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Culture, Medicine and Psychiatry

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https://www.readbyqxmd.com/read/29749560/-the-times-they-are-a-changin-new-editor-for-cmp-in-2019
#1
EDITORIAL
Atwood D Gaines
No abstract text is available yet for this article.
May 10, 2018: Culture, Medicine and Psychiatry
https://www.readbyqxmd.com/read/29728795/-my-heart-die-in-me-idioms-of-distress-and-the-development-of-a-screening-tool-for-mental-suffering-in-southeast-liberia
#2
Katrin Fabian, Josiah Fannoh, George G Washington, Wilfred B Geninyan, Bethuel Nyachienga, Garmai Cyrus, Joyce N Hallowanger, Jason Beste, Deepa Rao, Bradley H Wagenaar
The integration of culturally salient idioms of distress into mental healthcare delivery is essential for effective screening, diagnosis, and treatment. This study systematically explored idioms, explanatory models, and conceptualizations in Maryland County, Liberia to develop a culturally-resonant screening tool for mental distress. We employed a sequential mixed-methods process of: (1) free-lists and semi-structured interviews (n = 20); patient chart reviews (n = 315); (2) pile-sort exercises, (n = 31); and (3) confirmatory focus group discussions (FGDs); (n = 3) from June to December 2017...
May 4, 2018: Culture, Medicine and Psychiatry
https://www.readbyqxmd.com/read/29696491/dusukasi-the-heart-that-cries-an-idiom-of-mental-distress-among-perinatal-women-in-rural-mali
#3
Molly E Lasater, Madeleine Beebe, Nicole E Warren, Fatoumata Souko, Mariam Keita, Sarah E 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...
April 25, 2018: Culture, Medicine and Psychiatry
https://www.readbyqxmd.com/read/29691723/beyond-participation-politics-incommensurability-and-the-emergence-of-mental-health-service-users-activism-in-chile
#4
Cristian R Montenegro
Although the organisation of mental health service users and ex-users in Latin America is a recent and under-researched phenomenon, global calls for their involvement in policy have penetrated national agendas, shaping definitions and expectations about their role in mental health systems. In this context, how such groups react to these expectations and define their own goals, strategies and partnerships can reveal the specificity of the "user movement" in Chile and Latin America. This study draws on Jacques Rancière's theorisation of "police order" and "politics" to understand the emergence of users' collective identity and activism, highlighting the role of practices of disengagement and rejection...
April 24, 2018: Culture, Medicine and Psychiatry
https://www.readbyqxmd.com/read/29687188/orienting-to-medicine-scripting-professionalism-hierarchy-and-social-difference-at-the-start-of-medical-school
#5
Sienna R Craig, Rebekah Scott, Kristy Blackwood
Nascent medical students' first view into medical school orients them toward what is considered important in medicine. Based on ethnography conducted over 18 months at a New England medical school, this article explores themes which emerged during a first-year student orientation and examines how these scripts resurface across a four-year curriculum, revealing dynamics of enculturation into an institution and the broader profession. We analyze orientation activities as discursive and embodied fields which serve "practical" purposes of making new social geographies familiar, but which also frame institutional values surrounding "soft" aspects of medicine: professionalism; dynamics of hierarchy and vulnerability; and social difference...
April 23, 2018: Culture, Medicine and Psychiatry
https://www.readbyqxmd.com/read/29627933/care-wounds-precarious-vulnerability-and-the-potential-of-exposure
#6
Lauren Cubellis
What does it mean to offer care when the act of caring is wounding to its giver? For peer specialists-individuals with lived experience as patients in the psychiatric system-this question shapes how they use their own histories to provide support for individuals experiencing psychiatric crisis. Peer support is unique in the way it draws on empathetic resonance and depends on carefully deployed vulnerability; where one connects with others through the recognition of shared experience and mutual hurt. For peers, care works when this guidance, reassurance, and "being with"-all of which draw upon their own stories of traumatic history and variegated suffering-mitigate the present crisis being experienced by another...
