'If I don't take care of myself, who will?' Self-caring subjects in Oaxaca's mutual-aid groups

Mutuality as a method: advancing a social paradigm for global mental health through mutual learning

PURPOSE

Calls for "mutuality" in global mental health (GMH) aim to produce knowledge more equitably across epistemic and power differences. With funding, convening, and publishing power still concentrated in institutions in the global North, efforts to decolonize GMH emphasize the need for mutual learning instead of unidirectional knowledge transfers. This article reflects on mutuality as a concept and practice that engenders sustainable relations, conceptual innovation, and queries how epistemic power can be shared.

METHODS

We draw on insights from an online mutual learning process over 8 months between 39 community-based and academic collaborators working in 24 countries. They came together to advance the shift towards a social paradigm in GMH.

RESULTS

Our theorization of mutuality emphasizes that the processes and outcomes of knowledge production are inextricable. Mutual learning required an open-ended, iterative, and slower paced process that prioritized trust and remained responsive to all collaborators' needs and critiques. This resulted in a social paradigm that calls for GMH to (1) move from a deficit to a strength-based view of community mental health, (2) include local and experiential knowledge in scaling processes, (3) direct funding to community organizations, and (4) challenge concepts, such as trauma and resilience, through the lens of lived experience of communities in the global South.

CONCLUSION

Under the current institutional arrangements in GMH, mutuality can only be imperfectly achieved. We present key ingredients of our partial success at mutual learning and conclude that challenging existing structural constraints is crucial to prevent a tokenistic use of the concept.

Isabella's lion: circular care, kinship, and healing in Brazilian Candomblé

This paper centers on Isabella, a Candomblé follower who struggled with severe rheumatoid arthritis from an early age, arguing that care and self-care practices in Candomblé are intertwined to such extent that they challenge the dichotomy of caring and being cared for. In contrast to a linear model of care that positions care-giver and care--receiver at opposite ends of care relationships, the concept of 'circular care' describes forms of care that are directed at others and simultaneously at oneself. Exploring the religious kinship in a Candomblé house - with Candomblé deities (orixás) and between humans - this paper shows how circular care blurs the distinction between self and other. The emic concept of 'the double mirror' illustrates the -'constitutive alterity' of humans and orixás who relate to each other through kinship building and collective care practices. Since circular care frames one's care for the orixás and the religious family as healing self-care, failing to provide the correct care may in turn be experienced as detrimental self-neglect. The concept of circular care thus enables a deeper understanding of complex dynamics of care and self-care in the contexts of chronic illness, religion, kinship, and beyond.

Promoted Urbanization of the Countryside: The Case of Santiago’s Periphery, Chile (1980–2017)

Urbanization of the countryside affects rural areas, especially in the immediate surroundings of large cities. Normally, this occurs as an unpromoted process, but in Chile, it is driven by the legal framework. This research focuses on rural residential plots (RRPs) around the capital city, Santiago. The analysis seeks to understand the significance and consequences of RRPs during the last four decades and the role of a favorable legal framework in affecting their development. By examining data and official cartography on rural residential plots, the analysis shows a large phenomenon of rapid RRP development in the Metropolitan Region of Santiago de Chile (MR). The study confirms the existence of an ongoing process that is still partially latent and potentially both uncontrolled and evolving. This work demonstrates the negative effect that land liberalization policies can have by promoting territorial transformations that policymakers cannot subsequently control. The conclusions provide a critical perspective on the counter-urbanization process in the context of fragility and scarce resources.