Genealogies and Anthropologies of Global Mental Health.
Abstract Within the proliferation of studies identified with global mental health, anthropologists rarely take global mental health itself as their object of inquiry. The papers in this special issue were selected specifically to problematize global mental health. To contextualize them, this introduction critically weighs three possible genealogies through which the emergence of global health can be explored: (1) as a divergent thread in the qualitative turn of global health away from earlier international health and development; (2) as the product of networks and social movements; and (3) as a diagnostically- and...
Source: Culture, Medicine and Psychiatry - November 19, 2019 Category: Psychiatry Authors: Lovell AM, Read UM, Lang C Tags: Cult Med Psychiatry Source Type: research

Inspecting Mental Health: Depression, Surveillance and Care in Kerala, South India.
Abstract Depression has become a major public health concern in Kerala, South India. Media and mental health professionals often attribute the rise of depression and suicide to a discontent around modern transformations and the flipside of the "Kerala model of development". Kerala's primary health care system of health governance, surveillance and care with its backbone of community and multi-purpose health workers is currently being expanded to target inner feelings, emotional suffering and existential despair, as a result of complex global, national and local processes of making visible and stabilizing...
Source: Culture, Medicine and Psychiatry - November 19, 2019 Category: Psychiatry Authors: Lang C Tags: Cult Med Psychiatry Source Type: research

Rights as Relationships: Collaborating with Faith Healers in Community Mental Health in Ghana.
Abstract This paper explores the ways in which mental health workers think through the ethics of working with traditional and faith healers in Ghana. Despite reforms along the lines advocated by global mental health, including rights-based legislation and the expansion of community-based mental health care, such healers remain popular resources for treatment and mechanical restraint and other forms of coercion commonplace. As recommended in global mental health policy, mental health workers are urged to form collaborations with healers to prevent human rights abuses and promote psychiatric alternatives for treatme...
Source: Culture, Medicine and Psychiatry - November 19, 2019 Category: Psychiatry Authors: Read UM Tags: Cult Med Psychiatry Source Type: research

Mental Health System Reform in Contexts of Humanitarian Emergencies: Toward a Theory of "Practice-Based Evidence".
This article begins to answer these questions through ethnographic case studies of mental health system reform in Kosovo and Palestine. Based on the findings, a theory of "practice-based evidence" is developed. Practice-based evidence assumes that knowledge is derived from practice, rather than the other way around where practice is believed to be informed by systematic evidence. It is argued that a focus on practice rather than evidence can improving system reform processes as well as the provision of mental health care in a way that is sensitive to local contexts, structural realities, culture, and history. ...
Source: Culture, Medicine and Psychiatry - November 19, 2019 Category: Psychiatry Authors: Kienzler H Tags: Cult Med Psychiatry Source Type: research

Falling, Dying Sheep, and the Divine: Notes on Thick Therapeutics in Peri-Urban Senegal.
Abstract Peri-urban Senegal lies outside the influence of both the nation's historic public mental health model and contemporary global mental health. This paper examines how cultural logics in this underserved region spill over from social domains to widen the therapeutic sphere of psychoses and epilepsy. Observations and 60 carer and/or patient interviews concerning 36 patients afflicted by one or both conditions illustrate how the "crisis of the uncanny", a spectacular eruption of psychoses and seizures into the everyday, triggers trajectories across these domains. To resolve the crisis...
Source: Culture, Medicine and Psychiatry - November 19, 2019 Category: Psychiatry Authors: Lovell AM, Diagne PM Tags: Cult Med Psychiatry Source Type: research

Adolescent Sex and Psyche in Brazil: Surveillance, Critique and Global Mental Health.
ue DP Abstract Drawing on a historical ethnography conducted in Southern Brazil, this article explores how public health programs for adolescent reproductive and mental health have emerged in Brazil and begun to intersect with the growing field of "global mental health" (GMH). The story I recount begins not in the 2010s with the rapid rise of expert interest in adolescent health within GMH, but in the 1990s, the decade when young teens in Brazil were first coming into contact with practices and approaches in research, schools and clinics that have both underpinned and critiqued the production of an ...
Source: Culture, Medicine and Psychiatry - November 19, 2019 Category: Psychiatry Authors: Béhague DP Tags: Cult Med Psychiatry Source Type: research

"Madness and Despair are a Force": Global Mental Health, and How People and Cultures Challenge the Hegemony of Western Psychiatry.
"Madness and Despair are a Force": Global Mental Health, and How People and Cultures Challenge the Hegemony of Western Psychiatry. Cult Med Psychiatry. 2019 Dec;43(4):710-723 Authors: Beneduce R Abstract The author suggests to consider some important hidden connections in Global Mental Health (GMH) discourse and interventions, above all the political meaning of suffering and symptoms, the power of psychiatric diagnostic categories (both Western and traditional) to name and to occult at once other conflicts, and the implicit criticism expressed by so-called local healing knowledge and its epi...
Source: Culture, Medicine and Psychiatry - November 19, 2019 Category: Psychiatry Authors: Beneduce R Tags: Cult Med Psychiatry Source Type: research

