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Global mental health research and practice: a decolonial approach
The Lancet Psychiatry ( IF 64.3 ) Pub Date : 2022-04-07 , DOI: 10.1016/s2215-0366(22)00043-8
Eliut Rivera-Segarra 1 , Franco Mascayano 2 , Lubna Alnasser 3 , Els van der Ven 4 , Gonzalo Martínez-Alés 5 , Sol Durand-Arias 6 , Maria Francesca Moro 7 , Elie Karam 8 , Ruthmarie Hernández-Torres 9 , Sebastián Alarcón 10 , Alíxida Ramos-Pibernus 1 , Rubén Alvarado 10 , Ezra Susser 2
Affiliation  

The global health movement is having a paradigm crisis—a period characterised by a questioning of one's values, goals, and sense of identity. Despite important advances in population health worldwide, global health and global mental health often produce and reproduce power imbalances and patterns of oppression and exploitation that perpetuate the current modern world system (ie, Eurocentric, capitalist, and patriarchal) and its entangled global hierarchies (eg, gender, economic, epistemic, and linguistic). A consensus is emerging to decolonise global mental health, but it is not clear how to move from rhetoric to action. In this Personal View, we aim to share our experiences and the practices developed in the context of the COVID-19 health care workers (HEROES) Study. To do so, we present our HEROES decolonial team approach, which comprises three underlying principles: epistemic justice, pragmatic solidarity, and sovereign acts. We have developed decolonial team practices such as co-creating communication spaces to foster horizontal and equitable dialogue, locating and managing the study database in Chile, and ensuring local teams' rights and access to the data without barriers.



中文翻译:

全球心理健康研究与实践:非殖民化方法

全球健康运动正在经历一场范式危机——一个以质疑一个人的价值观、目标和认同感为特征的时期。尽管全球人口健康取得了重要进展,但全球健康和全球心理健康往往会产生和重现权力失衡以及压迫和剥削模式,从而使当前的现代世界体系(即以欧洲为中心的、资本主义的和父权制的)及其错综复杂的全球等级制度(例如、性别、经济、认知和语言)。对全球心理健康去殖民化的共识正在形成,但尚不清楚如何从言辞走向行动。在此个人观点中,我们旨在分享我们在 COVID-19 医护人员 (HEROES) 研究背景下开发的经验和做法。为此,我们提出了我们的 HEROES 非殖民化团队方法,其中包括三个基本原则:认知正义、务实团结和主权行为。我们开发了非殖民化团队实践,例如共同创建交流空间以促进横向和公平的对话,定位和管理智利的研究数据库,以及确保当地团队的权利和不受障碍地访问数据。

更新日期:2022-04-07
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