Transcultural Psychiatry最新文献

Prevalence of Mental Disorders and Healthcare Seeking Among Mozambican Adolescents in School. 莫桑比克在校青少年精神障碍患病率和求医问药情况。

IF 2 3区医学

Transcultural Psychiatry Pub Date : 2026-10-01 Epub Date: 2026-06-12 DOI: 10.1177/13634615251409683

Aisha King, Salma Adam, Carolina Bila, Maria Eduarda Fernandes, Teresa Rodrigues, Palmira Fortunato Dos Santos, Milton L Wainberg, Cristiane S Duarte, Kathryn L Lovero

{"title":"Prevalence of Mental Disorders and Healthcare Seeking Among Mozambican Adolescents in School.","authors":"Aisha King, Salma Adam, Carolina Bila, Maria Eduarda Fernandes, Teresa Rodrigues, Palmira Fortunato Dos Santos, Milton L Wainberg, Cristiane S Duarte, Kathryn L Lovero","doi":"10.1177/13634615251409683","DOIUrl":"10.1177/13634615251409683","url":null,"abstract":"The objective of this study was to describe the prevalence and demographic correlates of mental disorders and healthcare-seeking behavior of adolescents in Mozambique. Trained assessors administered sociodemographic questionnaires and the Portuguese Mini International Neuropsychiatric Interview for Children and Adolescents (MINI-KID) to adolescents in two schools in Maputo City, Mozambique to determine mental disorder diagnoses. Associations between sociodemographic factors and mental disorders were assessed with logistic regressions. Among 488 Mozambican students (ages 12 to 19; 66.4% female), the prevalence of mental disorders was 23.0%. Anxiety (17.8%) and depressive disorders (8.6%) were most common. Half of adolescents who were diagnosed with a mental disorder had two or more diagnoses. Females were more likely than males to have a mental disorder (odds ratio (OR) 1.60, 95% confidence intervals (CI) 1.00-2.57), and the likelihood of mental disorder diagnosis increased with age (OR 1.28, 95% CI 1.12-1.47) and grade (OR 1.24, 95% CI 1.07-1.45). Only 2.7% of adolescents with a mental disorder had sought mental health care in the previous year. To our knowledge, this is the among the first studies to use a structured diagnostic interview (MINI-KID) to report the prevalence of mental disorders among Mozambican adolescents. High rates of untreated mental disorders underscore urgent need for increased mental health services. High comorbidity of mental disorders suggests that transdiagnostic interventions may be an effective approach to care. Primary healthcare settings where adolescents routinely receive care may be appropriate for mental health treatment integration.","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":" ","pages":"431-442"},"PeriodicalIF":2.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148228620","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

Navigating Faith-based Practices in Therapy: Psychotherapists' Experiences in India. 在治疗中导航基于信仰的实践：印度心理治疗师的经验。

IF 2 3区医学

Transcultural Psychiatry Pub Date : 2026-10-01 Epub Date: 2026-08-14 DOI: 10.1177/13634615261472212

Ananda Krishnan, Amrita Deb

{"title":"Navigating Faith-based Practices in Therapy: Psychotherapists' Experiences in India.","authors":"Ananda Krishnan, Amrita Deb","doi":"10.1177/13634615261472212","DOIUrl":"10.1177/13634615261472212","url":null,"abstract":"Addressing clients' faith-based practices (FBPs) is indispensable in psychotherapy, especially in a religiously diverse country like India. This can be particularly challenging in contexts where psychotherapy is highly stigmatized and FBPs are culturally accepted. A review of the literature highlighted a gap in research on how psychotherapists negotiate FBPs in the Indian context. This pilot qualitative study aims to address this gap by exploring the experiences of Indian psychotherapists in navigating FBPs as mental health service providers. Semi-structured interviews were conducted with 10 Indian psychotherapists. Thematic analysis of the transcribed data generated three major themes and eight subthemes. The findings indicate that FBPs play a nuanced role in clients' mental health care, especially when clinical services like psychotherapy are stigma-laden and difficult to access. However, it is often challenging for psychotherapists to discern the adaptive and maladaptive aspects of FBPs for the client's welfare. Additionally, systemic factors shape clinician interactions with FBPs in psychotherapy practice. This study highlights the dual role of FBPs in supporting and hindering psychotherapy and provides insights into the interplay of culture, faith, and mental health. However, all participants revealed that religious and spiritual competence training programs were unavailable in India. Although psychotherapists learn these skills through experience, their ability to effectively engage these competencies is limited by social barriers like stigma. The findings of this study underscore the importance of these competencies and provide insights into contextualizing such training programs.","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":" ","pages":"471-482"},"PeriodicalIF":2.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148764729","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

