Culture Medicine and Psychiatry最新文献_第8页

Unraveling Reactionary Care: The Experience of Mother-Caregivers of Adults with Severe Mental Disorders in Catalonia. 揭露反动护理:在加泰罗尼亚严重精神障碍成人的母亲照顾者的经验。

IF 1.7 4区医学

Culture Medicine and Psychiatry Pub Date : 2023-09-01 DOI: 10.1007/s11013-022-09788-z

Elisa Alegre-Agís, Andrea García-Santesmases, Asun Pié-Balaguer, Àngel Martínez-Hernáez, Deborah Bekele, Nicolás Morales-Sáez, Mercedes Serrano-Miguel

{"title":"Unraveling Reactionary Care: The Experience of Mother-Caregivers of Adults with Severe Mental Disorders in Catalonia.","authors":"Elisa Alegre-Agís, Andrea García-Santesmases, Asun Pié-Balaguer, Àngel Martínez-Hernáez, Deborah Bekele, Nicolás Morales-Sáez, Mercedes Serrano-Miguel","doi":"10.1007/s11013-022-09788-z","DOIUrl":"https://doi.org/10.1007/s11013-022-09788-z","url":null,"abstract":"In most Mediterranean countries, people diagnosed with severe mental disorders (SMDs) are typically cared for by the mother, causing a significant burden on people in this family role. Based on a broader mental health participatory action and qualitative research carried out in Catalonia (Spain) of 12 in-depth interviews and 3 focus groups, this article analyses the mother-caregivers' experience in the domestic space. The results show that patients and caregivers are engaged in a relationship of \"nested dependencies\", which create social isolation. This produces the conditions of \"reactionary care\", practices that limit the autonomy of those affected and that reproduce forms of disciplinary psychiatric institutions. We conclude that both institutional violence derived from economic rationality and that which stems from the gender mandate feed off each other into the domestic sphere. This research argues for placing care at the center of clinical practice and shows the need to consider the structural forces shaping it.","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":"47 3","pages":"790-813"},"PeriodicalIF":1.7,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10406675/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10015700","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

Doctors Speak: A Qualitative Study of Physicians' Prescribing of Antidepressants in Functional Bowel Disorders. 医生说话:功能性肠病患者抗抑郁药处方的定性研究。

IF 1.7 4区医学

Culture Medicine and Psychiatry Pub Date : 2023-09-01 DOI: 10.1007/s11013-022-09795-0

Giulio Ongaro, Sarah Ballou, Tobias Kube, Julia Haas, Ted J Kaptchuk

{"title":"Doctors Speak: A Qualitative Study of Physicians' Prescribing of Antidepressants in Functional Bowel Disorders.","authors":"Giulio Ongaro, Sarah Ballou, Tobias Kube, Julia Haas, Ted J Kaptchuk","doi":"10.1007/s11013-022-09795-0","DOIUrl":"https://doi.org/10.1007/s11013-022-09795-0","url":null,"abstract":"Tricyclic antidepressants (TCAs) are frequently prescribed for chronic functional pain disorders. Although the mechanism of action targets pain perception, treating patients with TCAs for disorders conceptualized as \"functional\" can promote stigmatization in these patients because it hints at psychological dimensions of the disorder. The goal of this study was to understand how physicians prescribe TCAs in the face of this challenge. We interviewed eleven gastroenterologists in tertiary care clinics specializing in functional gastrointestinal disorders, such as irritable bowel syndrome. We found that the physicians interviewed (1) were aware of the stigma attached to taking antidepressants for a medical condition, (2) emphasized biological, as opposed to psychological, mechanisms of action, (3) while focusing on biological mechanisms, they nevertheless prescribed TCAs in a way that is highly attentive to the psychology of expectations, making specific efforts to adjust patients' expectations to be realistic and to reframe information that would be discouraging and (4) asked patients to persist in taking TCAs despite common and, at times, uncomfortable side effects. In this context of shared decision making, physicians described nuanced understanding and behaviours necessary for treating the complexity of functional disorders and emphasized the importance of a strong patient-provider relationship.","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":"47 3","pages":"669-683"},"PeriodicalIF":1.7,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9946870","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: 1

Between Solidarity and Conflict: Tactical Biosociality of Turkish Egg Donors. 在团结与冲突之间:土耳其卵子捐赠者的策略性生物社会性。

