Huang Hsuan-Ying
Department of Anthropology, Chinese University of Hong Kong, Sha Tin, New Territories, Hong Kong SAR.
Cult Med Psychiatry. 2018 Jun;42(2):371-400. doi: 10.1007/s11013-017-9553-8.
This article focuses on the psychotherapy debate in China that was triggered by the country's mental health legislation. Seeing the release of the draft Mental Health Law in 2011 as a "diagnostic event" (Moore in Am Ethnol 14(4):727-736, 1987), I examine the debate in order to unravel the underlying logic and ongoing dynamics of the psycho-boom that has become a conspicuous trend in urban China since the early 2000s. Drawing on my fieldwork in Beijing and Shanghai, I use the two keywords of the debate-"jianghu" (literally "rivers and lakes"), an indigenous term that evokes an untamed realm, and "profession," a foreign concept whose translation requires re-translation-to organize my delineation of its contours. I describe how anticipation of state regulation prompted fears and discontents as well as critical reflections and actions that aimed to transform the field into a profession. The efforts to mark out a professional core against the backdrop of unruly jianghu further faced the challenge of an alternative vision that saw popularization as an equally noble cause. The Mental Health Law came into effect in 2013; ultimately, however, it did not introduce substantive regulation. Finally, I discuss the implications of this debate and the prospects of the psycho-boom.
本文聚焦于中国因心理健康立法引发的心理治疗辩论。将2011年《精神卫生法》草案的发布视为一个“诊断性事件”(摩尔,《美国民族志》,第14卷第4期,第727 - 736页,1987年),我审视这场辩论,以揭示自21世纪初以来在中国城市中已成为显著趋势的心理热潮背后的逻辑和动态。基于我在北京和上海的田野调查,我运用辩论中的两个关键词——“江湖”(字面意思是“江河与湖泊”),这一本土术语唤起了一个未被驯服的领域,以及“职业”,一个其翻译需要重新翻译的外来概念——来组织我对其轮廓的描绘。我描述了对国家监管的预期如何引发恐惧与不满,以及旨在将该领域转变为一个职业的批判性反思和行动。在混乱的江湖背景下界定专业核心的努力,进一步面临着将普及视为同样崇高事业的另一种愿景的挑战。《精神卫生法》于2013年生效;然而,最终它并未引入实质性监管。最后,我讨论这场辩论的影响以及心理热潮的前景。