The role of Community Mental Health in a new architecture of World psychiatry and Global Mental Health

Renato D. Alarcón-Guzmán, Humberto Castillo-Martell

DOI: https://doi.org/10.17711/SM.0185-3325.2020.032

Abstract


Introduction. The influx of new knowledge and scientific contributions into contemporary world psychiatry has counted on a vigorous dissemination through technology-inspired means. This process has led to the realities of Global Mental Health (GMH) inspired by “a new epistemology” of mostly positivistic roots.

Objective. To explore the basis of these realities and the resulting homogenization attempts of psychiatry as a medical, clinical, and research discipline.

Discussion and conclusion. The need for “a new architecture” of contemporary psychiatry is discussed as a reflection of a correct epistemological exercise and a renewed pact between professionals and communities, materialized in and enriched by the re-emerging Community Mental Health (CMH) movement. The essential bases of the movement are presented, and its mutually collaborative, multidisciplinary, integrated, and realistic nature, as reflected in national efforts like Peru’s in Latin America, is described.

Keywords


Global Mental Health; Community Mental Health; epistemology; epidemiology; mental health strategies

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References


Alarcón, R. D. (2016). Global Mental health and Cultural Psychiatry: Links, overlaps and distinctions. In Villaseñor-Bayardo, S. J., Alarcón, R. D., Rohlof, H., & Aceves-Pulido M. P., (Eds.). Global Challenges & Cultural Psychiatry. Guadalajara, México: Universidad de Guadalahara.

Alarcón, R. D. (Ed.) (2013) Cultural Psychiatry. Basel, Switzerland: Karger.

Alarcón-Guzmán, R. D. (2017). Duncan Pedersen y el estudio integral de la Salud Mental Global. Revista de Neuro-Psiquiatría, 80(1), 72-74. doi: 10.20453/rnp.v80i1.3061

Barton, W. E. (1966). Trends in community mental health programs. Psychiatric Services, 17(9), 253-258. doi: 10.1176/ps.17.9.253

Bemme, D., & D’souza, N. A. (2014). Global mental health and its discontents: An inquiry into the making ofglobalandlocalscale. Transcultural Psychiatry, 51(6), 850-874. doi: 10.1177/1363461514539830

Berrios, G. E. (2015). History and epistemology of psychopathology. In Kendler, K. S., & Parnas, J. (Eds.). Philosophical issues in psychiatry III: The nature and sources of historical change. Oxford, USA: Oxford University Press. doi: 10.1093/med/9780198725978.001.0001

Breakey, W. R. (Ed.). (1996). Integrated Mental health Services: Modern Community Psychiatry. New York, NY: Oxford University Press.

Bruner, J. (1986). Actual minds, possible worlds. Cambridge, MA: Harvard University Press.

Brunk, D. (2013). Integrative care is the future of psychiatric care. Clinical Psychiatry News. Retrieved from https://www.mdedge.com/psychiatry/article/57959/health-policy/integrative-care-future-psychiatric-care

Buekens, P., Keusch, G., Belizan, J., & Bhutta, Z. A. (2004). Evidence-based Global Health. JAMA, 291(21), 2639-2641. doi: 10.1001/jama.291.21.2639

Campbell, C., & Burgess, R. (2012). The role of communities in advancing the goals of the Movement for Global Mental Health. Transcultural Psychiatry, 49(3-4), 379-395. doi: 10.1177/1363461512454643

Caponi, S. (2010). Georges Canguilhem: del cuerpo subjetivo a la localización cerebral. Salud Colectiva, 6(2), 149-161. doi: 10.18294/sc.2010.363

Castillo-Martell, H. (2014). Horizontes epistemológicos de la psiquiatría: objetivando la subjetividad. Revista de Neuropsiquiatría, 77(2), 78-85.

Castillo-Martell, H., & Cutipé-Cárdenas, Y. (2019). Implementación, resultados iniciales y sostenibilidad de la reforma de servicios de salud mental en el Perú, 2013-2018. Revista Peruana de Medicina Experimental y Salud Pública, 36(2), 326-333. doi: 10.17843/rpmesp.2019.362.4624

de Heras, L. (2012). Entrevista a Humberto Maturana, premio Nacional de Ciencias. Revista Ciencia Joven, 1(1), 2-6.

de Sousa Santos, B. (2010). Descolonizar el saber, reinventar el poder. Montevideo, Uruguay: Ediciones Trilce.

de Sousa Santos, B. (2018). Epistemología del Sur: un pensamiento alternativo de alternativas políticas. Geograficando, 14(1), 4-8. doi: 10.24215/2346898Xe032

Delgado, H. (1992). El médico, la medicina y el alma (3rd. Ed.). Lima, Perú: Fondo Editorial Universidad Peruana Cayetano Heredia.

