Papers by Yi-cheng Wu
The Lancet. Planetary health, 2018
Bookmarks Related papers MentionsView impact
Bookmarks Related papers MentionsView impact
Human Organization, 2019
This study explores the disparity between psychiatric interventions and the lived experience of p... more This study explores the disparity between psychiatric interventions and the lived experience of problematic drinking, which is a critical global mental health issue, including in an indigenous area in Northern Taiwan. This strategically situated three-year ethnographic study on a hospital’s jiejiu project highlights the dilemma of current health interventions that target indigenous people who drink under settler-colonial conditions. Interventions based on Western psychiatric categories can lose their efficacy due to disparate understandings regarding illness, moral experience, and perceptions of indigenous drinking cultures. The difficulties of such interventions also appear from hesitant self-identification and ambivalence toward a drinking culture shaped by social changes wrought by marginalization and oppression through colonization. Psychiatrization of the human condition and the top-down format of health delivery policy reaffirm colonial power and generate various levels of stigmatization. This study asserts the need to decolonize modern psychiatric knowledge and inquire into the ontology of drinking practices under complicated contexts in the contemporary world.
Bookmarks Related papers MentionsView impact
《本土心理學研究》Indigenous Psychological Research in Chinese Societies, 2018
「產後憂鬱」的現形,來自於精神醫學的建制化(institutionalization)
、醫學知識的推廣,並被國家納入健康治理的一環;個
人的文化信念與道德世界,也因為社會急遽變遷而有所變化,逐... more 「產後憂鬱」的現形,來自於精神醫學的建制化(institutionalization)
、醫學知識的推廣,並被國家納入健康治理的一環;個
人的文化信念與道德世界,也因為社會急遽變遷而有所變化,逐漸認
納「疾病」作為尋求改變的角色認同。本文藉由分析「產後憂鬱」在
台灣逐步浮現的過程及其現代性意義,闡釋當代精神醫學尋求「文化
能力」的思辨路徑。透過作者的臨床經驗觀察,並且爬梳跨文化精神
醫學的論述與臨床研究文獻,以跨學科的視角,對產後憂鬱的認識論
與診斷的政治進行檢驗與對話。
本文認為,產後憂鬱的疾病經驗是隨著社會變遷而浮現的。診斷
如同「雙面刃」,一來有助人改善處境的意義,卻也有縮限問題解釋
空間的可能。因此本文強調,產婦的病痛與就醫的主體經驗需要更進
一步的探究。臨床工作者的文化能力,在於對受苦經驗進行脈絡化的
理解,避免污名的產生,並致力於協助產婦於當代更新變動的社會條
件下,持續賦權以面對當代的困境。
The appearance of post-partum depression in Taiwan is due to the
institutionalization of psychiatry, the promotion of medical knowledge
over indigenous understandings, and the state’s health policy.
Individuals’ cultural and moral beliefs have also been reshaped under
rapid societal changes. Hence the disease identity then has been
reinforced. In this article, I analyze the gradual emergence and modern
significance of post-partum depression in Taiwan, and explain
contemporary processes in the search for cultural competence in the
field of psychiatry. I apply observations from my own clinical
experience to explore cross-cultural aspects of psychiatric treatment. I
also review the clinical research literature to examine and discuss the
epidemiology of postpartum depression and the politics of diagnosis
from an interdisciplinary perspective.
I propose that post-partum depression has emerged along with
social change. Making a diagnosis is a double-edged sword. Medical
intervention can be helpful, but it can also narrow the interpretation of
the experience. Therefore, there is a need for further exploration of maternal subjectivity, both in the illness itself and in receiving medical
treatment. Clinicians’ cultural competence lies in contextualized
understanding for patients in need, empowering patients to handle their
everyday struggles, and avoiding possible stigma.
Bookmarks Related papers MentionsView impact
The Lancet Planetary Health, 2018
Bookmarks Related papers MentionsView impact
International psychogeriatrics / IPA, 2011
This study aimed to investigate the risk factors associated with post-traumatic stress disorder (... more This study aimed to investigate the risk factors associated with post-traumatic stress disorder (PTSD) symptoms in a mid- and old-age population who experienced Typhoon Morakot in Taiwan. One hundred and twenty people, who were mostly Taiwanese aboriginal people aged 55 years and above, were invited to participate in this study. PTSD symptoms were assessed using the PTSD Symptom Scale (PSS-I). Information regarding demographic characteristics, relocation, personal injury, family death, property damage, and self-perceived health was collected. 29.2% of study participants presented significant PTSD symptomatology during the previous month. Development of PTSD symptomatology after the disaster was significantly associated with being female (OR 3.63, 95% CI = 1.11-11.88), experiencing relocation (OR 5.64, 95% CI = 1.60-19.88), and having poorer self-perceived health (OR 4.24, 95% CI = 1.53-11.78) after controlling for age, education, personal injury, family death, and property damage. Further, by adding depression into the analysis, we found the risk factors were being female (OR 4.66, 95% CI = 1.16-18.80), experiencing relocation (OR 27.91, 95% CI = 3.74-229.80), family death (OR 67.62, 95% CI = 2.85-1063.68), and poorer self-perceived health (OR 28.69, 95% CI = 4.52-182.06). Nearly 30% of the elderly people studied who experienced Typhoon Morakot developed significant PTSD symptomatology. The risk factors for PTSD symptoms were female gender, poorer self-perceived health, relocation, family death, and depression. The elderly people who were relocated by governmental programs were more likely to develop PTSD symptomatology after experiencing trauma. Resettlement and rehabilitation programs after a disaster need to be more concerned with their psychological effects on victims.
