Culture Medicine and Psychiatry最新文献_第9页

Senses of Touch: The Absence and Presence of Touch in Health Care Encounters of Patients with Mental Illness. 触觉:精神疾病患者在医疗护理中的触觉缺失与存在。

IF 1.7 4区医学

Culture Medicine and Psychiatry Pub Date : 2023-06-01 DOI: 10.1007/s11013-022-09770-9

Iben Emilie Christensen, Mette Bech Risør, Lone Grøn, Susanne Reventlow

{"title":"Senses of Touch: The Absence and Presence of Touch in Health Care Encounters of Patients with Mental Illness.","authors":"Iben Emilie Christensen, Mette Bech Risør, Lone Grøn, Susanne Reventlow","doi":"10.1007/s11013-022-09770-9","DOIUrl":"https://doi.org/10.1007/s11013-022-09770-9","url":null,"abstract":"Touch is a fundamental sense and the most unexplored of the five senses, despite its significance for everything we do in relation to ourselves and others. Studies have shown that touch generates trust, care and comfort and is essential for constituting the body. Based on ethnographic fieldwork, this study explores the absence and presence of touch in interactions between people with mental illness and professionals, in health care encounters with general practitioners, neurologists and physiotherapists, as well as masseurs. We found that touch and physical examination of patients with mental illness is absent in health care encounters, leaving the patients with feelings of being out of place, misunderstood, less socially approved and less worthy of trust. Drawing on Honneth and Guenther, we conclude that touch and being touched is an essential dimension of recognition-both of the patients' bodily sensations and symptoms and of them as human beings, detached from the psychiatric label-as well as contributing to the constitution of self and personhood. These findings confirm that touch works as an existential hinge that affirms a connection between the patient, the body and others and gives a sense of time, space and existence.","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":"47 2","pages":"402-421"},"PeriodicalIF":1.7,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9439094","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

Does "Susto" Really Exist? Indigenous Knowledge and Fright Disorders Among Q'eqchi' Maya in Belize. “Susto”真的存在吗?伯利兹Q'eqchi'玛雅人的土著知识和恐惧障碍。

IF 1.7 4区医学

Culture Medicine and Psychiatry Pub Date : 2023-06-01 DOI: 10.1007/s11013-022-09777-2

James B Waldram, Andrew R Hatala

{"title":"Does \"Susto\" Really Exist? Indigenous Knowledge and Fright Disorders Among Q'eqchi' Maya in Belize.","authors":"James B Waldram, Andrew R Hatala","doi":"10.1007/s11013-022-09777-2","DOIUrl":"https://doi.org/10.1007/s11013-022-09777-2","url":null,"abstract":"Susto is one of the most common disorders referenced in the medical anthropological and cultural psychiatric literature. This article questions if \"susto\" as understood in cultural psychiatric terms, especially in the Diagnostic and Statistical Manual of the American Psychiatric Association (DSM), is in fact a single \"cultural concept of distress.\" There is extensive cross-cultural and intracultural variability regarding fright-related disorders in the ethnographic literature. What is often labeled \"susto\" may be in reality a variety of distinct disorders, or lacking in the two signature components found in the cultural psychiatric literature: the existence of a \"fright,\" and subsequent soul loss. There has been significant polysemic and geographical drift in the idiom label, the result of colonialism in Mesoamerica, which has overlayed but not necessarily supplanted local knowledge. Using data from fifteen years of research with Q'eqchi' (Maya) healers and their patients, we demonstrate how important variability in signs, symptoms, diagnosis, treatment, and prognosis of fright-related disorders renders any simple declaration that this is a singular \"susto\" problematic. We argue for a careful consideration of the knowledge of Indigenous medical specialists charged with treating fright-related disorders and against the inclination to view variability as insignificant. Such consideration suggests that Indigenous forms of fright-related disorder are not susto as presented commonly in the DSM and cultural psychiatric literature.","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":"47 2","pages":"372-401"},"PeriodicalIF":1.7,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9433768","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: 2

"Guys with Big Muscles Have Misplaced Priorities": Masculinities and Muscularities in Young South Korean Men's Body Image. “肌肉发达的男人有错误的优先权”:年轻韩国男性的身体形象中的男子气概和肌肉。

IF 1.7 4区医学

Culture Medicine and Psychiatry Pub Date : 2023-06-01 DOI: 10.1007/s11013-022-09784-3

