Transcultural Psychiatry最新文献

{"title":"\"Get Out of Your Mind, Brother!\": Notes Toward an Anthropology of Anti-\"Mind\".","authors":"Gareth Breen","doi":"10.1177/13634615261439996","DOIUrl":"https://doi.org/10.1177/13634615261439996","url":null,"abstract":"<p><p>This article describes the pursuit of \"flow\" states within a global Christian following of two famous Chinese Christian preachers, Watchman Ni (1903-1972) and Witness Li (1905-1997). Within this group, whose ideas and practices are deeply rooted in wider Chinese patterns of thought and interaction, \"the mind\" is rejected. In an attempt to expand its meta-model of mind, I argue that while the \"anthropology of mind\" thus far has shown how mental health problems can arise from religious projects of \"making god real\", it has yet to investigate the impacts on wellbeing of rejecting \"the mind\" altogether. I describe these impacts upon members of the global following of Ni and Li. Tracing their embrace of \"flow\" over \"the mind\" to both deep precedents within Chinese history and society and to universal human capacities for \"flow\", I suggest that an \"anthropology of anti-mind\" would deepen and widen our understandings of how attitudes to the mind affect wellbeing.</p>","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":" ","pages":"13634615261439996"},"PeriodicalIF":2.7,"publicationDate":"2026-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785776","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}

{"title":"Exploring Diagnostic Classification Prevalence in German and Dutch Child and Adolescent Psychiatry: An International Cross-Sectional Comparative Study.","authors":"Bas T H de Veen, Pierre C M Herpers, Martine van Dongen-Boomsma, Volker Reissner, Martin Knollmann, Ingo Spitczok von Brisinski, Johannes Hebebrand, Wouter G Staal, Ron H J Scholte","doi":"10.1177/13634615261428852","DOIUrl":"https://doi.org/10.1177/13634615261428852","url":null,"abstract":"<p><p>Classification systems like the DSM-5 and ICD-10 facilitate international comparative research on mental disorders. However, few studies have compared classification distributions in child and adolescent psychiatric settings across countries. This study explored similarities and differences in classification prevalence between German and Dutch children and adolescents referred to psychiatric facilities. Data were retrospectively collected from clinical samples of inpatients and outpatients who underwent diagnostic assessments in Germany (<i>n</i> = 7,089) and the Netherlands (<i>n</i> = 2,574), aged 0-18 years (<i>M</i> = 12.70; <i>SD</i> = 3.82). A multivariate analysis compared primary classifications between the two samples, which were further stratified into three age groups: early childhood (0-5 years), middle childhood (6-12 years), adolescence (13-18 years). The main factor influencing classification was the country. Age and sex showed moderate to low effect sizes, respectively. The impact varied across different age groups and sexes. Patients in the German sample were generally older and had a higher proportion of girls than those in the Dutch sample. Mood, anxiety, disruptive/impulsive-control and conduct, and trauma and stressor-related disorders were more prevalent in the German sample, while autism spectrum disorder and attention-deficit/hyperactivity disorder were more common in the Dutch sample. Our findings suggest that the primary classifications of mental disorders in Dutch and German children and adolescents largely depend on the country. This may have implications for cross-country comparisons and highlights the potential influence of national mental healthcare systems and cultural contexts on classification practices, which could impact policy decisions.</p>","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":" ","pages":"13634615261428852"},"PeriodicalIF":2.7,"publicationDate":"2026-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147655181","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}

{"title":"Beyond Critique: Reparative Approaches in Brazilian Mental Health.","authors":"Francisco Ortega","doi":"10.1177/13634615261430490","DOIUrl":"https://doi.org/10.1177/13634615261430490","url":null,"abstract":"<p><p>This article proposes a reparative approach to examine controversies in mental healthcare in Brazil. These controversies make it difficult to construct robust, multidisciplinary models of mental health and to translate them into effective treatments in local contexts. Polarizations are unproductive because they hamper collaboration between professionals with different theoretical backgrounds and may divert public resources. Drawing on Eva Sedgwick's distinction between paranoid and reparative readings, the article discusses mental health practices beyond the framework of medicalization. Nonparanoid perspectives in public and global health help to uncover the reparative potential of local practices and negotiations beyond reductionisms and polarization. Reparative approaches in mental health depart from a primarily critical stance and instead reframe social inquiry as a form of care and world changing activity, engaged in the practical provision of care. Focusing on controversies surrounding autism and ADHD in Brazil, the article shows how the medicalization critique conceals as much as it reveals, obscuring the possibility of alternative frameworks and the complexity of conditions on the ground. Opposing views around autism and ADHD are transcended through reparative ethnographies centered on local uses and pragmatic negotiation of categories, polices, treatments and services. This approach is committed to producing useful and effective outcomes for the provision of healthcare to people with mental distress within their communities.</p>","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":" ","pages":"13634615261430490"},"PeriodicalIF":2.7,"publicationDate":"2026-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147595554","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}

