Culture Medicine and Psychiatry最新文献_第8页

Correction: "Here it is not about learning Evidence-Based Medicine; it is about Context-Based Medicine": Pragmatic Approaches to Liberation Medicine. 更正：“这里不是关于学习循证医学；它是关于基于情境的医学”：解放医学的实用主义方法。

IF 1.5 4区医学

Culture Medicine and Psychiatry Pub Date : 2025-12-01 DOI: 10.1007/s11013-025-09956-x

Beatriz Aragón Martín

引用次数: 0

Navigating the Unknown: Mental Pain, Uncertainty, and Self-Isolation in Bali and Java. 导航未知：巴厘岛和爪哇的精神痛苦、不确定性和自我隔离。

IF 1.5 4区医学

Culture Medicine and Psychiatry Pub Date : 2025-12-01 Epub Date: 2025-07-28 DOI: 10.1007/s11013-025-09930-7

Florin Cristea

{"title":"Navigating the Unknown: Mental Pain, Uncertainty, and Self-Isolation in Bali and Java.","authors":"Florin Cristea","doi":"10.1007/s11013-025-09930-7","DOIUrl":"10.1007/s11013-025-09930-7","url":null,"abstract":"Mental pain is commonly defined as an experience situated on a continuum between cognitive appraisal of the painful event and the affective disposition of the person experiencing it. Drawing on ethnographic material and interviews on severe psychiatric disorders in Bali and Java, I will try to understand what mental pain does to the person experiencing it, as well as to their immediate environment. To answer this question, I will first describe the salient attributes of mental pain as they emerged during my conversations with outpatients and observations of their milieu. These were a challenged \"realness\" of the experience of mental pain, its ability to take hold of one's subjective experience, an elusive and relational quality, and a perceived ambiguous and indeterminate temporal dimension. Moreover, I will describe the uncertainties of people navigating a severe psychiatric disorder (health, sanative, social, and behavioral uncertainties), and I will suggest that the salient attributes of mental pain contribute to the makeup of these uncertainties. Finally, this article illustrates that the interrelated nature of mental pain and experienced uncertainties can inform certain illness behaviors, particularly instances of self-isolation.","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":" ","pages":"1126-1149"},"PeriodicalIF":1.5,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12745307/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144733974","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

"Here it is not about learning Evidence-Based Medicine; it is about Context-Based Medicine": Pragmatic Approaches to Liberation Medicine. 《这里不是关于学习循证医学；它是基于“是”的医学：解放医学的实用主义途径。

IF 1.5 4区医学

Culture Medicine and Psychiatry Pub Date : 2025-12-01 Epub Date: 2025-08-30 DOI: 10.1007/s11013-025-09943-2

Beatriz Aragón Martín

{"title":"\"Here it is not about learning Evidence-Based Medicine; it is about Context-Based Medicine\": Pragmatic Approaches to Liberation Medicine.","authors":"Beatriz Aragón Martín","doi":"10.1007/s11013-025-09943-2","DOIUrl":"10.1007/s11013-025-09943-2","url":null,"abstract":"This article explores the potential of liberation medicine through an ethnographic account of a primary healthcare van operating in Cañada Real, an informal settlement on the margins of Madrid. Drawing from 10 years of clinical experience and anthropological inquiry, the article offers a situated analysis of \"context-based medicine\"; a mode of practice grounded in relationality, trust, and responsiveness to structural violence. Engaging with María Lugones' concept of pilgrimages and Hannah Arendt's idea of power with, the paper examines how this interstitial program disrupts dominant rationales within the healthcare system (gatekeeping, managerialism, and evidence-based medicine) by fostering collective, care-based alternatives. Through fieldwork and reflective practice, the author argues that the van's displacement (which is physical, institutional, and professional) creates a liminal space where emancipatory practices can emerge. While not a utopian model, the van provides a lens to imagine how clinical work might transgress spatial and institutional boundaries to align more closely with the political and ethical stakes of care.","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":" ","pages":"1016-1034"},"PeriodicalIF":1.5,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144974430","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

Confronting the Illness of Recognition: Pain and Reparation Amongst Citizens Mutilated During Protests in Present-Day France. 面对承认的疾病：在当今法国抗议中被肢解的公民的痛苦和补偿。

IF 1.5 4区医学

Culture Medicine and Psychiatry Pub Date : 2025-12-01 Epub Date: 2025-11-15 DOI: 10.1007/s11013-025-09939-y