Lawrence Monocello

{"title":"\"Guys with Big Muscles Have Misplaced Priorities\": Masculinities and Muscularities in Young South Korean Men's Body Image.","authors":"Lawrence Monocello","doi":"10.1007/s11013-022-09784-3","DOIUrl":"https://doi.org/10.1007/s11013-022-09784-3","url":null,"abstract":"Men's body image is an issue of increasing importance as related illnesses continue to grow in prevalence around the world. However, cross-cultural attention to men's body image experiences has been relatively understudied. Based on data derived from cognitive anthropological methods of cultural domain analysis, I develop the concept of \"muscularities\" to more effectively examine the expectations inherent in multifarious models of body image men continuously navigate. Related to but distinct from \"masculinities\"-the recognition of culture-bound hierarchies of ways of doing-being a man-\"muscularities\" attends to the culturally particular ways in which muscles are conceived and evaluated as indices of socioeconomic status, intelligence, social skills, and professionalism, to name a few. Young South Korean men's experiences of chan'gŭnyuk (\"small muscle\") and manŭn kŭnyuk (\"large muscle\") challenge universalist assumptions about the kinds of muscles people value in global perspective, demonstrate the necessity of recognizing multiple muscularities in research, and encourage new directions of inquiry that attend to the consequences of variable embodiments of muscularities.","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":"47 2","pages":"443-465"},"PeriodicalIF":1.7,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8962936/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9792515","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

Minding our Minds: Obsessive-Compulsiveness, Psychiatry, and Psychology. 注意我们的思想:强迫症，精神病学和心理学。

IF 1.7 4区医学

Culture Medicine and Psychiatry Pub Date : 2023-06-01 DOI: 10.1007/s11013-022-09767-4

Lawrence D Blum

引用次数: 0

Hallucinations and Hallucinogens: Psychopathology or Wisdom? 幻觉和致幻剂:精神病理学还是智慧?

IF 1.7 4区医学

Culture Medicine and Psychiatry Pub Date : 2023-06-01 DOI: 10.1007/s11013-022-09814-0

José Carlos Bouso, Genís Ona, Maja Kohek, Rafael G Dos Santos, Jaime E C Hallak, Miguel Ángel Alcázar-Córcoles, Joan Obiols-Llandrich

{"title":"Hallucinations and Hallucinogens: Psychopathology or Wisdom?","authors":"José Carlos Bouso, Genís Ona, Maja Kohek, Rafael G Dos Santos, Jaime E C Hallak, Miguel Ángel Alcázar-Córcoles, Joan Obiols-Llandrich","doi":"10.1007/s11013-022-09814-0","DOIUrl":"https://doi.org/10.1007/s11013-022-09814-0","url":null,"abstract":"Hallucinations are currently associated almost exclusively with psychopathological states. While it is evident that hallucinations can indicate psychopathology or neurological disorders, we should remember that hallucinations also commonly occur in people without any signs of psychopathology. A similar case occurs in the case of hallucinogenic drugs, which have been long associated with psychopathology and insanity. However, during the last decades a huge body of research has shown that certain kinds of hallucinations, exerted by hallucinogenic drugs, may serve to improve mental health. We propose that, in light of historical, epidemiological, and scientific research, hallucinations can be better characterized as a common phenomenon associated sometimes with psychopathology but also with functional and even beneficial outcomes. In the last sections of the manuscript, we extend our argument, suggesting that hallucinations can offer a via regia to knowledge of the mind and the world. This radical shift in the cultural interpretation of hallucinations could have several implications for fields such as drug policy, civil law, and psychiatry, as well as for the stigma associated with mental disorders.","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":"47 2","pages":"576-604"},"PeriodicalIF":1.7,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9838303/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9439894","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

The New ICD-11 Prolonged Grief Disorder Guidelines in Japan: Findings and Implications from Key Informant Interviews. 日本新的ICD-11延长悲伤障碍指南:来自关键信息提供者访谈的发现和含义。

IF 1.7 4区医学

Culture Medicine and Psychiatry Pub Date : 2023-06-01 DOI: 10.1007/s11013-022-09781-6