{"title":"The efficacy of parenting interventions for forced migrant families on child internalizing and externalizing symptoms, parental self-efficacy, and parental competence: A systematic review and meta-analysis.","authors":"Maja Västhagen, Clover Jack Giles, Anna-Clara Hollander, Ata Ghaderi, Livia Van Leuven, Anna Edenius, Pia Enebrink","doi":"10.1177/13634615251372854","DOIUrl":"https://doi.org/10.1177/13634615251372854","url":null,"abstract":"<p><p>Forced migration has reached unprecedented levels worldwide. Involuntarily migration creates stressors for families that require systematic action at a societal level. Our premise is that parenting programmes have an untapped potential to enhance psychosocial health among parents and children. The aim of this study, therefore, was to review existing studies to evaluate the efficacy of preventive parenting programmes for parents who were refugees, asylum seekers or internally displaced. We included 20 publications from 3 electronic databases (Ovid MEDLINE, Ovid PsycINFO and Web of Science Core Collection): 16 on parenting interventions (13 original trials, <i>N</i> = 1191) and 4 on combined interventions (parents and youth, <i>N</i> = 1284). We compared a range of outcomes including child internalizing and externalizing symptoms, as well as parental competence (positive/negative parenting), self-efficacy, well-being and mental health/psychological distress. Between-group analyses indicated less externalizing behaviour (Hedge's <i>g</i> = 0.43, <i>p</i> < 0.05, k = 2) at post measurement for parents participating in the interventions, compared with those in the control conditions, as well as enhanced positive parenting strategies (<i>g</i> = 0.89, <i>p</i> < .01, k = 2), self-efficacy (<i>g</i> = 1.94, <i>p</i> < .001, k = 2) and parental psychological distress (<i>g</i> = 0.67, <i>p</i> < .05, k = 4). Within-group analyses of pre and post measurements supported that parents participating in the interventions reported improvements over time in all primary outcomes: parent-rated child internalizing and externalizing behaviours, negative and positive parenting, self-efficacy and the secondary outcome psychological distress. Analyses of combined studies suggested a small increase in positive parenting strategies (<i>g</i> = 0.17, <i>p</i> < .05, k = 2). Although our sample of reviewed studies was relatively small, and the study outcomes varied considerably, the results indicate that parenting programmes might be an underutilized resource to promote health among forcibly displaced families.Systematic review registration: PROSPERO (CRD42022330521).</p>","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":" ","pages":"13634615251372854"},"PeriodicalIF":2.7,"publicationDate":"2026-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147515904","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}

{"title":"Tabletop Role-Playing Games as Drama Therapy in the Wild: Developing Personal Bonds with Characters Improves Players' Self-Concepts.","authors":"Jeffrey G Snodgrass, Seth I Sagstetter, Choeeta Chakrabarti, Julia R Branstrator, Katya Xinyi Zhao, Michael G Lacy, H J François Dengah, Aimee Wagner, Alessandro Giardina, Joël Billieux","doi":"10.1177/13634615261418363","DOIUrl":"https://doi.org/10.1177/13634615261418363","url":null,"abstract":"<p><p>Clinicians have started to experiment with using tabletop role-playing games like <i>Dungeons & Dragons</i> (D&D) as complementary to more traditional psychological treatments or as a standalone form of therapy in a group setting. However, researchers still do not understand well the therapeutic processes and mechanisms through which such forms of play might be helpful to patients. Following insights developed by drama therapists, we anticipated that the bonds players formed with imaginary <i>persona</i>-in this context, gaming <i>characters</i>-might importantly contribute to the positive experiences of role-players. To test this idea, we collected ethnographically informed interview (N = 54) and survey (N = 149) responses from North American gamers, to clarify relationships between players' reported bonds with their characters and those players' broader concepts of self. We found that players relating to their characters in more <i>personal</i> ways-for example, as symbolic secondary selves, as is characteristic of role-playing games like D&D-also showed improvements in their sense of identity. Further, our analysis pointed to the importance of cultural and personal factors to these processes, including players' felt sense of social support and \"safety\" in their gaming groups and their facility for imaginatively absorbing into fantasy worlds. Overall, our study suggests that using tabletop role-playing games in clinical settings might profitably focus on fostering strong player-character bonds, while being aware that such interventions might work best in certain cultural settings and for specific patients.</p>","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":" ","pages":"13634615261418363"},"PeriodicalIF":2.7,"publicationDate":"2026-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147345446","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}

