“Learning how to deal with feelings differently”: Psychotropic medications as vehicles of socialization in adolescence

Choudhury, Subhashree; McKinney, Kelly; Kirmayer, Laurence J.

doi:10.1016/j.socscimed.2015.02.034

Cited by 41 publications

(6 citation statements)

References 51 publications

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“…Our preliminary observations suggest that neuroscience and mindfulness find a fit as an intervention tool for young people for at least two reasons. One reason for their coming together is likely the shared focus on affect , the social , and the recent emphasis on cultivating emotional intelligence (EI) in education, in the workplace, and in therapeutic contexts (Choudhury, McKinney, & Kirmayer, 2015). Daniel Goleman’s book Emotional Intelligence (1995), which received widespread attention and popular success, draws on a body of data from cognitive neuroscience experiments and attempts to overcome what he calls Cartesian distinctions between reason and emotions.…”

Section: Resultsmentioning

confidence: 99%

Mindful interventions: Youth, poverty, and the developing brain

Choudhury

Moses

2016

Theory & Psychology

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Mindfulness meditation is being advocated as a promising new educational, clinical, and social intervention for youth, fueled by new evidence from neuroscience about the benefits of “growing the brain through meditation,” convergent with recent data on developmental neuroplasticity. Although still marginal and in some cases controversial, secular programs of mindfulness have been implemented with ambitious goals of improving attentional focus of pupils, social-emotional learning in “at-risk” children and youth and, not least, to intervene in problems of poverty and incarceration. In this article, we present insights from an ongoing study involving teachers and mentors working with young people using mindfulness education from an emerging project on the social and cultural contexts of “neuroeducation.” Our analysis points to the role of neuroscience in positioning these programs as legitimate and progressive, based on state-of-the-art science. We discuss the tensions arising from their moral reframing of social problems associated with poverty and inequality.

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Section: Resultsmentioning

confidence: 99%

Mindful interventions: Youth, poverty, and the developing brain

Choudhury

Moses

2016

Theory & Psychology

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“…Antidepressant treatment may have different effectiveness based on the individuals’ expectation of efficacy ( 253 ) or their socioeconomic status ( 254 ), requiring the clinician to consider the interaction of the type of treatment and the patient’s context when collaboratively designing a care plan ( 255 ). Moreover, prescription is inevitably a social and symbolic act, and taking medication has meaning and consequences for psychological self-regulation and social identity ( 256 , 257 ). Rose ( 258 ) has drawn attention to the ways that biomedical diagnosis and treatment of mental disorders lead to narratives of “neurochemical selves” with consequences for individual coping as well as for mental health policy and practice.…”

Section: Integrating the Patient’s Self-understandingmentioning

confidence: 99%

A cultural-ecosocial systems view for psychiatry

Gómez-Carrillo

Kirmayer

2023

Front. Psychiatry

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While contemporary psychiatry seeks the mechanisms of mental disorders in neurobiology, mental health problems clearly depend on developmental processes of learning and adaptation through ongoing interactions with the social environment. Symptoms or disorders emerge in specific social contexts and involve predicaments that cannot be fully characterized in terms of brain function but require a larger social-ecological view. Causal processes that result in mental health problems can begin anywhere within the extended system of body-person-environment. In particular, individuals’ narrative self-construal, culturally mediated interpretations of symptoms and coping strategies as well as the responses of others in the social world contribute to the mechanisms of mental disorders, illness experience, and recovery. In this paper, we outline the conceptual basis and practical implications of a hierarchical ecosocial systems view for an integrative approach to psychiatric theory and practice. The cultural-ecosocial systems view we propose understands mind, brain and person as situated in the social world and as constituted by cultural and self-reflexive processes. This view can be incorporated into a pragmatic approach to clinical assessment and case formulation that characterizes mechanisms of pathology and identifies targets for intervention.

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“…Seligman uses the term "prescribed metaphors" to point to the way these metaphors are medically authorized and presented as explicit interventions to reshape patients' thinking and invoke social and cultural scripts for appropriate behavior. Choudhury et al (2015) described a similar process in the ways that adolescents are encouraged to make sense of the prescription of psychiatric medications as vehicles for emotion regulation. Seligman (2023) describes adolescents' responses to the use of an "emotion thermometer" to graphically record the intensity of their feelings.…”

Section: Transforming Symptoms and Sufferingmentioning

confidence: 99%

Cultural poetics of illness and healing

Kirmayer

2023

Transcult Psychiatry

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This issue of Transcultural Psychiatry presents selected papers from the McGill Advanced Study Institute on “Cultural Poetics of Illness and Healing.” The meeting addressed the cognitive science of language, metaphor, and poiesis from embodied and enactivist perspectives; how cultural affordances, background knowledge, discourse, and practices enable and constrain poiesis; the cognitive and social poetics of symptom and illness experience; and the politics and practice of poetics in healing ritual, psychotherapy, and recovery. This introductory essay outlines an approach to illness experience and its transformation in healing practices that emphasizes embodied processes of metaphor as well as the social processes of self-construal and positioning through material and discursive engagements with the cultural affordances that constitute our local worlds. The approach has implications for theory building, training, and clinical practice in psychiatry.

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“Learning how to deal with feelings differently”: Psychotropic medications as vehicles of socialization in adolescence

Cited by 41 publications

References 51 publications

Mindful interventions: Youth, poverty, and the developing brain

Mindful interventions: Youth, poverty, and the developing brain

A cultural-ecosocial systems view for psychiatry

Cultural poetics of illness and healing

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