Khabbache H, Ouazizi K, Ait Ali D, Cherqui A, Rizzo A, Tarchi L, et al . Cultural Placebos From the Wild in Patients With Mental Disorders: The Case of the Nour Association in Fez-Morocco. Iranian Rehabilitation Journal 2024; 22 (1) :129-138
URL:
http://irj.uswr.ac.ir/article-1-2204-en.html
Hicham Khabbache1

,
Khalid Ouazizi1

,
Driss Ait Ali *1

,
Abdelhalim Cherqui1

,
Amelia Rizzo2

,
Livio Tarchi3

,
Sefa Bulut4

,
Łukasz Szarpak5

,
Mohamed Makkaoui1

,
Hanane El Ghouat1

,
Parisa Jalilzadeh Afshari6

,
Rezvaneh Namazi Yousefi7

,
Francesco Chirico8
1- Laboratory of Morocco: History, Theology and Languages, Department of Psychology, Faculty of Arts and Human Sciences Fès-Saïss, Sidi Mohamed Ben Abdellah University, Fez, Morocco.
2- Department of Clinical and Experimental Medicine, University of Messina, Messina, Italy.
3- Department of Health Sciences, University of Florence, Florence, Italy.
4- Department of Counseling Psychology, Counseling Center, School of Education, Ibn Haldun University, Istanbul, Türkiye.
5- Department of Clinical Research and Development, LUXMED Group, Warsaw, Poland.
6- Department of Audiology, School of Rehabilitation, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
7- Deputy of Research and Technology, University of Social Welfare and Rehabilitation Sciences, Tehran, Islamic Republic of Iran.
8- Faculty of Medicine and Surgery, Specialization School in Occupational Medicine, Catholic University of the Sacred Heart, Rome, Italy.
Abstract: (1642 Views)
Objectives: In urgent situations, like those experienced by the Nour Association, individuals often turn to their ethnocultural backgrounds and ingrained coping mechanisms to enhance their psychological and overall well-being.
Methods: This study employed a dual-analytical approach. Initially, participant observation was used to understand the day-to-day activities within the Nour Center’s authentic environment. Subsequently, three cognitive theories—conceptual metaphor, schema, and frame theory were applied to analyze and interpret the transformation in the patients’ conceptual systems comprehensively.
Results: We detected that the patient community at the Nour Center utilized various socio-cultural practices (drama roleplay, peer-support therapy, and task-shifting) to create an improvised, theory-independent recovery program focused on ‘awakening’ and ‘self-empowerment’. These latter were mediated by higher-order meta-cognitive processes, such as ‘self-regulation’ and ‘self-description’, frames, such as ‘the home frame’ and ‘the hospital frame’, and schemata, such as ‘the function schema’, which are foundational to ‘cultural placebos’.
Discussion: The present findings established that both general health and mental health are significantly shaped by societal influences, indicating that cultural therapy emerges from the intricate dynamics of sub-cultural social systems. Ultimately, concepts of illness and recovery are subject to cultural negotiation.
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● This article explored how individuals, particularly within the Nour Association, resort to their ethno-cultural identity and internalized mechanisms during exigent circumstances for optimizing psychological and health well-being.
● Results established that health, both general and mental, is intricately linked to societal dynamics.
● The research led to the development of an impromptu recovery program emphasizing ‘awakening’ and ‘self-empowerment,’ facilitated by advanced meta-cognitive processes and fundamental cultural frameworks.
Plain Language Summary
In tough situations, such as those faced by members of the Nour Association, individuals draw on their cultural heritage and innate coping strategies to bolster their mental and physical health. Our study utilized two methods: Observing daily life at the Nour Center and employing three cognitive theories (conceptual metaphor theory, schema theory, and frame theory) to delve into changes in patients’ thought processes. Our findings revealed that the patient community used various cultural practices (like drama, peer support, and task-shifting) to create a flexible recovery program focused on ‘awakening’ and ‘self-empowerment.’ These were influenced by advanced thinking processes, cultural frames (like ‘the home frame’ and ‘the hospital frame’), and mental structures (like ‘the function schema’ related to ‘cultural placebos’). In summary, our findings underscore that societal factors heavily influence individuals’ health and mental well-being, suggesting that cultural therapy evolves from dynamic socio-cultural systems. Significantly, notions of illness and recovery are subject to cultural interpretation.
Article type:
Original Research Articles |
Subject:
Psychology Received: 2024/01/17 | Accepted: 2024/02/8 | Published: 2024/03/1
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