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Culture, Medicine and Psychiatry

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https://www.readbyqxmd.com/read/28397029/introduction-to-moral-and-other-laboratories
#1
EDITORIAL
Teresa Kuan, Lone Grøn
"Moral (and other) laboratories" is a special issue that draws on Cheryl Mattingly's notion of the "moral laboratory" to explore the uncanny interface between laboratory ethnography and moral anthropology, and to examine the relationship between experience and experiment. We ask whether laboratory work may provoke new insights about experimental practices in other social spaces such as homes, clinics, and neighborhoods, and conversely, whether the study of morality may provoke new insights about laboratory practices as they unfold in the day-to-day interactions between test tubes, animals, apparatuses, scientists, and technicians...
April 10, 2017: Culture, Medicine and Psychiatry
https://www.readbyqxmd.com/read/28389901/the-tipping-of-the-big-stone-and-life-itself-obesity-moral-work-and-responsive-selves-over-time
#2
Lone Grøn
Why is "everything I know is the right thing to do a million miles removed from what I do in reality?" This question posed by Rita, my main interlocutor and friend in a fieldwork that started in 2001-2003 and was taken up again in 2014-2015, opens up an exploration of moral work and moral selves in the context of the obesity epidemic and weight loss processes. I address these questions through the notion of "moral laboratories" taking up Mattingly's argument that moral cultivation over time cannot be disconnected from a notion of self...
April 7, 2017: Culture, Medicine and Psychiatry
https://www.readbyqxmd.com/read/28389900/comments-on-moral-and-other-laboratories-culture-medicine-and-psychiatry-special-issue-edited-by-lone-gr%C3%A3-n-and-teresa-kuan
#3
EDITORIAL
Michael Lambek
No abstract text is available yet for this article.
April 7, 2017: Culture, Medicine and Psychiatry
https://www.readbyqxmd.com/read/28378038/the-moral-lives-of-laboratory-monkeys-television-and-the-ethics-of-care
#4
Lesley A Sharp
Why do lab monkeys watch TV? This essay examines the preponderance of televisions in primate housing units based in academic research laboratories. Within such labs, television and related visual media are glossed as part-and-parcel of welfare or species-specific enrichment practices intended for research monkeys, a logic that is simultaneously historically- and ontologically-based. In many research centers, television figures prominently in the two inseparable domains of a lab monkey's life: as a research tool employed during experiments, and in housing units where captive monkeys are said to enjoy watching TV during "down time...
April 4, 2017: Culture, Medicine and Psychiatry
https://www.readbyqxmd.com/read/28378037/medical-disease-or-moral-defect-stigma-attribution-and-cultural-models-of-addiction-causality-in-a-university-population
#5
Nicole L Henderson, William W Dressler
This study examines the knowledge individuals use to make judgments about persons with substance use disorder. First, we show that there is a cultural model of addiction causality that is both shared and contested. Second, we examine how individuals' understanding of that model is associated with stigma attribution. Research was conducted among undergraduate students at the University of Alabama. College students in the 18-25 age range are especially at risk for developing substance use disorder, and they are, perhaps more than any other population group, intensely targeted by drug education...
April 4, 2017: Culture, Medicine and Psychiatry
https://www.readbyqxmd.com/read/28378036/engaging-with-dementia-moral-experiments-in-art-and-friendship
#6
Janelle S Taylor
The box-office as well as critical success of the 2014 major motion picture Still Alice, starring Julianne Moore in the title role and based on the bestselling novel of the same name by the Harvard-trained neuroscientist Lisa Genova (Still Alice. Simon & Schuster, New York, 2009), marked an important moment in public cultural representations of people with dementia. Still Alice tells the story of Alice Howland, an eminent scientist whose increasing memory lapses are eventually diagnosed as early-onset Alzheimer's, and chronicles the transformations in her family relationships as her husband and three children respond to her decline in different ways...
April 4, 2017: Culture, Medicine and Psychiatry
https://www.readbyqxmd.com/read/28324221/insuring-care-paperwork-insurance-rules-and-clinical-labor-at-a-u-s-transgender-clinic
#7
Marieke van Eijk
What is a clinician to do when people needing medical care do not have access to consistent or sufficient health insurance coverage and cannot pay for care privately? Analyzing ethnographically how clinicians at a university-based transgender clinic in the United States responded to this challenge, I examine the U.S. health insurance system, insurance paperwork, and administrative procedures that shape transgender care delivery. To buffer the impact of the system's failure to provide sufficient health insurance coverage for transgender care, clinicians blended administrative routines with psychological therapy, counseled people's minds and finances, and leveraged the prestige of their clinic in attempts to create space for gender nonconforming embodiments in gender conservative insurance policies...