IF 1.7 4区医学

Culture Medicine and Psychiatry Pub Date : 2023-09-01 DOI: 10.1007/s11013-022-09798-x

Burcu Mutlu

{"title":"Between Solidarity and Conflict: Tactical Biosociality of Turkish Egg Donors.","authors":"Burcu Mutlu","doi":"10.1007/s11013-022-09798-x","DOIUrl":"https://doi.org/10.1007/s11013-022-09798-x","url":null,"abstract":"Based on ethnographic fieldwork and interviews conducted with Turkish egg donors at a Northern Cypriot clinic, this article investigates tactical biosociality of cross-border egg donors that allows them to manage social relations and orient themselves in transnational egg donation (including the processes from recruitment to self-management in and beyond the clinic) under legally restrictive and socially stigmatizing conditions. Addressing the social and collective dimensions of tactics and recognizing the fragmented and conflictual forms of biosociality, it aims to shed light on the complex and ambivalent aspects of tactical biosociality in relation to selective disclosure and stigma within the context of transnational egg donation. Tactical biosociality involves possibilities for solidarity and alliances, and also for conflict and competition among egg donors. It is because for young Turkish women, egg donation retains both gendered moral and financial values that must be tactically negotiated while navigating the wider context of heteropatriarchal cultural norms and expectations, precarious economic and social conditions, biomedical profit and biopolitical control.","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":"47 3","pages":"684-700"},"PeriodicalIF":1.7,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9952740","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

Virtual Reality Therapy in France: A Therapeutic Innovation Between Technology and Care. 法国的虚拟现实治疗:技术与护理之间的治疗创新。

IF 1.7 4区医学

Culture Medicine and Psychiatry Pub Date : 2023-09-01 DOI: 10.1007/s11013-022-09801-5

Elsa Forner-Ordioni

引用次数: 0

Intangible Cultural Heritage: 'Curating' the Human. 非物质文化遗产:“策展”人类。

IF 1.7 4区医学

Culture Medicine and Psychiatry Pub Date : 2023-09-01 DOI: 10.1007/s11013-022-09797-y

Iben M Gjødsbøl

{"title":"Intangible Cultural Heritage: 'Curating' the Human.","authors":"Iben M Gjødsbøl","doi":"10.1007/s11013-022-09797-y","DOIUrl":"https://doi.org/10.1007/s11013-022-09797-y","url":null,"abstract":"'Nostalgic environments' are increasingly being created in museums and institutional care settings for people with dementia, to support residents' capacities for memory and recognition. Drawing upon ethnography carried out in a public nursing home specialized in dementia care in Copenhagen, Denmark, this paper engages conceptually the employment of material heritage within dementia care environments, proposing dementia care as a 'curatorial' practice: caregivers act as 'curators' who re-establish and reorganize the 'meaning' of the residents by preserving their individual biographies and societal belonging. The analytical alignment of dementia care with the curating of cultural valuables reveals that the human is not only the subject within-and the creator of-cultural heritage, but also the object: the person with dementia is simultaneously an acting subject in care and an object for performances of the category of the human. As the curatorial care performed in nursing homes preserves not only individual, but also collective memories of what it takes to be human and belong in society, these institutions should be recognized as significant sites within society concerned with the production of meaning, value and cultural heritage.","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":"47 3","pages":"766-789"},"PeriodicalIF":1.7,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9955670","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: 1

From Craft to Labor: How Automation is Transforming the Practice of Psychotherapy. 从工艺到劳动:自动化如何改变心理治疗的实践。

IF 1.7 4区医学

Culture Medicine and Psychiatry Pub Date : 2023-09-01 DOI: 10.1007/s11013-022-09771-8

Shai Satran

引用次数: 0

Anticipatory Grief in Dementia: An Ethnographic Study of Loss and Connection. 痴呆症患者的预期悲伤：失落与联系的人种学研究》。

IF 1.5 4区医学

Culture Medicine and Psychiatry Pub Date : 2023-09-01 Epub Date: 2022-06-29 DOI: 10.1007/s11013-022-09792-3

Natashe Lemos Dekker

引用次数: 0

Multiple Mental Health Literacies in a Traditional Temple Site in Kerala: The Intersection Between Beliefs, Spiritual and Healing Regimes. 喀拉拉邦传统寺庙遗址的多重心理健康素养:信仰，精神和治疗制度之间的交集。