The Affective Creativity of a Couple in Dementia Care.
Abstract The capacity to feel and express themselves in response to worldly surroundings is a defining feature of who a person living with dementia is, and can have profound effects on the ways in which they think, act and express creativity. Drawing on a year of intensive collaborative work with residents living with dementia in an Orthodox Jewish care home in London, I extend our perceptions and understandings of how a couple experiences their day-to-day lives, with particular attention paid to their affective practice in creativity. I demonstrate how the affective creativity of the couple emerges, circulates, a...
Source: Culture, Medicine and Psychiatry - November 11, 2019 Category: Psychiatry Authors: Jeong JM Tags: Cult Med Psychiatry Source Type: research

Ghost Encounters Among Traumatized Cambodian Refugees: Severity, Relationship to PTSD, and Phenomenology.
Abstract Ghost encounters were found to be a key part of the trauma ontology among Cambodian refugees at a psychiatric clinic, a key idiom of distress. Fifty-four percent of patients had been bothered by ghost encounters in the last month. The severity of being bothered by ghosts in the last month was highly correlated to PTSD severity (r = .8), and among patients bothered by ghosts in the last month, 85.2% had PTSD, versus among those not so bothered, 15.4%, odds ratio of 31.8 (95% confidence level 11.3-89.3), Chi square = 55.0, p 
Source: Culture, Medicine and Psychiatry - November 7, 2019 Category: Psychiatry Authors: Hinton DE, Reis R, de Jong J Tags: Cult Med Psychiatry Source Type: research

Postpartum Maternal Mood Among Hadza Foragers of Tanzania: A Mixed Methods Approach.
Abstract Infant and maternal mortality rates are among the highest in the world in low and middle-income countries where postpartum depression impacts at least one in five women. Currently, there is a dearth of data on maternal mood and infant health outcomes in small-scale non-industrial populations from such countries, particularly during the postnatal period. Here, we present the first investigation of postpartum maternal mood among a foraging population, the Hadza of Tanzania. We administered the Edinburgh Postnatal Depression Scale (EPDS) to twenty-three women, all with infants under the age of 12 months...
Source: Culture, Medicine and Psychiatry - October 23, 2019 Category: Psychiatry Authors: Herlosky KN, Benyshek DC, Mabulla IA, Pollom TR, Crittenden AN Tags: Cult Med Psychiatry Source Type: research

Internalization of Western Ideals on Appearance and Self-Esteem in Jamaican Undergraduate Students.
We examined the association between internalization of Western beauty ideals and depressive symptoms as well as the potential mediating role of self-esteem on this relation in N = 222 students (155 females, 79 males) attending a tertiary institution in Kingston, Jamaica. Internalization of Western ideals was inversely associated with self-esteem (r =- .35, p 
Source: Culture, Medicine and Psychiatry - October 15, 2019 Category: Psychiatry Authors: O'Garo KN, Morgan KAD, Hill LK, Reid P, Simpson D, Lee H, Edwards CL Tags: Cult Med Psychiatry Source Type: research

'It's Always About the Eating Disorder': Finding the Person Through Recovery-Oriented Practice for Bulimia.
Abstract Bulimia is an eating disorder characterised primarily by binging and 'inappropriate' compensatory behaviours, such as purging or excessive exercise. Many individuals with bulimia experience chronic disordered eating, dissatisfaction with treatment, and difficulty establishing a 'new life'. Recovery-oriented practice, which focuses holistically on the person and their own aspirations for treatment, has recently been advocated in the treatment of eating disorders in Australia and other countries. However, questions have been raised about how this practice might be integrated into existing treatment approach...
Source: Culture, Medicine and Psychiatry - October 10, 2019 Category: Psychiatry Authors: Churruca K, Ussher JM, Perz J, Rapport F Tags: Cult Med Psychiatry Source Type: research

Relegating Psychosis: Blood Work and "Routine Connection" in the Clozapine Clinic.
Relegating Psychosis: Blood Work and "Routine Connection" in the Clozapine Clinic. Cult Med Psychiatry. 2019 Oct 09;: Authors: Brown JEH Abstract This paper attends to the sociality available in the clozapine clinic regimen and suggests that the social dimensions of clozapine treatment may be as important as the biochemical efficacy of clozapine. The clozapine clinic is where people diagnosed with chronic schizophrenia who take the antipsychotic clozapine go for routine monitoring of clozapine side effects, particularly haematological effects. Psychopharmaceutical treatments are often critic...
Source: Culture, Medicine and Psychiatry - October 9, 2019 Category: Psychiatry Authors: Brown JEH Tags: Cult Med Psychiatry Source Type: research

