Cultural Anxieties and Institutional Regulation: "Specialized" Mental Healthcare and "Immigrant Suffering" in Paris, France
Date of Award
Doctor of Philosophy (PhD)
Chair and Committee
This dissertation looks at "specialized" mental healthcare expertise in France as a lens through which to address the institutional management and representations of cultural difference in France today. By "specialized" mental healthcare centers, I refer structures that provide culturally-sensitive mental health services to immigrants specifically. I identify and explore three contemporary expert approaches: namely, transcultural psychiatry, clinical medical anthropology, and ethnoclinical mediation. By providing a genealogy of specialized mental healthcare institutions, and by construing them as "meta-discursive nodes"--that is, as points of encounter between state, institutional, and individual ideologies--I provide an analysis of the cultural anxieties, contradictions and double-binds that arise from the opposition between a regulative, universalist republican ideology, and a field of expertise which strives to promote culturally-sensitive mental healthcare for immigrants. I argue that, as a product of the conflation of the "immigrant issue": la question immigr├⌐e) and the "social issue": la question sociale), "immigrant suffering": Sayad, 2004) has become a medium that problematically couches immigrants' "difficulties"-- whether they relate to mental health pathology or structural problems--in terms of cultural difference. As a result, generic cultural representations of immigrants are uncritically reproduced, making it difficult to identify and address the structural inequalities that do engender suffering.
Larchanché, Stéphanie, "Cultural Anxieties and Institutional Regulation: "Specialized" Mental Healthcare and "Immigrant Suffering" in Paris, France" (2010). All Theses and Dissertations (ETDs). 193.
Permanent URL: http://dx.doi.org/10.7936/K7VH5KTV