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This text brings together clinicians and researchers in psychiatry and mental health. The aim is to explore what we can learn from anthropology to achieve a contextual understanding of mental illness and health in contemporary society. The book contains a wide selection of ideas, and works well to bridge the gap between anthropology and psychiatry.
`There are many insights and nuggets of value in this collection. Maurice Lipsedge reminds us how badly psychiatry needs anthropology's insights.This book should contribute to the ongoing dialogue between the two fields.' - The Journal of the Royal Antropological Institute `The editors states in the introduction that they wish to encourage the reader `to meet halfway the other discipline'. This expresses the view which all the contributors clearly feel and which is correct, that psychology and psychiatry and anthropology have much to offer each other and indeed are similar in several respects'. - The International Journal of Social Psychiatry `As an introductory text the book is perhaps too difficult, but for students of medical anthropology and cross-cultural psychiatry it offers a useful up to date assessment of the field.' - The International Journal of Social Psychiatry 'This text brings together some noted clinicians and researchers in psychiatry and mental health. The aim is to explore what we can learn from anthropology to achieve a contextual understanding of mental illness and health in contemporary society. The book contains a wide selection of ideas, and works well to bridge the gap between anthropolgy and psychiatry. This book is definitely not for the novice or anyone new to the field. It is, however, worth reading to explore ways in which mental health practitioners can make the shift from ideologies, theories and practices that are only interested in establishing the presence or absence of pathology or illness, towards theory and practice that take account of the meaning of those experiences for people in their everyday lives. One of the authors sums this up well by suggesting that "anthropologically informed methods of enquiry have potential to help establish clearer links between personal suffering and local politico-economic ideologies".` - Openmind. No110, July/Aug 2001 The relevance of transcultural issues for medical practice, including psychiatry, is becoming more widely recognized and medical anthropology is now a major sub-discipline. Written for those working in the mental health services as well as for anthropologists, Anthropological Approaches to Psychological Medicine brings together psychiatry and anthropology and focuses on the implications of their interaction in theory and clinical practice. The book reaffirms the importance of anthropology for fully understanding psychiatric practice and psychological disorders in both socio-historical and individual contexts. The development and use of diagnostic categories, the nature of expressed emotion within cross-cultural contexts and the religious context of perceptions of pathological behaviour are all refracted through an anthropological perspective. The clinical applications of medical anthropology addressed include, in particular, the establishing of cultural competence and an examination of the new perspectives anthropological study can bring to psychosis and depression. The stigmatization of mental illness is also reviewed from an anthropological perspective. Encouraging practitioners to reflect on the position of medicine in a wider cultural context, this is an exciting and comprehensive text which explores the profound importance of an anthropological interpretation for key issues in psychological medicine.
After putting down this weighty (in all senses of the word) collection, the reader, be she or he physician or social scientist, will (or at least should) feel uncomfortable about her or his taken-for-granted commonsense (therefore cultural) understanding of medicine. The editors and their collaborators show the medical leviathan, warts and all, for what it is: changing, pluralistic, problematic, powerful, provocative. What medicine proclaims itself to be - unified, scientific, biological and not social, non-judgmental - it is shown not to resemble very much. Those matters about which medicine keeps fairly silent, it turns out, come closer to being central to its clinical practice - managing errors and learning to conduct a shared moral dis course about mistakes, handling issues of competence and competition among biomedical practitioners, practicing in value-laden contexts on problems for which social science is a more relevant knowledge base than biological science, integrating folk and scientific models of illness in clinical communication, among a large number of highly pertinent ethnographic insights that illuminate medicine in the chapters that follow.
While there is increasing political interest in research and policy-making for global mental health, there remain major gaps in the education of students in health fields for understanding the complexities of diverse mental health conditions. Drawing on the experience of many well-known experts in this area, this book uses engaging narratives to illustrate that mental illnesses are not only problems experienced by individuals but must also be understood and treated at the social and cultural levels. The book -includes discussion of traditional versus biomedical beliefs about mental illness, the role of culture in mental illness, intersections between religion and mental health, intersections of mind and body, and access to health care; -is ideal for courses on global mental health in psychology, public health, and anthropology departments and other health-related programs.
