Department of Liberal Arts, Indian Institute of Technology Hyderabad , Sangareddy, Hyderabad, India.
Med Anthropol. 2020 Aug-Sep;39(6):538-552. doi: 10.1080/01459740.2020.1722122. Epub 2020 Feb 26.
Based on an ethnography of community mental health programs run by two NGOs in Kerala which have associated themselves with preexisting, locally grown, community-based palliative clinics, this article explores how professional NGOs bring a new culture to volunteer-based programs. Professionalizing volunteers through task-shifting results in the transformation of their philosophy of community care, which constrains and narrows understandings of mental health care. The state, in alliance with psychiatric NGOs, front-stages development through aggressive task-shifting which we argue is a socio-politico-moral process, disrupting the shared consciousness between volunteers and their own communities with fatal consequences for their most vulnerable citizens.
基于对喀拉拉邦两家非政府组织运营的社区心理健康项目的民族志研究，这些项目与现有的、本地成长的、以社区为基础的姑息治疗诊所相关联，本文探讨了专业非政府组织如何为志愿者为基础的项目带来新的文化。通过任务转移使志愿者专业化，导致他们社区护理理念的转变，从而限制和缩小了对精神保健的理解。国家与精神病学非政府组织结盟，通过积极的任务转移来推动发展，我们认为这是一个社会政治道德过程，破坏了志愿者与其所在社区之间的共同意识，给他们最脆弱的公民带来了致命的后果。
