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Culture, Medicine and Psychiatry

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https://www.readbyqxmd.com/read/28101699/humanity-at-the-edge-the-moral-laboratory-of-feeding-precarious-lives
#1
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
#2
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
#3
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
#4
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/28050759/tension-among-women-in-north-india-an-idiom-of-distress-and-a-cultural-syndrome
#5
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...
January 3, 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
#6
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...
December 26, 2016: Culture, Medicine and Psychiatry
https://www.readbyqxmd.com/read/28013479/idling-in-mao-s-shadow-heroin-addiction-and-the-contested-therapeutic-value-of-socialist-traditions-of-laboring
#7
Nicholas Bartlett
The Chinese government has come under attack by international critics for forcing drug users to labor in the name of treatment. While joining these activists in criticizing conditions in compulsory labor centers, former detainees who congregated at a drop-in center in southern Yunnan also defended the therapeutic potential of socialist legacies of laboring. Shuttling between laboring in state compulsory centers and idling in a market economy, long-term heroin users saw their difficulties in recovering from addiction as inextricably linked to their inability to find suitable work opportunities...
December 24, 2016: Culture, Medicine and Psychiatry
https://www.readbyqxmd.com/read/27853921/culture-medicine-psychiatry-and-wisdom-honoring-arthur-kleinman
#8
EDITORIAL
Atwood D Gaines
No abstract text is available yet for this article.
December 2016: Culture, Medicine and Psychiatry
https://www.readbyqxmd.com/read/27848177/professor-arthur-kleinman-the-cmp-honoree-for-2016
#9
EDITORIAL
Atwood D Gaines
No abstract text is available yet for this article.
December 2016: Culture, Medicine and Psychiatry
https://www.readbyqxmd.com/read/27815755/end-matters
#10
(no author information available yet)
No abstract text is available yet for this article.
December 2016: Culture, Medicine and Psychiatry
https://www.readbyqxmd.com/read/27815754/books-received
#11
(no author information available yet)
No abstract text is available yet for this article.
December 2016: Culture, Medicine and Psychiatry
https://www.readbyqxmd.com/read/27553610/utilization-of-standardized-mental-health-assessments-in-anthropological-research-possibilities-and-pitfalls
#12
Emily Mendenhall, Kristin Yarris, Brandon A Kohrt
In the past decade anthropologists working the boundary of culture, medicine, and psychiatry have drawn from ethnographic and epidemiological methods to interdigitate data and provide more depth in understanding critical health problems. But rarely do these studies incorporate psychiatric inventories with ethnographic analysis. This article shows how triangulation of research methods strengthens scholars' ability (1) to draw conclusions from smaller data sets and facilitate comparisons of what suffering means across contexts; (2) to unpack the complexities of ethnographic and narrative data by way of interdigitating narratives with standardized evaluations of psychological distress; and (3) to enhance the translatability of narrative data to interventionists and to make anthropological research more accessible to policymakers...
December 2016: Culture, Medicine and Psychiatry
https://www.readbyqxmd.com/read/27431429/letting-the-air-out-aire-as-an-empty-signifier-in-oaxacan-understandings-of-illness
#13
Toomas Gross
"Air (aire, also aigre) in the body" is a frequent explanation of illness according to the traditional medical beliefs in Mexico. Anthropologists have generally scrutinized aire in the context of other common folk illnesses treated by traditional healers (curanderas). However, drawing on my research in the communities of Northern Oaxaca I suggest that aire occupies a more distinct position in the folk medical cosmology than it has usually been credited with. This distinction rests on the notion's exceptional ambivalence and openness to multiple interpretations...