This volume reflects on how anthropologists have engaged in medical education and aims to positively influence the future careers of anthropologists who are currently engaged or are considering a career in medical education. The volume is essential for medical educators, administrators, researchers, and practitioners, those interested in the history of medicine, global health, sociology of health and illness, medical and applied anthropology. For over a century, anthropologists have served in many roles in medical education: teaching, curriculum development, administration, research, and planning. Recent changes in medical education focusing on diversity, social determinants of health, and more humanistic patient-centered care have opened the door for more anthropologists in medical schools. The chapter authors describe various ways in which anthropologists have engaged and are currently involved in training physicians, in various countries, as well as potential new directions in this field. They address critical topics such as: the history of anthropology in medical education; humanism, ethics, and the culture of medicine; interprofessional and collaborative clinical care; incorporating patient perspectives in practice; addressing social determinants of health, health disparities, and cultural competence; anthropological roles in planning and implementation of medical education programs; effective strategies for teaching medical students; comparative analysis of systems of care in Japan, Uganda, France, United Kingdom, Mexico, Canada and throughout the United States; and potential new directions for anthropological engagement with medicine. The volume overall emphasizes the important role of anthropology in educating physicians throughout the world to improve patient care and population health.
Within the past two decades, there has been an increased interest in the study of culture and mental health relationships. This interest has extended across many academic and professional disciplines, including anthropology, psychology, sociology, psychiatry, public health and social work, and has resulted in many books and scientific papers emphasizing the role of sociocultural factors in the etiology, epidemiology, manifestation and treatment of mental disorders. It is now evident that sociocultural variables are inextricably linked to all aspects of both normal and abnormal human behavior. But, in spite of the massive accumulation of data regarding culture and mental health relationships, sociocultural factors have still not been incorporated into existing biological and psychological perspectives on mental disorder and therapy. Psychiatry, the Western medical specialty concerned with mental disorders, has for the most part continued to ignore socio-cultural factors in its theoretical and applied approaches to the problem. The major reason for this is psychiatry's continued commitment to a disease conception of mental disorder which assumes that mental disorders are largely biologically-caused illnesses which are universally represented in etiology and manifestation. Within this perspective, mental disorders are regarded as caused by universal processes which lead to discrete and recognizable symptoms regardless of the culture in which they occur. However, this perspective is now the subject of growing criticism and debate.
From specialists in several disciplines—psychiatry, general medicine, anthropology, sociology, and social work—the editors of this volume have assembled reports on a search for ways of identifying mentally ill people in other cultures and of determining what kinds of sociocultural factors influence the origin, course, and outcome of psychiatric disorders. The contributors have approached the subject through reviews of the literature, seminar discussions, and exploratory field studies carried out in Nova Scotia and among Eskimos, Navahos, and Mexicans. The book provides a methodological approach to important issues and problems in an area in which there is as yet only limited and uncertain knowledge. It will be useful to psychiatrists and epidemiologists working outside their own cultures, to psychologists and anthropologists, and as a handbook for specialists in mental health.
Some of the most innovative and provocative work on the emotions and illness is occurring in cross-cultural research on depression. Culture and Depression presents the work of anthropologists, psychiatrists, and psychologists who examine the controversies, agreements, and conceptual and methodological problems that arise in the course of such research. A book of enormous depth and breadth of discussion, Culture and Depression enriches the cross-cultural study of emotions and mental illness and leads it in new directions. It commences with a historical study followed by a series of anthropological accounts that examine the problems that arise when depression is assessed in other cultures. This is a work of impressive scholarship which demonstrates that anthropological approaches to affect and illness raise central questions for psychiatry and psychology, and that cross-cultural studies of depression raise equally provocative questions for anthropology. This title is part of UC Press's Voices Revived program, which commemorates University of California Press's mission to seek out and cultivate the brightest minds and give them voice, reach, and impact. Drawing on a backlist dating to 1893, Voices Revived makes high-quality, peer-reviewed scholarship accessible once again using print-on-demand technology. This title was originally published in 1987. Some of the most innovative and provocative work on the emotions and illness is occurring in cross-cultural research on depression. Culture and Depression presents the work of anthropologists, psychiatrists, and psychologists who examine the controversies