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Culture, Medicine and Psychiatry

Max J Stein
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...
January 5, 2019: Culture, Medicine and Psychiatry
Alejandra Caqueo-Urízar, Alfonso Urzúa, Koen de Munter, María J Viveros, Laurent Boyer
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 the health systems...
January 3, 2019: Culture, Medicine and Psychiatry
Samuele Collu
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 therapeutic efficacy if we focus only on language and discourse...
January 3, 2019: Culture, Medicine and Psychiatry
Emily Mendenhall, Andrew Wooyoung Kim
How we interpret concepts from suffering to survival has been historically debated in the field of anthropology, transcultural psychiatry, and global mental health. These debates have centered on the notion that such concepts are cross-culturally reproducible, although scholars who work the boundaries of culture, medicine, and psychiatry often triangulate methods from internationally standardized scales to various interpretive methods from participant observation to narrative. 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...
January 3, 2019: Culture, Medicine and Psychiatry
Ockert Coetzee, Colleen Adnams, Leslie Swartz
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...
January 3, 2019: Culture, Medicine and Psychiatry
Carol A Kidron, Laurence J Kirmayer
Efforts to provide culturally appropriate global mental health interventions have included attention to local idioms of distress. 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...
December 4, 2018: Culture, Medicine and Psychiatry
Annekatrin Skeide
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...
November 27, 2018: Culture, Medicine and Psychiatry
Jeffrey G Snodgrass, Wen Zhao, Michael G Lacy, Shaozeng Zhang, Rachel Tate
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...
November 13, 2018: Culture, Medicine and Psychiatry
Atwood D Gaines
No abstract text is available yet for this article.
December 2018: Culture, Medicine and Psychiatry
Atwood Gaines
No abstract text is available yet for this article.
December 2018: Culture, Medicine and Psychiatry
Sibo Zhao, Jie Zhang
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.
December 2018: Culture, Medicine and Psychiatry
Yan Zhang
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 imperial China, dementia as biosocial deviance in Republican China, dementia as a product of capitalism during Mao-era China, and dementia as a stigmatized mental illness in contemporary China...
December 2018: Culture, Medicine and Psychiatry
Elizabeth J Levey, Lance D Laird, Anne E Becker, Benjamin L Harris, G Gondah Lekpeh, Claire E Oppenheim, David C Henderson, Christina P C Borba
Between 1989 and 2003, Liberia experienced a brutal civil war characterized by ethnic killings, sexual violence and the use of child soldiers. Five years after the war ended, half the population of Liberia was under 18 years old. Understanding the needs of these youth is thus essential to the recovery of the nation. This study focuses on the narratives of two female adolescents, selected from 75 in-depth individual interviews with post-conflict Liberian youth conducted in 2012. A narrative analysis approach was employed to examine each interview for multiple layers of meaning...
December 2018: Culture, Medicine and Psychiatry
Ellen B Rubinstein
This article presents an account of how Japanese parents in a family support group for mental illness constructed understandings of care for adult children with serious mental illness, primarily schizophrenia. I build from Janis H. Jenkins's research on the "extraordinary condition" of schizophrenia to discuss "extraordinary care," which parents practiced as a way to refute cultural and clinical beliefs about pathogenic families and degenerative diseases. Parents' accounts of extraordinary care revealed a reliance on biomedical knowledge to treat the symptoms of mental illness coupled with an ongoing determination to improve children's lives beyond what psychiatry could offer...
December 2018: Culture, Medicine and Psychiatry
Elena De la Poza, Lucas Jódar
A relevant proportion of deaths by suicide have been attributed to other causes that produce the number of suicides remains hidden. The existence of a hidden number of cases is explained by the nature of the problem. Problems like this involve violence, and produce fear and social shame in victims' families. The existence of violence, fear and social shame experienced by victims favours a considerable number of suicides, identified as accidents or natural deaths. This paper proposes a short time discrete compartmental mathematical model to measure the suicidal risk for the case of Spain...
December 2018: Culture, Medicine and Psychiatry
Sibo Zhao, Jie Zhang
OBJECTIVE: This study examined the differences of psychological strains between Chinese and American college students and discussed how strains may influence individuals' suicidal ideation and depression. PARTICIPANTS/METHODS: A total of 539 college students (298 from China and 241 from the U.S.) were recruited in March 2016 to complete the survey study. Multiple linear regressions were used in data analysis. RESULTS: Students in America had higher scores on depression and stress than students in China, while students in China rated higher on suicidal ideation than students in America...
December 2018: Culture, Medicine and Psychiatry
Molly E Lasater, Madeleine Beebe, Nicole E Warren, Fatoumata Souko, Mariam Keita, Sarah M Murray, Judith K Bass, Pamela J Surkan, Peter J Winch
The original version of this article unfortunately contained a mistake in the author name.
December 2018: Culture, Medicine and Psychiatry
Wenrui Chen
The increasing acceptance and use of psychotherapy in contemporary China powerfully attests to the "psychologization" of Chinese society. Yet attending therapy is only one aspect of psychologization. Analyzing the practice of therapy through case examples illuminates the broader sociocultural context of China's "psycho-boom." This includes insight into what I term an expansive-I notion of personhood. This non-singular notion of personhood is a major challenge for Chinese therapists. Therapists' attempts to resolve clients' problems by reorienting them according to psychological ideals highlight the multiple, at times contradictory relationships between psychotherapy, the state and families...
December 2018: Culture, Medicine and Psychiatry
Luther Elliott, Alexander S Bennett, Kelly Szott, Andrew Golub
Posttraumatic stress disorder (PTSD) stands as a form of psychopathology that straddles moral and psychiatric domains. Grounded in discrete instances of trauma, PTSD represents an etiological outlier in an era of increased attention to the genetics of mental illness and a prime location for social constructivist analyses of mental illness. This examination of PTSD narratives-as voiced in qualitative interviews and focus groups with 50 veterans of the recent Iraq and Afghanistan wars living in New York City-attends to the processes through which veterans conceive and navigate PTSD symptoms and diagnoses...
December 2018: Culture, Medicine and Psychiatry
Molly E Lasater, Madeleine Beebe, Nicole E Warren, Fatoumata Souko, Mariam Keita, Sarah M Murray, Judith K Bass, Pamela J Surkan, Peter J Winch
Perinatal mental health problems such as depression and anxiety are prevalent in low and middle-income countries. In Mali, the lack of mental health care is compounded by few studies on mental health needs, including in the perinatal period. This paper examines the ways in which perinatal women experience and express mental distress in rural Mali. We describe a process, relying on several different qualitative research methods, to identify understandings of mental distress specific to the Malian context. Participants included perinatal women, maternal health providers, and community health workers in rural southwest Mali...
December 2018: Culture, Medicine and Psychiatry
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