scholarly journals An uncritical encounter between anthropology and psychiatry

Author(s):  
Bhrigupati Singh

In what ways do two bodies of knowledge meet? Anthropology and psychiatry most often meet in a mood of mutual suspicion, the danger of which is that each confronts (or avoids) the other as a straw man. In this introduction I describe a refreshingly different encounter in which a group of psychiatrists from the All India Institute of Medical Sciences in Delhi respond to an anthropological text, Veena Das’s 'Affliction: Health, Disease, Poverty', which engages with lives and issues quite similar to those encountered by these psychiatrists in their clinical practice. Rather than rehearsing relatively predictable debates (for instance on the importance, or lack thereof, of ‘culture’, often assumed to be the sole meeting ground between anthropology and psychiatry), what is instead surprising in the psychiatrists’ engagement with Affliction is their recognition of a shared terrain of uncertainty and complexity that moves across the realms of the spiritual, the ‘vernacular’ uses of biomedical terms, and the political economy of health. I outline three domains of inquiry that this interdisciplinary discussion opens up as regards the study of mental health and illness: 1) ecologies, circuits, and tempos rather than institutions and subjectivity; 2) not-yet ontologies and etiologies; and 3) methodological consequences, beyond quantitative/qualitative divides and towards patterns, singularities, and modes of attunement.

Author(s):  
Ted Schrecker

As an analytical approach, the political economy of health “requires attention to the political and economic structures, processes and power relationships that produce” distributions of health and illness, in the words of epidemiologist Nancy Krieger. This chapter demonstrates the value of this approach with reference to domestic and global cases and is organized around three key messages. First, public finance is a public health issue. Second, the transnational corporate role in the spread of disease must be taken into account in public health ethics. Third, ethics and politics cannot be separated in public health. The chapter concludes with three challenges for building a public health ethics that “speaks truth about power” in an increasingly inhospitable policy environment.


2021 ◽  
Vol 17 (1) ◽  
Author(s):  
Kristen Meagher ◽  
Bothaina Attal ◽  
Preeti Patel

Abstract Background The ripple effects of protracted armed conflicts include: significant gender-specific barriers to accessing essential services such as health, education, water and sanitation and broader macroeconomic challenges such as increased poverty rates, higher debt burdens, and deteriorating employment prospects. These factors influence the wider social and political determinants of health for women and a gendered analysis of the political economy of health in conflict may support strengthening health systems during conflict. This will in turn lead to equality and equity across not only health, but broader sectors and systems, that contribute to sustainable peace building. Methods The methodology employed is a multidisciplinary narrative review of the published and grey literature on women and gender in the political economy of health in conflict. Results The existing literature that contributes to the emerging area on the political economy of health in conflict has overlooked gender and specifically the role of women as a critical component. Gender analysis is incorporated into existing post-conflict health systems research, but this does not extend to countries actively affected by armed conflict and humanitarian crises. The analysis also tends to ignore the socially constructed patriarchal systems, power relations and gender norms that often lead to vastly different health system needs, experiences and health outcomes. Conclusions Detailed case studies on the gendered political economy of health in countries impacted by complex protracted conflict will support efforts to improve health equity and understanding of gender relations that support health systems strengthening.


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