The Role of Culture/Ethnicity in Communicating with Cancer Patients About Mental Health Distress and Suicidality.
Abstract To explore the role of culture in communicating with cancer patients about mental health distress and suicidality. The Grounded Theory method of data collection and analysis was used. Healthcare professionals (HCPs) reported that language competency was a facilitator while being unable to speak the language or understand the nuances of their patient's communication could be a barrier. HCPs noted that being culturally matched with their patients helped them communicate effectively. HCPs also spoke about religious taboos on suicide as being a barrier to having conversations, either because patients did not ...
Source: Culture, Medicine and Psychiatry - September 20, 2019 Category: Psychiatry Authors: Granek L, Nakash O, Ariad S, Shapira S, Ben-David MA Tags: Cult Med Psychiatry Source Type: research

Neuronarratives of Affliction: Antidepressants, Neuropolitics and the "Entrepreneur of Oneself".
Neuronarratives of Affliction: Antidepressants, Neuropolitics and the "Entrepreneur of Oneself". Cult Med Psychiatry. 2019 Sep 18;: Authors: Martinez-Hernaez A Abstract The dramatic increase in the consumption of antidepressants is one indicator, among others, of the contemporary cerebralization of human affliction. This process has been led by expert systems, creating new biosocialities or neurosocialities, and new models of self as well: the neural self. While some research minimizes the neuro-colonization of the self and its impact on lay knowledge systems, here I argue that synergy betwe...
Source: Culture, Medicine and Psychiatry - September 18, 2019 Category: Psychiatry Authors: Martinez-Hernaez A Tags: Cult Med Psychiatry Source Type: research

The Social Construction of PTSD: The Case of the 'Old Guard' Policemen After South African Democracy.
Abstract Often, we assume the traumatic nature of first response work has inevitable repercussions. This can lead to assumptions about trauma being the reason for distress, resulting in fixed ideas about diagnosis and treatment, without the complex socio-political and psychodynamic implications being fully considered. This paper challenges such assumptions by exploring the presentation of PTSD in 'old guard' police officers at the cusp of the post-apartheid era in South Africa. Focusing on long serving 'white' Afrikaner policemen, an argument is advanced that, while a diagnosis of PTSD may have enabled the old gua...
Source: Culture, Medicine and Psychiatry - September 6, 2019 Category: Psychiatry Authors: Auld S, Cartwright D Tags: Cult Med Psychiatry Source Type: research

The Disenchanted Self: Anthropological Notes on Existential Distress and Ontological Insecurity Among ex-Mormons in Utah.
Abstract This paper describes a pervasive form of psychological distress occurring among people undergoing a sudden and acute collapse of faith in the teachings of the Church of Jesus Christ of Latter-day Saints (aka LDS, or Mormon Church). Drawing on 18 months of fieldwork in Utah, I trace the cultural-historical etiology of this unique form of psycho-existential trauma, focusing on ex-Mormons' narratives of 'world collapse'-in which the all-encompassing symbolic-existential framework of reality once provided by religion disintegrated once they lost faith in the Mormon Church. Although marked by symptoms res...
Source: Culture, Medicine and Psychiatry - August 28, 2019 Category: Psychiatry Authors: Brooks EM Tags: Cult Med Psychiatry Source Type: research

From Treatment to Containment to Enterprise: An Ethno-history of Therapeutic Communities in Puerto Rico, 1961-1993.
Abstract Unpaid work is now a central therapy in Puerto Rican therapeutic communities, where substance users reside and seek to rehabilitate each other, often for years at a time. Once a leading treatment for addiction in mainland United States, therapeutic communities were scaled back in the 1970s after they lost federal endorsement. They continue to flourish in Puerto Rico for reasons that have less to do with their curative powers than with their malleability as multi-purpose social enterprises and their historical co-option by state, market and family actors who have deployed them for a variety of purposes. Th...
Source: Culture, Medicine and Psychiatry - July 11, 2019 Category: Psychiatry Authors: Parker CM Tags: Cult Med Psychiatry Source Type: research

Giving a Voice to Gambling Addiction: Analysis of Personal Narratives.
Abstract Gambling addiction (GA) is now considered a worldwide health issue. Although the topic of disorder awareness is a central issue in clinical practice, there are few studies examining this dimension in relation to GA. To bridge this gap, we conducted a qualitative study, administering interviews focused on awareness of GA and eliciting narratives of both the disorder and the whole life of participants. We adopted both qualitative and quantitative methods of research, using computer-aided content analysis. We administered to a sample of 15 treatment-seeking gamblers the Psychiatric Interview for Gambling Add...
Source: Culture, Medicine and Psychiatry - July 9, 2019 Category: Psychiatry Authors: Rogier G, Caputo A, Langher V, Lysaker PH, Dimaggio G, Velotti P Tags: Cult Med Psychiatry Source Type: research