Clare Killikelly, Anna Hasenöhrl, Eva-Maria Stelzer, Andreas Maercker

{"title":"The New ICD-11 Prolonged Grief Disorder Guidelines in Japan: Findings and Implications from Key Informant Interviews.","authors":"Clare Killikelly, Anna Hasenöhrl, Eva-Maria Stelzer, Andreas Maercker","doi":"10.1007/s11013-022-09781-6","DOIUrl":"https://doi.org/10.1007/s11013-022-09781-6","url":null,"abstract":"Prolonged grief disorder (PGD) is a new mental health disorder, recently introduced in the International Classification of Diseases (ICD-11), World Health Organization Classification of Diseases (WHO). The new ICD-11 guidelines reflect an emerging wave of interest in the global applicability of mental disorders. However, the selection of diagnostic core features in different cultural contexts has yet to be determined. Currently, there is debate in the field over the global applicability of these guidelines. Using semi-structured interviews with 14 key informants, we explored the acceptability of ICD-11 guidelines for PGD according to Japanese health professionals as key informants. The interviews revealed symptoms of grief possibly missing in the ICD-11 PGD guidelines including somatization and concepts such as hole in the heart. Additionally, sociocultural barriers such as stigma and beliefs about the social desirability of emotions may challenge patients' and clinicians' acceptance of the new ICD-11 criteria.","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":"47 2","pages":"519-542"},"PeriodicalIF":1.7,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10167141/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9809538","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

'The High Five Club': Social Relations and Perspectives on HIV-Related Stigma During an HIV Outbreak in West Virginia. 击掌俱乐部"：西弗吉尼亚州 HIV 爆发期间与 HIV 相关的社会关系和污名化观点。

IF 1.5 4区医学

Culture Medicine and Psychiatry Pub Date : 2023-06-01 Epub Date: 2022-02-23 DOI: 10.1007/s11013-022-09769-2

Sarah G Mars, Kimberly A Koester, Jeff Ondocsin, Valerie Mars, Gerald Mars, Daniel Ciccarone

{"title":"'The High Five Club': Social Relations and Perspectives on HIV-Related Stigma During an HIV Outbreak in West Virginia.","authors":"Sarah G Mars, Kimberly A Koester, Jeff Ondocsin, Valerie Mars, Gerald Mars, Daniel Ciccarone","doi":"10.1007/s11013-022-09769-2","DOIUrl":"10.1007/s11013-022-09769-2","url":null,"abstract":"In the United States, HIV outbreaks are occurring in areas most affected by the opioid epidemic, including West Virginia (WV). Cultural Theory contends that multiple cultures co-exist within societies distinguished by their differing intensities of rules or norms of behavior ('grid') or degree of group allegiance/individual autonomy ('group'). Accordingly, we would expect that perceptions about HIV, including stigma, correspond with individuals' grid/group attributes. To explore this, we conducted qualitative interviews with people who inject drugs (PWID) recruited from a WV syringe service program. This paper focuses on our unexpected findings on stigma during a coinciding HIV outbreak. PWID living homeless identified as belonging to a 'street family'. Its members were mutually distrustful and constrained by poverty and drug dependence but despite their conflicts, reported openness between each other about HIV + status. Interviewees living with HIV perceived little enacted stigma from peers since the local outbreak. Contrasting stigmatizing attitudes were attributed to the town's mainstream society. The 'High Five' (Hi-V) Club, expressing defiance towards stigmatizing behavior outside the street family, epitomized the tensions between a desire for solidary and mutual support and a fatalistic tendency towards division and distrust. Fatalism may hinder cooperation, solidarity and HIV prevention but may explain perceived reductions in stigma.","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":"47 2","pages":"329-349"},"PeriodicalIF":1.5,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8865492/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9620160","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 Evolving Culture Concept in Psychiatric Cultural Formulation: Implications for Anthropological Theory and Psychiatric Practice. 精神病学文化建构中的文化概念演变:对人类学理论和精神病学实践的启示。

IF 1.7 4区医学

Culture Medicine and Psychiatry Pub Date : 2023-06-01 DOI: 10.1007/s11013-023-09821-9

Neil Krishan Aggarwal

{"title":"The Evolving Culture Concept in Psychiatric Cultural Formulation: Implications for Anthropological Theory and Psychiatric Practice.","authors":"Neil Krishan Aggarwal","doi":"10.1007/s11013-023-09821-9","DOIUrl":"https://doi.org/10.1007/s11013-023-09821-9","url":null,"abstract":"For thirty years, psychiatrists and anthropologists have collaborated to improve the validity of psychiatric diagnosis. This collaboration has produced the DSM-IV Outline for Cultural Formulation (OCF) and the DSM-5 Cultural Formulation Interview (CFI). Nonetheless, some anthropologists have critiqued the concept of culture in DSM-5 as too focused on patient meanings and not on clinician practices. This article traces the evolution of the culture concept from DSM-IV through DSM-5-TR by analyzing publications from the American Psychiatric Association on the OCF and CFI alongside scholarship in psychiatry and anthropology. DSM-IV relied on a culture concept of coherent ethnic communities sharing coherent cultures, primarily for minoritized ethnoracial individuals in the United States. Changing demographics and newer immigration patterns around the world deminoritized the culture concept for DSM-5. After George Floyd's death and demands for social justice, the culture concept in DSM-5-TR emphasized social structures. The article proposes an intersubjective model of culture through which patients and clinicians work through similarities and differences. It recommends a revised formulation that attends to clinician practices such as communicating, diagnosing, recommending treatments, and documenting, beyond collecting patient meanings. It also raises the question of whether an intersubjective model of culture prompts reconsiderations of culture-related text in other sections of the DSM. The social sciences can redirect attention to the clinician's culture of biomedicine to close patient health disparities.","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":"47 2","pages":"555-575"},"PeriodicalIF":1.7,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10036982/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9442140","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

