Multiple Mental Health Literacies in a Traditional Temple Site in Kerala: The Intersection Between Beliefs, Spiritual and Healing Regimes.

Multiple Mental Health Literacies in a Traditional Temple Site in Kerala: The Intersection Between Beliefs, Spiritual and Healing Regimes.
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喀拉拉邦传统寺庙遗址中的多种心理健康素养:信仰、精神和治疗制度之间的交叉点。

DOI:
10.1007/s11013-022-09800-6
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发表时间:
2023
期刊:
Culture, medicine and psychiatry
影响因子:
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通讯作者:
Raghavan R
Raghavan R
中科院分区:
--
文献类型:
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作者:
Raghavan R

文献摘要

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“心理健康素养”的概念已被提出,作为提高对心理健康问题的认识、服务的利用和减少耻辱的一种方式。然而,这个想法包含了许多医学模式的假设,这些假设往往与不同社区的精神传统和当地的信仰体系不一致。本研究在印度南部喀拉拉邦的一个寺庙镇招募了20名参与者,包括心理健康服务使用者(N= 7)、家庭照顾者(N= 8)和社区成员(N= 5),参与了半结构化访谈,探讨了与心理健康有关的各种信仰和做法。我们的研究结果表明,从人们在不同情况下部署的多种心理健康素养的角度来看,这个问题可能会得到更好的理解。即使是那些对传统和精神方法持怀疑态度的人也对它们有所了解,传统做法本身往往涉及旨在改善人的情绪或状况的详细活动制度。因此,我们认为不应将心理健康素养视为单一的普遍现象,而应将其视为不同素养的马赛克,这些素养可以在不同的环境中部署,符合不同的经历,并且可以相互协同作用,以实现治疗,同时也促进生活中的意义和目的感。
The notion of ‘mental health literacy’ has been proposed as a way of improving mental health problem recognition, service utilisation and reducing stigma. Yet, the idea embodies a number of medical-model assumptions which are often at odds with diverse communities’ spiritual traditions and local belief systems. Twenty participants were recruited to this study consisting of mental health service users (N= 7), family carers (N= 8) and community members (N= 5) in a temple town in Kerala, South India participated in semi-structured interviews exploring the variety of beliefs and practices relating to mental health. Our findings indicate that the issue may be better understood in terms of multiple mental health literacies which people deploy in different circumstances. Even those sceptical of traditional and spiritual approaches are knowledgeable about them, and the traditional practices themselves often involve detailed regimes of activities aimed at effecting an improvement in the person’s mood or condition. Therefore, we argue it is appropriate to consider mental health literacy not as a unitary universal phenomenon but instead as a mosaic of different literacies which may be deployed in different settings and in line with different experiences and which may operate in synergy with each other to enable treatment but also facilitate a sense of meaning and purpose in life.