Finding "What Works": Theory of Change, Contingent Universals, and Virtuous Failure in Global Mental Health.
This article discusses how the evaluation framework Theory of Change (ToC) facilitates the production of 'global' knowledge across such differences. Drawing on 14 months of multi-sited fieldwork among Global Mental Health actors in Europe, North America and South Africa, it traces the differential use of ToC in GMH interventions. While much critical scholarship of Global Health metrics holds that techniques of quantification rely on universals that necessarily betray the "real world", ToC unsettles these critiques. It comes into view as an epistemic and relational device that produces 'contingent universals'...
Source: Culture, Medicine and Psychiatry - June 22, 2019 Category: Psychiatry Authors: Bemme D Tags: Cult Med Psychiatry Source Type: research

Perceived Feasibility, Acceptability, and Cultural Adaptation for a Mental Health Intervention in Rural Haiti.
Abstract Mental healthcare is largely unavailable throughout Haiti, particularly in rural areas. The aim of the current study is to explore perceived feasibility, acceptability, and effectiveness of potential culturally adapted interventions to improve mental health among Haitian women. The study used focus group discussions (n = 12) to explore five potential interventions to promote mental health: individual counseling, income-generating skills training, peer support groups, reproductive health education, and couples' communication training. Findings indicate that individual counseling, support grou...
Source: Culture, Medicine and Psychiatry - June 21, 2019 Category: Psychiatry Authors: Zubieta C, Lichtl A, Trautman K, Mentor S, Cagliero D, Mensa-Kwao A, Paige O, McCarthy S, Walmer DK, Kaiser BN Tags: Cult Med Psychiatry Source Type: research

Moral Experiences of Crisis Management in a Child Mental Health Setting: A Participatory Hermeneutic Ethnographic Study.
Abstract Restraints and seclusion are routinely used in child mental health settings for conflict and crisis management, but raise significant ethical concerns. Using a participatory hermeneutic ethnographic framework, we studied conflict and crisis management in a child mental health setting offering care to children aged 6-12 years old in Quebec, Canada. The use of this framework allowed for an in-depth examination of the local imaginaries, of what is morally meaningful to the people in the setting, in addition to institutional norms, structures and practices. Data collection involved participant observatio...
Source: Culture, Medicine and Psychiatry - June 19, 2019 Category: Psychiatry Authors: Montreuil M, Thibeault C, McHarg L, Carnevale FA Tags: Cult Med Psychiatry Source Type: research

Ebola and Localized Blame on Social Media: Analysis of Twitter and Facebook Conversations During the 2014-2015 Ebola Epidemic.
This study aimed to analyze main groups accused on social media of causing or spreading the 2014-2016 Ebola epidemic in West Africa. In this analysis, blame is construed as a vehicle of meaning through which the lay public makes sense of an epidemic, and through which certain classes of people become "figures of blame". Data was collected from Twitter and Facebook using key word extraction, then categorized thematically. Our findings indicate an overall proximate blame tendency: blame was typically cast on "near-by" figures, namely national governments, and less so on "distant" figures, such a...
Source: Culture, Medicine and Psychiatry - June 18, 2019 Category: Psychiatry Authors: Roy M, Moreau N, Rousseau C, Mercier A, Wilson A, Atlani-Duault L Tags: Cult Med Psychiatry Source Type: research

Schizophrenia Infrastructures: Local and Global Dynamics of Transformation in Psychiatric Diagnosis-Making in the Twentieth and Twenty-First Centuries.
This article uses the concept of "diagnosis infrastructures" to propose a framework for narrating the history of schizophrenia as a global category in the twentieth century. Diagnosis infrastructures include the material and architectural arrangements, legal requirements, and professional models that enable both the ways in which patients come to clinics and navigate the world of schizophrenia as well as the means through which clinicians organize their diagnostic work. These infrastructures constitute a framework for how schizophrenia has been identified as a disorder. This article explores three moments in the ...
Source: Culture, Medicine and Psychiatry - June 17, 2019 Category: Psychiatry Authors: Henckes N Tags: Cult Med Psychiatry Source Type: research