Daniela Jacob Pinto

{"title":"Confronting the Illness of Recognition: Pain and Reparation Amongst Citizens Mutilated During Protests in Present-Day France.","authors":"Daniela Jacob Pinto","doi":"10.1007/s11013-025-09939-y","DOIUrl":"10.1007/s11013-025-09939-y","url":null,"abstract":"Since the 1980s, French police forces have used less-lethal weapons (armes à létalité reduite)-meant to neutralize targets without killing them-to enforce order. At first mostly deployed against working-class and racialized citizens living in the margins of French cities, they have been used against wider sections of the population during recent demonstrations against neoliberal reform. These weapons can cause severe injury, with longstanding physical, social, and emotional consequences. Moreover, citizens who suffer these injuries endure a stigma of criminality, making widespread social recognition of their pain difficult, which motivates them to look for acknowledgement of their victimhood in court. Based on 22-months of ethnographic research amongst people who have been mutilated or wounded with these weapons during police operations, this article is divided in two parts. In the first part, I describe people's bodily sensations-anger, tension, pain, etc.-while awaiting trial and during court hearings. I show how, much like the initial police violence, the process of waiting for justice, the events in court, and the final verdicts also become a form of violence that is inscribed on their bodies. In the second part, I turn to my interlocutors' close networks of support and care. In contrast to official proceedings, these networks allow for the refusal of socially attributed criminality and the acknowledgement and validation of their pain. I argue that they create a form of reparation that could serve as a model for a liberation medicine, a core aspect of which is the recognition of socially inflicted pain.","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":" ","pages":"985-1001"},"PeriodicalIF":1.5,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145530800","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 Coyolxauhqui Imperative: Dismemberment and Sacred Reintegration in Decolonial Psychiatry. 科尤索基的必要性：非殖民化精神病学中的肢解和神圣的重新融合。

IF 1.5 4区医学

Culture Medicine and Psychiatry Pub Date : 2025-12-01 Epub Date: 2025-08-14 DOI: 10.1007/s11013-025-09932-5

Trae Stewart

{"title":"The Coyolxauhqui Imperative: Dismemberment and Sacred Reintegration in Decolonial Psychiatry.","authors":"Trae Stewart","doi":"10.1007/s11013-025-09932-5","DOIUrl":"10.1007/s11013-025-09932-5","url":null,"abstract":"The Coyolxauhqui Imperative offers a decolonial framework for reimagining trauma and healing in psychiatric practice by drawing on the Aztec myth of Coyolxauhqui's dismemberment and celestial transformation. Challenging Western biomedical assumptions of linear recovery and pathologization of fragmentation, this paradigm centers cultural epistemologies of nepantla (liminal space), conocimiento (embodied truth-telling), and mythic temporality (cyclical reintegration). Through critical analysis of Nahuatl cosmology, Gloria Anzaldúa's theoretical expansion, and contemporary ritual practices, the model reconceives psychological crises as sacred processes of disintegration and reassembly. We delineate theoretical foundations, clinical applications (including narrative pharmacology, ritual reassembly, and decolonial charting), and policy implications that foreground communal re-membering over individual symptom suppression. The Imperative advances an integrative praxis that honors fragmentation as generative, privileges cultural sovereignty, and undermines psychiatric coloniality. Our interdisciplinary synthesis establishes pathways for culturally resonant assessments, participatory methodologies, and land-based healing initiatives. By repositioning fragmentation as luminous, this work invites psychiatry to adopt borderlands healing practices that valorize ancestral wisdom, collective narrative sovereignty, and ritual space-holding.","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":" ","pages":"1196-1204"},"PeriodicalIF":1.5,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12745314/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144856760","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

Does the Wide Reach of the "Trauma-informed" Model Exceed its Narrow Grasp? “创伤知情”模式的广泛性是否超越了其狭隘的把握？

IF 1.5 4区医学

Culture Medicine and Psychiatry Pub Date : 2025-12-01 Epub Date: 2025-08-19 DOI: 10.1007/s11013-025-09938-z

Vojtech Pisl, Sanne Te Meerman, Allen Frances, Laura Batstra

{"title":"Does the Wide Reach of the \"Trauma-informed\" Model Exceed its Narrow Grasp?","authors":"Vojtech Pisl, Sanne Te Meerman, Allen Frances, Laura Batstra","doi":"10.1007/s11013-025-09938-z","DOIUrl":"10.1007/s11013-025-09938-z","url":null,"abstract":"Compared to the biomedical model of mental suffering, the increasingly influential trauma model has received little critical attention. We examine the discursive practices justifying and promoting the trauma-informed care: a set of assumptions and clinical recommendations presented as universal and uncontested guidelines for mental health practitioners. Critical review of two major guidelines for trauma-informed care - the SAMHSA's Concept of Trauma and Guidance for a Trauma-Informed Approach (2014) and A paradigm shift: relationships in trauma-informed mental health services by Sweeney et al. (2018) - was inspired by critical discourse analysis and the analysis of reification. Trauma-informed care is a diverse set of recommendations combining generally accepted standards with the notion of broadly defined trauma as the primary cause of mental suffering. We have identified mechanisms that (1) present the broad trauma model as an assumption-free description of reality, (2) portray it as superior to other models, and (3) elevate the authority of those who adopt the broad trauma model to interpret the suffering of others. The discursive procedures found in the trauma-informed manuals are similar to those documented in the biomedical-psychiatric literature. Potential risks include iatrogenic harm, politicization of mental health care, and reduction of its diversity and effectiveness. Evaluation of the guidelines from the perspectives of safety, cultural validity, ethics, and cost-effectiveness should precede their implementation into clinical practice.","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":" ","pages":"1226-1245"},"PeriodicalIF":1.5,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12745306/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144884109","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

