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Culture, Medicine and Psychiatry

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https://www.readbyqxmd.com/read/28324221/insuring-care-paperwork-insurance-rules-and-clinical-labor-at-a-u-s-transgender-clinic
#1
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
#2
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
#3
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
#4
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
#5
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
#6
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/28108844/cultural-identity-among-afghan-and-iraqi-traumatized-refugees-towards-a-conceptual-framework-for-mental-health-care-professionals
#7
Simon P N Groen, Annemiek Richters, Cornelis J Laban, Walter L J M Devillé
Cultural identity in relation with mental health is of growing interest in the field of transcultural psychiatry. However, there is a need to clarify the concept of cultural identity in order to make it useful in clinical practice. The purpose of this study is to unravel the complexity and many layers of cultural identity, and to assess how stress and acculturation relate to (changes in) cultural identity. As part of a larger study about cultural identity, trauma, and mental health, 85 patients from Afghanistan and Iraq in treatment for trauma-related disorders were interviewed with a Brief Cultural Interview...
January 20, 2017: Culture, Medicine and Psychiatry
https://www.readbyqxmd.com/read/28101699/humanity-at-the-edge-the-moral-laboratory-of-feeding-precarious-lives
#8
Mette N Svendsen, Iben M Gjødsbøl, Mie S Dam, Laura E Navne
At the heart of anthropology and the social sciences lies a notion of human existence according to which humans and animals share the basic need for food, but only humans have the capacity for morality. Based on fieldwork in a pig laboratory, a neonatal intensive care unit (NICU), and a dementia nursing home, we follow practices of feeding precarious lives lacking most markers of human personhood, including the exercise of moral judgment. Despite the absence of such markers, laboratory researchers and caregivers in these three sites do not abstain from engaging in questions about the moral status of the piglets, infants, and people with dementia in their care...
January 18, 2017: Culture, Medicine and Psychiatry
https://www.readbyqxmd.com/read/28083750/shame-blame-and-status-incongruity-health-and-stigma-in-rural-brazil-and-the-urban-united-arab-emirates
#9
Lesley Jo Weaver, Sarah Trainer
Stigma is a powerful determinant of physical and mental health around the world, a perennial public health concern that is particularly resistant to change. This article builds from sociologist Erving Goffman's classic conception of stigma as a unitary social phenomenon to explore the stigma attached to two seemingly dissimilar conditions: food insecurity in rural Brazil, and obesity in the urban United Arab Emirates. Our analyses underscore that both conditions are stigmatized because they represent a departure from a deeply-held social norm, and in both cases, self-stigma plays an important role...
January 12, 2017: Culture, Medicine and Psychiatry
https://www.readbyqxmd.com/read/28074346/actively-negotiating-the-mind-body-divide-how-clozapine-treated-schizophrenia-patients-make-health-for-themselves
#10
Julia E H Brown, Simone Dennis
It is well recognised that antipsychotic treatments impact the whole body, not just the target area of the brain. For people with refractory schizophrenia on clozapine, the gold standard antipsychotic treatment in England and Australia, the separation of mental and physical regimes of health is particularly pronounced, resulting in multiple, compartmentalised treatment registers. Clinicians often focus on the mental health aspects of clozapine use, using physical indicators to determine whether treatment can continue...
January 10, 2017: Culture, Medicine and Psychiatry
https://www.readbyqxmd.com/read/28063090/don-t-give-up-a-cyber-ethnography-and-discourse-analysis-of-an-online-infertility-patient-forum
#11
Mihan Lee
Infertility affects women across the socioeconomic spectrum; however, it is by no means egalitarian in its distribution, nor uniform in its lived experience. Evidence shows striking disparities by income, race, and education in infertility prevalence, access to infertility services, and success rates after receiving infertility treatments. However, few studies so far have investigated disparities in patients' access to psychological support during the infertility journey. This paper undertakes a cyber-ethnography of the online patient forum, "Finding a Resolution for Infertility," hosted by RESOLVE: The National Infertility Association...
January 6, 2017: Culture, Medicine and Psychiatry
https://www.readbyqxmd.com/read/28210830/editorial-cmp-honors-for-lindenbaum-in-2017
#12
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
#13
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
#14
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
#15
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
#16
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
#17
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
#18
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
#19
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
https://www.readbyqxmd.com/read/27142641/the-flexibility-hypothesis-of-healing
#20
REVIEW
Devon E Hinton, Laurence J Kirmayer
Theories of healing have attempted to identify general mechanisms that may work across different modalities. These include altering expectations, remoralization, and instilling hope. In this paper, we argue that many forms of healing and psychotherapy may work by inducing positive psychological states marked by flexibility or an enhanced ability to shift cognitive sets. Healing practices may induce these states of cognitive and emotional flexibility through specific symbolic interventions we term "flexibility primers" that can include images, metaphors, music, and other media...
March 2017: Culture, Medicine and Psychiatry
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