A Point in the Heart: Concepts of Emotional Distress Among Albanian-Speaking Immigrants in Switzerland.
Abstract Cultural variability regarding concepts of distress for common mental disorders (CMD) has been reported extensively in cultural clinical psychology across the globe. However, little is known about illness narratives in social communities from Southeast Europe. The purpose of this paper is to identify cultural concepts of distress (CCDs) among Albanian-speaking immigrants in Switzerland and to integrate the findings into literature from other parts of the world. Twenty semi-structured qualitative interviews were conducted using the Barts Explanatory Model Inventory (BEMI). A set of concepts was described t...
Source: Culture, Medicine and Psychiatry - June 17, 2019 Category: Psychiatry Authors: Shala M, Morina N, Salis Gross C, Maercker A, Heim E Tags: Cult Med Psychiatry Source Type: research

"How Can We Help You": Mental Health Practitioners' Experiences of Service Provision in Northern Namibia.
"How Can We Help You": Mental Health Practitioners' Experiences of Service Provision in Northern Namibia. Cult Med Psychiatry. 2019 May 11;: Authors: Bartholomew TT, Gentz SG Abstract Although 12-13% of Namibians are reported to struggle with psychological distress, very few practitioners are available to provide mental health services in Namibia. Those practitioners who are available are often trained from Western counseling and psychiatric perspectives that may not readily align to beliefs about illness held constructed in Namibian cultures. Institutional effort is invested in the educatio...
Source: Culture, Medicine and Psychiatry - May 11, 2019 Category: Psychiatry Authors: Bartholomew TT, Gentz SG Tags: Cult Med Psychiatry Source Type: research

Technologies of the Social: Family Constellation Therapy and the Remodeling of Relational Selfhood in China and Mexico.
Abstract In this article, we investigate how an increasingly popular therapeutic modality, family constellation therapy (FCT), functions simultaneously as a technology of the self (Foucault, Technologies of the self: a seminar with Michel Foucault, University of Massachusetts Press, Amherst, 1988) as well as what we here call a "technology of the social." In FCT, the self is understood as an assemblage of ancestral relationships that often creates problems in the present day. Healing this multi-generational self involves identifying and correcting hidden family dynamics in high-intensity group sessions w...
Source: Culture, Medicine and Psychiatry - May 6, 2019 Category: Psychiatry Authors: Pritzker SE, Duncan WL Tags: Cult Med Psychiatry Source Type: research

"A R ésumé for the Baby": Biosocial Precarity and Care of Substance-Using, Pregnant Women in San Francisco.
"A Résumé for the Baby": Biosocial Precarity and Care of Substance-Using, Pregnant Women in San Francisco. Cult Med Psychiatry. 2019 May 04;: Authors: Premkumar A, Kerns J, Huchko MJ Abstract In the United States, the historical condemnation and punitive legal consequences of substance use during pregnancy-ranging from incarceration to termination of parental custody of a newborn-render pregnant women in state of biosocial precarity. Yet pregnant women who use illicit substances who desire to parent must generate a legible narrative for bureaucratic groups, such as Child Protec...
Source: Culture, Medicine and Psychiatry - May 4, 2019 Category: Psychiatry Authors: Premkumar A, Kerns J, Huchko MJ Tags: Cult Med Psychiatry Source Type: research

Identity, Subjectivity, and Disorders of Self in Psychosis.
Abstract Alterations in self-experience are increasingly attended to as relevant and important aspects of schizophrenia, and psychosis more broadly, through a burgeoning self-disorders (SD) literature. At the same time, issues of self, subject, and subjectivity within schizophrenia-spectrum illnesses have also gained attention from researchers across the social sciences and humanities, and from ethnographic research especially. This paper examines the subjective experience of disruptions in self-identity within a cohort of first episode psychosis (FEP) service users, critically engaging with the SD literature and ...
Source: Culture, Medicine and Psychiatry - April 12, 2019 Category: Psychiatry Authors: Berkhout SG, Zaheer J, Remington G Tags: Cult Med Psychiatry Source Type: research

Traditional Chinese Medicine Explanatory Models of Depressive Disorders: A Qualitative Study.
hielm S Abstract Traditional Chinese medicine (TCM) is an alternative medical system utilised by many Chinese. However, the knowledge of TCM concepts of depression is limited amongst clinicians with training in Western biomedicine. The purpose of this study was to obtain a better understanding of the conceptualisation of depression from a group of TCM practitioners. Semi-structured interviews in Chinese were carried out with 10 TCM practitioners in Hong Kong. A case description of major depression disorder (MDD) was used as a basis. Interview texts were transcribed, translated and analysed using qualitative conten...
Source: Culture, Medicine and Psychiatry - April 8, 2019 Category: Psychiatry Authors: Kam W, Zhang ZJ, Bäärnhielm S Tags: Cult Med Psychiatry Source Type: research

