Articles producció científica> Antropologia, Filosofia i Treball Social

Unraveling Reactionary Care: The Experience of Mother-Caregivers of Adults with Severe Mental Disorders in Catalonia

  • Identification data

    Identifier: imarina:9267440
    Authors:
    Alegre-Agis, ElisaGarcia-Santesmases, AndreaPie-Balaguer, AsunMartinez-Hernaez, AngelBekele, DeborahMorales-Saez, NicolasSerrano-Miguel, Mercedes
    Abstract:
    In most Mediterranean countries, people diagnosed with severe mental disorders (SMDs) are typically cared for by the mother, causing a significant burden on people in this family role. Based on a broader mental health participatory action and qualitative research carried out in Catalonia (Spain) of 12 in-depth interviews and 3 focus groups, this article analyses the mother-caregivers' experience in the domestic space. The results show that patients and caregivers are engaged in a relationship of "nested dependencies", which create social isolation. This produces the conditions of "reactionary care", practices that limit the autonomy of those affected and that reproduce forms of disciplinary psychiatric institutions. We conclude that both institutional violence derived from economic rationality and that which stems from the gender mandate feed off each other into the domestic sphere. This research argues for placing care at the center of clinical practice and shows the need to consider the structural forces shaping it.© 2022. The Author(s).
  • Others:

    Author, as appears in the article.: Alegre-Agis, Elisa; Garcia-Santesmases, Andrea; Pie-Balaguer, Asun; Martinez-Hernaez, Angel; Bekele, Deborah; Morales-Saez, Nicolas; Serrano-Miguel, Mercedes
    Department: Antropologia, Filosofia i Treball Social
    URV's Author/s: Alegre Agís, Elisa / Bekele, Deborah / Martinez Hernaez, Angel / Morales Sáez, Nicolás
    Keywords: Spain Severe mental disorders Qualitative research Mothers Mental disorders Medical anthropology Institutional violence Humans Gender-based violence Female Caregivers Autonomous medication Adult stigma schizophrenia medical anthropology management institutional violence illness gender-based violence families cost children caregivers burden
    Abstract: In most Mediterranean countries, people diagnosed with severe mental disorders (SMDs) are typically cared for by the mother, causing a significant burden on people in this family role. Based on a broader mental health participatory action and qualitative research carried out in Catalonia (Spain) of 12 in-depth interviews and 3 focus groups, this article analyses the mother-caregivers' experience in the domestic space. The results show that patients and caregivers are engaged in a relationship of "nested dependencies", which create social isolation. This produces the conditions of "reactionary care", practices that limit the autonomy of those affected and that reproduce forms of disciplinary psychiatric institutions. We conclude that both institutional violence derived from economic rationality and that which stems from the gender mandate feed off each other into the domestic sphere. This research argues for placing care at the center of clinical practice and shows the need to consider the structural forces shaping it.© 2022. The Author(s).
    Thematic Areas: Social sciences, interdisciplinary Social sciences, biomedical Saúde coletiva Psychiatry and mental health Psychiatry Medicine (miscellaneous) Medicina ii Medicina i Health (social science) Enfermagem Ciencias sociales Ciencias humanas Arts and humanities (miscellaneous) Antropología Anthropology
    licence for use: https://creativecommons.org/licenses/by/3.0/es/
    Author's mail: elisa.alegre@urv.cat deborah.bekele@estudiants.urv.cat nicolas.morales@estudiants.urv.cat elisa.alegre@urv.cat angel.martinez@urv.cat
    Author identifier: 0000-0003-3720-7163 0000-0003-3720-7163 0000-0002-5122-7075
    Record's date: 2024-08-03
    Papper version: info:eu-repo/semantics/publishedVersion
    Link to the original source: https://link.springer.com/article/10.1007/s11013-022-09788-z
    Licence document URL: https://repositori.urv.cat/ca/proteccio-de-dades/
    Papper original source: Culture Medicine And Psychiatry. 47 (3): 790-813
    APA: Alegre-Agis, Elisa; Garcia-Santesmases, Andrea; Pie-Balaguer, Asun; Martinez-Hernaez, Angel; Bekele, Deborah; Morales-Saez, Nicolas; Serrano-Miguel, M (2023). Unraveling Reactionary Care: The Experience of Mother-Caregivers of Adults with Severe Mental Disorders in Catalonia. Culture Medicine And Psychiatry, 47(3), 790-813. DOI: 10.1007/s11013-022-09788-z
    Article's DOI: 10.1007/s11013-022-09788-z
    Entity: Universitat Rovira i Virgili
    Journal publication year: 2023
    Publication Type: Journal Publications
  • Keywords:

    Anthropology,Arts and Humanities (Miscellaneous),Health (Social Science),Medicine (Miscellaneous),Psychiatry,Psychiatry and Mental Health,Social Sciences, Biomedical,Social Sciences, Interdisciplinary
    Spain
    Severe mental disorders
    Qualitative research
    Mothers
    Mental disorders
    Medical anthropology
    Institutional violence
    Humans
    Gender-based violence
    Female
    Caregivers
    Autonomous medication
    Adult
    stigma
    schizophrenia
    medical anthropology
    management
    institutional violence
    illness
    gender-based violence
    families
    cost
    children
    caregivers
    burden
    Social sciences, interdisciplinary
    Social sciences, biomedical
    Saúde coletiva
    Psychiatry and mental health
    Psychiatry
    Medicine (miscellaneous)
    Medicina ii
    Medicina i
    Health (social science)
    Enfermagem
    Ciencias sociales
    Ciencias humanas
    Arts and humanities (miscellaneous)
    Antropología
    Anthropology
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