April 7, 2018: Culture, Medicine and Psychiatry
https://www.readbyqxmd.com/read/29619616/association-between-suicide-and-environmental-variables-in-the-north-of-spain-a-14-year-analysis
#7
Maite Santurtún, Arturo Sanchez-Lorenzo, Álvaro Del Real, María T Zarrabeitia, Ana Santurtún
Suicide is a serious public health problem around the world. Since the nineteenth century, the impact of socio-environmental factors on suicide has attracted much public attention, especially in the context of global climate change. We have performed a retrospective correlation study that analyzes the demographic pattern of suicide in Cantabria, a northern coastland region of Spain. Moreover, we have created a multivariable binomial regression model to study the relationship between suicide and environmental factors (atmospheric pollutants and meteorological variables) among January 1, 2000, and December 31, 2013 in the province...
April 4, 2018: Culture, Medicine and Psychiatry
https://www.readbyqxmd.com/read/29516384/ren%C3%A3-girard-and-the-mimetic-nature-of-eating-disorders
#8
Mattias Strand
French historian and literary critic René Girard (1923-2015), most widely known for the concepts of mimetic desire and scapegoating, also engaged in the discussion of the surge of eating disorders in his 1996 essay Eating Disorders and Mimetic Desire. This article explores Girard's ideas on the mimetic nature and origin of eating disorders from a clinical psychiatric perspective and contextualizes them within the field of eating disorders research as well as in relation to broader psychological, sociological and anthropological models of social comparison and non-consumption...
March 7, 2018: Culture, Medicine and Psychiatry
https://www.readbyqxmd.com/read/29508204/medical-student-attitudes-towards-people-with-mental-illness-in-china-a-qualitative-study
#9
Audrey Luo, Hongbo He, Somaia Mohamed, Robert Rosenheck
Stigma towards people with mental illness is a worldwide concern. A five-nation survey of medical student attitudes towards people with mental illness recently reported far lower levels of social acceptance among Chinese medical students compared to those from the US, Brazil, Ghana, and Nigeria. This qualitative study presented recent Chinese medical school graduates with probes based on questions used in the aforementioned cross-national study to elicit their views of factors underlying the negative attitudes towards social acceptance of people with mental illness...
March 5, 2018: Culture, Medicine and Psychiatry
https://www.readbyqxmd.com/read/29508203/-the-rowdy-ones-configurations-of-difference-in-a-private-psychiatric-hospital
#10
Seth Donal Hannah
Drawing on participant-observation and semi-structured interviews, this paper examines the local forms of clinical practice in a 26-bed acute psychiatric inpatient unit located within a private psychiatric hospital in the Northeastern United States. It focuses on how clinicians, staff, and management understand and utilize the concepts of culture, race, and ethnicity in their daily work, finding that a humanistic approach to care that that treats patients as "individuals" was dominant. Clinicians and staff categorized patients using descriptive, behavior based categories including language, propensity for violence, and whether patients are "from the streets...
March 5, 2018: Culture, Medicine and Psychiatry
https://www.readbyqxmd.com/read/29478236/les-bons-mots-wisdom-in-words-for-cmp-and-millennial-medical-anthropology
#11
EDITORIAL
Atwood D Gaines
No abstract text is available yet for this article.
March 2018: Culture, Medicine and Psychiatry
https://www.readbyqxmd.com/read/29478235/new-feature-for-cmp-noted-author-s-question-period
#12
EDITORIAL
Atwood D Gaines
No abstract text is available yet for this article.
March 2018: Culture, Medicine and Psychiatry
https://www.readbyqxmd.com/read/29478234/cmp-honors-byron-j-good-in-2018
#13
EDITORIAL
Atwood D Gaines
No abstract text is available yet for this article.
March 2018: Culture, Medicine and Psychiatry
https://www.readbyqxmd.com/read/28831684/distinct-and-untamed-articulating-bulimic-identities
#14
Karin Eli
Bulimia nervosa and anorexia nervosa are inextricably linked, with substantial clinical and epidemiological overlaps. Yet, while anorexia has been analyzed extensively in medical anthropology, bulimia remains under-theorized. This is, perhaps, because, compared to self-starvation, binge eating presents a logic of practice that is difficult to reconcile with culturally reified notions of self-control, transcendence, and hard work. Thus, although anthropologists have analyzed anorexic subjectivities as imbued with a sense of cleanliness and purity, moral superiority, and heroics, similar analyses have not been extended to bulimic subjectivities; instead, bulimia has been subsumed, as a tangential disorder, into analyses of anorexia...