{"title":"Intellectual Disability Support: Traditional Healers' Views on Collaboration with Western-Trained Healthcare Practitioners.","authors":"Simthandile L Witbooi, Monique A Os, Siyabulela G Mkabile","doi":"10.1177/13634615261418371","DOIUrl":"https://doi.org/10.1177/13634615261418371","url":null,"abstract":"<p><p>Intellectual Disability (ID) is a serious life-long disability and significant public health issue that arises pre-birth or during the developmental stage. It impairs intellectual, social functioning and adaptive abilities, and is one of the most common impairments among children. Under-resourced areas such as Khayelitsha in Western Cape, South Africa, have a high prevalence of ID and face immense structural, practical, and belief-related barriers to accessing ID biopsychosocial support. In collaboration with Western-trained healthcare practitioners, traditional healers within the community can contribute towards alleviating these barriers. This qualitative study utilised a phenomenological methodological approach and Bronfenbrenner's Ecological Systems theory to explore traditional healers' perspectives on collaborating with Western-trained healthcare practitioners to provide synergised ID support. We conducted 25 semi-structured interviews and one focus group discussion with traditional healers. We analysed 11 individual interviews and the focus group using Braun and Clarke's six-step method for thematic analysis. Seven key themes were identified and divided into barriers and facilitators of collaboration. Barriers were divergent healing practices, systemic disparities, and biases against traditional healers. Facilitators were building rapport, establishing systems for collaboration, and increasing access to resources and ID support. Traditional healers viewed collaboration as sensible in supporting children with ID; however, efforts must be made to address the presenting challenges for synergised ID support within communities. Future research should involve conducting community ID collaboration studies, garnering insight into collaboration efforts, documenting traditional healing practices, and conducting advocacy research to rectify systemic disparities.</p>","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":" ","pages":"13634615261418371"},"PeriodicalIF":2.7,"publicationDate":"2026-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147272535","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}

{"title":"The Promise of Peace of Mind and \"<i>Convivencia Social\"</i>: Psycho-Politics in Times of COVID-19 in Colombia.","authors":"Felipe Szabzon","doi":"10.1177/13634615261418372","DOIUrl":"https://doi.org/10.1177/13634615261418372","url":null,"abstract":"<p><p>COVID-19 highlighted the significance of mental health worldwide, with warnings of a \"tsunami\" of psychological issues across virtually all parts of the globe. This situation intensified longstanding debates in transcultural psychiatry regarding the sociocultural dimensions of mental health. This article examines narratives of social anxiety and psychological distress that emerged during the pandemic in Colombia and explores how they interacted with local mental health discourses and political processes. The analysis draws on ethnographic fieldwork conducted between October 2022 and March 2023, including semi-structured interviews with public health managers in four municipalities and representatives of the Ministry of Health. A qualitative data analysis framework for applied policy research and a retrospective document analysis was used to contextualize local mental health policies and their conceptual foundations. The findings trace the development of local mental health policies and situate them within the peace-building context. Public responses to COVID-19 in the four municipalities revealed a marked increase in mental health initiatives and the prominence of mental health discourses on political agendas at both local and national levels. While narratives of isolation, fear, and bereavement echoed global concerns, their framing within Colombia's peace-building project gave them distinctive meanings and trajectories. The recalibration of existing infrastructures-such as helplines and community-based programmes-illustrates how global crises intersect with long-standing national agendas, underscoring that mental health policies are embedded in cultural and political projects.</p>","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":" ","pages":"13634615261418372"},"PeriodicalIF":2.7,"publicationDate":"2026-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146214630","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}