Desjarlais, R., Eisenberg, L., Good, B., & Kleinman, A. (1995). World Mental Health. Problems and priorities in Low-Income countries. New York, NY: Oxford University Press.

Desviat, M. (2011). Panorama internacional de la reforma psiquiátrica. Ciência & Saúde Coletiva, 16(12), 4615-4622. doi: 10.1590/S1413-81232011001300010

Dowbiggin, I. (2011). The quest for mental health. A tale of science, medicine, scandal, sorrow, and mass society. Cambridge, UK: Cambridge University Press.

Dreher, H. (2003). Mind-Body unity. A new vision for Mind-Body Science and Medicine. Baltimore, MD: The Johns Hopkins University Press.

El Peruano (Diario Oficial) (2019). Ley 30947 de Salud Mental. Lima, Perú. Retrieved from https://busquedas.elperuano.pe/normaslegales/ley-de-salud-mental-ley-n-30947-1772004-1/

Fernández Zubieta, A. (2009). El constructivismo social en la ciencia y la tecnología: Las consecuencias no previstas de la ambivalencia epistemológica. Arbor Ciencia, Pensamiento y Cultura, 185(738), 689-703. doi: 10.3989/arbor.2009.738n1046

Fernando, S. (2014). Mental health worldwide: Culture, globalization and development. Basingstoke, UK: Palgrave Macmillan.

Fosnot, C. T. (Ed.). (2005). Constructivism: Theory, perspectives and practice. (2nd. Ed.). New York, NY: Teachers College Press.

García de Frutos, H. (2011). Neurociencias y psicoanálisis: consideraciones epistemológicas para una dialéctica posible sobre la subjetividad. Revista de la Asociación Española de Neuropsiquiatría, 31(4), 661-678. doi: 10.4321/s0211-57352011000400005

Granda, E. (1991). Avances conceptuales y metodológicos sobre condiciones de vida y salud. Caracas, Venezuela: Universidad Central de Venezuela, Rectoría.

Huertas, R. (2006). Foucault, treinta años después. A propósito de El poder psiquiátrico. Asclepio, 58(2), 267-276. doi: 10.3989/asclepio.2006.v58.i2.17

Kandel, E. R. (2005). A new intellectual framework for Psychiatry. In Psychiatry, Psychoanalysis and the new Biology of Mind. Arlington, VA: American Psychiatric Publishing, Inc.

Katontoka, S. (2012). Consumer recovery: A call for partnership between researchers and consumers. World Psychiatry, 11(3) 170-171. doi: 10.1002/j.2051-5545.2012.tb00126.x

Kernberg, O. F. (2006). Psychoanalytic controversies: The pressing need to increase research in and on psychoanalysis. International Journal of Psychoanalysis, 87(4), 919-936. doi: 10.1516/46N7-ULAM-DQKR-VGRT

Kirmayer, L. J., & Pedersen, D. (2014). Toward a new architecture for global mental health. Transcultural Psychiatry, 51(6), 759-776. doi: 10.1177/1363461514557202

Kohrt, B. A., & Mendenhall, E. (2015). Global Mental health. Anthropological Perspectives. Walnut Creek, CA: Left Coast Press.

Laín Entralgo, P. (1988). Teoría y realidad del otro (1st. reimpr.) Madrid, España: Alianza Universidad.

Lancet Global Mental Health Group; Chisholm, D., Flisher, A. J., Lund, C., Patel, V., Saxena, S., ... Tomlinson, M. (2007). Scale up services for mental disorders: A call for action. Lancet, 370(9594), 1241-1252. doi: 10.1016/S0140-6736(07)61242-2

Lázaro, J., & Stucchi, S. (2019) Historia de las ideas psiquiátricas. In Alarcón, R. D., Chaskel, R., & Berlanga, C. (Eds.). Psiquiatría (4a. Ed.). Lima, Perú: Fondo Editorial Universidad Peruana Cayetano Heredia.

Mariátegui, J. (2008). La Medicina como ciencia social. Revista de Neuro-Psiquiatría, 71(1-4), 3-7.

Maturana, H., & Varela, F. (2011a). Preface to the second edition of “De Máquinas y Seres Vivos-Autopoiesis: La organización de lo vivo”. Systems Research and Behavioral Science, 28(6), 583-600. doi: 10.1002/sres.1124

Maturana, H., & Varela, F. (2011b). El árbol del conocimiento: las bases biológicas del entendimiento humano. Santiago de Chile: Editorial Universitaria.

