Armstrong Neil, Pratt-Boyden Keira
Magdalen College, University of Oxford, UK.
School of Conservation and Anthropology, University of Kent, UK.
BJPsych Bull. 2021 Aug;45(4):227-230. doi: 10.1192/bjb.2021.25.
This article explores how 'wicked problems' such as climate change might force psychiatry to rethink some of its fundamental ideas and ways of working, including clinical boundaries, understandings of psychopathology and ways of organising. We use ethnographic evidence to explore how mental health service 'survivor' activists are already rethinking some of these issues by therapeutically orienting themselves towards social problems and collective understandings of well-being, rejecting 'treatment as usual' approaches to distress. In this way we provide an example of the potential of activists to help psychiatry negotiate the climate crisis.
本文探讨了气候变化等“棘手问题”如何可能迫使精神病学重新思考其一些基本理念和工作方式，包括临床界限、精神病理学理解以及组织方式。我们利用人种志证据来探究心理健康服务“幸存者”活动家如何已经在通过以治疗方式将自己导向社会问题和对幸福的集体理解、摒弃针对痛苦的“常规治疗”方法来重新思考其中一些问题。通过这种方式，我们提供了一个活动家帮助精神病学应对气候危机的潜力的例子。