{"title":"'I Feel That There Is Someone Who Can Listen to Me': A Mixed-Method Study on Asylum Seekers' Experience of the Cultural Formulation Interview.","authors":"Lukas Claus, Seline van den Ameele, Marianne Destoop, Karolien Dockx, Meryam Schouler-Ocak, Mario Braakman, Bernard Sabbe","doi":"10.1177/13634615261418374","DOIUrl":"https://doi.org/10.1177/13634615261418374","url":null,"abstract":"<p><p>Asylum seekers face significant mental health difficulties. An assessment of cultural and contextual factors is necessary for a thorough evaluation of their mental illness. The Cultural Formulation Interview (CFI) can be a useful tool for this purpose, though further research is needed in diverse clinical settings and with varied populations to evaluate it as a cross-cultural assessment tool. Therefore, this study aims to map out asylum seekers' experience of the CFI in a real-life clinical context, applying a mixed-method design. The CFI Debriefing Instrument for Patients (n = 63) data were quantitatively analysed. Semi-structured debriefing interviews (n = 61) underwent thematic framework analysis<i>.</i> The study demonstrates how asylum seekers rated the CFI moderately acceptable (6.74; SD: 3.24). Feasibility obtained a modest score (0.44; SD: 0.85). Clinical utility seemed to be perceived slightly higher (1.04; SD: 0.51). Thematic framework analysis identified facilitators such as the CFI's ability to ask relevant and understandable questions, stimulating in-depth conversations, new insights, and the patient-clinician relationship. However, barriers included the number and difficulty of the questions, the unclear benefit of the CFI, painful confrontation with the past and their suffering, and emotional distress. This study underscores asylum seekers' nuanced experience of the CFI. Aspects proper to working with asylum seekers (e.g., impact of trauma, loss) must be considered when implementing the CFI. We formulate attention points to promote the use of the CFI as a tailored instrument to address asylum seekers' mental health needs safely.</p>","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":" ","pages":"13634615261418374"},"PeriodicalIF":2.7,"publicationDate":"2026-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146214558","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}

{"title":"Mental Health Services for Adolescents With Status as Asylum Seekers or Refugees: A Qualitative Study of Healthcare Professionals' Perspectives.","authors":"Petter Viksveen, Lobna Doudouh, Murad Mustafa Jafaer, Anita Salamonsen","doi":"10.1177/13634615251409677","DOIUrl":"10.1177/13634615251409677","url":null,"abstract":"<p><p>Clear recommendations for how to best adapt mental health services for adolescents with a background as asylum seekers and refugees are lacking. This study therefore explored healthcare professionals' experiences and perspectives on mental health needs of these groups of youth in Norway. The objectives were to explore healthcare professionals' perspectives on what is needed for adolescents with status as asylum seekers or refugees to seek professional help for mental health problems and what is important for them to experience the offered help as beneficial. A qualitative interview study was carried out to explore the perspectives of healthcare professionals (<i>n</i> = 11) in primary and secondary healthcare settings. Systematic text condensation was used for data analysis. Four themes were developed through the study: (a) culturally sensitive and adapted services; (b) low threshold and outreach services; (c) building a trusting relationship; and (d) user involvement. The study provides a constructivist understanding of cultural competence including several suggestions for how to overcome barriers to service use among adolescents who have a background as asylum seekers or refugees. Some of the recommendations include an ongoing collaboration with youth and their families to better understand their culture; healthcare professionals who acquire cultural competence, practice cultural humility and are mindful of their own cultural backgrounds. There should be comprehensive education and training programmes for healthcare professionals. Services should be easily accessible with simplified referral procedures and arena flexibility. Skilled interpreters should be used, including cultural interpreters. Shared decision-making should be used to actively engage youth in their treatment.</p>","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":" ","pages":"70-83"},"PeriodicalIF":2.7,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12852489/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145946354","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}

{"title":"Grief and Historical Trauma Among American Indian and Alaska Native Populations: A Cluster Analysis.","authors":"Julie A Gameon, Monica C Skewes, Cory J Counts, Neha A John-Henderson","doi":"10.1177/13634615251379451","DOIUrl":"10.1177/13634615251379451","url":null,"abstract":"<p><p>American Indian and Alaska Native (AI/AN) communities face significant social, economic, and health disparities rooted in historical traumas stemming from colonization. These disparities manifest in disproportionate rates of poverty, unemployment, and early mortality among AI/AN populations. High rates of premature deaths contribute to a persistent cycle of grief and loss, perpetuating mental and physical health problems. The current study explores the relationships between grief, historical trauma, and psychological and physical health outcomes among AI/AN individuals who have experienced the loss of a loved one. A cross-sectional survey was conducted with 576 AI adults, measuring complicated grief, adaptive grief, historical trauma, anxiety, depression, alcohol use problems, sleep health, and physical health. Cluster analysis revealed four distinct groups based on levels of complicated grief and historical trauma. Results indicated that higher levels of complicated grief and historical trauma were associated with worse mental and physical health outcomes. Moreover, individuals living on reservations reported higher levels of loss and historical trauma. Adaptive grief remained consistent across groups, suggesting a stable coping mechanism irrespective of grief severity. Findings underscore the need for interventions addressing grief and historical trauma to improve overall health outcomes in AI/AN communities.</p>","PeriodicalId":47864,"journal":{"name":"Transcultural Psychiatry","volume":" ","pages":"56-69"},"PeriodicalIF":2.7,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12950209/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145764258","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}