Re-Visioning Psychiatry

Laurence J. Kirmayer MD FRCPC is James McGill Professor and Director, Division of Social and Transcultural Psychiatry, Department of Psychiatry at McGill University, Montréal. He is Editor-in-Chief of Transcultural Psychiatry and Director of the Culture and Mental Health Research Unit at the Institute of Community and Family Psychiatry, Jewish General Hospital, Montréal, where he conducts research on mental health services for immigrants and refugees, indigenous peoples (First Nations, Inuit and Métis), global mental health, and the anthropology of psychiatry. He founded and directs the annual Summer Program and Advanced Study Institute in Cultural Psychiatry at McGill University. He also founded and directs the Network for Aboriginal Mental Health Research. He is a Fellow of the Canadian Academy for Health Sciences. He has received a CIHR senior investigator award, a presidential commendation for dedication in advancing cultural psychiatry from the Canadian Psychiatric Association, and both the Creative Scholarship and Lifetime Achievement Awards from the Society for the Study of Psychiatry and Culture. Robert Lemelson is an anthropologist who received his MA from the University of Chicago and his PhD from the Department of Anthropology at the University of California, Los Angeles (UCLA). His area of specialty is Southeast-Asian studies, psychological and visual anthropology, and transcultural psychiatry. He is currently an associate adjunct professor of anthropology and a research anthropologist at the Semel Institute of Neuroscience, both at UCLA. He is also the president and founder of the Foundation for Psychocultural Research, a nonprofit research foundation supporting research and training in the neurosciences and social sciences. He has been conducting psychological and visual anthropological research in Indonesia, on the islands of Bali and Java, yearly for the past twenty years. In 2007 he founded Elemental Productions, an ethnographic documentary film production company. He has produced and directed over a dozen ethnographic films on subjects ranging from genocide, the sex trade, mental illness, kinship, ritual and further related topics. Constance A. Cummings PhD is Project Director of the Foundation for Psychocultural Research. She is co-editor of Formative Experiences: The Interaction of Caregiving, Culture, Developmental Psychobiology (Cambridge, 2010).

• 1. Introduction Laurence J. Kirmayer, Robert Lemelson and Constance A. Cummings; Part I. Restoring Phenomenology to Psychiatry: 2. Toward a new epistemology of psychiatry German E. Berrios and Ivana S. Marková; 3. Phenomenology and the interpretation of psychopathological experience Josef Parnas and Shaun Gallagher; 4. How the self is altered in psychiatric disorders: a neurophenomenal approach Georg Northoff; 5. Cultural phenomenology and psychiatric illness Thomas J. Csordas; 6. Empathy and alterity in psychiatry Laurence J. Kirmayer; 7. Reflections: the community life of objects - beyond the academic clinic Nev Jones; Part II. Biosocial Mechanisms in Mental Health and Illness: 8. Dimensional and categorical approaches to mental illness: let biology decide Robert M. Bilder; 9. Early-life adversity and epigenetic changes: implications for understanding suicide Benoit Labonté, Adel Farah and Gustavo Turecki; 10. Understanding the neural circuitry of emotion regulation: white matter tract abnormalities and psychiatric disorder Cecile D. Ladouceur, Amelia Versace and Mary L. Phillips; 11. Paying attention to a field in crisis: psychiatry, neuroscience, and functional systems of the brain Amir Raz and Ethan Macdonald; 12. Reflections: hearing voices - how social context shapes psychiatric symptoms Tanya M. Luhrmann; Part III. Cultural Contexts of Psychopathology: 13. Understanding the social etiology of psychosis Kwame McKenzie and Jai Shah; 14. Toward a cultural neuroscience of anxiety disorders: the multiplex model Devon E. Hinton and Naomi M. Simon; 15. From the brain disease model to ecologies of addiction Eugene Raikhel; 16. Cultural clinical psychology: from cultural scripts to contextualized treatments Andrew G. Ryder and Yulia E. Chentsova-Dutton; 17. Psychiatric classification beyond the DSM: an interdisciplinary approach Roberto Lewis-Fernández and Neil Krishan Aggarwal; 18. Reflections: the virtues of cultural sameness - the case of delusion Ian Gold; Part IV. Psychiatric Practice in Global Context: 19. Afflictions: psychopathology and recovery in cultural context Robert Lemelson and Annie Tucker; 20. Eating pathology in Fiji: phenomenologic diversity, visibility, and vulnerability Anne E. Becker and Jennifer J. Thomas; 21. Solving global mental health as a delivery problem: toward a critical epistemology of the solution Kalman Applbaum; 22. Global mental health praxis: perspectives from cultural psychiatry on research and intervention Brandon A. Kohrt and James L. Griffith; 23. Reflections: social inequalities and mental health outcomes - toward a new architecture for global mental health Duncan Pedersen; 24. Conclusion: re-visioning psychiatry - toward an ecology of mind in health and illness Laurence J. Kirmayer.

'Re-Visioning Psychiatry is a fresh attempt to examine the philosophical, cultural, and neuroscience underpinnings of psychiatry to ensure that it will be fit for purpose in the twenty-first century. The editors deserve our thanks for bringing together an impressive array of ideas to ensure that in the turmoil of debates on biology versus social determinants of health, patients do not get forgotten and receive the best treatments taking into account their individual needs.' Dinesh Bhugra CBE, Emeritus Professor of Mental Health and Diversity, Institute of Psychiatry, King's College London, and President, World Psychiatric Association