Initiating Change: Negotiations of Subjectivity in a Danish Activation Programme for Young Adults with Psychosocial Problems and Common Mental Disorders.
Davidsen AS Abstract An increasing number of young adults in Denmark experience difficulties in completing their education and holding down a job. Many of these young adults have psychosocial problems and common mental disorders. To retain public income support they must attend education and work-directed activities, known as 'activation programmes'. Based on ethnographic fieldwork, this study presents an analysis of how one such programme unfolds in practice and how the participants engaged with the activities and negotiated the underlying rationales. We argue that the activities involved in the programme constit...
Source: Culture, Medicine and Psychiatry - April 6, 2019 Category: Psychiatry Authors: Andersen JH, Tjørnhøj-Thomsen T, Reventlow S, Davidsen AS Tags: Cult Med Psychiatry Source Type: research

Keeping Our Mouths Shut: The Fear and Racialized Self-Censorship of British Healthcare Professionals in PREVENT Training.
This study examined individual interviews with 16 critical National Health Service (NHS) professionals who participated in mandatory PREVENT counter-radicalisation training, half of whom are Muslims. Results reveal two themes underlying the self-censorship healthcare staff. The first theme is fear, which critical NHS staff experienced as a result of the political and moral subscript underlying PREVENT training: the 'good' position is to accept the PREVENT duty, and the 'bad' position is to reject it. This fear is experienced more acutely by British Muslim healthcare staff. The second theme relates to the structures which e...
Source: Culture, Medicine and Psychiatry - April 5, 2019 Category: Psychiatry Authors: Younis T, Jadhav S Tags: Cult Med Psychiatry Source Type: research

Overlaps and Disjunctures: A Cultural Case Study of a British Indian Young Woman's Experiences of Bulimia Nervosa.
Abstract Eating disorder diagnoses are characterised by a pattern of disordered eating behaviour alongside symptoms such as body dissatisfaction and preoccupation with food, weight or shape (APA in Diagnostic and statistical manual of mental disorders, DSM-5, APA, Washington, DC, 2013). Incidence rates for eating disorders have increased during the last 50 years. However, epidemiological studies have suggested that such trends may not be a true representation of the occurrence of these illnesses in the general population, with figures underestimated due to reduced help seeking and poor access to car...
Source: Culture, Medicine and Psychiatry - March 27, 2019 Category: Psychiatry Authors: Channa S, Lavis A, Connor C, Palmer C, Leung N, Birchwood M Tags: Cult Med Psychiatry Source Type: research

The Recovery Narrative: Politics and Possibilities of a Genre.
Abstract Recovery is now widely acknowledged as the dominant approach to the management of mental distress and illness in government, third-sector and some peer-support contexts across the United Kingdom and elsewhere in the Anglophone Global North. Although narrative has long been recognised in practice and in policy as a key "technology of recovery," there has been little critical investigation of how recovery narratives are constituted and mobilised, and with what consequences. This paper offers an interdisciplinary, critical medical humanities analysis of the politics and possibilities of Recove...
Source: Culture, Medicine and Psychiatry - March 21, 2019 Category: Psychiatry Authors: Woods A, Hart A, Spandler H Tags: Cult Med Psychiatry Source Type: research

Making People Autonomous: A Sociological Analysis of the Uses of Contracts and Projects in the Psychiatric Care Institutions.
This article aims at describing the tensions arising from working on and with someone in psychiatry, in order to make this person more "autonomous". First, through the example of the recovery, it acknowledges, the normative horizon of what is considered today as "good care": a negotiation between partners, aiming at increasing the possibilities for everyone to follow their own lifestyle. It then seeks to describe how this definition of good care is endorsed and applied in two institutions (in Belgium and in France) hosting people with severe mental health issues where the care teams are using three word...
Source: Culture, Medicine and Psychiatry - March 5, 2019 Category: Psychiatry Authors: Marquis N Tags: Cult Med Psychiatry Source Type: research

What is 'Alzheimer's Disease'? The 'Auguste D' Case Re-opened.
Abstract What is Alzheimer's: an organic, neuropathological psychiatric disease, caused by plaques and tangles in aging brains or/and an existential condition affecting the minds of aging persons experiencing disconnection from meaning-bearing networks of social relations? Reviewing current research and revisiting Alzheimer's original case of 'Auguste D' this paper offers an historical-sociological genealogy that raises fundamental questions of causality, and even of the ontological status of Alzheimer's and the dementia reputed to it as a disease entity. Drawing on Kuhn's notion of 'science as usual' and Foucault...
Source: Culture, Medicine and Psychiatry - February 26, 2019 Category: Psychiatry Authors: Keohane K, Grace V Tags: Cult Med Psychiatry Source Type: research

