Political and economic transformations in Ukraine: The view from psychiatry
Political and economic transformations in Ukraine: The view from psychiatry
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DOI：
10.1177/1363461516660900
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发表时间：
2016-10-01
影响因子：
2.5
通讯作者：
Yankovskyy, Shelly
中科院分区：
文献类型：
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作者：
Yankovskyy, Shelly
这篇文章通过患者、从业者和倡导者的声音来审视当代乌克兰精神病学，重点关注知识对象的转变、干预和机构转型。目前，我们正在目睹通过新自由主义的言论和对全球精神健康的呼吁，在全球范围内重新配置精神病学。全球精神健康运动的目标是通过更多地获得精神药物来扩大精神治疗的规模，通过将痛苦定义为疾病来证明这一点是合理的。新自由主义的言论表明，通过卫生保健系统的私有化和权力下放来削减社会服务支出将刺激经济增长，并在长期内与贫困作斗争。本文利用2008年至2010年在乌克兰中南部一家精神病院与一个非政府组织合作进行的人种学田野调查，追踪了这些动态是如何在乌克兰发生的。
This article examines contemporary Ukrainian psychiatry through the voices of patients, practitioners, and advocates, focusing on shifting objects of knowledge, interventions, and institutional transitions. Currently, we are witnessing the reconfiguration of psychiatry on a global scale through neoliberal rhetoric combined with the call for global mental health. The goal of the movement for global mental health is to scale up psychiatric treatments through greater access to psychiatric drugs, justified through the framing of distress as an illness. Neoliberal rhetoric suggests that cutting social service expenditure through the privatization and decentralization of the health care system will stimulate economic growth and, in the long term, combat poverty. This paper traces how these dynamics are playing out in Ukraine, drawing on ethnographic fieldwork conducted at a psychiatric hospital in south-central Ukraine from 2008-2010, while working with a non-governmental organization.