From damaged nerves to @entity308 : inevitability and hope in Latvian XXXX narratives.

@entity1 @entity308 @entity146
Psychiatric language in Latvia has been invaded by the diagnosis of @entity308 and @entity308 . @entity308 has been promoted by the translation into Latvian of the International Classification of Diseases and by conferences organized by pharmaceutical companies and aimed at educating psychiatrists and family doctors about the new diagnostic categories. The language of @entity308 represents a radical departure from older languages of somatic distress that were central both to Soviet Psychiatry and to lay conceptualizations of distress. However, the new practitioners who favour the diagnosis of @entity308 have a highly atomistic and culture blind approach to @entity1 ' problems. In order to selectively cleanse the presentation of distress, various strategies for eliminating social context and suppressing @entity1 ' narratives are used during @entity146 consultations. Alongside these imported @entity146 languages, recognition of the physically and socially embedded nature of @entity1 experience and its historicity persist. Not all psychiatrists eliminate subjective narrative from the consultation dialogue. However, prioritizing mental over physical states is not linked in a straightforward way to other dualisms such as the intentional versus the accidental and the voluntary versus the involuntary. For many @entity308 @entity1 autonomy is restricted to being a good @entity1 and learning about their condition. Conversely, psychiatrists who start out by addressing their @entity1 ' physical discomfort may move on to open up a range of narrative possibilities.