Intoxicated with Madness: Exploring the Psychology of Intoxication in Uncovering the Experimental Roots of the Kraepelinian Dichotomy. 沉醉于疯狂：探索克雷佩林二分法的实验根源中的沉醉心理学。

IF 2 3区医学

Transcultural Psychiatry Pub Date : 2026-10-01 Epub Date: 2026-08-11 DOI: 10.1177/13634615261471986

Matthew Perkins-McVey

{"title":"Intoxicated with Madness: Exploring the Psychology of Intoxication in Uncovering the Experimental Roots of the Kraepelinian Dichotomy.","authors":"Matthew Perkins-McVey","doi":"10.1177/13634615261471986","DOIUrl":"10.1177/13634615261471986","url":null,"abstract":"Scholarship surrounding the Kraepelinian dichotomy of dementia praecox and manic-depressive insanity has overwhelmingly approached Kraepelin's nosology as the product of Kraepelin's clinical method, use of diagnostic cards, and pre-existing disease concepts, rather than his work in experimental psychology. Revisiting the significance of Kraepelin's 1881-1895 concept of intoxication as model psychosis, this article establishes that Kraepelin's earlier psychological experiments with intoxicants were a potential source of latent, synthesizing concepts, informing the organization of clinical data around two discrete forms of psychosis. Tracking Kraepelin's nosological system over the course of the first six editions of his textbook, it examines Kraepelin's classificatory descriptions relative to the content of his experimental studies on the psychometrics of intoxication, in particular the dualities Kraepelin finds in exogenous and endogenous psychoses. More specifically, it addresses the alignment of inhibitory and excitatory effects at the level of sensation and perception found within both Kraepelin's experiments and psychiatric nosology, proposing that manic-depression and dementia praecox conform with excitatory and inhibitory modes of exogenous psychosis.","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":" ","pages":"531-544"},"PeriodicalIF":2.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148707896","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

Developing Cultural Self-Awareness for Intervention in Diversity Contexts: A Scoping Review. 发展文化自我意识在多元化背景下的干预：一个范围审查。

IF 2 3区医学

Transcultural Psychiatry Pub Date : 2026-10-01 Epub Date: 2026-08-13 DOI: 10.1177/13634615261471969

Nolwenn Gonzalez, Maeva Traverso, Yvan Leanza

{"title":"Developing Cultural Self-Awareness for Intervention in Diversity Contexts: A Scoping Review.","authors":"Nolwenn Gonzalez, Maeva Traverso, Yvan Leanza","doi":"10.1177/13634615261471969","DOIUrl":"10.1177/13634615261471969","url":null,"abstract":"In a diversity intervention context, the practitioner may have biases and stereotypes related to their own cultural background that will influence their approach. Developing cultural self-awareness could help reduce the manifestation of these biases and stereotypes. However, it is likely to be one of the least researched aspects of intercultural competence. This scoping study was conducted to provide an overview of how cultural self-awareness is addressed across disciplines related to interventions in diverse contexts. The methodology used followed that of the Joanna Briggs Institute. The different steps of the scoping review are the following: keyword selection and translation in the different selected databases; a first sorting of the selected studies according to the defined criteria, based only on the title and the abstract; a second sorting by reading the entire study; data extraction and finally, analysis of the results. In total, 25 studies were included. The results showed that it is indeed possible to develop cultural self-awareness through workshops that promote interaction among participants, whether they are students or professionals already in the workforce. However, this focus of the research is relatively new and underexplored in the literature.","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":" ","pages":"483-502"},"PeriodicalIF":2.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13672909/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148762265","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

Understanding Generational Differences in Muslim American Mental Health Help-Seeking. 了解美国穆斯林心理健康求助的代际差异。

IF 2 3区医学

Transcultural Psychiatry Pub Date : 2026-10-01 Epub Date: 2026-08-13 DOI: 10.1177/13634615261471970

