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Psychosocialization in Nepal: Notes on translation from the frontlines of global mental health

Chase, L. E. (2021) 'Psychosocialization in Nepal: Notes on translation from the frontlines of global mental health.', Medicine Anthropology Theory, 8 (1). pp. 1-29.

Abstract

As ‘psychosocial interventions’ continue to gain traction in the field of global mental health, a growing critical literature problematises their vague definition and attendant susceptibility to appropriation. In this article, I recast this ill-defined quality as interpretive flexibility and explore its role in processes of translation occurring at the frontlines of care in rural Nepal. Drawing from 14 months of ethnographic fieldwork among community-based psychosocial counsellors, I consider how the broad and flexible notion of the ‘psychosocial problem’ operates as a ‘boundary object’ in transnational mental health initiatives—that is, how it facilitates the collaboration of service users, clinicians, donors, and policymakers in shared therapeutic projects without necessarily producing agreement among these parties regarding the nature of the suffering they address. I suggest that psychosocial interventions may be gaining popularity not despite but precisely because of the lack of a unitary vision of the problems psychosocial care sets out to alleviate. In closing, I reflect on what distinguishes ‘psychosocialisation’ from medicalisation and highlight the limitations of the latter as a critical paradigm for the anthropology of global mental health.

Item Type:Article
Full text:(VoR) Version of Record
Available under License - Creative Commons Attribution 4.0.
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Status:Peer-reviewed
Publisher Web site:https://doi.org/10.17157/mat.8.1.5111
Publisher statement:© Liana E. Chase, 2021. Published under a Creative Commons Attribution 4.0 International license.
Date accepted:25 January 2021
Date deposited:07 May 2021
Date of first online publication:23 April 2021
Date first made open access:07 May 2021

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