'Built for expansion': the 'social life' of the WHO's mental health GAP Intervention Guide
'Built for expansion': the 'social life' of the WHO's mental health GAP Intervention Guide
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DOI：
10.1111/1467-9566.12870
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发表时间：
2019-10-01
影响因子：
2.9
通讯作者：
Hilberg, Eva
中科院分区：
文献类型：
--
作者：
Mills, China;Hilberg, Eva
这项研究的重点是世卫组织的mhGAP-Intervention Guide（mhGAP-IG）2.0（2016），这是一个基于证据的工具和指南，旨在帮助检测，诊断和管理最常见的精神障碍，旨在供全球非专家使用，特别是在低收入和中等收入国家。这项研究是追踪mhGAP-IG的多个“行为”的起点-将它如何“完成”和它“做什么”的问题连接到生活历史和更广泛的全球心理健康组合，使该工具成为可能并塑造其全球流通。我们研究的可能性，生产和合法的mhGAP-IG的条件，以及这些是“黑盒”通过铸造mhGAP-IG在技术上，而不是认识论方面。这项研究阐明了它的明确设计的全球扩张的立场mhGAP-IG作为开放的质疑，从那些谁是技术的“内部人士”，并设置自己的批判认识论参数。它将mhGAP-IG分析为一种“铭刻设备”，它铭刻并实现了影响设计和本地实施的心理健康算法库。这项研究是一种尝试，从对话中通常不包括的角度和方法开始与世卫组织对话。
The focus of this study is the WHO's mhGAP-Intervention Guide (mhGAP-IG) 2.0 (2016), an evidence-based tool and guideline to help detect, diagnose and manage the most common mental disorders, designed for use by non-specialists globally but particularly in low- and middle-income countries. This research is a starting point in tracing the multiple 'doings' of mhGAP-IG - connecting questions of how it is 'done' and what does it 'do' - to the living histories and wider global mental health assemblages that make the tool possible and shape its global circulation. We examine the conditions of possibility that produce and legitimate mhGAP-IG, and the ways these are 'black boxed' through casting mhGAP-IG in technical rather than epistemological terms. The study illuminates how its explicit design for global expansion positions mhGAP-IG as open to questioning from those who are technical 'insiders' and setting the epistemological parameters of its own critique. It analyses mhGAP-IG as an 'inscription device' that inscribes and materialises algorithmic imaginaries of mental health that impact on design and local implementation. This study is one attempt at initiating dialogue with the WHO from perspectives and methodological approaches not usually included in the conversation.