Leena Badran, Niveen Rizkalla, Steven P Segal

{"title":"Understanding Generational Differences in Muslim American Mental Health Help-Seeking.","authors":"Leena Badran, Niveen Rizkalla, Steven P Segal","doi":"10.1177/13634615261471970","DOIUrl":"10.1177/13634615261471970","url":null,"abstract":"Attitudes toward mental health help-seeking are shaped by a complex interplay of environmental, sociocultural, religious, and generational factors. Within Muslim communities, these attitudes are further informed by religious teachings, cultural norms, and intergenerational dynamics. This study explores the disparities in mental health-seeking behavior between first- and second-generation Muslim Americans. The sample consisted of 37 participants, including 16 first-generation immigrants (foreign-born) and 21 second-generation individuals born in the USA to at least one immigrant parent. The study used a combined deductive and inductive thematic approach to the analysis of semi-structured interviews. Interview content codes and themes were developed using a six-phase method for qualitative thematic analysis. Four major themes emerged encompassing distinct subthemes. First, acculturation effects including: (a) mental health awareness, normalization, and knowledge; and (b) the influence of acculturation on attitudes. Second, intentions including: (a) first-generation participants often sought private help-seeking; and (b) openness to public help-seeking and a health-conscious orientation. Third, perceived behavioral control. Fourth, pathways to seeking mental health care including: (a) preference for informal support systems; (b) incorporation of religious aspects; and (c) a preference for Muslim therapists. The first three themes highlighted notable intergenerational differences; the fourth theme revealed shared pathways to seeking care between the two groups. Culturally adapted practices to mental health service provision should integrate both traditional and non-traditional cultural awareness while addressing intergenerational gaps to enhance mental health support within these communities.","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":" ","pages":"503-513"},"PeriodicalIF":2.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13672883/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148725990","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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 Culture of Silence and Inuit Mental Health in Post-Pandemic Greenland: Reconfiguring Silence and Voice Beyond the Talking Cure. 大流行后格陵兰岛的沉默文化和因纽特人的心理健康：在谈话治疗之外重新配置沉默和声音。

IF 2 3区医学

Transcultural Psychiatry Pub Date : 2026-10-01 Epub Date: 2026-08-11 DOI: 10.1177/13634615261471987

Daria Morgounova Schwalbe

{"title":"The Culture of Silence and Inuit Mental Health in Post-Pandemic Greenland: Reconfiguring Silence and Voice Beyond the Talking Cure.","authors":"Daria Morgounova Schwalbe","doi":"10.1177/13634615261471987","DOIUrl":"10.1177/13634615261471987","url":null,"abstract":"Over the past three decades, psychological trauma has become a central framework in Indigenous mental-health research, shaping how silence, disclosure, and healing are interpreted. Within this framework, Inuit silence has been framed as a collective pathology-a \"culture of silence\"-and a risk factor contributing to suicide in the Arctic. In this article, I draw on pandemic-era public communication and professional narratives collected at a large health event in Greenland to critically reflect on cultures of silence and confession. The article demonstrates how crises such as the pandemic bring to the surface tacit or neglected dynamics, and highlights how hegemonic knowledge frameworks, which prioritize disclosure-centred models of care, shape contemporary mental health governance in Greenland. The case study identifies three recurring patterns: (a) disclosure is framed as both a cure and a civic duty; (b) local practices of quiet that sustain dignity and relational safety are overlooked; and (c) institutional logic of disclosure redirects blame and responsibility from structural conditions to individual and collective failures. Drawing on conceptual metaphor theory, anthropological and historical scholarship on silence and violence, and decolonial approaches to knowledge production, the article highlights the risks of disclosure-centred frameworks. It argues that such models may misrecognize culturally grounded practices of quiet as absence or pathology, rather than as meaningful relational forms of coping and care. It suggests the need for approaches that attend to multiple forms of communication and care, and avoid equating well-being with verbal disclosure and silence with deficiency. By reframing silence as a relational and culturally situated practice, the article contributes to ongoing debates in transcultural psychiatry about the limits of universalizing therapeutic models. It also contributes to scholarship on structural violence, Indigenous mental health, and the potential mistranslation of illness and wellness.","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":" ","pages":"514-530"},"PeriodicalIF":2.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148707965","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

Restorative Storytelling for Migrants' and Refugees' Mental Wellbeing and Community Empowerment in Canada: A Scoping Review. 加拿大移民和难民心理健康和社区赋权的恢复性故事：范围审查。

