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A cultural-ecosocial systems view for psychiatry

While contemporary psychiatry seeks the mechanisms of mental disorders in neurobiology, mental health problems clearly depend on developmental processes of learning and adaptation through ongoing interactions with the social environment. Symptoms or disorders emerge in specific social contexts and i...

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Detalles Bibliográficos
Autores principales: Gómez-Carrillo, Ana, Kirmayer, Laurence J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10133725/
https://www.ncbi.nlm.nih.gov/pubmed/37124258
http://dx.doi.org/10.3389/fpsyt.2023.1031390
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author Gómez-Carrillo, Ana
Kirmayer, Laurence J.
author_facet Gómez-Carrillo, Ana
Kirmayer, Laurence J.
author_sort Gómez-Carrillo, Ana
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description While contemporary psychiatry seeks the mechanisms of mental disorders in neurobiology, mental health problems clearly depend on developmental processes of learning and adaptation through ongoing interactions with the social environment. Symptoms or disorders emerge in specific social contexts and involve predicaments that cannot be fully characterized in terms of brain function but require a larger social-ecological view. Causal processes that result in mental health problems can begin anywhere within the extended system of body-person-environment. In particular, individuals’ narrative self-construal, culturally mediated interpretations of symptoms and coping strategies as well as the responses of others in the social world contribute to the mechanisms of mental disorders, illness experience, and recovery. In this paper, we outline the conceptual basis and practical implications of a hierarchical ecosocial systems view for an integrative approach to psychiatric theory and practice. The cultural-ecosocial systems view we propose understands mind, brain and person as situated in the social world and as constituted by cultural and self-reflexive processes. This view can be incorporated into a pragmatic approach to clinical assessment and case formulation that characterizes mechanisms of pathology and identifies targets for intervention.
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spelling pubmed-101337252023-04-28 A cultural-ecosocial systems view for psychiatry Gómez-Carrillo, Ana Kirmayer, Laurence J. Front Psychiatry Psychiatry While contemporary psychiatry seeks the mechanisms of mental disorders in neurobiology, mental health problems clearly depend on developmental processes of learning and adaptation through ongoing interactions with the social environment. Symptoms or disorders emerge in specific social contexts and involve predicaments that cannot be fully characterized in terms of brain function but require a larger social-ecological view. Causal processes that result in mental health problems can begin anywhere within the extended system of body-person-environment. In particular, individuals’ narrative self-construal, culturally mediated interpretations of symptoms and coping strategies as well as the responses of others in the social world contribute to the mechanisms of mental disorders, illness experience, and recovery. In this paper, we outline the conceptual basis and practical implications of a hierarchical ecosocial systems view for an integrative approach to psychiatric theory and practice. The cultural-ecosocial systems view we propose understands mind, brain and person as situated in the social world and as constituted by cultural and self-reflexive processes. This view can be incorporated into a pragmatic approach to clinical assessment and case formulation that characterizes mechanisms of pathology and identifies targets for intervention. Frontiers Media S.A. 2023-04-13 /pmc/articles/PMC10133725/ /pubmed/37124258 http://dx.doi.org/10.3389/fpsyt.2023.1031390 Text en Copyright © 2023 Gómez-Carrillo and Kirmayer. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Psychiatry
Gómez-Carrillo, Ana
Kirmayer, Laurence J.
A cultural-ecosocial systems view for psychiatry
title A cultural-ecosocial systems view for psychiatry
title_full A cultural-ecosocial systems view for psychiatry
title_fullStr A cultural-ecosocial systems view for psychiatry
title_full_unstemmed A cultural-ecosocial systems view for psychiatry
title_short A cultural-ecosocial systems view for psychiatry
title_sort cultural-ecosocial systems view for psychiatry
topic Psychiatry
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10133725/
https://www.ncbi.nlm.nih.gov/pubmed/37124258
http://dx.doi.org/10.3389/fpsyt.2023.1031390
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