March 21, 2017: Culture, Medicine and Psychiatry
https://www.readbyqxmd.com/read/28251478/mental-health-outcomes-of-psychosocial-intervention-among-traditional-health-practitioner-depressed-patients-in-kenya
#8
Christine W Musyimi, Victoria Mutiso, David M Ndetei, David C Henderson, Joske Bunders
Task-shifting in mental health such as engaging Traditional Health Practitioners (THPs) in appropriate management of mental disorders is crucial in reducing global mental health challenges. This study aims to determine the outcomes of using evidence-based mental health Global Action Programme Intervention guide (mhGAP-IG) to provide psychosocial interventions among depressed patients seeking care from THPs. THPs were trained to deliver psychosocial interventions to their patients screening positive for mild to severe depression on Beck's Depression Inventory (BDI)...
March 1, 2017: Culture, Medicine and Psychiatry
https://www.readbyqxmd.com/read/28243949/intersecting-cultures-in-deaf-mental-health-an-ethnographic-study-of-nhs-professionals-diagnosing-autism-in-d-deaf-children
#9
Natassia F Brenman, Anja Hiddinga, Barry Wright
Autism assessments for children who are deaf are particularly complex for a number of reasons, including overlapping cultural and clinical factors. We capture this in an ethnographic study of National Health Service child and adolescent mental health services in the United Kingdom, drawing on theoretical perspectives from transcultural psychiatry, which help to understand these services as a cultural system. Our objective was to analyse how mental health services interact with Deaf culture, as a source of cultural-linguistic identity...
February 27, 2017: Culture, Medicine and Psychiatry
https://www.readbyqxmd.com/read/28194621/mental-ill-health-recovery-and-the-family-assemblage
#10
Rhys Price-Robertson, Lenore Manderson, Cameron Duff
The recovery approach is now among the most influential paradigms shaping mental health policy and practice across the English-speaking world. While recovery is normally presented as a deeply personal process, critics have challenged the individualism underpinning this view. A growing literature on "family recovery" explores the ways in which people, especially parents with mental ill health, can find it impossible to separate their own recovery experiences from the processes of family life. While sympathetic to this literature, we argue that it remains limited by its anthropocentricity, and therefore struggles to account for the varied human and nonhuman entities and forces involved in the creation and maintenance of family life...
February 13, 2017: Culture, Medicine and Psychiatry
https://www.readbyqxmd.com/read/28150183/at-the-edge-of-safety-moral-experimentation-in-the-case-of-family-therapy
#11
Teresa Kuan
"At the Edge of Safety" argues for thinking of structural family therapy as a "moral laboratory." Borrowing a trope from Cheryl Mattingly's recent book Moral Laboratories, the article reconsiders a therapeutic style that was once controversial by analyzing personal stories of supervision-i.e. professional training-in light of Mattingly's suggestion that a social space in which people conduct experiments on themselves and their lives may be considered a moral laboratory. Family therapy is especially good to think with, because it is simultaneously a real and a metaphorical laboratory, physically lab-like in its use of visual technologies, yet moral in the way it puts the possibility for situational change in the hands of human actors...
February 1, 2017: Culture, Medicine and Psychiatry
https://www.readbyqxmd.com/read/28132396/expert-knowledge-influences-decision-making-for-couples-receiving-positive-prenatal-chromosomal-microarray-testing-results
#12
M A Rubel, A Werner-Lin, F K Barg, B A Bernhardt
To assess how participants receiving abnormal prenatal genetic testing results seek information and understand the implications of results, 27 US female patients and 12 of their male partners receiving positive prenatal microarray testing results completed semi-structured phone interviews. These interviews documented participant experiences with chromosomal microarray testing, understanding of and emotional response to receiving results, factors affecting decision-making about testing and pregnancy termination, and psychosocial needs throughout the testing process...
January 28, 2017: Culture, Medicine and Psychiatry
https://www.readbyqxmd.com/read/28210830/editorial-cmp-honors-for-lindenbaum-in-2017
#13
EDITORIAL
Atwood D Gaines
No abstract text is available yet for this article.
March 2017: Culture, Medicine and Psychiatry
https://www.readbyqxmd.com/read/28050759/tension-among-women-in-north-india-an-idiom-of-distress-and-a-cultural-syndrome
#14
Lesley Jo Weaver
The existing literature on Indian ethnopsychology has long asserted that somatization is a key aspect of experiences of distress. The study of idioms of distress arose out of work done in India (Nichter in Cult Med Psychiatry 5(4):379-408, 1981), but ironically, little subsequent work has systematically explored idioms of distress in this part of the world. This ethnographic study focused on the term tension (tenśan) and its relation to a cultural syndrome among women in urban North India. This syndrome appears to involve rapid-onset anger, irritation, rumination, and sleeplessness as key symptoms...
