Conversations between anthropology and psychiatry: drawing out the best from interdisciplinarity in global mental health

Conversations between anthropology and psychiatry: drawing out the best from interdisciplinarity in global mental health
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DOI:
10.1177/1039856215608291
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发表时间:
2015-12-01
影响因子:
1.8
通讯作者:
Buckton, Amanda Rosso
Buckton, Amanda Rosso
中科院分区:
医学4区
文献类型:
--
作者:
Buckton, Amanda Rosso

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目的:人类学家和精神病学家之间的对话导致了新的理论轨迹,研究议程和临床实践,因为社会科学家和医疗从业者对文化,人格和疾病的相互作用形成了新的理解。然而,全球精神卫生的需求,加上卫生服务的提供要求,意味着以最好的意图制定的精神卫生干预措施可能没有考虑到社会科学可以为方案的成功做出贡献的知识和专业知识。在本文中,我反映了人类学家和精神卫生专业人员之间的对话,直接引用数据分析的澳大利亚国际开发署的心理健康能力建设方案进行了在太平洋region.Conclusions:嵌入在方案中的社会和文化的角度可以提供更丰富,更情境化的干预措施。通过利用人类学和精神病学的综合专门知识,纳入文化方法的新的理所当然的参考点构成了提供全球精神卫生方案的基础。这些观点包括:在发展批评中定位心理健康计划在情境化环境中定位发展主题,承认和尊重当地知识,理解和实践注重跨学科性,作为全球心理健康项目未来实践的基础。
Objectives: Conversations between anthropologists and psychiatrists have led to new theoretical trajectories, research agendas and clinical practices as social scientists and medical practitioners forged new understandings about the interaction of culture, personhood and illness. However, the demands of global mental health, coupled with health service provision requirements, mean that mental health interventions set up with the best intentions can fail to take into account the knowledge and expertise that social sciences can contribute to a programme's success. In this paper, I reflect on conversations between an anthropologist and mental health professionals in direct reference to data analysis of an AusAID mental health capacity-building programme undertaken in the Pacific region.Conclusions: Social and cultural perspectives embedded within programmes can provide richer, more contextualised interventions. In drawing on the combined expertise of anthropology and psychiatry, new taken-for-granted reference points embedding cultural approaches form the basis for delivery of global mental health programmes. These perspectives include:Locating mental health programmes within development critiquesSituating the subjects of development within contextualised settings, acknowledging and respecting local knowledge, understandings and practicesA focus on interdisciplinarity as the basis for future practice in global mental health projects.