A Heuristic Model for Designing Interventions in Multicultural Mental Health Encounters: The Case of a Community Mental Health Center among the Mapuche of Chile

In this paper, I develop the integrative concept of “shared experience of sense” as a heuristic model to design interventions in multicultural health encounters in the field of mental health promotion. For this purpose, I use extensive ethnographic material from the Mapuche’s territory in Chile, ana...

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Bibliographic Details
Main Author: Wiencke, Markus 1976- (Author)
Format: Electronic Article
Language:English
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Published: American Anthropological Association 2022
In: Anthropology of consciousness
Year: 2022, Volume: 33, Issue: 1, Pages: 10-37
Standardized Subjects / Keyword chains:B Chile / Mapuche / Mental health / Gesundheitszentrum / Multi-cultural society
IxTheo Classification:AE Psychology of religion
KBR Latin America
ZA Social sciences
ZD Psychology
Further subjects:B Mapuche
B Social Capital
B Mental Health
B Chile
B shared experience of sense
B medical pluralism
Online Access: Volltext (lizenzpflichtig)
Volltext (lizenzpflichtig)

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520 |a In this paper, I develop the integrative concept of “shared experience of sense” as a heuristic model to design interventions in multicultural health encounters in the field of mental health promotion. For this purpose, I use extensive ethnographic material from the Mapuche’s territory in Chile, analyzing the interactions between an outpatient community mental health center and deinstitutionalized patients in their home settings. The patients and their families navigate the medical pluralism of their domestic settings and make varying use of each of the different therapeutic options that are available to them, offered by the outpatient community mental health center, Indigenous healers, and Pentecostalism. The concept of “shared experience of sense” characterizes a specific form of meaning-making that may be beneficial to health in mental illness. This “positive” meaning making is made possible by a person's emotional and physical participation in the social events of therapeutic settings. In this regard, I highlight the bridges that the community mental health center builds to the everyday lives of patients and their families. Because of the support and access to resources provided by such therapeutic settings, persons are able to cope with their illness in everyday life, which can mean different things depending on the context. This is what I mean when I refer to “health promotion” in this article. 
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