Greetings from the New Editor-in-Chief.
Abstract PMID: 30778802 [PubMed - as supplied by publisher] (Source: Culture, Medicine and Psychiatry)
Source: Culture, Medicine and Psychiatry - February 16, 2019 Category: Psychiatry Authors: Lester RJ Tags: Cult Med Psychiatry Source Type: research

Blood, Sweat, and/or Tears: Comparing Nervios Symptom Descriptions in Honduras.
Abstract With the aim of advancing the cross-cultural investigation of the folk illness nervios, I conducted a dual-sited comparative study of symptom descriptions among two diverse research settings in Honduras. Baer et al. (Cult Med Psychiatry 27(3):315-337, 2003) used cultural consensus modeling (CCM) to confirm a core description of nervios among four Latino groups in the US, Mexico, and Guatemala, but observed that overall agreement and average competence in a shared illness model decreased along a gradient from presumably more-to-less economically developed sites. This has left unresolved whether such variat...
Source: Culture, Medicine and Psychiatry - January 5, 2019 Category: Psychiatry Authors: Stein MJ Tags: Cult Med Psychiatry Source Type: research

Finding Common Ground in the Context of Difference: A South African Case Study.
Abstract In a rapidly transforming world, cultural assimilation and the hybridity of clients and therapists are increasingly acknowledged. Juxtaposed against universalist and relativist discourses in Cultural Psychiatry, the elucidation of perceived "difference" from cultural norms, constructed as being observed in the lives of either the client, or therapist, or both, requires critical reflection on how such norms are derived and by whom. This cultural case study describes a clinical encounter between a Muslim South African woman, and a South African man of Afrikaner descent. A shared experience of marg...
Source: Culture, Medicine and Psychiatry - January 3, 2019 Category: Psychiatry Authors: Coetzee O, Adnams C, Swartz L Tags: Cult Med Psychiatry Source Type: research

How to Fail a Scale: Reflections on a Failed Attempt to Assess Resilience.
This article considers resilience, as opposed to suffering, as the subject of a reproducible entity by discussing the failure of an attempt to capture resilience via an internationally reputed scale called the "Resilience Scale for Adults" among cancer patients in urban South Africa. Our effort to utilize the internationally validated scale, and our attempt to draw on ethnographic and interview work to translate this scale to a locally relevant entity failed due to linguistic, cultural, and practical issues. In brief, the attempt failed because our resilience scale was too long, syntactically ambiguous, and cultu...
Source: Culture, Medicine and Psychiatry - January 3, 2019 Category: Psychiatry Authors: Mendenhall E, Kim AW Tags: Cult Med Psychiatry Source Type: research

Refracting Affects: Affect, Psychotherapy, and Spirit Dis-Possession.
Abstract The notion of affect has generated much confusion in anthropology given its focus on that which seems to escape our language. The evanescent features of affects have irritated many anthropologists who consider affect theory as an empirically weak or esoteric hermeneutics. In this article, I respond to these critiques by developing an anthropology of therapy that foregrounds the role of affects. My intent is to explore the possible contribution of affect theory to medical and psychological anthropology. I draw from my ethnography on couple's therapy in Argentina to suggest that we cannot understand therape...
Source: Culture, Medicine and Psychiatry - January 3, 2019 Category: Psychiatry Authors: Collu S Tags: Cult Med Psychiatry Source Type: research

Differences on Quality of Life of Patients with Schizophrenia: A Multicentric Study from Three Latin-America Countries.
MJ, Boyer L Abstract The aim of the study is to explore the variation on patient's Quality of Life (QoL) across three Latin-Americans countries. The study included 253 stabilized outpatients with schizophrenia from three Mental Health Services in Bolivia (N = 83), Chile (N = 85) and Peru (N = 85). Patients' were assessed using Schizophrenia Quality of Life Questionnaire (SQoL18). We collected socio-demographic information and clinical data, while recognizing the cultural complexity/dynamics of each country, and the influence of cultural contexts on how people experience th...
Source: Culture, Medicine and Psychiatry - January 3, 2019 Category: Psychiatry Authors: Caqueo-Urízar A, Urzúa A, de Munter K, Viveros MJ, Boyer L Tags: Cult Med Psychiatry Source Type: research

Global Mental Health and Idioms of Distress: The Paradox of Culture-Sensitive Pathologization of Distress in Cambodia.
This article critically examines the potential gap between lay ethnopsychological understandings of the Cambodian idiom of baksbat (broken courage) on the one hand and clinical conceptualizations of the idiom as a potential indicator of posttraumatic stress disorder. Ethnographic semi-structured interviews with trauma survivors reveal resistance to current clinical translations and hybrid Euro-Western and Khmer treatment interventions. While the notion of idioms of distress is intended to draw attention to everyday non-pathologizing forms of discourse, the creation of hybrid assessment and treatment constructs linking idio...
Source: Culture, Medicine and Psychiatry - December 4, 2018 Category: Psychiatry Authors: Kidron CA, Kirmayer LJ Tags: Cult Med Psychiatry Source Type: research

