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Biomedical subjects

G Bibeau

Publications and source records attributed to G Bibeau.

14 recordsLinked to original sources

Between myth and madness: the premigration dream of leaving among young Somali refugees.

Many young Somali refugees experience long premigration waits and a poorly delimited transition period in a succession of countries before reaching their final destination. During this difficult passage, a myth dealing with departure and exodus is collectively constructed, and it serves as a dynamic, mobilizing dream that orients individual strategies. This substitution of "dream travel" for real travel during the transition period, especially if it is prolonged, may cause Somali youths to lose contact with reality and eventually to slide into madness. The authors' approach is based on three assumptions: (a) that pastoralism predisposes the Somali to value travel as a way of maturing, (b) that age-based peer groups create special migratory dynamics, and (c) that an ethic of solidarity involves many people in the adventure of a migrant youth. When trapped in an indefinite transition period, young men share khat-chewing sessions during which they relate success stories and dreams of leaving. Many grow frustrated with the delay, and if their departure plans fall through, the "dream trip" often becomes "dream madness." Actual cases illustrate how some young Somali get lost in their dreams. A young Somali's vulnerability is heightened when he extricates himself from the system of reciprocal obligations or when the liminal stage ends with the mourning of the impossible dream. In the universe of madness visited by some young Somali migrants, the boundaries between the real and the imaginary are poorly marked. The paper is based on fieldwork carried out in the Horn of Africa and in Canada, interviews with Somali immigrants and members of the community, and clinical psychiatric data collected in Montreal.

Adaptation, Psychological↗

Being affected by the other.

Against present trends towards the homogenization and the hegemony of one world intellectual "koine," the author underscores the richness contained in the plurality of intellectual styles, discursive paradigms and cultural configurations. He shows that all encounters encompass a tragic dimension, that of power and dependence, that cannot be neutralized by the most sensitive individual empathy. Seven rules are finally offered for guiding Western and non-Western scholars on the road towards the transnational and transcultural dialogue.

Anthropology, Cultural↗

[Anglo-Saxon social research in mental health : tendencies, limits and impasses.].

In this critical review of English-language research on mental health, the authors identify the dimensions and variables taken into consideration in analyzing, on the one hand, social space and, on the other hand, the field of mental health. Three essential aspects of the body of research are analyzed : theoretical frames of reference ; methods and instruments ; and how links are made between social variables and mental-health problems. In a long conclusion, orientations of French-Quebec social research into mental health are compared to those of English research.

English Abstract↗

[The human factor in politics : applications in the field of mental health.].

The author describes the different stages in the construction of governmental policies emphasizing specifically the way the policies in mental health are being developed in Quebec. In the first section, he analyses the traps encountered in the people's consultations whether made in the framework of a commission's recommendations or otherwise; more precisely, he discusses the problems met by the members of the commission, as in the case of the Rochon commission, in separating the conflicting interests expressed in the different reports. In the second section he discusses the relationships that develop between the consultative committees, like the committee on Mental Health of Quebec and the intra-ministerial services, the relationships of cooperation or of lack of communication based as much on the structural elements as on the planned ones; the communications between the intra-ministerial and the external organisms are analyzed reviewing their implication in the preliminary stages that should lead to a provincial policy in mental health. The last section is given over to a short discussion of two ideas that seem at this time to be the predominant ones in the technocrat's world; the idea of desinstitutionnalization and the idea of multidisciplines in the intervening teams; those ideas are reviewed in regard to the context of the last advice of the Mental Health Committee of Quebec.

English Abstract↗

From China to Africa: the same impossible synthesis between traditional and western medicines.

I will question in this paper the relevance of the Chinese medical model for African countries which are in the process of designing new health care delivery systems. With most of the authors who have discussed the question, I agree that this model constitutes a radical alternative model worthy of examination in itself without considering its actual implementation in the People's Republic of China. Therefore, I consider this model as a model and I will not be concerned in this paper about the degrees of success that the People's Republic of China government has had in turning this alternative health care model into reality. Everybody knows that the so-called Chinese medical model is built around four guiding principles: the health programs must serve the workers, peasants and soldiers; the chief emphasis must be placed on prevention; strong cooperation between doctors of Western and traditional medicine must be developed; and the public health tasks must rely on mass movements. In this paper, I will limit the discussion to only one aspect of the whole model: the official use of traditional practitioners, and I will question more generally the place of traditional Chinese medicine in the PRC's medical care system. Other innovations--the concentration on the common diseases of the majority, the use of mass line in prevention, the development of new types of health worker and the recourse to intermediate technology are of the greatest interest but these various features of the Chinese model, though central, are not fully analyzed in the following pages.

Africa↗

[Burnout : ten years later.].

The important literature on burn-out or professionnal exhaustion is examined here from three aspects: socio-cultural anthropology, biological anthropology and ethnopsychiatry. On the socio-cultural level, the emergence of burn-out is seen as an epiphenomenon arising conjointly from a new work ethic and a new concept of the person; on the biological level, the burnout is presented in relation to two main areas of study: as an adaptative strategy used by individuals to face particularly demanding situations in their working environment and as a particular modality of the interrelations between physical, psychological and behavioral dimensions in a person; on the ethnopsychiatric level, the burn-out is not interpreted as a new category in the description of illnessess but rather as a model of behavior more socially accepted and as an integrative concept that allows one to give meaning to a diversified group of symptoms. Studies on burn-out indicators, their causes, its neuro-physiology and its definition are explicitly discussed according to three perspectives: socio-cultural, biological and ethnopsychiatric.

English Abstract↗

New legal rules for an old art of healing: the case of Zairian Healers' Association.

Legitimacy of traditional medical practice could be recognized by modern legal codes in Africa through quite simple procedures. However, legal recognition of traditional medicine implies also the examination of more fundamental aspects of "laws regarding the art of healing': for example, what legal status can be given to cultural categories such as witchcraft, spirits and magic? To ritual therapeutics used concurrently with herbal remedies? To diagnostic procedures such as divination? This paper insists on the fact that both dimensions in traditional medicine, natural and meta-natural, must be assumed within the official legal framework. Western-oriented codes of law, such as they generally exist in African States, are limited in their capability to integrate the African medical conceptions. This limitation is discussed in this text.

Delivery of Health Care↗