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Title: Global mental health research and practice: a decolonial approach
Authors: Rivera-Segarra, Eliut
Mascayano, Franco
Alnasser, Lubna
van der Ven, Els
Martínez-Alés, Gonzalo
Durand-Arias, Sol
Karam, Elie G.
Moro, Maria Francesca
Hernández-Torres, Ruthmarie
Alarcón, Sebastián
Ramos-Pibernus, Alíxida
Alvarado, Rubén
Susser, Ezra
Affiliations: Faculty of Medicine 
Issue Date: 2022-04-07
Publisher: National Library of Medicine
Part of: The Lancet Psychiatry
Volume: 9
Issue: 7
Start page: 595
End page: 600
The global health movement is having a paradigm crisis-a period characterised by a questioning of one's values, goals, and sense of identity. Despite important advances in population health worldwide, global health and global mental health often produce and reproduce power imbalances and patterns of oppression and exploitation that perpetuate the current modern world system (ie, Eurocentric, capitalist, and patriarchal) and its entangled global hierarchies (eg, gender, economic, epistemic, and linguistic). A consensus is emerging to decolonise global mental health, but it is not clear how to move from rhetoric to action. In this Personal View, we aim to share our experiences and the practices developed in the context of the COVID-19 health care workers (HEROES) Study. To do so, we present our HEROES decolonial team approach, which comprises three underlying principles: epistemic justice, pragmatic solidarity, and sovereign acts. We have developed decolonial team practices such as co-creating communication spaces to foster horizontal and equitable dialogue, locating and managing the study database in Chile, and ensuring local teams' rights and access to the data without barriers.
ISSN: 22150366
DOI: 10.1016/S2215-0366(22)00043-8
Open URL: Link to full text
Type: Journal Article
Appears in Collections:Faculty of Medicine

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