Bookmarks Related papers MentionsView impact
Book Reviews by Yi-cheng Wu
Taiwan Journal of Anthropology, 2023
Bookmarks Related papers MentionsView impact
Uploads
Papers by Yi-cheng Wu
、醫學知識的推廣,並被國家納入健康治理的一環;個
人的文化信念與道德世界,也因為社會急遽變遷而有所變化,逐漸認
納「疾病」作為尋求改變的角色認同。本文藉由分析「產後憂鬱」在
台灣逐步浮現的過程及其現代性意義,闡釋當代精神醫學尋求「文化
能力」的思辨路徑。透過作者的臨床經驗觀察,並且爬梳跨文化精神
醫學的論述與臨床研究文獻,以跨學科的視角,對產後憂鬱的認識論
與診斷的政治進行檢驗與對話。
本文認為,產後憂鬱的疾病經驗是隨著社會變遷而浮現的。診斷
如同「雙面刃」,一來有助人改善處境的意義,卻也有縮限問題解釋
空間的可能。因此本文強調,產婦的病痛與就醫的主體經驗需要更進
一步的探究。臨床工作者的文化能力,在於對受苦經驗進行脈絡化的
理解,避免污名的產生,並致力於協助產婦於當代更新變動的社會條
件下,持續賦權以面對當代的困境。
The appearance of post-partum depression in Taiwan is due to the
institutionalization of psychiatry, the promotion of medical knowledge
over indigenous understandings, and the state’s health policy.
Individuals’ cultural and moral beliefs have also been reshaped under
rapid societal changes. Hence the disease identity then has been
reinforced. In this article, I analyze the gradual emergence and modern
significance of post-partum depression in Taiwan, and explain
contemporary processes in the search for cultural competence in the
field of psychiatry. I apply observations from my own clinical
experience to explore cross-cultural aspects of psychiatric treatment. I
also review the clinical research literature to examine and discuss the
epidemiology of postpartum depression and the politics of diagnosis
from an interdisciplinary perspective.
I propose that post-partum depression has emerged along with
social change. Making a diagnosis is a double-edged sword. Medical
intervention can be helpful, but it can also narrow the interpretation of
the experience. Therefore, there is a need for further exploration of maternal subjectivity, both in the illness itself and in receiving medical
treatment. Clinicians’ cultural competence lies in contextualized
understanding for patients in need, empowering patients to handle their
everyday struggles, and avoiding possible stigma.
Book Reviews by Yi-cheng Wu
、醫學知識的推廣,並被國家納入健康治理的一環;個
人的文化信念與道德世界,也因為社會急遽變遷而有所變化,逐漸認
納「疾病」作為尋求改變的角色認同。本文藉由分析「產後憂鬱」在
台灣逐步浮現的過程及其現代性意義,闡釋當代精神醫學尋求「文化
能力」的思辨路徑。透過作者的臨床經驗觀察,並且爬梳跨文化精神
醫學的論述與臨床研究文獻,以跨學科的視角,對產後憂鬱的認識論
與診斷的政治進行檢驗與對話。
本文認為,產後憂鬱的疾病經驗是隨著社會變遷而浮現的。診斷
如同「雙面刃」,一來有助人改善處境的意義,卻也有縮限問題解釋
空間的可能。因此本文強調,產婦的病痛與就醫的主體經驗需要更進
一步的探究。臨床工作者的文化能力,在於對受苦經驗進行脈絡化的
理解,避免污名的產生,並致力於協助產婦於當代更新變動的社會條
件下,持續賦權以面對當代的困境。
The appearance of post-partum depression in Taiwan is due to the
institutionalization of psychiatry, the promotion of medical knowledge
over indigenous understandings, and the state’s health policy.
Individuals’ cultural and moral beliefs have also been reshaped under
rapid societal changes. Hence the disease identity then has been
reinforced. In this article, I analyze the gradual emergence and modern
significance of post-partum depression in Taiwan, and explain
contemporary processes in the search for cultural competence in the
field of psychiatry. I apply observations from my own clinical
experience to explore cross-cultural aspects of psychiatric treatment. I
also review the clinical research literature to examine and discuss the
epidemiology of postpartum depression and the politics of diagnosis
from an interdisciplinary perspective.
I propose that post-partum depression has emerged along with
social change. Making a diagnosis is a double-edged sword. Medical
intervention can be helpful, but it can also narrow the interpretation of
the experience. Therefore, there is a need for further exploration of maternal subjectivity, both in the illness itself and in receiving medical
treatment. Clinicians’ cultural competence lies in contextualized
understanding for patients in need, empowering patients to handle their
everyday struggles, and avoiding possible stigma.