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A Different MedicinePostcolonial Healing in the Native American Church$
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Joseph D. Calabrese

Print publication date: 2013

Print ISBN-13: 9780199927722

Published to Oxford Scholarship Online: September 2013

DOI: 10.1093/acprof:oso/9780199927722.001.0001

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PRINTED FROM OXFORD SCHOLARSHIP ONLINE (oxford.universitypressscholarship.com). (c) Copyright Oxford University Press, 2020. All Rights Reserved. An individual user may print out a PDF of a single chapter of a monograph in OSO for personal use. date: 19 September 2020

Expanding Our Conceptualization of the Therapeutic

Expanding Our Conceptualization of the Therapeutic

Toward a Suitable Theoretical Framework for the Study of Cultural Psychiatries

(p.24) 2 Expanding Our Conceptualization of the Therapeutic
A Different Medicine

Joseph D. Calabrese

Oxford University Press

This chapter outlines the interdisciplinary theoretical perspective used in the study. It attempts to develop a conceptual framework broad enough for the study of multiple paths of normal human development and diverse forms of cultural psychiatry. “Cultural psychiatry” refers not to a particular disciplinary orientation but to the interplay of cultural and psychiatric realities as a focus of interdisciplinary investigation. This chapter examines each aspect of the dialectic of cultural psychiatry: the influence of cultural realities on clinical realities and the influence of clinical realities on cultural realities. It also introduces two basic cultural psychiatric concepts that are central to this study: therapeutic emplotment and consciousness modification, the latter including diverse systems of psychopharmacology. The approach of the NAC is described as a semiotic/reflexive paradigm of psychopharmacology, in which meanings and processes of self-reflection are central. This contrasts with biomedicine's materialist agonist/antagonist paradigm, which devotes little attention to meanings.

Keywords:   cultural psychiatry, therapeutic emplotment, consciousness modification, psychopharmacology, peyote, semiotic/reflexive paradigm of psychopharmacology, meanings, self-reflection, native american church

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