Fletcher Erica Hua
The Honors College, University of Houston, Houston, TX, USA.
J Med Humanit. 2018 Mar;39(1):29-43. doi: 10.1007/s10912-017-9476-y.
This article argues humans should not be defined strictly at their physical boundaries with clear distinctions between anatomical bodies, mental states, and the rest of the world. Rather, diverse mental states, which are often diagnosed as "mental illness," take shape within greater environmental forces and flows, including those that are constructed online. Drawing from a multi-sited ethnography of The Icarus Project, a radical mental health community, the author situates online narratives written by two of its members within posthuman emotional ecologies in which the exchange of ideas online affects mental states in a profound way. These narratives can be seen as a new type of psychiatric resistance based in new technologies, one that "uncivilizes" mental illness by searching for alternative frameworks and metaphors to understand lived experiences with mental distress. This ethnographic perspective differs significantly from traditional bio-psychiatric models and interventions and can offer both patients and mental healthcare providers with an alternative language to frame mental health.
本文认为,人类不应仅依据其身体界限来严格定义,将解剖学身体、心理状态与世界其他部分明确区分开来。相反,各种心理状态,往往被诊断为“精神疾病”,是在更大的环境力量和潮流中形成的,包括那些在网络上构建的力量和潮流。作者借鉴了激进心理健康社区“伊卡洛斯计划”的多地点民族志研究,将该社区两名成员撰写的网络叙事置于后人类情感生态中,在这种生态中,网络上的思想交流以深刻的方式影响心理状态。这些叙事可被视为一种基于新技术的新型精神科抵抗形式——通过寻找替代框架和隐喻来理解精神痛苦的生活经历,从而“使精神疾病非文明化”。这种民族志视角与传统生物精神病学模型和干预措施有显著不同,可为患者和精神卫生保健提供者提供一种构建心理健康的替代语言。