Department of Counseling and School Psychology, University of Massachusetts Boston, 100 William T. Morrissey Blvd, Boston, MA, 02125, USA.
School of Psychology, Massey University, Auckland, New Zealand.
Community Ment Health J. 2021 Jan;57(1):3-9. doi: 10.1007/s10597-020-00720-6. Epub 2020 Oct 16.
The movement for global mental health (MGMH) has raised awareness about the paucity of mental health services, particularly in low- and middle-income countries. In response, policies and programs have been developed by the World Health Organization and by the Lancet Commission on global mental health, among other organizations. These policy initiatives and programs, while recognizing the importance of being responsive to local needs and culture, are based on Western biomedical conceptualizations of emotional distress. In the paper, we discuss how a rights-based approach can promote the voice and participation of people with lived experience into the MGMH. We argue that a human rights framework can be enhanced by incorporating the conceptual approaches of critical inquiry and community mental health. We also discuss how rights-based approaches and service-user activism can productively reconfigure Western psychiatric conceptualizations of distress and provide both a moral and empirical justification for a paradigm shift within the MGMH.
全球心理健康运动（MGMH）提高了人们对心理健康服务匮乏的认识，特别是在中低收入国家。作为回应，世界卫生组织和柳叶刀全球心理健康委员会等组织制定了相关政策和计划。这些政策倡议和计划虽然认识到响应当地需求和文化的重要性，但都是基于西方生物医学对情绪困扰的概念化。在本文中，我们讨论了基于权利的方法如何促进有过生活经历的人在全球心理健康运动中的声音和参与。我们认为，通过纳入批判性探究和社区心理健康的概念方法，可以增强人权框架。我们还讨论了基于权利的方法和服务使用者的行动主义如何能够有效地重新构建西方精神病学对困扰的概念化，并为全球心理健康运动中的范式转变提供道德和经验上的理由。