March 2018: Culture, Medicine and Psychiatry
https://www.readbyqxmd.com/read/28779277/a-sorrow-shared-is-a-sorrow-halved-the-search-for-empathetic-understanding-of-family-members-of-a-person-with-early-onset-dementia
#15
Silke Hoppe
In this article, I explore how family members of a person with early-onset dementia in the Netherlands attempt to achieve empathetic understanding from significant others, and the barriers they encounter in the process. Based on qualitative interviews, I show that the type of relationship shapes the choices people have to communicate their suffering and their expectations regarding the reactions of others. This article builds on theoretical work on empathy and problematises the notion of shared experiences...
March 2018: Culture, Medicine and Psychiatry
https://www.readbyqxmd.com/read/28766079/lawful-sinners-reproductive-governance-and-moral-agency-around-abortion-in-mexico
#16
Elyse Ona Singer
The Catholic Hierarchy unequivocally bans abortion, defining it as a mortal sin. In Mexico City, where the Catholic Church wields considerable political and popular power, abortion was recently decriminalized in a historic vote. Of the roughly 170,000 abortions that have been carried out in Mexico City's new public sector abortion program to date, more than 60% were among self-reported Catholic women. Drawing on eighteen months of fieldwork, including interviews with 34 Catholic patients, this article examines how Catholic women in Mexico City grapple with abortion decisions that contravene Church teachings in the context of recent abortion reform...
March 2018: Culture, Medicine and Psychiatry
https://www.readbyqxmd.com/read/28726015/community-perceptions-of-hospitals-and-shared-physical-space-a-qualitative-study
#17
Daniel Skinner, Berkeley Franz, Kelly Kelleher, Robert Penfold
In addition to providing critical medical services to communities, hospitals are also forces of broader change when seen from the perspective of neighborhood development. Over the past few decades the obligation on the part of U.S. nonprofit hospitals to positively impact the communities in which they are located has become entrenched in both U.S. tax law and the practices of many hospitals. This article presents findings from a grounded theory qualitative study of the relationship between a non-profit children's hospital in Columbus, Ohio, and the neighborhood in which it is located...
March 2018: Culture, Medicine and Psychiatry
https://www.readbyqxmd.com/read/28711953/attachment-mothering-and-mental-illness-mother-infant-therapy-in-an-institutional-context
#18
Sonia Masciantonio, Susan R Hemer, Anna Chur-Hansen
This paper is an ethnographic exploration of how attachment theory underpins therapeutic practices in an Australian institutional context where mothers of infants have been diagnosed and are undergoing treatment for mental illness. We argue that attachment theory in this particular context rests on a series of principles or assumptions: that attachment theory is universally applicable; that attachment is dyadic and gendered; that there is an attachment template formed which can be transferred across generations and shapes future social interactions; that there is understood to be a mental health risk to the infant when attachment is characterised as problematic; and that this risk can be mitigated through the therapeutic practices advocated by the institution...
March 2018: Culture, Medicine and Psychiatry
https://www.readbyqxmd.com/read/28685366/guan-care-control-an-ethnographic-understanding-of-care-for-people-with-severe-mental-illness-from-shanghai-s-urban-communities
#19
Jianfeng Zhu, Tianshu Pan, Hai Yu, Dong Dong
This article investigates how the political culture of Guan (care/control) in China is played out across the platforms of the state, the community and the family through the lens of caring for people with severe mental illness in urban Shanghai. Based on ethnographic data collected from six communities in a district of Shanghai, we provide a nuanced understanding of the roles of family members, street committees and other governmental organizations in their daily practices of caring for people with severe mental illness...
March 2018: 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
#20
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...
March 2018: Culture, Medicine and Psychiatry
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