What's in the 'Treatment Gap'? Ethnographic Perspectives on Addiction and Global Mental Health from China, Russia, and the United States
What's in the 'Treatment Gap'? Ethnographic Perspectives on Addiction and Global Mental Health from China, Russia, and the United States
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DOI：
10.1080/01459740.2013.877900
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发表时间：
2014-11-02
影响因子：
2.3
通讯作者：
Raikhel, Eugene
中科院分区：
文献类型：
--
作者：
Bartlett, Nicholas;Garriott, William;Raikhel, Eugene
近年来，全球精神卫生议程的出现，重点是为中低收入国家的精神疾病提供循证干预措施。人类学家和文化精神病学家对这一议程的适当性进行了激烈的辩论。在这篇文章中，我们反思这些争论，借鉴民族志实地考察的物质使用障碍的管理在中国，俄罗斯和美国。我们认为，“治疗差距”的逻辑指导了全球心理健康主题下的许多研究和干预，但在一定程度上掩盖了制定和管理成瘾（以及其他成瘾）的机构、治疗方法、知识和行为者的复杂组合。心理健康问题）在任何特定环境中。
Recent years have seen the emergence of a global mental health' agenda, focused on providing evidence-based interventions for mental illnesses in low- and middle-income countries. Anthropologists and cultural psychiatrists have engaged in vigorous debates about the appropriateness of this agenda. In this article, we reflect on these debates, drawing on ethnographic fieldwork on the management of substance use disorders in China, Russia, and the United States. We argue that the logic of"treatment gaps,' which guides much research and intervention under the rubric of global mental health, partially obscures the complex assemblages of institutions, therapeutics, knowledges, and actors framing and managing addiction (as well as other mental health issues) in any particular setting.