Veteran's Critique of the Traumas of Racism, Sexual Violence, and Intersectional Oppression. 精神病的意义:一个老兵对种族主义、性暴力和交叉压迫的创伤的批判。

IF 1.7 4区医学

Culture Medicine and Psychiatry Pub Date : 2023-12-01 Epub Date: 2023-05-03 DOI: 10.1007/s11013-023-09824-6

Ippolytos Kalofonos

{"title":"Meaning in Psychosis: A Veteran's Critique of the Traumas of Racism, Sexual Violence, and Intersectional Oppression.","authors":"Ippolytos Kalofonos","doi":"10.1007/s11013-023-09824-6","DOIUrl":"10.1007/s11013-023-09824-6","url":null,"abstract":"This clinical case study presents the case of a Latina Veteran experiencing psychosis and draws on eclectic theoretical sources, including user/survivor scholarship, phenomenology, meaning-oriented cultural psychiatry & critical medical anthropology, and Frantz Fanon's insight on 'sociogeny,' to emphasize the importance of attending to the meaning within psychosis and to ground that meaning in a person's subjective-lived experience and social world. The process of exploring the meaning and critical significance of the narratives of people experiencing psychosis is important for developing empathy and connection, the fundamental prerequisite for developing trust and therapeutic rapport. It also helps us to recognize some of the relevant aspects of a person's lived experiences. To be understood, this Veteran's narratives must be contextualized in her past and ongoing life experience of racism, social hierarchy, and violence. Engaging in this way with her narratives pushes us towards a social etiology that conceptualizes psychosis as a complex response to life experience, and in her case, a critical embodiment of intersectional oppression.","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":" ","pages":"1090-1112"},"PeriodicalIF":1.7,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10654173/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9461615","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

Staying Together No Matter What: Becoming Young Parents on the Streets of Vancouver. 无论如何都要在一起:成为温哥华街头的年轻父母。

IF 1.7 4区医学

Culture Medicine and Psychiatry Pub Date : 2023-12-01 Epub Date: 2023-01-24 DOI: 10.1007/s11013-022-09813-1

Danya Fast, Reith Charlesworth, Madison Thulien, Andrea Krüsi, Jane Buxton, Sarah West, Corrina Chase, Daniel Manson

{"title":"Staying Together No Matter What: Becoming Young Parents on the Streets of Vancouver.","authors":"Danya Fast, Reith Charlesworth, Madison Thulien, Andrea Krüsi, Jane Buxton, Sarah West, Corrina Chase, Daniel Manson","doi":"10.1007/s11013-022-09813-1","DOIUrl":"10.1007/s11013-022-09813-1","url":null,"abstract":"Among young people who use drugs in the context of entrenched poverty and homelessness, pregnancy is often viewed as an event that can meaningfully change the trajectory of their lives. However, youth's desires and decision-making do not always align with the perspectives of various professionals and systems regarding how best to intervene during pregnancies and early parenting. Drawing on longitudinal interviews and fieldwork with young people in Vancouver, Canada, we explore how their romantic relationships powerfully shaped understandings of what was right and wrong and which actions to take during pregnancy and early parenting, and how these moral worlds frequently clashed with the imperatives of healthcare, criminal justice, and child protection systems. We demonstrate how a disjuncture between youth's desires, decision-making and moralities, and the systems that are intended to help them, can further entrench young people in cycles of loss, defeat, and harm. These cycles are powerfully racialized for young Indigenous people in our context.","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":" ","pages":"1043-1066"},"PeriodicalIF":1.7,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10654161/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10598837","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: 1

Is it Still Ok to be Ok? Mental Health Labels as a Campus Technology. 没事还可以吗?心理健康标签作为一项校园技术

IF 1.7 4区医学

Culture Medicine and Psychiatry Pub Date : 2023-12-01 Epub Date: 2023-03-24 DOI: 10.1007/s11013-023-09819-3