"The Territory Has Its Ways of Warning Us": Cultural Practices and Belief Systems of Two Indigenous Peoples in Colombia and Their Role in Public Mental Health. “领土有其警告我们的方式”：哥伦比亚两个土著民族的文化习俗和信仰体系及其在公共心理健康中的作用。

IF 1.5 4区医学

Culture Medicine and Psychiatry Pub Date : 2025-12-01 Epub Date: 2025-08-14 DOI: 10.1007/s11013-025-09936-1

Felipe Agudelo-Hernández, Laura Inés Plata-Casas, Karen González-Abril

{"title":"\"The Territory Has Its Ways of Warning Us\": Cultural Practices and Belief Systems of Two Indigenous Peoples in Colombia and Their Role in Public Mental Health.","authors":"Felipe Agudelo-Hernández, Laura Inés Plata-Casas, Karen González-Abril","doi":"10.1007/s11013-025-09936-1","DOIUrl":"10.1007/s11013-025-09936-1","url":null,"abstract":"Indigenous peoples in Colombia face an elevated risk of experiencing spiritual disharmonies, a term used by Indigenous communities to describe mental health challenges, due to a range of factors, including barriers to accessing care and recovery systems, extractivist policies, armed conflict, food insecurity, and the erosion of cultural identity, among others. These risks are more effectively addressed when elements of Indigenous cultural practices are integrated into biomedical care processes. This study aimed to analyze the role of cultural practices in the management of public mental health in two Indigenous communities from the Colombian Amazon and Pacific regions. Using a qualitative study design with an epistemological approach grounded in contextual constructivism, we conducted a thematic analysis and identified a central theme: \"Culture as the foundation for managing public mental health.\" This theme encompassed categories such as \"Structural Competence in the Biomedical Health System\" and \"Ancestral Practices for Recovery.\" The ancestral knowledge and practices of Colombia's Indigenous peoples can contribute to a deeper, culturally sensitive understanding of spiritual disharmonies, offering potential points of integration with biomedical health systems that are tailored to each community. This culturally informed perspective supports more effective approaches to expanding access to integrated care systems that not only address mental health concerns but also tackle the social determinants underlying these disharmonies.","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":" ","pages":"1205-1225"},"PeriodicalIF":1.5,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144856759","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

Between Depression and Alienation: Burnout as a Translator Category for Critical Theories. 在抑郁与异化之间：倦怠作为批判理论的翻译范畴。

IF 1.5 4区医学

Culture Medicine and Psychiatry Pub Date : 2025-12-01 Epub Date: 2025-07-21 DOI: 10.1007/s11013-025-09929-0

Domonkos Sik

{"title":"Between Depression and Alienation: Burnout as a Translator Category for Critical Theories.","authors":"Domonkos Sik","doi":"10.1007/s11013-025-09929-0","DOIUrl":"10.1007/s11013-025-09929-0","url":null,"abstract":"The horizon of critical theories and their target audience (i.e., the subjects exposed to social suffering) have drifted apart. While the former relies on its own set of diagnostic concepts (e.g., alienation), the actors are socialized within the frames of biomedical discourses. This creates a rupture between theory and praxis: the concepts of social suffering fail to orient collective action. To overcome this challenge, a translator category is elaborated, which can link the distinct biomedical and critical discourses, while reconnecting theory and praxis. Burnout is chosen as a translator category because it is located at the border of the psychological discourses (on depression) and the critical sociological discourses (on alienation). First, the birth of the concept is reconstructed in a genealogical fashion. Second, the psychological measurement tools and explanations are overviewed with a special emphasis on the failed attempt of discursive medicalization. Third, the sociological explanations are analyzed from the perspective of their potential of breaking the biomedical and psychological discursive hegemony. In the last section, it is discussed how burnout can link the discourses of alienation (as a cause of burnout) and depression (as a consequence of burnout), while remaining accessible to the biomedically socialized subjects.","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":" ","pages":"1087-1105"},"PeriodicalIF":1.5,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12745310/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144683400","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

Meaning in Life: Exploring the Potential of Mythological Narratives in Contemporary Life. 生命的意义：探索神话叙事在当代生活中的潜力。

IF 1.5 4区医学

Culture Medicine and Psychiatry Pub Date : 2025-12-01 Epub Date: 2025-08-08 DOI: 10.1007/s11013-025-09933-4

Nader Abazari, Suvi-Maria Saarelainen

引用次数: 0

Ethnography from Medical Elsewheres. 来自其他医学领域的人种学。

IF 1.5 4区医学

Culture Medicine and Psychiatry Pub Date : 2025-12-01 Epub Date: 2025-08-12 DOI: 10.1007/s11013-025-09922-7

Byron J Good, Mary-Jo DelVecchio Good

引用次数: 0