Mehta, N., Croudace, T., & Davies, D. S. C. (2015). Public mental health: evidence-based priorities. The Lancet, 385(9976), 1472-1475. doi: 10.1016/S0140-6736(14)61400-8

Meyer, R. E., & McLaughlin, C. J. (1998). Between mind, brain, and managed care. The now and future world of Academic Psychiatry. Washington, DC: American Psychiatric Press, Inc.

Mills, C. (2014). Decolonizing global mental health: The psychiatrization of the majority world. London, UK: Routledge.

Napier, A. D., Ancarno, C., Butler, B., Calabrese, J., Chater, A., Chatterjee, H., ... Woolf, K. (2014). Culture and health. The Lancet, 384(9954), 1607-1639. doi: 10.1016/S0140-6736(14)61603-2

Patel, V. (2014). Why mental health matters to global health. Transcultural Psychiatry, 51(6), 777-789. doi: 10.1177/1363461514524473

Pedersen, D. (2015a). Reflections social inequalities and mental health outcomes: Toward a new architecture for global mental health. In Kirmayer, L. J., Lemelson, R., & Cummings, C. A. (Eds.). Re-Visioning Psychiatry. Cultural Phenomenology, Critical Neuroscience and Global Mental Health. Cambridge, UK: Cambridge University Press.

Pedersen, D. (2015b). Rethinking Trauma as a Global Challenge. In Schouler-Ocak, M. (Ed.). Trauma and Migration: Cultural factors in the diagnosis and treatment of traumatised immigrants. Bern, Switzerland: Springer International Publishing.

Pedersen, D., Gamarra, J., Planas, M. E., & Errázuriz, C. (2001). Violencia política y salud en las comunidades alto-andinas de Ayacucho, Perú. Retrieved from http://www.psicosocial.net/historico/index.php?option=com_docman&view=download&alias=670-violencia-politica-y-salud-en-las-comunidades-alto-andinas-de-ayacucho-peru&category_slug=pueblos-originarios&Itemid=100225

Prigogine, I., & Stengers, I. (1997). The end of certainty: Time, chaos, and the new laws of nature. New York, NY: Free Press.

Rosen, G. (1968). Madness in Society. Chapters in the historical sociology of mental illness. Chicago, IL: The University of Chicago Press.

Saraceno, B., & Dua, T. (2009). Global mental health: the role of psychiatry. European Archives of Psychiatry and Clinical Neuroscience, 259(2), S109-117. doi: 10.1007/s00406-009-0059-4

Solms, M., & Turnbull, O. (2004). El cerebro y el mundo interior: Una introducción a la neurociencia de la experiencia subjetiva. México, D.F.: Fondo de Cultura Económica.

Summerfield, D. (2008). How scientifically valid is the knowledge base of global mental health? British Medical Journal, 336(7651), 992-994. doi: 10.1136/bmj.39513.441030.AD

Testa, M. (1993). Pensar en Salud. Buenos Aires, Argentina: Lugar Editorial.

Toyama, M., Castillo, H., Galea, J. T., Brandt, L. R., Mendoza, M., Herrera, V., ... Miranda, J. J. (2017). Peruvian Mental Health Reform: A Framework for Scaling-up Mental Health Services. International Journal of Health Policy and Management, 6(9), 501-508. doi: 10.15171/ijhpm.2017.07

Unützer, J. (2014). Which flavor of Integrated Care?. Psychiatric News, 49, 20. doi: 10.1176/appi.pn.2014.10b25

Valenzuela-Espinoza, I. (2012). Complejidad, globalización y teoría social. Polis, Revista Latinoamericana, 11(31), 499-520. doi: 10.4067/S0718-65682012000100026

World Bank Group. (2018). Healing minds, changing lives: a movement for community-based mental health care in Peru – delivery innovations in a low-income community, 2013-2016. Global Mental Health Initiative. Washington, D.C.: World Bank Group. Retrieved from https://documents.worldbank.org/en/publication/documents-reports/documentdetail/407921523031016762/healing-minds-changing-lives-a-movement-for-community-based-mental-health-care-in-peru-delivery-innovations-in-a-low-income-community-2013-2016

Zemelman, H. (2011). Implicaciones epistémicas del pensar histórico desde la perspectiva del sujeto. Desacatos Revista de Ciencias Sociales, 37, 33-38. doi: 10.29340/37.286