Person-centered versus disease-centered narratives among mental health providers in Kuwait: A critical and qualitative analysis of iatrogenesis and global medical discourse in action

摘要

This article examines the narratives of 11 mental health professionals (psychiatrists, psychologists, and counselors) regarding their perceptions of, and experiences with providing mental health services in Kuwait. Given that there is no legal ethical body governing mental health service delivery in Kuwait, and that there have been recent reports of negative personal experiences with mental health care providers, this study sought to understand the types of narratives and treatment approaches that may contribute to inadequate service delivery. This study drew on interpretive phenomenological analysis (IPA) and critical discourse analysis in its analysis. The most pervasive finding across all the interviews was that ideology, which can be shaped by educational and professional background, can, in turn, shape how mental health professionals narrate their perceptions of mental health and illness. This was seen most clearly in patient-centered versus disease-centered narratives. Western medical discourses are actively transforming indigenous principles and practices of care in Kuwait. Research limitations and directions for clinical education and practice are also discussed.