Culture in Mind – An Enactivist Account

Hutto, Daniel D.; Gallagher, Shaun; Ilundáin-Agurruza, Jesús; Hipólito, Inês

doi:10.1017/9781108695374.009

Cited by 17 publications

(11 citation statements)

References 1,439 publications

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“…For example, subjective experiences stand in a reciprocal relation to physiological processes in the brain or body. Features of the socio-cultural environment shape subjects' physiological constitution (Hutto et al, 2020), while such environment depends on how we engage with it based in turn on experiential or existential aspects. Thus, there is no linear sequence of causation, rather, processes of the different domains interact in complex dynamic ways over time (de Haan, 2020a): none of the domains function simply like a uni-directional switch that triggers processes in another domain.…”

Section: Domains and Methodsmentioning

confidence: 99%

Pain and the field of affordances: an enactive approach to acute and chronic pain

Coninx

Stilwell

2021

Synthese

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In recent years, the societal and personal impacts of pain, and the fact that we still lack an effective method of treatment, has motivated researchers from diverse disciplines to try to think in new ways about pain and its management. In this paper, we aim to develop an enactive approach to pain and the transition to chronicity. Two aspects are central to this project. First, the paper conceptualizes differences between acute and chronic pain, as well as the dynamic process of pain chronification, in terms of changes in the field of affordances. This is, in terms of the possibilities for action perceived by subjects in pain. As such, we aim to do justice to the lived experience of patients as well as the dynamic role of behavioral learning, neural reorganization, and socio-cultural practices in the generation and maintenance of pain. Second, we aim to show in which manners such an enactive approach may contribute to a comprehensive understanding of pain that avoids conceptual and methodological issues of reductionist and fragmented approaches. It proves particularly beneficial as a heuristic in pain therapy addressing the heterogenous yet dynamically intertwined aspects that may contribute to pain and its chronification.

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Section: Domains and Methodsmentioning

confidence: 99%

Pain and the field of affordances: an enactive approach to acute and chronic pain

Coninx

Stilwell

2021

Synthese

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“…This is a key facet of the ways that culture permeates human cognition and functioning. Of course, language and culture reach deeper to reshape cognition, perception and action in ways that are nonconscious, implicit and automatic (167,207,223,224). Throughout the lifespan, culture shapes the human nervous system, allowing us to navigate socially constructed environments, engage in cooperative activities, and pursue our goals through embodied knowledge, skills, habits and dispositions (225).…”

Section: E Cognitive Science As a Path To Multilevel Integrationmentioning

confidence: 99%

A cultural-ecosocial systems view for psychiatry

Gómez-Carrillo

Kirmayer

2023

Front. Psychiatry

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While contemporary psychiatry seeks the mechanisms of mental disorders in neurobiology, mental health problems clearly depend on developmental processes of learning and adaptation through ongoing interactions with the social environment. Symptoms or disorders emerge in specific social contexts and involve predicaments that cannot be fully characterized in terms of brain function but require a larger social-ecological view. Causal processes that result in mental health problems can begin anywhere within the extended system of body-person-environment. In particular, individuals’ narrative self-construal, culturally mediated interpretations of symptoms and coping strategies as well as the responses of others in the social world contribute to the mechanisms of mental disorders, illness experience, and recovery. In this paper, we outline the conceptual basis and practical implications of a hierarchical ecosocial systems view for an integrative approach to psychiatric theory and practice. The cultural-ecosocial systems view we propose understands mind, brain and person as situated in the social world and as constituted by cultural and self-reflexive processes. This view can be incorporated into a pragmatic approach to clinical assessment and case formulation that characterizes mechanisms of pathology and identifies targets for intervention.

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“…Finally, we must also consider sociocultural context as it is not simply a passive background setting; rather, it is a part of the system, affecting psychological as well as physiological processes. Culture permeates or "colours" subjective experiences (Hutto, Gallagher, Ilundáin-Agurruza, and Hipólito, 2020;Wiech and Shriver, 2018) such as pain. Continuing with the cake analogy, the effects of culture are similar to how the temperature of an oven impacts the overall state of a cake, including its ingredients (de Haan, 2020a).…”

Section: Cake Analogymentioning

confidence: 99%

The biopsychosocial model is lost in translation: from misrepresentation to an enactive modernization

Cormack¹,

Stilwell

Coninx

et al. 2022

Physiotherapy Theory and Practice

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Introduction: There are increasing recommendations to use the biopsychosocial model (BPSM) as a guide for musculoskeletal research and practice. However, there is a wide range of interpretations and applications of the model, many of which deviate from George Engel's original BPSM. These deviations have led to confusion and suboptimal patient care. Objectives: 1) To review Engel's original work; 2) outline prominent BPSM interpretations and misapplications in research and practice; and 3) present an "enactive" modernization of the BPSM. Methods: Critical narrative review in the context of musculoskeletal pain. Results:The BPSM has been biomedicalized, fragmented, and used in reductionist ways. Two useful versions of the BPSM have been running mostly in parallel, rarely converging. The first version is a "humanistic" interpretation based on person-and relationship-centredness. The second version is a "causation" interpretation focused on multifactorial contributors to illness and health. Recently, authors have argued that a modern enactive approach to the BPSM can accommodate both interpretations. Conclusion:The BPSM is often conceptualized in narrow ways and only partially implemented in clinical care. We outline how an "enactive-BPS approach" to musculoskeletal care aligns with Engel's vision yet addresses theoretical limitations and may mitigate misapplications.

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Culture in Mind – An Enactivist Account

Cited by 17 publications

References 1,439 publications

Pain and the field of affordances: an enactive approach to acute and chronic pain

Pain and the field of affordances: an enactive approach to acute and chronic pain

A cultural-ecosocial systems view for psychiatry

The biopsychosocial model is lost in translation: from misrepresentation to an enactive modernization

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