Neil Armstrong, Laura Beswick, Marta Ortega Vega

{"title":"Is it Still Ok to be Ok? Mental Health Labels as a Campus Technology.","authors":"Neil Armstrong, Laura Beswick, Marta Ortega Vega","doi":"10.1007/s11013-023-09819-3","DOIUrl":"10.1007/s11013-023-09819-3","url":null,"abstract":"This article uses ethnography and coproduced ethnography to investigate mental health labels amongst university students in the UK. We find that although labels can still be a source of stigma, they are also both necessary and useful. Students use labels as 'campus technologies' to achieve various ends. This includes interaction with academics and administrators, but labels can do more than make student distress bureaucratically legible. Mental health labels extend across the whole student social world, as a pliable means of negotiating social interaction, as a tool of self-discovery, and through the 'soft-boy' online archetype, they can be a means of promoting sexual capital and of finessing romantic encounters. Labels emerge as flexible, fluid and contextual. We thus follow Eli Clare in attending to the varying degrees of sincerity, authenticity and pragmatism in dealing with labels. Our findings give pause to two sets of enquiry that are sometimes seen as opposed. Quantitative mental health research relies on what appear to be questionable assumptions about labels embedded in questionnaires. But concerns about the dialogical power of labels to medicalise students also appears undermined.","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":" ","pages":"982-1004"},"PeriodicalIF":1.7,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10654164/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9168173","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: 1

Explanatory Models of (Mental) Health Among Sub-Saharan African Migrants in Belgium: A Qualitative Study of Healthcare Professionals' Perceptions and Practices. 在比利时的撒哈拉以南非洲移民(心理)健康的解释模型:卫生保健专业人员的看法和做法的定性研究。

IF 1.7 4区医学

Culture Medicine and Psychiatry Pub Date : 2023-12-01 Epub Date: 2023-03-20 DOI: 10.1007/s11013-023-09816-6

Hanne Apers, Christiana Nöstlinger, Lore Van Praag

{"title":"Explanatory Models of (Mental) Health Among Sub-Saharan African Migrants in Belgium: A Qualitative Study of Healthcare Professionals' Perceptions and Practices.","authors":"Hanne Apers, Christiana Nöstlinger, Lore Van Praag","doi":"10.1007/s11013-023-09816-6","DOIUrl":"10.1007/s11013-023-09816-6","url":null,"abstract":"Culturally differing approaches to the distinction between physical and mental health contribute to cultural differences in explanatory models of what we call \"mental\" health in a Western context. For this reason, we use \"(mental) health\" in this study when referring to these models or differences in understanding. This interpretative, interview-based qualitative study focuses on Belgian mental health professionals' perceptions of the (mental) health explanatory models held by their patients of sub-Saharan African (SSA) descent. The study goals were threefold: first, to assess professionals' perceptions of the explanatory models of their patients of SSA descent; second, to examine how these perceptions influence treatment practices; and third, to investigate the role of the professionals' cultural backgrounds, comparing the results between professionals with and without an SSA background. Twenty-two in-depth interviews with mental health professionals were thematically analyzed, with ten of the participants of SSA descent. Results show that all professionals perceived differences between Western and SSA explanatory models of (mental) health. Causal beliefs were mentioned as the most important difference, including their influence on coping strategies and health-seeking behavior among patients of SSA descent. Professionals' perceptions and familiarity with SSA explanatory models of (mental) health affected their treatment practices. Language and conceptual interpretation difficulties were encountered less frequently by professionals of SSA descent. Those with a Western background applied \"culturally sensitive\" practices, while professionals of SSA descent implemented an integrated approach. These results contribute to ongoing discussions about what is considered \"cultural competency.\"","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":" ","pages":"878-897"},"PeriodicalIF":1.7,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10026223/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9524874","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: 1

'Hallucination': Hospital Ecologies in COVID's Epistemic Instability. “幻觉”：新冠肺炎认知不稳定的医院生态学。

IF 1.7 4区医学

Culture Medicine and Psychiatry Pub Date : 2023-09-28 DOI: 10.1007/s11013-023-09834-4

Scott Stonington, Roi Livne, Zoe Boudart

引用次数: 0

Learning Language, Un/Learning Empathy in Medical School. 学习语言，在医学院学习同理心。

IF 1.7 4区医学

Culture Medicine and Psychiatry Pub Date : 2023-09-19 DOI: 10.1007/s11013-023-09830-8

Seth M Holmes

引用次数: 0