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Global knowledge flows and the psychiatric encounterin Indonesia

Brief about:

Journal Article (2024)

Open access
Written by:
Other researchers:
Aryani Putu, Yohanes Herdiyanto
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Cristea, Florin. 'Global knowledge flows and the psychiatric encounterin Indonesia'. Acume. https://www.acume.org/r/global-knowledge-flows-and-the-psychiatric-encounterin-indonesia/

 The research examines the clinical encounters of people diagnosed with a severe mental illness (SMI) in Indonesia

Drawing on more than 1-year of ethnographic research and interviews in Indonesia, the project showed that instances of moral self-reflection occurring in the process of acquiring and appropriating clinical insight emerged at the intersection of heterogeneous discursive regimes. When biomedical notions of health and illness dominated these discourses, they reimagined pre-existing notions about spirituality and religion.

 

Key findings

  1. Consenting to psychiatric notions of health and illness can create common ground and a sense of shared experience, leading to grassroots movements for the empowerment of the mentally ill, self-help groups, and other support structures. At the same time, these processes can increase uncertainty and be generative of a culture of blame, as individuals are caught in overlapping and at times contradictory moral systems that each have the potential to strip patients of their moral status.
    Evidence

    This project build on more than 1-year of ethnographic research and interviews in Indonesia.

    What it means

    Instances of moral self-reflection occurring in the process of acquiring and appropriating clinical insight emerge at the intersection of heterogeneous discursive regimes

Proposed action

  1. The purpose of this project was not to provide recommendations

    Future research may determine the extent of the global knowledge flows we described in this project, past and outside the psychiatric encounter (e.g. with persons who do not need clinical attention).

    Additional research would be required

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Global knowledge flows and the psychiatric encounterin Indonesia

Cite this brief: Cristea, Florin. 'Global knowledge flows and the psychiatric encounterin Indonesia'. Acume. https://www.acume.org/r/global-knowledge-flows-and-the-psychiatric-encounterin-indonesia/

Brief created by: Florin Cristea | Year brief made: 2025

Original research:

  • Putu, A., Cristea, F., & Herdiyanto, Y., ‘Global knowledge flows and the psychiatric encounterin Indonesia’ Medical Anthropology Quarterly 39 (2) (pp. Epub 2024) https://doi.org/10.1111/maq.12906. – https://anthrosource.onlinelibrary.wiley.com/doi/10.1111/maq.12906

Research brief:

The research examines the clinical encounters of people diagnosed with a severe mental illness (SMI) in Indonesia

Drawing on more than 1-year of ethnographic research and interviews in Indonesia, the project showed that instances of moral self-reflection occurring in the process of acquiring and appropriating clinical insight emerged at the intersection of heterogeneous discursive regimes. When biomedical notions of health and illness dominated these discourses, they reimagined pre-existing notions about spirituality and religion.

Findings:

Consenting to psychiatric notions of health and illness can create common ground and a sense of shared experience, leading to grassroots movements for the empowerment of the mentally ill, self-help groups, and other support structures. At the same time, these processes can increase uncertainty and be generative of a culture of blame, as individuals are caught in overlapping and at times contradictory moral systems that each have the potential to strip patients of their moral status.

This project build on more than 1-year of ethnographic research and interviews in Indonesia.

Instances of moral self-reflection occurring in the process of acquiring and appropriating clinical insight emerge at the intersection of heterogeneous discursive regimes

Advice:

The purpose of this project was not to provide recommendations

    • Additional research would be required
Open Access|Peer Reviewed

"Global knowledge flows and the psychiatric encounterin Indonesia"

Cite paper

Putu, A., Cristea, F., & Herdiyanto, Y., ‘Global knowledge flows and the psychiatric encounterin Indonesia’ Medical Anthropology Quarterly 39 (2) (pp. Epub 2024) https://doi.org/10.1111/maq.12906.

Journal ArticleFind full paper →DOI: 10.1111/maq.12906
Co-authors
Aryani Putu, Yohanes Herdiyanto
Methodology
This is a qualitative research.

We examined the clinical encounters of people diagnosed with a severe mental illness (SMI). Drawing on more than 1-year of ethnographic research and interviews in Indonesia, we showed that instances of moral self-reflection occurring in the process of acquiring and appropriating clinical insight emerge at the intersection of heterogeneous discursive regimes. When biomedical notions of health and illness dominate these discourses, they reimag-ine pre-existing notions about spirituality and religion. Furthermore, consenting to psychiatric notions of health and illness can create common ground and a sense of shared experience, leading to grassroots movements for the empowerment of the mentally ill, self-help groups, and other support structures. At the same time, these processes can increase uncertainty and be generative of a culture of blame, as individuals are caught in overlapping and at times contradictory moral systems that each have the potential to strip patients of their moral status.

Funding

This research was funded by the German Research Foundation

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