IF 2 3区医学

Transcultural Psychiatry Pub Date : 2026-10-01 Epub Date: 2026-06-30 DOI: 10.1177/13634615261459629

Joseph Adu, Rade Zinaic, Priscilla N Boakye, Yemisi Onilude, Raliat A Owolabi, Esther Olukayode, Tania Correa, Josephine Pui-Hing Wong

{"title":"Restorative Storytelling for Migrants' and Refugees' Mental Wellbeing and Community Empowerment in Canada: A Scoping Review.","authors":"Joseph Adu, Rade Zinaic, Priscilla N Boakye, Yemisi Onilude, Raliat A Owolabi, Esther Olukayode, Tania Correa, Josephine Pui-Hing Wong","doi":"10.1177/13634615261459629","DOIUrl":"10.1177/13634615261459629","url":null,"abstract":"Storytelling is a widely used method in community-based research. We conducted a scoping review to explore restorative storytelling and community theatre as a tool to support mental health literacy and wellness as well as equity among immigrant communities. Our review followed the methodological framework espoused by Arksey and O'Malley and modified by Levac et al. All 13 peer-reviewed studies that met the inclusion criteria were conducted in Canada. Twelve of the included studies employed qualitative methods, with only one using a quantitative approach. The included studies involved diverse immigrants living in communities across Canada. We identified five themes that spoke to the objective of the review: (1) stories of social marginalization and barriers; (2) increased awareness and understanding through stories; (3) storytelling as a space for transformation and healing; (4) connectedness and sharing through stories; and (5) storytelling promoting empowerment and resilience. Language barriers alongside race were identified as major hurdles encountered by some immigrants. Digital storytelling was seen by some immigrants as a process that provided the opportunity to reflect and reminisce on life, which fostered understanding and (re)connection with self and, in so doing, improved emotional wellbeing. Given the increasing mental health disparities in immigrant and racialized communities in Canada, efforts toward improving the mental wellbeing of immigrants through restorative storytelling and community theatre warrant further investigations.","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":" ","pages":"399-417"},"PeriodicalIF":2.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13672942/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148354472","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

Multilingualism in Psychotherapists in Training in Germany: Results of a Nationwide Cross-Sectional Study. 德国心理治疗师培训中的多语言：一项全国性横断面研究的结果。

IF 2 3区医学

Transcultural Psychiatry Pub Date : 2026-10-01 Epub Date: 2026-06-23 DOI: 10.1177/13634615261452817

Paula Bachmann, Vera Mohwinkel, Mike Mösko

{"title":"Multilingualism in Psychotherapists in Training in Germany: Results of a Nationwide Cross-Sectional Study.","authors":"Paula Bachmann, Vera Mohwinkel, Mike Mösko","doi":"10.1177/13634615261452817","DOIUrl":"10.1177/13634615261452817","url":null,"abstract":"Patients who speak languages other than those spoken by mental health professionals are significantly disadvantaged in mental health care settings. To bridge the communication gap, multilingual health professionals and professional interpreters are target-orientated solutions. This study was conducted to assess the multilingual resources, attitudes and needs of psychotherapist trainees in Germany. A cross-sectional nationwide online survey was conducted on psychotherapists-in-training. The 48-item survey consisted of a self-developed instrument to assess 'Attitudes towards working with an Interpreter in Health Care Services (AIHC-20)' with partly reasonable psychometric properties. Psychotherapists-in-training were reached via 238 institutes for psychotherapy training in Germany. Some 803 psychotherapists-in-training completed the survey, of whom 27% had a migration background and 76% would treat patients in a language other than German. According to the participants, on average, 7.5% of their treated patients had limited German skills. The likeability of treating patients with limited German skills and of working with professional interpreters was positively influenced by a personal migration background, cross-cultural encounters in everyday life and previous work experience. Some 52% of all trainees had experience in working with an interpreter and 72% of them stated a training on 'psychotherapy with an interpreter' to be useful. The linguistic diversity among future psychotherapists is not able to fully cover the patients' actual multilingual needs. Therefore, qualified interpreters need to be integrated into mental health care services. In addition to adequate funding and minimal qualification standards for interpreters, psychotherapists need to be trained to overcome cultural barriers.","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":" ","pages":"443-454"},"PeriodicalIF":2.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13672878/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148303493","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

