通过教育治愈心灵:冲突后伊拉克医学和健康人文学科的文化途径。

IF 1.9 4区 医学 Q2 ANTHROPOLOGY
Bushra Juhi Jani, Luma K Mohammed, Nawal Juhi Jani
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引用次数: 0

摘要

伊拉克经历了几十年的政治不稳定、战争和社会分裂,这些都深刻地影响了这个国家的心理和文化景观。保健基础设施的破坏和创伤的正常化使人们不仅需要医疗干预,而且需要道德和社会修复。虽然生物医学精神病学在诊断和治疗中仍然不可或缺,但它本身并不能完全解决长期暴力造成的痛苦的关系、文化和伦理层面。本文探讨了伊拉克医学教育工作者和临床医生如何看待在伊拉克医学教育中引入“医学和健康人文学科”(MHH)作为科学培训的文化基础补充,以及对专业发展和心理社会修复的可能贡献。根据涉及22名伊拉克医学教育者、临床医生和人文学科学者的三轮德尔菲共识研究(2024-2025年),对nahrain大学医学院一年级医学生开设的“医学和健康人文学科英语”课程的试点教学实施情况(2023-2024年)进行了分析,在实践中提供了以文化为基础的MHH初步应用模式。用说明性的学生反馈作为看法,而不是结果的衡量标准。这些部分共同调查了作为国家冲突后恢复的一部分实施卫生保健的观念、障碍和战略。研究结果显示,85%的参与者一致认为,MHH应该融入医学课程,强调叙事医学、反思性写作和伦理推理是重建同理心和恢复医疗保健道德平衡的核心。该研究认为,这种整合补充了科学的严谨性,而不是取代它,培养了叙事能力、文化敏感性和道德弹性。通过将教育定位为治疗场所,参与者将MHH定位为一种潜在的教学和社会心理干预手段,而不是一种已被证实的干预手段。伊拉克的案例表明,医学和健康人文方法具有潜在的文化和地理适应性,未来的干预研究需要对其进行直接检验。当适应当地的伦理和文学传统时,MHH的功能不是作为西方的舶来品,而是作为一种文化教育学的应用形式,能够填补以技术为导向的医学培训中的关系和解释空白。在这个意义上,与会的伊拉克专家为在恢复和重建的背景下整合人文和生物医学提供了立足当地的观点。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Healing Minds Through Education: Cultural Pathways to Medical and Health Humanities in Post-conflict Iraq.

Iraq has endured decades of political instability, war, and social fragmentation that have profoundly affected the nation's psychological and cultural landscape. The erosion of health infrastructures and the normalization of trauma have produced a population in need not only of medical intervention but also of moral and social repair. While biomedical psychiatry remains indispensable for diagnosis and treatment, it does not by itself fully address the relational, cultural, and ethical dimensions of suffering shaped by prolonged violence. This paper examines how Iraqi medical educators and clinicians perceive the introduction of "Medical and Health Humanities" (MHH) within Iraqi medical education as a culturally grounded complement to scientific training and a possible contribution to professional development and psychosocial repair. Drawing upon a three-round Delphi consensus study (2024-2025) involving twenty-two Iraqi medical educators, clinicians, and humanities scholars, the analysis is informed by a pilot pedagogical implementation of an "English through Medical and Health Humanities" course delivered to first-year medical students at the College of Medicine, Al-Nahrain University (2023-2024), providing an initial applied model of culturally grounded MHH in practice, with illustrative student feedback drawn on as perceptions rather than as outcome measures. Together, these strands investigate perceptions, barriers, and strategies for implementing MHH as part of national post-conflict recovery. Findings reveal an 85% consensus among participants that MHH should be embedded across medical curricula, emphasizing narrative medicine, reflective writing, and ethical reasoning as central to rebuilding empathy and restoring moral balance in healthcare. The study argues that such integration supplements scientific rigor rather than replacing it, cultivating narrative competence, cultural sensitivity, and moral resilience. By situating education as a site of healing, participants positioned MHH as a potential pedagogical and psychosocial intervention rather than a proven one. The Iraqi case suggests the potential cultural and geographic adaptability of Medical and Health Humanities approaches, which future intervention studies would need to test directly. When adapted to local ethical and literary traditions, MHH functions not as a Western import but as an applied form of cultural pedagogy capable of filling relational and interpretive gaps within technically oriented medical training. In this sense, the participating Iraqi experts contribute a locally grounded perspective for integrating humanities and biomedicine in contexts of recovery and reconstruction.

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来源期刊
CiteScore
3.70
自引率
5.90%
发文量
49
期刊介绍: Culture, Medicine, and Psychiatry is an international and interdisciplinary forum for the publication of work in three interrelated fields: medical and psychiatric anthropology, cross-cultural psychiatry, and related cross-societal and clinical epidemiological studies. The journal publishes original research, and theoretical papers based on original research, on all subjects in each of these fields. Interdisciplinary work which bridges anthropological and medical perspectives and methods which are clinically relevant are particularly welcome, as is research on the cultural context of normative and deviant behavior, including the anthropological, epidemiological and clinical aspects of the subject. Culture, Medicine, and Psychiatry also fosters systematic and wide-ranging examinations of the significance of culture in health care, including comparisons of how the concept of culture is operationalized in anthropological and medical disciplines. With the increasing emphasis on the cultural diversity of society, which finds its reflection in many facets of our day to day life, including health care, Culture, Medicine, and Psychiatry is required reading in anthropology, psychiatry and general health care libraries.
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