scholarly journals The Work of Disaster: Building Back Otherwise in Post-Earthquake Nepal

2020 ◽  
Vol 35 (2) ◽  
Author(s):  
Aidan Seale-Feldman

What does a disaster generate? This article brings a critical phenomenological approach into conversation with theories of event to trace the emergence of a mental health crisis and its consequences in Nepal after the 2015 earthquakes. Following the disaster, people who received psychosocial counseling often presented chronic problems that had become visible through the frame of crisis and its ethical demands. At the same time, humanitarian agencies were aware of the logics of crisis and strategically used the disaster as an opportunity to increase mental health governance under the rubric of “building back better.” I demonstrate that these phenomena are linked consequences of the work of disaster, the destruction and creation of worlds set into motion by disaster and its management. I argue that a phenomenological approach to disaster helps us attend to the ways a priori frames of crisis and “the better” create and foreclose possibilities both for care and for building the world back otherwise. सारांश विपदले के उत्पादन गर्छ? २०१५ सालको भुकम्पले निम्त्याएको मानसिक स्वास्थको संकट र नेपालमा त्यसका परिणामको उद्भव यस लेखले घटनाक्रियाविज्ञान (फेनोमेनोलोजी) र घटना सिद्धान्तको संवादबाट चित्रित गर्छ । २०१५ को विपद पछि, जुन जीर्ण समस्याहरु मनोसामाजिक परामर्श पाउनेहरुमा देखा पर्यो, यी समस्याहरु संकटको धारणा र संकटको बेलाको नैतिक जिम्मेवारीको माध्यम बाट मात्र बाहिर देख्न आइपुग्यो । त्यस समयमा मानवीय निकायहरुले पनि रणनीतिक तरिकाले विपदलाई मानसिक स्वास्थ प्रशाशनलाई अझ सहज बनाउने अवसरको रुपमा लिए, झन् राम्रो पुननिर्माण (‘बिल्डिंग ब्याक बेट्टर’) को शीर्षक मुनि । यी घटनाक्रम सबै ‘विपदका काम’ सित जुडेका परिणामहरु हुन भनेर म यस लेखमा उल्लेख गर्छु, जहाँ विपद र विपदका व्यवस्थापनले नयाँ संसारहरुका बिनाश र सिर्जना दुबै भैरहेका छन् । संकट र ‘झन् राम्रो’ जस्ता पूर्वनिर्धारित अवधारणाहरूले कसरी हेरचाह र पुननिर्माणका सम्भावनाहरुलाई संगसंगै उत्पादन एवम सिमित गर्छन भनेर बुझ्न घटनाक्रियाविज्ञानको दृष्टिकोणले सहयोग गर्छ भन्ने मेरो तर्क यस लेखमा प्रस्तुत गरेकी छु ।

Author(s):  
Erin Smith ◽  
Helen Lavretsky ◽  
Charles F Reynolds III ◽  
Michael Berk ◽  
Harris A Eyre

The world is in the throes of a global mental health crisis with severe physical, societal, and economic ramifications. This has only exacerbated by the COVID-19 pandemic. Modern mental health problems are characterized by their complexity, multisystemic nature, and broad societal impact, making them poorly suited to siloed approaches of thinking and innovation. To solve the unprecedented complexities and challenges associated with the current global mental health crisis, a paradigm shift is needed. Convergence science integrates knowledge, tools, and thought strategies from various fields and is the point where novel insights arise. In the context of mental health, convergence involves integration of scientists, clinicians, bioinformaticists, global health experts, engineers, technology entrepreneurs, medical educators, caregivers, and patients; synergy between government, academia, and industry is also vital. A convergence mental health approach will lead to improved outcomes for patients and healthcare systems. Predicate examples of convergence science in adjacent fields to mental health provide a model for the path forward. Further, within the field of mental health, there are examples of convergence science currently in action that include early-stage companies, neuroscience initiatives, public health projects, and unconventional funding mechanisms. The world has a historic opportunity to leverage convergence science to lead to a new era of innovation and progress in global mental health.


Author(s):  
Alberto Abad ◽  
Juliana Almeida Da Silva ◽  
João Vitor Zamana das Neves Braga ◽  
Priscila Medeiros ◽  
Renato Leonardo De Freitas ◽  
...  

The Covid-19 started in China and took over the world, becoming a pandemic. Especially in Latin America, the coronavirus arrived on the continent in mid-February 2020. The South American continent is going through a delicate political, economic and social moment, which is reflected in the fragility of our health systems and science and to reduce the rates of contagion and not overburden health services, including hospitals. Nevertheless, several studies are being carried out in Brazil and worldwide, with the objective sought to understand the characteristics, and even, the cure of people infected by the coronavirus. Therefore, we must consider science-based strategies to combat the pandemic and promote a health system that takes care of the population that needs it.


The world is in the throes of a global health, economic, and mental health crisis with severe physical, societal, and economic ramifications. Modern mental health problems are characterized by their complexity, multisystemic nature, and broad societal impact, making them poorly suited to siloed approaches of thinking and innovation. To solve the unprecedented complexities and challenges associated with the current global crisis, a paradigm shift is needed. Convergence science integrates knowledge, tools, and thought strategies from various fields and is the focal point where novel insights arise. In the context of mental health, convergence involves integration of scientists, clinicians, bioinformaticists, global health experts, engineers, technology entrepreneurs, medical educators, caregivers, and patients; synergy between government, academia, and industry is also vital. A convergence mental health approach will lead to improved outcomes for patients and healthcare systems. Predicate examples of convergence science in adjacent fields to mental health provide a model for the path forward. Further, within the field of mental health, there are examples of convergence science currently in action that include early-stage companies, neuroscience initiatives, public health projects, and unconventional funding mechanisms. The world has a historic opportunity to leverage convergence science to lead to a new era of innovation and progress in global mental health. Contributions for this book come from authors affiliated with the Milken Institute, Asia Pacific Economic Cooperation, Organization for Economic Co-operation and Development, the National Academies of Science, Medicine and Engineering, Stanford University, and Harvard University. This book is written for practitioners and leaders in mental health innovation, including clinicians, researchers, policymakers, investors, entrepreneurs, and philanthropists.


Author(s):  
Jeffrey S. Seppi

This study has applied stakeholder theory as a lens to focus on mitigating future health crises by learning from COVID-19, working collectively, using proven business and scientific strategies to create a cohesive pandemic mitigation plan for local and global entities. Utilizing publicly available data on the COVID-19 pandemic, a quantitative analysis was performed using Pearson's r correlation coefficient that tested for relationships between the strictness of pandemic control measures and the reported anxiety, depression, and the number of COVID-19-related deaths. The analysis results revealed that the degree of strictness of pandemic control measures suggested no relationship with the growing mental health crisis and the number of COVID-19 deaths. Therefore, it has been recommended that stakeholders of the world collectively work to proactively prepare for the future to mitigate the effects of health crises and pandemics and thereby secure a chance at long-term survival.


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