IF 1.7 4区医学

Culture Medicine and Psychiatry Pub Date : 2023-09-01 DOI: 10.1007/s11013-022-09800-6

Raghu Raghavan, Brian Brown, Francesca Horne, Sreedevi Ram Kamal, Uma Parameswaran, Ardra Raghu, Amanda Wilson, Chitra Venkateswaran, Nadia Svirydzenka, Monica Lakhanpaul, Chandra Dasan

{"title":"Multiple Mental Health Literacies in a Traditional Temple Site in Kerala: The Intersection Between Beliefs, Spiritual and Healing Regimes.","authors":"Raghu Raghavan, Brian Brown, Francesca Horne, Sreedevi Ram Kamal, Uma Parameswaran, Ardra Raghu, Amanda Wilson, Chitra Venkateswaran, Nadia Svirydzenka, Monica Lakhanpaul, Chandra Dasan","doi":"10.1007/s11013-022-09800-6","DOIUrl":"https://doi.org/10.1007/s11013-022-09800-6","url":null,"abstract":"The notion of 'mental health literacy' has been proposed as a way of improving mental health problem recognition, service utilisation and reducing stigma. Yet, the idea embodies a number of medical-model assumptions which are often at odds with diverse communities' spiritual traditions and local belief systems. Twenty participants were recruited to this study consisting of mental health service users (N = 7), family carers (N = 8) and community members (N = 5) in a temple town in Kerala, South India participated in semi-structured interviews exploring the variety of beliefs and practices relating to mental health. Our findings indicate that the issue may be better understood in terms of multiple mental health literacies which people deploy in different circumstances. Even those sceptical of traditional and spiritual approaches are knowledgeable about them, and the traditional practices themselves often involve detailed regimes of activities aimed at effecting an improvement in the person's mood or condition. Therefore, we argue it is appropriate to consider mental health literacy not as a unitary universal phenomenon but instead as a mosaic of different literacies which may be deployed in different settings and in line with different experiences and which may operate in synergy with each other to enable treatment but also facilitate a sense of meaning and purpose in life.","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":"47 3","pages":"743-765"},"PeriodicalIF":1.7,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10327566","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: 1

Dementia, a Polypharmaceutical Phenomenon: The Intimate Combinations of Dementia Drugs in Brazil. 痴呆症，一个多药现象:痴呆症药物在巴西的亲密组合。

IF 1.7 4区医学

Culture Medicine and Psychiatry Pub Date : 2023-09-01 DOI: 10.1007/s11013-022-09793-2

Cíntia Engel

引用次数: 0

Temporal Belonging: Loss of Time and Fragile Attempts to Belong with Alzheimer's Disease. 时间归属:阿尔茨海默病的时间损失和脆弱的归属尝试。

IF 1.7 4区医学

Culture Medicine and Psychiatry Pub Date : 2023-09-01 DOI: 10.1007/s11013-022-09803-3

Ida Marie Lind Glavind

{"title":"Temporal Belonging: Loss of Time and Fragile Attempts to Belong with Alzheimer's Disease.","authors":"Ida Marie Lind Glavind","doi":"10.1007/s11013-022-09803-3","DOIUrl":"https://doi.org/10.1007/s11013-022-09803-3","url":null,"abstract":"Building on 12 months of ethnographic fieldwork among people with Alzheimer's disease living in Denmark, I argue that the loss of a sense of time caused by Alzheimer's is not a subjective loss, but rather an intersubjective one. Alzheimer's disease entails living with desynchronized rhythms, time that can be made painfully explicit, and numbers becoming increasingly tricky to manage. Drawing on Thomas Fuchs' theory of how individuals live in \"basic contemporality,\" I explore moments of temporal rupture, and how people with Alzheimer's challenge their social relations due to their different sense of time. The article contributes to ongoing discussions about belonging. Taking inspiration from Tine Gammeltoft's description of how belonging entails fragile attempts at being part of something larger, and is thus a joint social practice, I show how one dimension of belonging's fragility is the inability to be in synch with social time. By proposing the notion of temporal belonging, I suggest that sustaining a sense of belonging is also about being able to participate in the rhythms and tempo of social life.","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":"47 3","pages":"834-856"},"PeriodicalIF":1.7,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9325667/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9952663","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: 2