Culture Medicine and Psychiatry最新文献_第9页

'A Smaller Mask': Freedom and Authenticity in Autistic Space. 更小的面具》：自闭症空间中的自由与真实。

IF 1.5 4区医学

Culture Medicine and Psychiatry Pub Date : 2023-09-01 Epub Date: 2022-06-26 DOI: 10.1007/s11013-022-09794-1

Ben Belek

{"title":"'A Smaller Mask': Freedom and Authenticity in Autistic Space.","authors":"Ben Belek","doi":"10.1007/s11013-022-09794-1","DOIUrl":"10.1007/s11013-022-09794-1","url":null,"abstract":"Autscape is an autistic-led conference, organised annually in varying locations around England. Governed by a strict set of rules and regulations, Autscape is a social and spatial setup explicitly devised to accommodate the tendencies, sensitivities, and preferences of people on the autism spectrum. It is a design, in other words-as organisers and participants alike often profess-for an altogether autistic space. The uniqueness of the event, and consequently its value to anthropological theory, lies in the shared imagination of the setting by those who inhabit it as one in which neurotypical masks, otherwise worn daily in keeping with hegemonic society's expectation of conformity, can finally be removed. I introduce the concept of un-festival as a means of depicting this event, similar to festival in its goals of defiance and inversion, but different from-and in important ways, opposite to-festival in its style and architecture, in the dispositions it encourages and mobilises, and in its potential implications. The un-festival offers a powerful comment on this moment in history, whereby masks are no longer seen as an item that affords freedom, but as one that stifles it. While Autscape participants remain doubtful as to the actual effect of this event on neurotypical society, they do nevertheless express a desire that this project will have some longstanding effects. That once a space has been designed for autistic people that considers their specific needs and tendencies, autism may then finally cease to be interpreted through a neuro-normative prism and freed to be understood in autistic people's own terms.","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9244220/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9952738","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

Organized Care as Antidote to Organized Violence: An Engaged Clinical Ethnography of the Los Angeles County Jail System. 有组织的护理作为有组织暴力的解毒剂:洛杉矶县监狱系统的临床人种志。

IF 1.7 4区医学

Culture Medicine and Psychiatry Pub Date : 2023-06-30 DOI: 10.1007/s11013-023-09827-3

Jeremy Levenson, Shamsher Samra

{"title":"Organized Care as Antidote to Organized Violence: An Engaged Clinical Ethnography of the Los Angeles County Jail System.","authors":"Jeremy Levenson, Shamsher Samra","doi":"10.1007/s11013-023-09827-3","DOIUrl":"https://doi.org/10.1007/s11013-023-09827-3","url":null,"abstract":"The field of medical action extends beyond the clinical encounter. Rather, clinical encounters are organized by wider regimes of governance and expertise, and broader geographies of care, abandonment and violence. Clinical encounters in penal institutions condense and render visible the fundamental situatedness of all clinical care. This article considers the complexity of clinical action in carceral institutions and their wider geographies through an examination of the crisis of mental health care in jails, an issue of significant public concern in the United States and much of the world. We present findings from our engaged, collaborative clinical ethnography, which was informed by and seeking to inform already existing collective struggles. Revisiting the concept of \"pragmatic solidarity\" (Farmer in Partner to the poor: a Paul Farmer reader, University of California Press, Berkeley, 2010) in an era of \"carceral humanitarianism\" (Gilmore in Futures of Black Radicalism, Verso, New York, 2017, see also Kilgore in Repackaging mass incarceration, Counterpunch, June 6-8, http://www.counterpunch.org/2014/06/06/repackaging-mass-incarceration/ , 2014), we draw on theorists who consider prisons to be institutions of \"organized violence\" (Gilmore and Gilmore in: Heatherton and Camp (eds) Policing the planet: why the policing crisis led to Black lives matter, Verso, New York, 2016). We argue that clinicians may have an important role in joining struggles for \"organized care\" that can counter institutions of organized violence.","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9690208","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

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":null,"pages":null},"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

Experiences of Mothers Who Relinquished Their Child for Adoption in Pakistan: A Qualitative Study. 巴基斯坦弃婴母亲的经验:一项质性研究。

IF 1.7 4区医学

Culture Medicine and Psychiatry Pub Date : 2023-06-01 DOI: 10.1007/s11013-022-09773-6

Aalia Gulzar, Faiza Safdar

{"title":"Experiences of Mothers Who Relinquished Their Child for Adoption in Pakistan: A Qualitative Study.","authors":"Aalia Gulzar, Faiza Safdar","doi":"10.1007/s11013-022-09773-6","DOIUrl":"https://doi.org/10.1007/s11013-022-09773-6","url":null,"abstract":"The literature suggests long-term consequences and lack of support for birthmothers following relinquishment of their child for adoption (Memarnia in Listening to the experience of birth mothers whose children have been taken into care or adopted, 2014). But there was not any work done to study in-depth experiences of birthmothers after giving away their child in Pakistan. So, the purpose of the present study was to explore the experiences of mothers who relinquished their child for adoption. As the present study was intended to explore lived experiences of a particular group, the phenomenological research design was used to conduct this qualitative study. An interview protocol was devised to explore the experiences of birthmothers. The sample was comprised of five birthmothers who relinquished their child for adoption and fulfilled the criteria. Semi-structured interviews were conducted with the birthmothers, and all the interviews were audio-recorded and transcribed before analysis. Interpretive Phenomenological Analysis (IPA) was used to interpret the transcripts of interviews. Further, data verification was done through peer scrutiny, by debriefing sessions with the supervisor, and enriches the description of the phenomenon. Four main themes were emerged: Reasons to Relinquish, Psychological Distress, Coping Strategies, and Disenfranchised Grief. The study present that the experience of relinquishment has a negative impact on birthmother and highlights the need for proper measures to regulate the process of adoption and involvement of psychologists during the process of adoption. Moreover, it stresses the need for acknowledgment of the experience and psychological services for birthmothers who relinquish their child.","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9439088","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":null,"pages":null},"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":null,"pages":null},"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

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":null,"pages":null},"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

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":null,"pages":null},"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 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":null,"pages":null},"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