Bushra Juhi Jani, Luma K Mohammed, Nawal Juhi Jani
{"title":"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。","authors":"Bushra Juhi Jani, Luma K Mohammed, Nawal Juhi Jani","doi":"10.1007/s11013-026-10016-1","DOIUrl":null,"url":null,"abstract":"<p><p>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.</p>","PeriodicalId":47634,"journal":{"name":"Culture Medicine and Psychiatry","volume":"50 4","pages":""},"PeriodicalIF":1.9000,"publicationDate":"2026-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Healing Minds Through Education: Cultural Pathways to Medical and Health Humanities in Post-conflict Iraq.\",\"authors\":\"Bushra Juhi Jani, Luma K Mohammed, Nawal Juhi Jani\",\"doi\":\"10.1007/s11013-026-10016-1\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>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.</p>\",\"PeriodicalId\":47634,\"journal\":{\"name\":\"Culture Medicine and Psychiatry\",\"volume\":\"50 4\",\"pages\":\"\"},\"PeriodicalIF\":1.9000,\"publicationDate\":\"2026-09-03\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Culture Medicine and Psychiatry\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1007/s11013-026-10016-1\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"ANTHROPOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Culture Medicine and Psychiatry","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s11013-026-10016-1","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"ANTHROPOLOGY","Score":null,"Total":0}
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.
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.