The Cultural Hybridization of Mothering in French Prison Nurseries: A Qualitative Study. 法国监狱托儿所教养的文化杂交:一项定性研究。

IF 1.7 4区医学

Culture Medicine and Psychiatry Pub Date : 2023-06-01 DOI: 10.1007/s11013-022-09782-5

Anais Ogrizek, Rahmeth Radjack, Marie Rose Moro, Jonathan Lachal

{"title":"The Cultural Hybridization of Mothering in French Prison Nurseries: A Qualitative Study.","authors":"Anais Ogrizek, Rahmeth Radjack, Marie Rose Moro, Jonathan Lachal","doi":"10.1007/s11013-022-09782-5","DOIUrl":"https://doi.org/10.1007/s11013-022-09782-5","url":null,"abstract":"In France, women can be incarcerated during pregnancy and can keep their babies with them in prison up to the age of 18 months. The small number of nurseries in France and their unequal geographic distribution as well as the high percentage of foreign prisoners often result in women's isolation from their usual cultural environment. Family members and cultural community play a crucial role in the process of mothering. The aim of this study is to explore through these mothers' narratives how they experience the cultural aspects of this process in the prison environment. We conducted semi-structured interviews to collect the experience of 25 mothers and 5 pregnant women in 13 different prison nurseries in France and used interpretative phenomenological analysis to explore the data. Four different themes emerged: prison: repression of cultural practices, prison: a culture of its own, loss of traditional culture, and cultural hybridization. The specific environmental architecture and operating rules in prison nurseries may induce acute repression regarding cultural ways of mothering. Considering both cultural permeability specific to the peripartum period during which women tend to more easily embrace cultural aspects from their environment, and family distance which restrains cultural transmission, these mothers gather multiple factors of vulnerability for full prisonization, as a form of forced assimilation to prison culture. But a sort of specific hybrid prison culture around motherhood seems to emerge instead, in a process similar to creolization.","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":"47 2","pages":"422-442"},"PeriodicalIF":1.7,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9435533","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

Spirit Mediumship and Mental Health: Therapeutic Self-transformation Among Dang-kis in Singapore. 灵媒与心理健康:新加坡唐基的自我转化治疗。

IF 1.7 4区医学

Culture Medicine and Psychiatry Pub Date : 2023-06-01 DOI: 10.1007/s11013-021-09765-y

Boon-Ooi Lee, Laurence J Kirmayer

{"title":"Spirit Mediumship and Mental Health: Therapeutic Self-transformation Among Dang-kis in Singapore.","authors":"Boon-Ooi Lee, Laurence J Kirmayer","doi":"10.1007/s11013-021-09765-y","DOIUrl":"https://doi.org/10.1007/s11013-021-09765-y","url":null,"abstract":"While some early studies suggested that spirit mediums were psychiatrically ill individuals who found a culturally sanctioned role, subsequent work has found that they are generally in good physical and mental health. While the calling to be a healer often involves an initiatory illness, practitioners go on to play demanding social roles, suggesting that involvement in mediumship may be therapeutic for the practitioner. This study focuses on dang-ki healing, a form of Chinese spirit mediumship practiced in Singapore to explore whether participation in dang-ki healing is therapeutic for the mediums. We interviewed eight dang-kis from five temples about their life trajectories and assessed their mental health status with standardized psychological questionnaires. Most of the dang-kis did not appear to suffer from clinically significant emotional distress. Their narratives suggest that involvement in dang-ki mediumship may have therapeutic effects in which the embodied experience of self plays a central role. The dang-kis experienced changes in social identity, bodily experiences during spirit possession, and their overall sense of self through recurrent possession rituals. In general, the practice of spirit mediumship illustrates how the experiences and meanings of the self are constructed and reconstructed through body-world relations in ways that may confer a sense of wellness and social efficacy.","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":"47 2","pages":"271-300"},"PeriodicalIF":1.7,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9439084","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: 2