March 2017: Culture, Medicine and Psychiatry
https://www.readbyqxmd.com/read/28025774/-they-treat-you-a-different-way-public-insurance-stigma-and-the-challenge-to-quality-health-care
#15
Anna C Martinez-Hume, Allison M Baker, Hannah S Bell, Isabel Montemayor, Kristan Elwell, Linda M Hunt
Under the Affordable Care Act, Medicaid Expansion programs are extending Medicaid eligibility and increasing access to care. However, stigma associated with public insurance coverage may importantly affect the nature and content of the health care beneficiaries receive. In this paper, we examine the health care stigma experiences described by a group of low-income public insurance beneficiaries. They perceive stigma as manifest in poor quality care and negative interpersonal interactions in the health care setting...
March 2017: Culture, Medicine and Psychiatry
https://www.readbyqxmd.com/read/27770300/cultivating-medical-intentionality-the-phenomenology-of-diagnostic-virtuosity-in-east-asian-medicine
#16
Taewoo Kim
This study examines the perceptual basis of diagnostic virtuosity in East Asian medicine, combining Merleau-Ponty's phenomenology and an ethnographic investigation of Korean medicine in South Korea. A novice, being exposed to numerous clinical transactions during apprenticeship, organizes perceptual experience that occurs between him or herself and patients. In the process, the fledgling practitioner's body begins to set up a medically-tinged "intentionality" interconnecting his or her consciousness and medically significant qualities in patients...
March 2017: Culture, Medicine and Psychiatry
https://www.readbyqxmd.com/read/27761691/-hunger-hurts-but-starving-works-the-moral-conversion-to-eating-disorders
#17
Gisella Orsini
This article aims to shed light on the self-perceptions of people with eating disorders in Malta and Italy through a deep understanding of their narratives. In contrast to the biomedical perception of the phenomenon and in opposition with the prevalent feminist theories on the subject, I consider eating disorders as the result of self-transformative processes. I suggest that anorexics, bulimics and binge eaters are actively and deliberately engaged in a project of moral self-transformation that is culturally defined...
March 2017: Culture, Medicine and Psychiatry
https://www.readbyqxmd.com/read/27761690/innocent-or-intentional-interpreting-oppositional-defiant-disorder-in-a-preschool-mental-health-clinic
#18
Christine N El Ouardani
Based on 9 months of ethnographic fieldwork in a U.S. mental health clinic focused on the treatment of preschool-aged children who exhibited extremely disruptive behavior, this article examines the contradictions clinicians faced when trying to identify and attribute "intentionality" to very young children. Disruptive, aggressive behavior is one of the central symptoms involved in a wide-range of childhood psychopathology and the number one reason young children are referred to mental health clinics in the United States...
March 2017: Culture, Medicine and Psychiatry
https://www.readbyqxmd.com/read/27631307/-i-don-t-have-time-for-an-emotional-life-marginalization-dependency-and-melancholic-suspension-in-disability
#19
Brian Watermeyer
Social scientific analyses of inequality inform interventions ranging from the material and political to the personal and psychological. At the extremes of this continuum, Marxian militants view the exploration of the inner lives of oppressed people as irrelevant to liberation, while psychoanalysts bemoan the naïveté of "depsychologized" conceptions of the social subject. While both approaches have been applied to disability inequality, an historical materialist view has dominated the discipline of disability studies, where attention has only recently turned to psychological aspects of oppression...
March 2017: Culture, Medicine and Psychiatry
https://www.readbyqxmd.com/read/27631306/-you-can-t-choose-these-emotions%C3%A2-they-simply-jump-up-ambiguities-in-resilience-building-interventions-in-israel
#20
Ariel Yankellevich, Yehuda C Goodman
Following the growing critique of the use of Post-Traumatic Stress Disorder in post-disaster interventions, a new type of intervention aimed at building resilience in the face of traumatic events has been making its first steps in the social field. Drawing on fieldwork of a resilience-building program for pre-clinical populations in Israel, we analyze the paradoxes and ambiguities entailed in three inter-related aspects of this therapeutic project: The proposed clinical ideology aimed at immunizing against traumas; the discursive and non-discursive practices used by the mental-health professionals; and, participants' difficulties to inhabit the new resilient subject...
March 2017: Culture, Medicine and Psychiatry
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