Enacting Homebirth Bodies: Midwifery Techniques in Germany.
Abstract Building on insights from science and technology studies-inspired anthropological research on reproduction, this paper uses a praxiographic approach to analyze homebirth midwifery practices in Germany. I show that such practices are syncretic, and that techniques of routinizing and multiplying obstetrical interventions are combined in more or less coherent ways to configure pregnancies and births as physical, emotional, and social becomings. In the process of attending, homebirth bodies learn to co-respond to each other, to the midwifery techniques, and to the homebirth environment. Understanding how and ...
Source: Culture, Medicine and Psychiatry - November 27, 2018 Category: Psychiatry Authors: Skeide A Tags: Cult Med Psychiatry Source Type: research

The Heart of the Meaning: Honoring the Work of Byron J. Good.
Abstract PMID: 30465230 [PubMed - as supplied by publisher] (Source: Culture, Medicine and Psychiatry)
Source: Culture, Medicine and Psychiatry - November 22, 2018 Category: Psychiatry Authors: Gaines AD Tags: Cult Med Psychiatry Source Type: research

Adieu à Tout Ça: The Editor-in-Chief Takes His Leave.
Adieu à Tout Ça: The Editor-in-Chief Takes His Leave. Cult Med Psychiatry. 2018 Nov 19;: Authors: Gaines A Abstract PMID: 30450512 [PubMed - as supplied by publisher] (Source: Culture, Medicine and Psychiatry)
Source: Culture, Medicine and Psychiatry - November 19, 2018 Category: Psychiatry Authors: Gaines A Tags: Cult Med Psychiatry Source Type: research

Distinguishing Core from Peripheral Psychiatric Symptoms: Addictive and Problematic Internet Gaming in North America, Europe, and China.
Abstract We explore the problem of distinguishing the relatively constant versus culturally variable dimensions of mental suffering and disorder in the context of a cross-cultural study of Internet gaming-related distress. We extend the conceptual contrast of "core" and "peripheral" symptoms drawn from game studies and use a framework that synthesizes cultural and neurobiological understandings of emotional distress. In our framework, "core" symptoms are relatively constant across cultures and therefore presumed to be more closely tied to a neurobiological base. By contrast, we treat ...
Source: Culture, Medicine and Psychiatry - November 13, 2018 Category: Psychiatry Authors: Snodgrass JG, Zhao W, Lacy MG, Zhang S, Tate R Tags: Cult Med Psychiatry Source Type: research

Correction to: The Association Between Depression, Suicidal Ideation and Psychological Strains in College Students: A Cross-National Study.
Abstract The original version of the article unfortunately contained an error in acknowledgement section. The corrected acknowledgement is: This research was supported by a grant of Beijing Natural Science Foundation (9174046), for which the first author is PI. PMID: 30203324 [PubMed - as supplied by publisher] (Source: Culture, Medicine and Psychiatry)
Source: Culture, Medicine and Psychiatry - September 10, 2018 Category: Psychiatry Authors: Zhao S, Zhang J Tags: Cult Med Psychiatry Source Type: research

Governing Dementia: A Historical Investigation of the Power of States and Professionals in the Conceptualization of Dementia in China.
This study intends to understand how Chinese states and healthcare professionals interact with each other in adopting biomedical concepts within the context of globalization of mental health. The conceptualization of dementia as a stigmatized mental disorder in China serves as a salient case to examine interactions between states and professionals as well as the interrelationships between different healthcare professionals in producing knowledge. By engaging the biopolitical approach, this project explores the historically-contingent conceptualizations of dementia, namely dementia as a vague and stigmatized condition in im...
Source: Culture, Medicine and Psychiatry - August 27, 2018 Category: Psychiatry Authors: Zhang Y Tags: Cult Med Psychiatry Source Type: research

Employing a Harm-Reduction Approach Between Women and Girls Within Indigenous Familial Relationships.
Abstract It is important to recognize that experiences of racial and gendered violence are a sad legacy of colonialism. The experiences of historical trauma are on-going. These affect the mental and physical wellbeing of individuals, families and communities. Addressing historical trauma through community-informed practices is central to creating space for meaningful change. This paper outlines results from a seven-week activity-based research workshop conducted on three separate occasions with urban-based First Nations and Metis women and girls (aged 8-12). Using a decolonizing theoretical framework, this paper e...
Source: Culture, Medicine and Psychiatry - August 18, 2018 Category: Psychiatry Authors: Cooper E, Driedger SM, Lavoie JG Tags: Cult Med Psychiatry Source Type: research