Transcultural psychiatry appears to be a precious tool to help us reflect on our ways of doing and thinking in complex clinical situations. This paper presents three concepts associated with the practice of transcultural psychiatry: continuity, multiplicity and articulation of different spaces. "The variable geometry frame" elaborated by Moro underlines the importance of mobility and dynamism of clinical work. The analysis of a specific clinical situation shows us how transcultural psychiatry can help us navigate better in complex clinical situations. We propose the concept of "culturally sensitive child psychiatry" to describe our way of integrating culture in clinical practice.
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Transcult Psychiatry
January 2025
Ribeirão Preto College of Nursing, University of São Paulo, Ribeirao Preto, Brazil.
This qualitative study was carried out with 30 high-risk pregnant women from a Brazilian referral service in women's health. The objective was to analyze the perception of participants regarding their condition, emphasizing their psychosocial needs, to deepen the understanding of subjective, relational, and sociocultural aspects associated with high-risk pregnancy. Data were collected through interviews and participant observation and then explored by thematic content analysis.
View Article and Find Full Text PDFTranscult Psychiatry
January 2025
Department of Psychology, University of Ghana, Legon, Ghana.
Understanding of local conceptions of personhood and mental illness is central for developing therapeutic alliance and treatment regimens for persons living with mental illness. Such persons are exposed to several discriminatory behaviours yet factors that seem to encourage these behaviours are still not entirely understood. Personhood as construed from an emic perspective could potentially guide an understanding of societal attitudes toward individuals suffering from mental illness.
View Article and Find Full Text PDFCommunity Health Equity Res Policy
January 2025
Participatory Research at McGill (CIET-PRAM), Department of Family Medicine, Faculty of Medicine and Health Sciences, McGill University, Montreal, Canada.
Background: In post-conflict Guatemala, Indigenous men's psychological distress has been linked to violence exposure, disrupted social support systems, and structural inequities.
Purpose: We aimed to document how communities themselves understand men's wellbeing and the factors that influence men's wellbeing.
Research Design And Study Sample: Fuzzy Cognitive Mapping with 20 stakeholder groups in Santiago Atitlán and Cuilco, Guatemala defined men's wellbeing in local terms and identified the influences community groups understood to promote and detract from men's wellbeing.
BJPsych Bull
January 2025
University of Warwick, Coventry, UK.
Modern management has much to learn from ancient wisdoms. Management structures based on corporate trends were transferred from business to services such as healthcare to promote cost-efficiency and productivity. In this article, I argue that the short-term approach of corporate leaders being brought into healthcare for 'transformation' has led to a trail of service dismemberment with no discernible clinical gain for those we seek to serve.
View Article and Find Full Text PDFBJPsych Bull
January 2025
Derby Psychiatry Teaching Unit, Derbyshire Healthcare NHS Foundation Trust, Derby, UK.
Patient involvement in psychiatry education struggles to be representative of the patients that doctors will treat once qualified. The issues of mental health stigma, cultural perspectives of mental health and the unique role of teaching, required exploring to establish the barriers and facilitators to increasing the diversity of patients involved in psychiatry education. To explore the causes of this lack of representation, a roundtable event with 34 delegates composed of people with lived experience of mental health issues, people from underserved communities, academics, mental health professionals and charity representatives met to discuss the barriers to involvement in psychiatry education and possible solutions.
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