December 2016: Culture, Medicine and Psychiatry
https://www.readbyqxmd.com/read/27318713/when-care-is-a-systematic-route-of-torture-conceptualizing-the-violence-of-medical-negligence-in-resource-poor-settings
#14
Carina Heckert
Descriptions of patient mistreatment fill ethnographic accounts of healthcare in resource-poor settings. Often, anthropologists point to structural factors and the ways that the global political economy produces substandard care. This approach makes it difficult to hold parties accountable when there is blatant disregard for human life on the part of individuals providing care. In this article, I draw on the illness narrative of Magaly Chacón, the first HIV positive individual in Bolivia to file charges of medical negligence after failing to receive care to prevent mother-to-child transmission...
December 2016: Culture, Medicine and Psychiatry
https://www.readbyqxmd.com/read/27272904/the-war-on-drugs-that-wasn-t-wasted-whiteness-dirty-doctors-and-race-in-media-coverage-of-prescription-opioid-misuse
#15
Julie Netherland, Helena B Hansen
The past decade in the U.S. has been marked by a media fascination with the white prescription opioid cum heroin user. In this paper, we contrast media coverage of white non-medical opioid users with that of black and brown heroin users to show how divergent representations lead to different public and policy responses. A content analysis of 100 popular press articles from 2001 and 2011 in which half describe heroin users and half describe prescription opioid users revealed a consistent contrast between criminalized urban black and Latino heroin injectors with sympathetic portrayals of suburban white prescription opioid users...
December 2016: Culture, Medicine and Psychiatry
https://www.readbyqxmd.com/read/27146498/emplotting-hikikomori-japanese-parents-narratives-of-social-withdrawal
#16
Ellen Rubinstein
Hikikomori, often glossed as "social withdrawal," emerged as a sociomedical condition among Japanese youth at the end of the twentieth century, and it continues to fascinate and concern the public. Explanatory frameworks for hikikomori abound, with different stakeholders attributing it to individual psychopathology, poor parenting, and/or a lack of social support structures. This article takes an interpretive approach to hikikomori by exploring parents' narrative constructions of hikikomori children in support group meetings and in-depth interviews...
December 2016: Culture, Medicine and Psychiatry
https://www.readbyqxmd.com/read/27085706/a-transcultural-model-of-the-centrality-of-thinking-a-lot-in-psychopathologies-across-the-globe-and-the-process-of-localization-a-cambodian-refugee-example
#17
Devon E Hinton, David H Barlow, Ria Reis, Joop de Jong
We present a general model of why "thinking a lot" is a key presentation of distress in many cultures and examine how "thinking a lot" plays out in the Cambodian cultural context. We argue that the complaint of "thinking a lot" indicates the presence of a certain causal network of psychopathology that is found across cultures, but that this causal network is localized in profound ways. We show, using a Cambodian example, that examining "thinking a lot" in a cultural context is a key way of investigating the local bio-cultural ontology of psychopathology...
December 2016: Culture, Medicine and Psychiatry
https://www.readbyqxmd.com/read/27021343/remembering-collective-violence-broadening-the-notion-of-traumatic-memory-in-post-conflict-rehabilitation
#18
Ruth Kevers, Peter Rober, Ilse Derluyn, Lucia De Haene
In the aftermath of war and armed conflict, individuals and communities face the challenge of dealing with recollections of violence and atrocity. This article aims to contribute to a better understanding of processes of remembering and forgetting histories of violence in post-conflict communities and to reflect on related implications for trauma rehabilitation in post-conflict settings. Starting from the observation that memory operates at the core of PTSD symptomatology, we more closely explore how this notion of traumatic memory is conceptualized within PTSD-centered research and interventions...
December 2016: Culture, Medicine and Psychiatry
https://www.readbyqxmd.com/read/27770300/cultivating-medical-intentionality-the-phenomenology-of-diagnostic-virtuosity-in-east-asian-medicine
#19
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...
October 21, 2016: Culture, Medicine and Psychiatry
https://www.readbyqxmd.com/read/27761691/-hunger-hurts-but-starving-works-the-moral-conversion-to-eating-disorders
#20
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...
October 19, 2016: Culture, Medicine and Psychiatry
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