"I Don't Have Answers, What Must I Say?": Maternal Communication in Forcibly Displaced Families Who Are Seeking International Protection in Ireland. “我没有答案，我该说什么？”：在爱尔兰寻求国际保护的被迫流离失所家庭中的母亲沟通。

IF 2 3区医学

Transcultural Psychiatry Pub Date : 2026-10-01 Epub Date: 2026-06-23 DOI: 10.1177/13634615261457225

Elizabeth Nixon, Natalie Flanagan, Nina Rottmann, Frédérique Vallières, Maj Hansen, Rory Halpin, Anna Thit Johnsen

{"title":"\"I Don't Have Answers, What Must I Say?\": Maternal Communication in Forcibly Displaced Families Who Are Seeking International Protection in Ireland.","authors":"Elizabeth Nixon, Natalie Flanagan, Nina Rottmann, Frédérique Vallières, Maj Hansen, Rory Halpin, Anna Thit Johnsen","doi":"10.1177/13634615261457225","DOIUrl":"10.1177/13634615261457225","url":null,"abstract":"As forced displacement and migration reach unprecedented levels globally, the ways in which parents communicate stories of trauma, displacement, and post-migration adversities to their children offer unique insight into how these experiences affect forcibly displaced families. The present study aimed to explore how mothers communicate with their children about their experiences of trauma, displacement, and mental health whilst seeking International Protection in Ireland. Semi-structured qualitative interviews were conducted with 19 mothers who had children aged between four and 17 years. All mothers were applicants for, or recipients of, International Protection in Ireland. Data were analyzed using thematic analysis. Two superordinate themes were developed from the analysis. 'Guarding communication' occurred when mothers used strategies including avoiding certain topics of conversation, silencing their children, and withholding information from their children. 'Grappling with communication' occurred when mothers sought to be child centred yet doubted themselves and were inconsistent in how they communicated with their children. Mothers do not adopt one strategy for communicating with their children. Rather, communication was fluid and dynamic as mothers oscillated between silence and narration. The findings show how difficult it can be for mothers to tell their narratives to their children, and have implications for the provision of therapeutic support for parents and families. What matters most may be to support mothers' agency in choosing the manner, timing, and content of their communication with their children.","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":" ","pages":"418-430"},"PeriodicalIF":2.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13672940/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148303437","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

De-Occupation as a Determinant of Health: A Genealogy of Public Health Sovereignty. 解除职业是健康的决定因素：公共卫生主权的谱系。

IF 2 3区医学

Transcultural Psychiatry Pub Date : 2026-10-01 Epub Date: 2026-09-14 DOI: 10.1177/13634615261471980

William Rezentes, Izaak L Williams

{"title":"De-Occupation as a Determinant of Health: A Genealogy of Public Health Sovereignty.","authors":"William Rezentes, Izaak L Williams","doi":"10.1177/13634615261471980","DOIUrl":"10.1177/13634615261471980","url":null,"abstract":"Within the context of the U.S. occupation of Hawai'i, State-sponsored and Hawaiian-led health initiatives cannot be reduced to a binary of \"colonial/unhealthy\" versus \"Hawaiian/healthy.\" Instead, they operate within overlapping and often conflicting paradigms structured by what we term the Ideology of Occupation. This ideology obscures a central reality: kaumaha-the deep, collective malaise affecting the Hawaiian psyche ( Rezentes, 1996)-is the result of a disruption in the kū'auhau (genealogy) of Hawaiian public health, in which sovereign systems of care were replaced by a bureaucratic apparatus detached from Hawaiian life. Although culturally grounded interventions provide meaningful therapeutic value, the prevailing culture-as-health paradigm remains embedded within the status quo of occupation. As such, it functions as a co-opted form of palliative care that manages the symptoms of a political source of suffering. Drawing on Laenui's phases of Decolonization and grounded in Sai's legal framework of Belligerent Occupation, we reframe healing through the conceptual paradigm of health sovereignty, defined as the authority of a people to determine the knowledge systems, institutions, and political conditions that shape health and well-being. We argue that the health of the Hawaiian nation cannot be realized within an occupied system of care. Meaningful healing requires the restoration of the Hawaiian Kingdom's lawful authority and the reestablishment of self-determined health systems rooted in Hawaiian knowledge, institutions, and jurisdiction.","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":" ","pages":"455-470"},"PeriodicalIF":2.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148971637","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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