Global knowledge flows and the psychiatric encounter in Indonesia.

In this article, we examine the clinical encounters of people diagnosed with a severe mental illness (SMI). Drawing on more than 1‐year of ethnographic research and interviews in Indonesia, we show that instances of moral self‐reflection occurring in the process of acquiring and appropriating clinic...

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Published in:Medical Anthropology Quarterly Vol. 39; no. 2; pp. 1 - 16
Main Authors: Cristea, Florin, Aryani, Putu, Herdiyanto, Yohanes K.
Format: Article
Published: Wiley-Blackwell Jun2025
Subjects:
Online Access:View this record in EBSCOhost
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      dt: Jun2025
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        atl: Global knowledge flows and the psychiatric encounter in Indonesia.
      aug:
        au:
          Cristea, Florin
          Aryani, Putu
          Herdiyanto, Yohanes K.
        affil:
          Institute of Social and Cultural Anthropology, Free University Berlin, Berlin, Germany
          Department of Social and Cultural Anthropology, University of Münster, Münster, Germany
          Department of Public Health and Preventive Medicine, Faculty of Medicine, Udayana University, Denpasar Bali,, Indonesia
          Department of Psychology, Faculty of Medicine, Udayana University, Denpasar Bali,, Indonesia
      su:
        Indonesia
        Mental illness
        Spirituality
        Constructivism (Psychology)
        Ethnology research
        Grassroots movements
        Social interaction
        Indonesians
        Knowledge transfer
      sug:
        subj:
          Mental illness
          Spirituality
          Constructivism (Psychology)
          Ethnology research
          Grassroots movements
          Social interaction
          Indonesia
          Indonesians
          Knowledge transfer
      keyword:
        clinical subjectivity
        morality
        severe mental illness
        clinical subjectivity
        morality
        severe mental illness
      ab: In this article, we examine the clinical encounters of people diagnosed with a severe mental illness (SMI). Drawing on more than 1‐year of ethnographic research and interviews in Indonesia, we show that instances of moral self‐reflection occurring in the process of acquiring and appropriating clinical insight emerge at the intersection of heterogeneous discursive regimes. When biomedical notions of health and illness dominate these discourses, they reimagine pre‐existing notions about spirituality and religion. Furthermore, consenting to psychiatric notions of health and illness can create common ground and a sense of shared experience, leading to grassroots movements for the empowerment of the mentally ill, self‐help groups, and other support structures. At the same time, these processes can increase uncertainty and be generative of a culture of blame, as individuals are caught in overlapping and at times contradictory moral systems that each have the potential to strip patients of their moral status.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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